GPnotebook

In this week's GPnotebook Podcast episode, Dr Kate Chesterman discusses umbilical hernias in children and adults, covering presentation, management, referral and surgery.

We have recently updated our page on the prevention of altitude illness in adults, outlining risk factors, prophylactic medications and key acclimatisation strategies. Find out more at the GPnotebook page linked below ⬇️.

Did you know? If left untreated in the acute setting, some patients with giardiasis may progress to chronic giardiasis. Both irritable bowel syndrome and chronic fatigue have been reported as sequelae of human giardiasis. See link ⬇️.

A study involving adults who had undergone percutaneous coronary intervention for an acute coronary syndrome showed that the risk of ischaemic events was not lower with a default prasugrel policy compared with a default ticagrelor policy. See link ⬇️.

Guideline glance: In August of this year, NICE updated its guidance for the treatment of allergic rhinitis induced by house dust mites. Find out more at the GPnotebook page linked below ⬇️.

In this week's episode of GPnotebook TV, Dr @LisaDevineGP discusses a recent narrative review on the mechanisms, diagnosis and management of metabolic dysfunction-associated steatotic liver disease in adults. See the link in the comments to watch this video ⬇️.

In this week's GPnotebook Podcast episode, @rogerthedoctor focuses on nasopharyngeal carcinoma, looking at classification, clinical features, investigation, treatment, management, prognosis and post-treatment surveillance.

Stat spotlight: For the long-term management of Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection and Tearing (SUNCT), the first-line therapy is lamotrigine, with up to 80% of patients reporting symptomatic improvement. See link ⬇️.

With respect to cannabis hyperemesis syndrome, a study found that cannabis cessation is the only definitive intervention for full resolution of hyperemetic episodes, with symptoms typically improving within days to weeks. See link ⬇️.

We have recently updated details for the treatment of postural orthostatic tachycardia syndrome. Treatment requires specialist advice, with first-line treatment including both nonpharmacological and pharmacological treatment. Find out more at the GPnotebook page linked below ⬇️.