ClinMeditorial November 2020

The ClinMeditorial features the ClinMeditations of our editor, Professor Anton Emmanuel, on the latest issue of Clinical Medicine, the journal of the Royal College of Physicians.
 
 Links to specific articles he discusses are below, or read the whole issue here.
 
Distribution of contemporary sensitivity troponin in the emergency department and relationship to 30-day mortality: The CHARIOT-ED substudy  

The investigation and management of pancreatic exocrine insufficiency: A retrospective cohort study  

Point-of-care ultrasound rapidly and reliably diagnoses renal tract obstruction in patients admitted with acute kidney injury

Update on the diagnosis and management of early rheumatoid arthritis  

Rheumatoid arthritis and bone health  

Adult Paget’s disease of bone  

An update on the general management approach to common vasculitides  

Raynaud’s phenomenon  

Oxycodone-induced leukoencephalopathy: a rare diagnosis  

Delayed diagnosis of mitral stenosis presenting initially as Ortner’s syndrome  

A painful nodule arising within chronic necrobiosis lipoidica 

Antiviral treatment for COVID-19: the evidence supporting remdesivir

Inhaled and systemic heparin as a repurposed direct antiviral drug for prevention and treatment of COVID-19

Evaluation of a patient self-stratification methodology to identify those in need of shielding during COVID-19

How COVID-19 has changed the unselected medical take: an observational study