Brit J Hosp Med
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New clinical practice guidelines for sarcoidosis provide recommendations to address uncertainties commonly confronted by clinicians, but highlight the need for good quality clinical research for this 'neglected' inflammatory disease.
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Actinomycosis is an invasive and suppurative anaerobic infection, which can develop in the pelvis. This occurs most commonly as a result of prolonged use of an intrauterine device. The constellation of signs and symptoms associated with its typical clinical presentation include palpable mass, weight loss and malaise. ⋯ Removal of the intrauterine device and a prolonged course (6-12 months) of antibiotic treatment form the cornerstone of management. Surgery can be required in select cases. This article provides an overview of pelvic actinomycosis, including its background, presentation, investigations and management.
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There are a number of challenges associated with the pregnant patient undergoing non-obstetric surgery. Careful assessment and planning, taking into account the physiological and anatomical changes, will allow for optimal perioperative management.
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Clinical reasoning is an extensive and intricate field, dealing with the process of thinking and decision making in practice. Its study can be quite challenging because it is context and task dependent. ⋯ These include knowledge adequacy; ability to gather appropriate patient data; use of proper reasoning strategies to address specific clinical questions; and the ability to reflect and evaluate on decisions taken, together with the role of the wider practice community and the activity of professional socialisation. This article explores the characteristics of clinical reasoning and delves deeper into the various strategies that prove useful for learning.