Endgames
Endgames is the BMJ's free interactive quiz to help doctors prepare for their postgraduate examinations. Questions are made up of case reports and picture quizzes, providing you with a practical and quick revision tool for common topics rather than clinical rarities.
This week's Endgames articles:
Exacerbation of atopic eczema in children
A father attends with his 18 month old son because "his eczema is playing up." What issues should you cover and what should you do? Ask how long the patient has had eczema and what does his father already know about it? Ask what is meant by "playing up." Specifically ask about itch and how the patient's activities and sleep have been affected, says this 10 minute consultation by Khan and colleagues.
Other education published on 25 August:
How asbestos exposure affects the lung
People exposed to asbestos often develop lung disease in later life; manifestations include benign, malignant, or diffuse interstitial lung disease. This evidence based review covers who is considered at risk, different ways that exposure to asbestos affect the lung, and matters relating to compensation.
Other education published on 24 August:
Subarachnoid haemorrhage
Spontaneous (non-traumatic) subarachnoid haemorrhage accounts for about 5% of strokes. The usual cause is a ruptured intracranial aneurysm. Early diagnosis is important but may be missed because a quarter of patients don't experience the cardinal symptom - sudden, severe headache. This article describes how it should be diagnosed and managed.
Should statins be prescribed for primary prevention of cardiovascular disease in patients with chronic kidney disease?
Patients with kidney disease tend to be excluded from trials of statins in prevention of cardiovascular disease. This Uncertainties article reviews what evidence there is for the use of statins in this group of patients. The authors question current NICE guidance and recommend that statins be used in chronic kidney disease only in patients with established cardiovascular disease.
A patient's journey: Mesothelioma
Professor Kieran Sweeney was diagnosed with malignant mesothelioma at age 57. He describes here his thoughts on his interactions with the health professionals who care for him. Liz Toy, consultant oncologist, writes about the clinician's perspective, and Jocelyn Cornwell writes about seeing the person in the patient.
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