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= Registered usersCPD frameworks
These frameworks, associated with all articles, prompt drafting of personal learning, reflection and planning.
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Reflection on a journal article
Stages of reflection on a situation
Reflection of a team, practice or group
External reference on reflection
Reflective practice in health care and how to reflect effectively
Koshy K, Limb C et al. International Journal of Surgical Oncology. 2017 2:e20
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Sharkey NJ, Maxwell AP. Management and prevention of renal and ureteric stones. Practitioner Feb 2019 263(1823):11-14
Management and prevention of renal and ureteric stones
22 Feb 2019
Kidney stones are common with as many as 1 in 10 people developing a symptomatic stone. Up to 50% of stone formers will have at least one further symptomatic stone in their lifetime. Ureteric colic is unaffected by posture with patients often writhing in seemingly futile attempts to relieve pain. Immediate management comprises effective analgesia while urinalysis is the first step in confirming the diagnosis. One of the challenges facing the GP is to differentiate patients who warrant immediate hospital referral from those who can be seen less acutely.
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