bmj.com: Education

Use and misuse of drugs and alcohol in adolescence

Substance misuse has become more common among young people in westernised societies in recent years, associated with increasing anxiety, depression, and mortality. This review examines the scale of substance use disorders among young people and argues that they should be managed as chronic, relapsing diseases of complex origin.

Investigating occult gastrointestinal haemorrhage

This practice article explores the radiological investigations available to diagnose recurrent blood loss from the gastrointestinal tract

Slow ventricular tachycardia

A high index of suspicion for "slow ventricular tachycardia" is required in patients taking antiarrhythmic drugs.

Inflammatory bowel disease in pregnancy

Active inflammatory bowel disease during pregnancy carries a greater risk to the fetus than appropriate treatment. Careful management is essential to achieve good obstetric outcome.

Practice Pointer: Consultations for people from minority groups

Aziz Sheikh and colleagues provide practical suggestions on ways to improve communication with people from minority ethnic and faith groups.

Refeeding syndrome: what it is, and how to prevent and treat it

This review aims to raise awareness of the syndrome and discuss prevention and treatment. The article also draws attention to the NICE guidelines on nutritional support in adults, with particular reference to the new recommendations for best practice in refeeding syndrome.

Migraine in pregnancy

This Pregnancy Plus article explores whether migraine affects pregnancy, how pregnancy alters migraine, and how to treat and prevent migraine in pregnancy.

More Pregnancy Plus articles

Pulmonary embolism in a patient taking clozapine

A 45 year old man was brought to an emergency department after a clozapine overdose. Investigation of acute dyspnoea showed bilateral pulmonary emboli despite the patient being a healthy weight and not recently having surgery. This evidence based case report seeks to determine whether clozapine had anything to do with the patient's pulmonary emboli.

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