Clinical Medicine

Article	Citations
Multiple transfusion request audit	129
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	125
Night sweats and haematological malignancies: Are ‘sweats’ truly a ‘red flag’ symptom? An insight into 2-week-wait haemato-oncology referrals at St Bartholomew's Hospital, London, UK	114
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	98
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	94
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	83
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	76
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	63
Ambulatory management of diabetic foot complications	48
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	44
Case series of choledocholithiasis more than 25 years after cholecystectomy	38
Doing simple things well can achieve significant benefits	35
Piloting a novel cancer care pathway: socioeconomic background as a barrier to access	33
Life threatening, subclavian artery mycotic aneurysm rupture into a gigantic supraclavicular abscess in an intravenous drug user	31
Effects of fasting on solid organ transplant recipients during Ramadan – a practical guide for healthcare professionals	28
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	28
Effective bedside teaching as a foundation doctor	25
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	24
Management of hyperglycaemia in people with obesity	23
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	23
How to approach acute thrombosis and thrombocytopenia	23
Diagnosis and management of ventricular tachycardia	22
Risk factors and an interpretability tool of in-hospital mortality in critically ill patients with acute myocardial infarction	21
The medical licensing assessment (MLA) content map: A list is not a syllabus, and a syllabus is not a curriculum	20
Audit on parental awareness of minimising added sugar intake during complementary feeding	20

Diagnosis and management of non-cystic fibrosis bronchiectasis	18
Endoscopic surveillance in patients with oesophageal varices in alcoholic liver cirrhosis	18
The diagnosis and treatment of catatonia	17
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	17
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	16
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	16
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	15
Unwelcome guests: infectious disease beyond the pandemic	15
Purple urine bag syndrome	15
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	15
A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids	14
Association between lipid profile and disease activity in rheumatoid arthritis	14
Hospital at home – developing a simulation induction programme for junior doctors	14
Hyperbaric oxygen therapy for the treatment of long COVID: early evaluation of a highly promising intervention	14
Age modifies both the maximal temperature and inflammatory response in patients with SARS-CoV-2 infection	14
An update on the clinical approach to giant cell arteritis	14
Temporal trends in the burden of multiple sclerosis in the UK over the past three decades	13
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	13
Causes of obesity: a review	13
The trend in deaths from alcoholic liver disease (ALD) over the past decade	13
Exceptional outcome: CD-30-positive relapsed enteropathy-associated T-cell lymphoma (EATL) treated with brentuximab vedotin alone, showing significant improvement in weight and albumin levels in Type	13
Spectrum of anaemia in rheumatic diseases and the involvement of rheumatologists in the management: a single centre study	13
Enhanced neurotrauma services: physician input into traumatic brain injury care	13
How to approach haemolysis: Haemolytic anaemia for the general physician	12
Isolated cardiac sarcoidosis: A clinical challenge	12
The clinical course of pneumomediastinum in patients with SARS-CoV-2 before invasive mechanical ventilation	12
Health and care needs of hospitalised people experiencing homelessness: an inpatient audit	12
Health means more than just healthcare	12
Engagement in research during specialist geriatric medicine training: results of a national trainee survey	11
Decoding cardiac masquerade: Arrhythmogenic cardiomyopathy camouflaging as acute myocardial infarction	11
Rapid echocardiography in the primary angioplasty era for timely detection and management of acute Stanford type A aortic dissection: a case illustration	11
Table of Contents	11
A rare presentation of geriatric non-epileptic seizures due to carotid artery encasement of a diffuse large B-cell lymphoma: A case report	11
The BSG/BASL bundle for patients admitted with decompensated chronic liver disease improves standard of care but utilisation is poor across the UK	11
The rapid progression of Creutzfeldt–Jakob disease with concomitant COVID-19 infection: a case report	11
Image of the month: Mycotic aortic arch pseudoaneurysm due to Salmonella enterica	11
Table of Contents	11
Optimising admission to scope time for acute GI bleeding (UGIB): retrospective comparative analysis of the timing of endoscopy for UGIB in a Queensland quaternary centre following international recomm	11
The use of tociluzimab in COVID-19 inpatients: experience from a district general hospital	11
From hypertension to heart failure: The missed clues of transthyretin cardiac amyloidosis	10
Dynamics of minimal residual disease and its clinical implications in multiple myeloma: A retrospective real-life analysis	10
Chronic lymphocytic leukaemia in the elderly	10
Safe to transfuse? An audit on quality and practices in blood transfusion sampling and labelling in the accident and emergency (A&E) department.	10
Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation	10
Population-specific DPYD variants and fluoropyrimidine toxicity risk: an analysis using public genomic databases	10
Same-day emergency care	10
Thrombocytopenia: the good, the bad and the ugly	10
Use of IV immunoglobulin to treat steroid resistant, immune checkpoint inhibitor induced pure red cell aplasia. A case report	9
The diagnosis of fibromyalgia syndrome	9
Temporal trends in the burden of chronic obstructive pulmonary disease in the UK over the past three decades	9

Effectiveness of pre- and post-operative 4AT assessment in monitoring delirium in hip fracture patients	9
Editorial: Learnings from all walks of medical practice	9
A rare case of TEN-like acute cutaneous lupus	9
Improving antimicrobial prescribing in adults hospitalised with community-acquired pneumonia in a district general hospital of West Yorkshire	9
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	9
The management of severe eczema in pregnancy	9
A rare complication of DRESS syndrome in the treatment of cardiac device-related lead thrombus and infective endocarditis	9
The use of metaverse in medical education: A systematic review	8
The protective effect of previous COVID-19 infection in a high-prevalence hospital setting	8
People living in homeless hostels: a survey of health and care needs	8
A comparison of giant cell arteritis referrals and outcomes during the COVID-19 pandemic: experience from a district general hospital in the UK	8
Cancer immunotherapy and the management of side effects	8
Management of pituitary incidentalomas	8
Anaemia of acute inflammation: a higher acute systemic inflammatory response is associated with a larger decrease in blood haemoglobin levels in patients with COVID-19 infection	8
Don't just fit and forget: incremental benefit of optimisation of medical therapy post-cardiac resynchronisation therapy	8
Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups? Prospective assessment of the current practice and yield of faecal elastase testing in patients with diabetes mellitus, HIV and/or	8
Optimisation of strategies for management of heart failure with preserved ejection fraction	8
Use of proton pump inhibitors (PPI) in patients with acute coronary syndrome (ACS) receiving dual-antiplatelet therapy (DAPT)	7
A prospective multicentre study of the endoscopic ultrasound-guided radiofrequency (EUS-RFA) and ethanol ablation (EUS-EA) in pancreatic neuroendocrine tumours and adenocarcinoma of the pancreas	7
Cancer immunotherapy and the management of side effects	7
DVT: is it really an SDEC pathway? A retrospective review of SDEC DVT demand and outcomes across Surrey Heartlands ICS	7
A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care	7
Acute Epstein–Barr virus hepatitis without infectious mononucleosis: a diagnostic challenge	7
Atypical presentation of young stroke with vertebral artery dissection	7
Severe acute pulmonary embolism in pregnancy	7
Importance of point of care ultrasound in the diagnosis of severe mitral regurgitation	7
Diagnostic accuracy of CADe-assisted reading versus clinician reading for polyp detection in colon capsule endoscopy: a multicentre prospective study	7
Controversies in thyroid disease management in pregnancy	7
Thrombophilia testing in the era of direct oral anticoagulants	7
Secondary hemophagocytic lymphohistiocytosis: an unusual complication in disseminated Mycobacterium tuberculosis	7
A genetic paradigm shift: Deciphering stress-induced molecular mechanisms fuelling cancer genesis	7
Treat staff like they make a difference, and they will	7
NEWS2 and the older person	7
Secondary haemophagocytic lymphohistiocytosis in hospitalised COVID-19 patients as indicated by a modified HScore is infrequent and high scores do not associate with increased mortality	7
Can advance care planning (ACP) improve patients' journey with advanced dementia and their families? A 1-year follow-up study	7
The appropriateness of penicillin allergy de-labelling by non-allergist clinical ward teams	6
Soups, shakes and other slimming strategies: GLP-1 agonists vs. NHS type 2 diabetes path to remission programme in the battle against T2DM and weight management	6
Idiopathic multicentric Castleman disease and its rare association with peripheral neuropathy and stroke	6
Unexplained breathlessness: Integrating pathophysiological insights with clinical evaluation	6
Clinical academics’ experiences of REF2021	6
Genomics in the kidney clinic	6
The National Early Warning Score: from concept to NHS implementation	6
A case of acute anti-Mi-2-beta antibody-positive dermatomyositis	6
Infectious pulmonary tuberculosis patients who inadvertently had spirometry in a tertiary care pulmonary service in southern India	6
Pregnancy-specific dermatoses for the resident physician	6
Learning from the past rather than living in it	6
Seeing what others see while thinking what others have not	6
Refractory thrombocytopenia as a manifestation of Mycobacterium abscessus complex prosthetic valve endocarditis: a rare and fatal complication	6
Years after the cure: a rare case of delayed onset of oesophageal stricture post-radiotherapy for lung cancer	6
Inhaled beclomethasone in the treatment of early COVID-19: a phase 2, double-blind, placebo-controlled, randomised trial	6
Time for preference-informed foundation allocation?	6
Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited	6
Prediction of admission to a low-resource sub-Saharan hospital by mental status, mobility and oxygen saturation recorded on arrival: a prospective observational study	6
Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project	5
Do you need a weatherman to know which way the wind blows?	5
Cocaine-induced granulomatosis with polyangiitis: an under-recognised condition	5
A National audit of the care of patients with acute kidney injury in England and Wales in 2019 and the association with patient outcomes	5
Putting your HAT on	5
Isolated headache is not a reliable indicator for brain cancer: the 2-week wait pathway for suspected CNS malignancies	5
Peritoneal dialysis patients – the forgotten group in the coronavirus pandemic	5
Defining and characterising a toolkit for the development of a successful European registry for rare liver diseases: a model for building a rare disease registry	5
Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review	5
Bickerstaff's brainstem encephalitis: A diagnostic challenge	5
COVID-19 infection as a parameter in the CHA2DS2 vascular risk assessment tool	5
Core medical training to internal medicine training: progress or a step backwards?	5
Early applications of ChatGPT in medical practice, education and research	5
CME: Geriatric medicine (141062): self-assessment questionnaire	5
Attitudes toward deprescribing for hospital inpatients	5
Demographic characteristics of patients with giant cell arteritis in Sheffield, England	5
Thromboelastography for rapid diagnosis of heparin-like anticoagulant release during anaphylaxis-induced coagulopathy in systemic mastocytosis: a case report	5
Four key problems that will need to be addressed during the next pandemic	5
Lesson of the month: Cytotoxic lesions of the corpus callosum (CLOCCs) in status epilepticus	5
Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	4
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	4
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	4
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	4
The value of CT head scans for patients from care homes presenting to the emergency department following a fall	4
Foundation doctors’ perspectives on the impact of the COVID-19 pandemic and lessons for the future	4
Acute quadriplegia and epileptic seizures in a 47-year-old man	4
Breathe easy: encouraging climate-conscious inhalers	4

The false positive troponin results: case studies of analytical interference	4
Outpatient parenteral antibiotic treatment for infective endocarditis: A retrospective observational evaluation	4
Pfizer COVID-19 vaccine-induced peritonitis	4
Trends in hypertension diagnosis and control in Lagos, Nigeria from May measurement month 2023	4
The unsung tale of the pied piper of haematology: insights from a case of renal transplant failure	4
Prescribing for change – safer antimicrobial use in hospitals	4
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	4
Perfusion imaging in acute ischaemic stroke – the beginning of the end?	4
Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	4
VF arrest secondary to immune checkpoint inhibitor (ICI)-associated myocarditis; improving patient outcomes by maintaining a high clinical suspicion for ICI toxicity	4
Audit of immunoglobulin monitoring and hypogammaglobulinaemia after B cell targeted therapy in a paediatric cohort in a high immune disease prevalence Region	4
Acute intermittent porphyria: is oseltamivir safe in these patients?	4
The effect of CGRP monoclonal antibodies on cardiovascular disease	4
Developing an electronic surprise question to predict end-of-life prognosis in a prospective cohort study of acute hospital admissions	4
Let's voice it- bridging the cervical screening health inequality among sexual minority women	4
Pulmonary endemic mycoses	4
A teenager with ophthalmoparesis and dysphagia	4
Bilateral adrenal infarction and secondary haemorrhage in pregnancy: implications of factor V Leiden heterozygosity. A review of the literature and a case report	4
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	4
Harveian Oration 2020: Elucidation of molecular oxygen sensing mechanisms in human cells: implications for medicine	4
E-cigarettes as a safe alternative to tobacco smoking? A deep dive into vape-associated pneumothorax (VASP)	4
How serious are ‘serious non-specific symptoms (SNSS)’? Evaluation of the introduction of a local SNSS pathway, and the pick-up rate of cancers, within this population	4
Table of Contents	4
Sustainability in endoscopy: online endoscopy education platform significantly reduces carbon footprint of patient travel	3
Developing chief investigators within the NHS: the West Midlands clinical trials scholars programme	3
Disseminated tuberculosis in a patient on anti-tumour necrosis factor (anti-TNF) therapy	3
Infectious diseases at the front door: Focus on the fundamentals	3
Assessing variation in complications and outcomes of diabetic ketoacidosis management in the United Kingdom: a multicentre quality improvement initiative	3
Evaluating implementation of implantable cardioverter-defibrillator deactivation discussions in do not attempt cardiopulmonary resuscitation (DNACPR) forms: Audit from a tertiary care hospital in the	3
Approaches to building rapport with patients	3
Effectiveness of NEWS in identifying acute deterioration in older adults	3
Health literacy associates with clinical, treatment and work status in people with inflammatory arthritis: results from a national cohort	3
Suboptimal lipid reduction and follow-up in patients with transient ischaemic attack: a need for a systematic, guideline-based approach to optimising lipid-lowering therapy	3
Posterior circulation ischaemic stroke diagnosis and management	3
SNAPTIMED study: does the Scottish and Newcastle Anti-emetic Protocol achieve timely intervention and management from the emergency department to discharge for paracetamol poisoning?	3
Lessons of the month 3: Haemophagocytic lymphohistiocytosis following COVID-19 vaccination (ChAdOx1 nCoV-19)	3
Benefits of a falls service during the pandemic	3
Response to: Letter to the editor: Sleep measures and cardiovascular disease in type 2 diabetes mellitus	3
Images of the month 1: Recurrent ischaemic stroke secondary to Eagle syndrome	3
Coeliac disease on the rise: the COVID-19 vaccination hypothesis	3
What is the impact of COVID-19 on complaints against doctors?	3
Immunotherapy related acute kidney injury	3
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	3
FIT and the endoscopy service in Swansea Bay Health Board during the COVID-19 pandemic	3
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	3
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	3
Complex lupus management: when multiple organs demand precision	3
‘What is the risk to me from COVID-19?’: Public involvement in providing mortality risk information for people with ‘high-risk’ conditions for COVID-19 (OurRisk.CoV)	3
Gin OR tonic: The dermatological hazards of cocktail-based quinine	3
A retrospective audit of out-of-hours mechanical thrombectomy of anterior circulation large vessel occlusion in a UK tertiary centre	3
Evidence-based appraisal of situational judgement tests (revisited)	3
‘Passenger announcement: Is there a doctor on board?’ Tackling impostor phenomenon in the transition from medical student to foundation doctor	3
Lesson of the month: Recurrent falls and hypoglycaemia in an older woman	3
Inflammatory eye disease: An overview of clinical presentation and management	3
Providing an acute oncology service during the COVID-19 pandemic	3
Enhancing personalised care in COPD exacerbation: the role of cardiac/inflammatory biomarkers	3
A tertiary care ambulatory heart failure pathway managing one-third of all admissions including older patients with similar quality to inpatient management	3
Unexpected effect of anti-PD-1 immune checkpoint inhibitor on a 61-year-old female with stage III non-small cell lung cancer on progression to chemo-radiotherapy	3
Safety and efficacy of apixaban dosage for stroke prevention in atrial fibrillation with acute kidney injury populations in a tertiary care hospital	3
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	3
Gout on the acute medical take	3
Strongyloides stercoralis infection in the UK: A systematic review and meta-analysis of published cases	3
Supporting patients with hypercapnia	3
Predicting outcomes for Crohn's disease using a molecular biomarker: profile trial	3
Hyperglycaemia and inpatient mortality and morbidity	3
Acute urinary retention and constipation caused by multi-dermatomal herpes zoster in an immunosuppressed patient	3
Improving endotherapy training for upper gastro-intestinal bleeding (UGIB) using a novel, low cost, home-made porcine model	3
CME: Gastroenterology (147143): self-assessment questionnaire	3
Identifying gaps and optimising clinical practice and guideline of adrenal incidentaloma management	2
Sarcoidosis: Key disease aspects and update on management	2
Skin of colour: essentials for the non-dermatologist	2
Pulmonary vein thrombosis: clot in the wrong vessel	2
Clinical approach to vision loss: a review for general physicians	2
Characteristics of presentation and management of people admitted with severe hypoglycaemia highlight the need for targeted educational interventions to mitigate occurrences - Pilot data from DEKODE H	2
Cerebral venous sinus thrombosis: A diagnostic dilemma in an uncommon presentation	2
Digital NEWS? How to amplify the benefits of NEWS in a digital healthcare system	2
Patent foramen ovale: diagnostic evaluation and the role of device closure	2
Interplay between endocrinology, metabolism and COVID-19 infection	2
A case of ascending paralysis in pregnancy: Thiamine deficiency mimicking Guillain–Barré syndrome	2
Letter to the Editor on Outpatient parenteral antibiotic treatment (OPAT) for infective endocarditis	2
Chronic exertional compartment syndrome – unpicking a tricky diagnosis in primary care	2
Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop	2
The birth of an impactful PACES tutorials for international medical graduates after '39 pregnant weeks' of virtual PACES sessions	2
Diffusion of responsibility: a clinical audit	2
Achieving Improving Quality in Liver Services (IQILS) accreditation – lessons learned from one unit's experience	2
Screening for delirium: a quality improvement audit in geriatric care	2
Indications and considerations for kidney biopsy: an overview of clinical considerations for the non-specialist	2
Emerging tropical neurological infections	2
Establishing a perioperative medicine for older people undergoing surgery service for general surgical patients at a district general hospital	2
Normal creatinine-kinase levels in post-COVID myositis: insights into localised muscle involvement	2
Emergency treatment of anaphylaxis: concise clinical guidance	2
Clinical utility of specialist respiratory outpatient review for all patients diagnosed with acute pulmonary embolism	2
Ambulatory investigation of palpitations, pre-syncope and syncope with AliveCor KardiaMobile and Wellysis S-Patch – a local joint working project	2
Improving oxygen prescribing on the Kardex in ward-level care	2
Cancer pain – all change please?	2