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What’s hot that the other lot got
  1. Ben Soar
  1. Correspondence to Ben Soar, Royal Cornwall Hospital, Cornwall TR1 3LJ, UK; Benjamin.Soar{at}rcht.cornwall.nhs.uk

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To CT or not CT in unprovoked VTE

This multicentre, open-label, randomised controlled study compared limited occult cancer screening (routine blood tests, chest X-ray and screening for breast, cervical and prostate cancer) and limited CT screening of the abdomen and pelvis in patients with unprovoked venous thromboembolism (VTE) (Carrier et al, N Engl J Med 2015;373:697–704). A total of 854 patients were recruited, with a malignancy rate of 3.9% (33 patients). There was no statistically significant difference on adding CT scanning to the limited screening process, with four cancers missed in the limited screening group and five cancers missed in the limited screening plus CT group. This is a helpful piece of evidence in an area with widespread variation in practice from centre to centre in the UK.

Thrombocytopenia in acute exacerbation of COPD

It is known that mortality from pneumonia is increased in patients with thrombocytopenia (TP). This retrospective study reviewed the notes of 200 patients admitted with acute exacerbation of COPD (AECOPD) to see if TP affected mortality in AECOPD (Rahimi-Rad …

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