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Clinical

SGLT2 inhibitors in type 2 diabetes: time to flozinate?

SGLT2 inhibitors, sometimes also referred to as ‘gliflozins’ or ‘flozins’ are an established class of medications, which are licensed for the treatment of (Table 1):.

Red legs: how to differentiate between cellulitis, venous eczema and lipodermatosclerosis

Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, often occurring after a local skin trauma (Bailey and Kroshinsky, 2011)..

How to relate progestogen-only pill guidance to clinical practice

There will soon be four different POPs available in the UK. Most clinicians will be familiar with the desogestrel (DSG) 75 µg POP and the two ‘traditional’ POPs, levonorgestrel (LNG) 30 µg and...

Understanding autoimmune diseases: part 2

The basic underlying process of autoimmune diseases was discussed in part 1 of this series (Perry, 2022). In a healthy person, the immune system is able to destroy any invading organisms before they...

Skin cancer: getting back to basics

All skin types can develop skin cancer and at any age. It is more common among people with light (fair) skin (Fitzpatrick type 1 and 2 skin). Skin cancer can affect both men and women. Even teenagers...

Female sexual dysfunction: what the practice nurse needs to know

Female sexual dysfunction (FSD) can affect women of any age and the causes are varied and complex. Perhaps the most widely adopted diagnostic criteria for female sexual dysfunction are contained in...

Understanding autoimmune diseases in primary care

The function of the body's immune system is to recognise foreign elements and destroy them before they cause problems. In healthy individuals, specialised systems regulate the immune system to ensure...

Dysphagia in the older person: an update

There are four phases in a normal swallow (Table 1). Oropharyngeal dysphagia is described as difficulty initiating a swallow or passing food through the region of the mouth or throat. Oesophageal...

Improving outcomes for people living with breathlessness

The experience of breathlessness is complex and influenced by a number of factors including emotional, environmental, cultural and social and requires a holistic approach to optimise its management...

Seasonal asthma: should it be managed differently?

Asthma is an inflammatory condition where the airways have become hyperreactive in response to a trigger (eg house dust mite, pollen, cats, viruses and temperature changes). The inflammatory cascade...

Urinary incontinence in men: what the practice nurse needs to know

Urinary incontinence has been defined by the International Continence Society (ICS) as ‘any involuntary leakage of urine’ (Abrams et al, 2003; Haylen et al, 2010). NHS England (2018) estimate that, in...

Managing allergic rhinitis in children and young people

Allergic rhinitis affects many children and young people in the UK causing significant symptoms and a reduction in quality of life. It can be poorly perceived by children, their families and health...

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