In addition to informing her partner about the diagnosis, what is the most appropriate advice for Miss C to follow, after her treatment?

Mr A is commenced on metformin 500mg tablets and titrated to two tablets twice a day. One month later he requests a review due to persistent abdominal pain and loose stools. What is the most appropriate action to take?

Mr A is scheduled for major abdominal surgery. With reference to the SmPC for canagliflozin, what is the most appropriate action to take? https://www.medicines.org.uk/emc/product/8855/smpc#gref 

Are there any specific checks that should to be carried out following completion of gonorrhoea treatment?

Miss C, a 23-year-old woman presents to her local sexual health clinic with unusual vaginal discharge and lower abdominal pain for the past week. She also reports increased urinary frequency and discomfort during urination. The symptoms started mildly but have progressively worsened. She reports no fever or chills.   Past Medical History Hypothyroidism (2023)   Drug History Mercilon (ethinylestradiol 20 micrograms, desogestrel 150 micrograms) Drug allergies – Ofloxacin (rash)   Social History Lives alone Full time professional employment Sexually active with a new partner for the past two months. They occasionally use condoms. Non-smoker Drinks alcohol 10-15 units per week   Observations and test results: BP: 128/72 mmHg Heart rate: 70 beats per minute Respiratory rate: 15 breaths per minute Temperature: 37.1 degrees C BMI: 20 kg/m2 Abdominal exam: Mild tenderness in the lower abdomen, no rebound tenderness Pelvic exam: Mucopurulent discharge, cervical motion tenderness FBC: normal Urinalysis: no signs of urinary tract infection NAAT: positive for Neisseria gonorrhoeae

Miss C has been prescribed prednisolone 50mg daily for 10 days for an inflammatory episode. Select the most appropriate regimen. 

Miss C asks about whether her levothyroxine tablets should be continued while breastfeeding. What is the most appropriate action to take regarding levothyroxine treatment during breastfeeding? Drugs and Lactation Database (LactMed®) – NCBI Bookshelf (nih.gov)  

Three years later Mr A attends for his annual diabetic review.   Repeat medication Allopurinol 300mg tablets, take one daily Amlodipine 10mg tablets, take one daily Canagliflozin 300mg tablets, take one daily Losartan 100mg tablets, take one daily Metformin 500mg tablets, take two twice a day   Blood tests were requested which come back as follows Test Result Sodium 138                               (135 – 145mmol/L) Potassium 4.7                                (3.5 – 5.0mmol/L) Urea 6.2                                (2.5 – 6.7mmol/L) Creatinine 148                              (baseline 140) (70 – 150µmol/L) Haemoglobin 15.2                              (11.5 – 16.5g/dL) HbA1c 64                                 (90mL/ min)  

Mr A attends for 3 monthly monitoring of his HbA1c to determine long term glycaemic control. HbA1c should be interpreted with caution in patients with which of the following conditions?

18. Confusion may be caused by ___.