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⚠️ Toxic colitis with associated megacolon is a potentially lethal complication of acute colitis.ℹ️ The most common caus...
08/06/2026

⚠️ Toxic colitis with associated megacolon is a potentially lethal complication of acute colitis.

ℹ️ The most common causes are inflammatory bowel disease and Clostridioides difficile colitis.

🚑 Initial management includes immediate fluid resuscitation and multidisciplinary team involvement.

🔗 Click on the link to find out more about this recently updated BMJ Best Practice topic ➡️ https://bit.ly/3Q3aRMK

Important Update 📢Hantavirus outbreak linked to cruise ship.The outbreak was first reported to the World Health Organiza...
06/06/2026

Important Update 📢

Hantavirus outbreak linked to cruise ship.

The outbreak was first reported to the World Health Organization (WHO) on 2 May 2026. As of 27 May 2026, 13 cases have been reported (11 confirmed and 2 probable cases), including 3 deaths (case fatality rate 23%).

https://bit.ly/4uh9g3L

⚠️ Ovarian torsion is a time-critical surgical emergency. Delayed recognition may increase the risk of ovarian ischaemia...
05/06/2026

⚠️ Ovarian torsion is a time-critical surgical emergency. Delayed recognition may increase the risk of ovarian ischaemia and loss of ovarian function.

Early diagnosis and intervention are key to preserving ovarian viability.

Explore the BMJ Best Practice topic here 👇
https://bestpractice.bmj.com/topics/en-gb/792

Diagnose this patient🔽 A 35-year-old man presents with non-specific testicular discomfort and the feeling of a mass in t...
04/06/2026

Diagnose this patient🔽

A 35-year-old man presents with non-specific testicular discomfort and the feeling of a mass in the te**is. On examination, a 2 cm by 1 cm smooth, painless mass is palpated in the right te**is. The mass does not transilluminate with light. There is no lymphadenopathy.

https://bit.ly/43K1TXP

🔍 What’s the diagnosis?A 36-year-old woman with Fitzpatrick type I skin presents with an enlarging pigmented lesion on t...
03/06/2026

🔍 What’s the diagnosis?

A 36-year-old woman with Fitzpatrick type I skin presents with an enlarging pigmented lesion on the posterior calf.

She reports previous sunburns and regular tanning bed use.

On examination, the lesion measures 1 cm and shows:

▪️ Asymmetry
▪️ Colour variegation
▪️ Irregular borders

🩺 What’s your diagnosis?

Explore the BMJ Best Practice topic here 👉 https://bestpractice.bmj.com/topics/en-gb/268

🚨 New treatment options for uncomplicated urogenital gonorrhoea: the FDA has approved zoliflodacin (Nuzolvence) and gepo...
01/06/2026

🚨 New treatment options for uncomplicated urogenital gonorrhoea: the FDA has approved zoliflodacin (Nuzolvence) and gepotidacin (Blujepa) for patients aged ≥12 years.

The approvals provide additional oral treatment options at a time of increasing gonococcal antimicrobial resistance. Gepotidacin use is currently restricted to patients with few or no alternative treatment options because of limited safety data. 🦠💊

Explore the BMJ Best Practice Urethritis topic here: https://bestpractice.bmj.com/topics/en-gb/54

Clinical decision support wherever you are.Your free BMJ Best Practice trial includes:• Full app access• Offline functio...
30/05/2026

Clinical decision support wherever you are.

Your free BMJ Best Practice trial includes:
• Full app access
• Offline functionality
• 250+ calculators
• Procedural videos

https://bit.ly/43tP5WS

👃 “It’s just sinusitis” — until symptoms have lasted 12+ weeks.Chronic rhinosinusitis is more than a blocked nose:🔹 Faci...
29/05/2026

👃 “It’s just sinusitis” — until symptoms have lasted 12+ weeks.

Chronic rhinosinusitis is more than a blocked nose:
🔹 Facial pressure
🔹 Postnasal drip
🔹 Congestion
🔹 General malaise

Perhaps surprisingly, quality of life scores can be worse than those of some other chronic conditions such as heart failure and asthma.

Chronic rhinosinusitis can be classified into two groups, with and without polyps, which have slightly different treatment regimens. Our Best Practice topics on nasal polyps and chronic rhinosinusitis without nasal polyps have both recently been updated. Tap the links https://bit.ly/3Rw8G4L and https://bit.ly/4wYpEZR to refresh your knowledge on both scenarios and the treatments for each group.

PODCAST 🎧Bipolar disorder is common and important. So it is vital that we get the diagnosis and management of this condi...
28/05/2026

PODCAST 🎧
Bipolar disorder is common and important. So it is vital that we get the diagnosis and management of this condition right.

Learn more with Adrian Preda, Professor of Clinical Psychiatry at the University of California, Irvine.

https://bit.ly/4nFqRAI

🚨 Heat stroke is not the same as heat exhaustion or dehydration. It’s a medical emergency.As temperatures rise, keep you...
27/05/2026

🚨 Heat stroke is not the same as heat exhaustion or dehydration. It’s a medical emergency.

As temperatures rise, keep your radar up for:
🧠 Altered mental state — confusion, agitation, delirium, ataxia
🌡️ Core temp >40°C
💓 Tachycardia + hypotension
🧪 Early organ dysfunction: jaundice, coagulopathy, rhabdomyolysis

High-risk groups aren’t just elderly patients:
⚠️ Drug use e.g., anticholinergics, diuretics, phenothiazines, tricyclic antidepressants
⚠️ Alcohol & stimulant use
⚠️ Athletes and people exercising intensely in hot, humid conditions
⚠️ Patients unable to care for themselves or access fluids appropriately

Key management priorities:
❄️ Rapid cooling + removal from heat source
💧 Fluid resuscitation with isotonic fluids
🩸 Monitor for rhabdo/DIC
⏱️ Time-to-cooling matters

🔗 Click
https://bit.ly/49SNYCg to read more on this hot topic.

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