BMJ Best Practice Podcast

Colonic diverticulosis refers to herniation of the mucosa and submucosa through the muscular layer of the colonic wall and may be the result of colonic smooth muscle over-activity. Diverticular disease may be defined as any clinical state caused by symptoms pertaining to colonic diverticula and includes a wide-ranging spectrum from asymptomatic to severe and complicated disease. Mohamed Thaha, Senior Lecturer & Lead Consultant in Colorectal Surgery, National Bowel Research Centre, Barts and The London School of Medicine and Dentistry, tells us more. For more on diverticular disease, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/16 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden updates us on the clinical use of antibody testing. And Abigail Davis discusses the impact of the pandemic on other conditions, including mental health and other infectious diseases. She also covers recommendations for influenza vaccination. For more, see: BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190 BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168 BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100 BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230 BMJ Practice Pointer article: Testing for SARS-CoV-2 antibodies: bmj.com/content/370/bmj.m3325 WHO guidance on Diagnostic testing for SARS-CoV-2: who.int/publications/i/item/diagnostic-testing-for-sars-cov-2 CDC Interim guidance on antibody testing: cdc.gov/coronavirus/2019-ncov/lab/resources/antibody-tests-guidelines.html CDC Influenza vaccination: cdc.gov/flu/professionals/acip/index.htm Public Health England annual flu programme: gov.uk/government/collections/annual-flu-programme Royal College of Paediatrics and Child Health advice for parents and carers: rcpch.ac.uk/sites/default/files/2020-04/covid19_advice_for_parents_when_child_unwell_or_injured_poster.pdf

Anaphylaxis is a severe, generalised or systemic hypersensitivity reaction. It is characterised by rapidly developing life-threatening airway and/or breathing and/or circulation problems usually associated with skin and mucosal changes. Adriana Andreae, Assistant Professor, Department of Pediatrics Division of Allergy and Immunology, Penn State University, gives us an overview of the condition. For more on anaphylaxis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000099 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden updates us on treatment with steroids, PPE and symptoms of covid-19 which are present weeks or months after infection. And Emma Scott talks about surveys on the mental health of populations during the pandemic. For more, see: BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190 BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168 BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100 BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230 Public Health England: COVID-19: mental health and wellbeing surveillance report: gov.uk/government/publications/covid-19-mental-health-and-wellbeing-surveillance-report Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States: cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm

End of life care is specialised medical care for people with serious illness that focuses on the best quality of life for both the patient and their family. Oliver Minton, Macmillan Consultant, Brighton and Sussex University Hospital, Brighton, UK, gives us an overview of best practice in this area. For more on end of life care, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1020 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Fibromyalgia patients typically present with chronic, widespread body pain and almost always have accompanying comorbid symptoms such as fatigue, memory difficulties, and sleep and mood difficulties. Physical examination is typically normal but there is often diffuse tenderness. Daniel Clauw, Professor of Medicine, Division of Rheumatology, University of Michigan Health System, Ann Arbor, gives us a clinical overview of the condition. For more on fibromyalgia, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/187 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden updates us on self-isolation and shielding, and resources for people recovering from Covid-19. Abigail Davis discusses new evidence on the impact of Covid-19 on emergency department attendances and hospital admissions, as well as new guidance on planned care. And Emma Scott covers the link between weight and Covid-19. For more, see: BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190 BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168 BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): learning.bmj.com/learning/module-…oduleId=10065100 BMJ Learning covid-19 in primary care module: learning.bmj.com/learning/module-…oduleId=10065230 NICE: arranging planned care in hospitals and diagnostic services https://www.nice.org.uk/guidance/ng179 Decrease in emergency department attendances during lockdown: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2768777?guestAccessKey=b9b4b5e0-5e42-4801-ae4f-6e8aa6a904b2&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=080320 Decrease in hospital admissions during lockdown: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31356-8/fulltext Reduced rates of cancer diagnosis: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768946

Deep vein thrombosis (DVT) is the development of a blood clot in a major deep vein in the leg, thigh, pelvis, or abdomen, which may result in impaired venous blood flow and consequent leg swelling and pain. Scott C. Woller, Director, Thrombosis Clinic, Intermountain Medical Center, Murray and Professor of Medicine, University of Utah, gives us an overview of the condition. For more on DVT, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/70 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Abigail Davis discusses the latest guidance on ADHD and renal transplant patients care. And Matt Castleden updates us on care for covid-19 patients post discharge. For more, see: BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190 BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168 BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): https://learning.bmj.com/learning/module-intro/.html?moduleId=10065100 BMJ Learning covid-19 in primary care module: learning.bmj.com/learning/module-intro/.html?moduleId=10065230 NICE renal transplant guidelines: nice.org.uk/guidance/NG178 European ADHD guidelines group recommendations: thelancet.com/pdfs/journals/lanchi/PIIS2352-4642(20)30110-3.pdf NHS England: After-care needs of inpatients recovering from COVID-19: england.nhs.uk/coronavirus/publication/after-care-needs-of-inpatients-recovering-from-covid-19/

Chest pain is a common chief complaint. It may be caused by either benign or life-threatening aetiologies and is usually divided into cardiac and non-cardiac causes. James E. Brown, Professor and Chair, Wright State University Boonshoft School of Medicine, Kettering, Ohio, gives us an overview of assessing chest pain in the emergency setting. For more on assessing chest pain, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/301 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.