BMJ Best Practice Podcast

Fibromyalgia

Fibromyalgia patients typically present with chronic, widespread body pain and almost always have accompanying comorbid symptoms such as fatigue, memory difficulties, and sleep and mood difficulties.
Physical examination is typically normal but there is often diffuse tenderness.
Daniel Clauw, Professor of Medicine, Division of Rheumatology, University of Michigan Health System, Ann Arbor, gives us a clinical overview of the condition.
For more on fibromyalgia, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/187
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Covid-19 update: Self-isolation, non-Covid-19 hospital admissions, planned care, and weight

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Matt Castleden updates us on self-isolation and shielding, and resources for people recovering from Covid-19.
Abigail Davis discusses new evidence on the impact of Covid-19 on emergency department attendances and hospital admissions, as well as new guidance on planned care.
And Emma Scott covers the link between weight and Covid-19.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-…oduleId=10065100
BMJ Learning covid-19 in primary care module: learning.bmj.com/learning/module-…oduleId=10065230
NICE: arranging planned care in hospitals and diagnostic services https://www.nice.org.uk/guidance/ng179
Decrease in emergency department attendances during lockdown: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2768777?guestAccessKey=b9b4b5e0-5e42-4801-ae4f-6e8aa6a904b2&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=080320
Decrease in hospital admissions during lockdown: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31356-8/fulltext
Reduced rates of cancer diagnosis: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768946

Deep vein thrombosis

Deep vein thrombosis (DVT) is the development of a blood clot in a major deep vein in the leg, thigh, pelvis, or abdomen, which may result in impaired venous blood flow and consequent leg swelling and pain.
Scott C. Woller, Director, Thrombosis Clinic, Intermountain Medical Center, Murray and Professor of Medicine, University of Utah, gives us an overview of the condition.
For more on DVT, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/70
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Covid-19 update: ADHD, renal transplant patients, care for covid-19 patients post discharge

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Abigail Davis discusses the latest guidance on ADHD and renal transplant patients care.
And Matt Castleden updates us on care for covid-19 patients post discharge.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): https://learning.bmj.com/learning/module-intro/.html?moduleId=10065100
BMJ Learning covid-19 in primary care module: learning.bmj.com/learning/module-intro/.html?moduleId=10065230
NICE renal transplant guidelines: nice.org.uk/guidance/NG178
European ADHD guidelines group recommendations: thelancet.com/pdfs/journals/lanchi/PIIS2352-4642(20)30110-3.pdf
NHS England: After-care needs of inpatients recovering from COVID-19: england.nhs.uk/coronavirus/publication/after-care-needs-of-inpatients-recovering-from-covid-19/

Assessment of chest pain

Chest pain is a common chief complaint. It may be caused by either benign or life-threatening aetiologies and is usually divided into cardiac and non-cardiac causes.
James E. Brown, Professor and Chair, Wright State University Boonshoft School of Medicine, Kettering, Ohio, gives us an overview of assessing chest pain in the emergency setting.
For more on assessing chest pain, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/301
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Covid-19 update: Cardiovascular disease, testing, social distancing and shielding, and dexamethasone

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Emma Scott discusses the latest guidance on cardiovascular disease.
And Matt Castleden updates us on NHS Test and Trace, shielding, and social distancing. He also covers the news on dexamethasone as a treatment for covid-19.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-intro/.html?moduleId=10065100
ESC guidelines: escardio.org/Education/COVID-19-and-Cardiology/ESC-COVID-19-Guidance
WHO on smoking and covid-19: who.int/publications/i/item/smoking-and-covid-19
Recovery trial news page: recoverytrial.net/news/low-cost-dexamethasone-reduces-death-by-up-to-one-third-in-hospitalised-patients-with-severe-respiratory-complications-of-covid-19
MHRA and NHS alert on dexamethasone: cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103054
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Anorexia nervosa

Patients with anorexia nervosa typically have low body weight, intense fear of gaining weight, and a body image disturbance.
In this podcast Evelyn Attia, Professor of Psychiatry, Columbia University and Weill Cornell Medical College, New York, gives a clinical overview of the condition.
For more on anorexia nervosa, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/440
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Covid-19 update : Osteoporosis, migraine, HIV, venous thromoembolism

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Abigail Davis talks about advice for patients with osteoporosis, and also those with migraine.
Emma Scott discusses the latest guidance on HIV.
And Matt Castleden updates us on covid-19 management.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-…oduleId=10065100
European Society of Endocrinology - Osteoporosis guideline: eje.bioscientifica.com/view/journals/eje/aop/eje-20-0385/eje-20-0385.xml
European Acamdey of Neurology - advice for managing patients with migraine: eanpages.org/2020/04/09/headache-in-covid-19-pandemic-2/
US Department of Health and Human Science, Interim Guidance for COVID-19 and Persons with HIV: aidsinfo.nih.gov/guidelines/html/8/covid-19-and-persons-with-hiv--interim-guidance-/0
British HIV Association, Statement on risk of COVID-19 for people living with HIV: bhiva.org/EACS-BHIVA-statement-on-risk-of-COVID-19-for-people-living-with-HIV-PLWH

Covid-19 update: CKD, interstitial lung disease, testing for healthcare workers

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.
Abigail Davis talks about advice for patients with chronic kidney disease.
Emma Scott discusses the latest guidance on interstitial lung disease.
And Matt Castleden updates us on covid-19 testing for healthcare workers.
For more, see:
BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190
BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168
BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-…oduleId=10065100
NICE COVID-19 rapid guideline: interstitial lung disease: nice.org.uk/guidance/ng177
COVID-19: management of exposed staff and patients in health and social care settings: gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings
NICE COVID-19 rapid guideline: chronic kidney disease: nice.org.uk/guidance/NG176

Schizophrenia

Schizophrenia onset is usually in early adulthood and may be preceded by years of ill-differentiated symptoms, from behavioural changes and delusions to frank psychosis.
Initially, patients are usually referred by family members. As the illness progresses, patients tend to self-refer or are brought in by a case manager or law enforcement officer.
Antipsychotic therapy and psychosocial interventions are effective for most patients, but to varying degrees.
Adrian Preda, Professor of Clinical Psychiatry, Department of Psychiatry and Human Behavior, University of California, Irvine School of Medicine, tells us more about the condition.
For more on schizophrenia, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/406
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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.