The summaries of product characteristics (SmPCs; previously called data sheets) of certain drugs sometimes specify that they should be used “at the discretion of the physician,” often when advising ...

Central to the government's mission to improve health and fix the NHS is a “shift from sickness to prevention.”1 Yet key indicators suggest we are moving in the wrong direction. Healthy life ...

Tom Nolan reviews this week’s research It wasn’t long ago that we’d routinely. advise people with heart failure and fluid overload to restrict their fluid intake. Nowadays, restriction advice is ...

Vicky Evans played a leading role in developing the discipline of forensic medicine as an academic specialty, establishing a training programme as well as professional standards and competencies: ...

GPs appointed in past six months More than 1500 additional GPs, equating to 851 full time doctors, have been recruited to England’s workforce in the past six months under the Additional Roles ...

The family of a doctor who took his own life within hours of receiving an email from the General Medical Council (GMC) has failed in their bid to sue the GMC for damages over his death.1 Sridharan ...

This author describes what it is like to experience a loved one going through a psychotic episode and what support health professionals could have given her and her family. I was 10 when my sister ...

First developed in the 1960s, tranexamic acid, an inhibitor of plasminogen activation and fibrinolysis, found niche applications in treating hereditary bleeding disorders. The indications for drugs ...

A woman in her early 60s presented with a three day history of a widespread, itchy rash. She had no relevant history and was not on any regular medications, but the rash occurred after she had worn ...

The UK population’s health is getting worse. Health inequalities are widening and obesity rates rising, particularly among children in deprived areas (doi:10.1136/bmj.q2819 doi:10.1136/bmj.r525 doi:10 ...

Mumtaz Patel has been elected president of the Royal College of Physicians for the next four years with a promise to “modernise the college and re-establish the RCP as the voice of our membership and ...

Darcie is a woman in her early 20s with migraine, hypermobile Ehlers-Danlos syndrome, anorexia, irritable bowel syndrome, postural orthostatic tachycardia syndrome, autism, attention ...