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Reassuring our breast cancer survivors - what’s the real risk of a second primary?

Reassuring our breast cancer survivors - what’s the real risk of a second primary? image
Dr Simon Curtis
12th November 2025

Sarah, a 58-year-old woman, came to see you last year with a new breast lump. She had no family history of breast or ovarian cancer. You examined her promptly, referred her urgently and she was diagnosed...

Happily confused or deliriously happy?

Happily confused or deliriously happy? image
Neal Tucker
5th November 2025

Amrita is in her 80s, lives in a house with 4 generations of her family but currently in a my consulting room in a wheelchair, and for the past year has struggled with lethargy, somnolence, walking and...

LUTS in men - It’s not all about the prostate

LUTS in men - It’s not all about the prostate image
Dr Rob Walker
28th October 2025

Jim is a fit 73 year old whom you don’t see much of, but he’s here to talk about his prostate. He’s a keen gardener, and apart from well controlled hypertension on amlodipine and ramipril he has little...

CORE blimey! A promising new tool for identifying risk of significant liver disease

CORE blimey! A promising new tool for identifying risk of significant liver disease image
Dr Laura Darby
22nd October 2025

Liver disease is a rising health concern, with the latest data showing that the rate of premature deaths from liver disease increased by almost 40% in England in the 20 years up to 2022. Further, the hospital...

Time to switch patients from aspirin to clopidogrel for secondary prevention?

Time to switch patients from aspirin to clopidogrel for secondary prevention? image
Dr Nick Jones
15th October 2025

Hossain is 68, and he has been taking aspirin since he had a myocardial infarction successfully stented three years ago. He has come to see you about his peripheral neuropathy but at the end of the consultation...

Axial Spondyloarthritis - A painful needle in the haystack of back pain presentations

Axial Spondyloarthritis - A painful needle in the haystack of back pain presentations image
Dr Rob Walker
8th October 2025

How many people do we see with back pain in General Practice? I think it’s safe to say that ‘a lot’ probably covers it. I suspect most of us are acutely aware of the more serious causes of back pain in...

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