MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'British Journal of Hospital Medicine' source. Thu, 09 Feb 2012 09:15:06 +0100 http://www.medworm.com/index.php?rid=5617261&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241402%26dopt%3DAbstract Authors: Abstract Clinical News. PMID: 22241402 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617261 Tue, 10 Jan 2012 05:00:00 +0100 5617261 http://www.medworm.com/index.php?rid=5617228&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241418%26dopt%3DAbstract Authors: Abstract Book Reviews. PMID: 22241418 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617228 Tue, 10 Jan 2012 05:00:00 +0100 5617228 http://www.medworm.com/index.php?rid=5617267&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241296%26dopt%3DAbstract This article offers a structured guide to approaching the MRCS examination. PMID: 22241296 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617267 Sun, 01 Jan 2012 05:00:00 +0100 5617267 http://www.medworm.com/index.php?rid=5617265&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241297%26dopt%3DAbstract Authors: Flint JD, Giles IP Abstract Wrist joint aspiration is a diagnostic procedure used in patients with a suspected wrist joint effusion to obtain a sample of synovial fluid for analysis. PMID: 22241297 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617265 Sun, 01 Jan 2012 05:00:00 +0100 5617265 http://www.medworm.com/index.php?rid=5617264&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241298%26dopt%3DAbstract Authors: Pegrum J, Stott P Abstract Many will describe their medical student days in an orthopaedic trauma meeting as a harrowing experience. Foundation doctors often rotate through orthopaedics with a degree of trepidation. PMID: 22241298 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617264 Sun, 01 Jan 2012 05:00:00 +0100 5617264 http://www.medworm.com/index.php?rid=5617263&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241400%26dopt%3DAbstract The palliation of malignant pleural effusions. Br J Hosp Med (Lond). 2012 Jan;73(1):4-5 Authors: Bhatnagar R, Rahman NM Abstract Malignant pleural effusions are a common complication of many cancers, usually representing metastatic disease. Over 50% of cases are the result of primary lung or pleural malignancy (Janssen et al, 2007), but they may also be caused by other malignancies including lymphoma, breast or ovarian carcinoma. An effusion can be the result of direct tumour involvement, or result from indirect effects such as lymphatic obstruction, sometimes referred to as a paramalignant effusion. PMID: 22241400 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617263 Sun, 01 Jan 2012 05:00:00 +0100 5617263 http://www.medworm.com/index.php?rid=5617262&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241401%26dopt%3DAbstract Screening for breast cancer: time for a rethink. Br J Hosp Med (Lond). 2012 Jan;73(1):6-7 Authors: Baum M Abstract At the risk of making myself very unpopular I wish to expose some of the myths and misconceptions that surround screening for breast cancer. I speak with the authority as one of the architects of the NHS Breast Screening Programme in the UK. PMID: 22241401 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617262 Sun, 01 Jan 2012 05:00:00 +0100 5617262 http://www.medworm.com/index.php?rid=5617260&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241403%26dopt%3DAbstract Authors: Ahmad Z, Malik S, Mehmood F, Saifuddin A, Briggs T, Casey A Abstract The spine is the third most common site of cancer metastasis after the liver and lung (Sciubba et al, 2010). In the UK approximately 300000 people are diagnosed with cancer per year, of which 60-70% will have spinal metastasis. Early diagnosis and management can have a significant impact on the morbidity and prognosis of these patients. It is therefore vital for doctors to be able to recognize, investigate and be aware of the management of spinal metastasis. PMID: 22241403 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617260 Sun, 01 Jan 2012 05:00:00 +0100 5617260 http://www.medworm.com/index.php?rid=5617259&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241404%26dopt%3DAbstract Authors: Horton SC, Emery P Abstract Since the introduction of targeted biological therapies, the implications of a new diagnosis of rheumatoid arthritis have changed dramatically. There are now several therapeutic options available for these patients and the target of treatment - remission - is now a realistic goal. PMID: 22241404 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617259 Sun, 01 Jan 2012 05:00:00 +0100 5617259 http://www.medworm.com/index.php?rid=5617258&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241405%26dopt%3DAbstract This article addresses advances in the management of branch retinal vein occlusion - a common retinal vascular disorder in elderly patients which is a significant cause of ocular morbidity. New intravitreal therapies have improved the prognosis for patients, albeit with significant cost implications. PMID: 22241405 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617258 Sun, 01 Jan 2012 05:00:00 +0100 5617258 http://www.medworm.com/index.php?rid=5617257&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241406%26dopt%3DAbstract Authors: Raouf S, Bridgewater J, Ellis R, Ferry D, Hill M, Wasan H Abstract The Cancer Drugs Fund may allow more patients in England access to clinically effective cancer therapies. In this article oncologists already familiar with the clinical evidence, and experienced in treating with bevacizumab, share practical recommendations on optimal first-line use of this treatment for metastatic colorectal cancer. PMID: 22241406 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617257 Sun, 01 Jan 2012 05:00:00 +0100 5617257 http://www.medworm.com/index.php?rid=5617256&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241407%26dopt%3DAbstract This article examines the pathophysiology, clinical features and management of both intentional and unintentional hypothermia with a focus on the current literature regarding treatment protocols. PMID: 22241407 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617256 Sun, 01 Jan 2012 05:00:00 +0100 5617256 http://www.medworm.com/index.php?rid=5617255&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241408%26dopt%3DAbstract This article explores the role of lumbar disc replacement in the surgical management of low back pain. PMID: 22241408 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617255 Sun, 01 Jan 2012 05:00:00 +0100 5617255 http://www.medworm.com/index.php?rid=5617254&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241409%26dopt%3DAbstract This article explores the role that students can play in leading change in health-care systems. PMID: 22241409 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617254 Sun, 01 Jan 2012 05:00:00 +0100 5617254 http://www.medworm.com/index.php?rid=5617253&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241410%26dopt%3DAbstract Authors: Das S, Das D, Ashraf K, Prinsley P Abstract Nasal polyps are predominantly non-neoplastic and a common cause of breathing difficulty, while meningiomas are the most common benign intracranial neoplasm and are largely asymptomatic. PMID: 22241410 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617253 Sun, 01 Jan 2012 05:00:00 +0100 5617253 http://www.medworm.com/index.php?rid=5617236&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241411%26dopt%3DAbstract Meticillin-resistant Staphylococcus aureus liver abscess. Br J Hosp Med (Lond). 2012 Jan;73(1):48-9 Authors: Jackson H, Bhalme M, Quest L Abstract Pyogenic liver abscesses are uncommon in clinical practice, with the implicated organisms usually of gastrointestinal origin. Staphylococcus aureus is occasionally isolated as the pathogen, but meticillin-resistant S. aureus causing a liver abscess is extremely rare. PMID: 22241411 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617236 Sun, 01 Jan 2012 05:00:00 +0100 5617236 http://www.medworm.com/index.php?rid=5617234&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241412%26dopt%3DAbstract Authors: Welman K, Bargiela D, Mtl Choong A, Das S Abstract He was treated with analgesics and referred to a physio-therapist. One month later, he complained of worsening neck pain and reduced sensation in the left arm and hand. He had mild drooping of the left eyelid. PMID: 22241412 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617234 Sun, 01 Jan 2012 05:00:00 +0100 5617234 http://www.medworm.com/index.php?rid=5617233&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241413%26dopt%3DAbstract Authors: Peters P, Merlo J, Boon B, Parker B, Munckhof W Abstract An 82-year-old patient presented to urology outpatients for a routine 6-week change of her suprapubic catheter. The urine collection bag was a deep purple throughout the bag, extending into the catheter tubing (Figure 1). PMID: 22241413 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617233 Sun, 01 Jan 2012 05:00:00 +0100 5617233 http://www.medworm.com/index.php?rid=5617232&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241414%26dopt%3DAbstract Authors: Ellis H Abstract This year marks the centenary of the death, in 1912, of Joseph Lister, in my opinion the greatest contributor to the science of surgery in this country, if not in the world. Indeed, 12 August 1865, the date of Lister's first operation under antiseptic surgical conditions, represents the watershed between long centuries of almost inevitable sepsis and risk of death following the most minor surgical procedures and the 'modern' era of surgery. PMID: 22241414 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617232 Sun, 01 Jan 2012 05:00:00 +0100 5617232 http://www.medworm.com/index.php?rid=5617231&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241415%26dopt%3DAbstract Authors: Abstract The British Journal of Hospital Medicine is pleased to publish the following winning (Gandhi and Wijesinghe) and second place (Chong et al) abstracts which were presented at the Trauma 2011 conference, Imperial College London on 19-20 November 2011. PMID: 22241415 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617231 Sun, 01 Jan 2012 05:00:00 +0100 5617231 http://www.medworm.com/index.php?rid=5617230&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241416%26dopt%3DAbstract Authors: Jolobe O Abstract Involvement of extracranial arteries in paradoxical embolism. PMID: 22241416 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617230 Sun, 01 Jan 2012 05:00:00 +0100 5617230 http://www.medworm.com/index.php?rid=5617229&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241417%26dopt%3DAbstract Authors: Medical Sickness W Abstract The start of a new year is always a good time to take stock of your finances and to consider your hopes, dreams and aspirations for the future. These are linked more than you might think as you will often need money to turn your dreams into a reality. Perhaps you are considering early retirement or maybe just looking to pay off your mortgage. PMID: 22241417 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617229 Sun, 01 Jan 2012 05:00:00 +0100 5617229 http://www.medworm.com/index.php?rid=5617227&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241419%26dopt%3DAbstract Authors: Emadossadaty S, Shah B, Kaur N Abstract In June 2008, the World Health Organization launched a global patient safety challenge 'Safe Surgery Saves Lives' to reduce the number of surgical deaths across the world. As part of this initiative, the World Health Organization Surgical Checklist was devised (World Health Organization, 2008). PMID: 22241419 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617227 Sun, 01 Jan 2012 05:00:00 +0100 5617227 http://www.medworm.com/index.php?rid=5617286&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241224%26dopt%3DAbstract Authors: Joshi L, Taylor SR, Lightman S Abstract The eye and phacomatoses. PMID: 22241224 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617286 Tue, 13 Dec 2011 05:00:00 +0100 5617286 http://www.medworm.com/index.php?rid=5617275&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241235%26dopt%3DAbstract Authors: Medical Sickness W Abstract Review your pensions ahead of April 2012 changes. PMID: 22241235 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617275 Tue, 13 Dec 2011 05:00:00 +0100 5617275 http://www.medworm.com/index.php?rid=5617274&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241236%26dopt%3DAbstract Authors: Abstract Book Reviews. PMID: 22241236 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617274 Tue, 13 Dec 2011 05:00:00 +0100 5617274 http://www.medworm.com/index.php?rid=5617289&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241221%26dopt%3DAbstract Authors: Lousada J, Caldwell N, Benger J Abstract Violence towards staff is of serious concern across health-care services. Health professionals are one of the most likely groups to experience violence and aggression in the workplace (Table 1), second only to the protective service occupations: PMID: 22241221 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617289 Thu, 01 Dec 2011 05:00:00 +0100 5617289 http://www.medworm.com/index.php?rid=5617288&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241222%26dopt%3DAbstract Authors: Emsley HC, Lightbody CE, Matuszewski BJ, Sivaramalingam M, Watkins CL Abstract Facial articulation - and the ability to produce facial expressions - is a key component of human interaction and non-verbal communication. Facial function can be disrupted by a number of medical conditions. Emerging imaging technology has the potential to accurately record the deformation of rapidly changing surfaces, such as that of the human face during animation. PMID: 22241222 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617288 Thu, 01 Dec 2011 05:00:00 +0100 5617288 http://www.medworm.com/index.php?rid=5617287&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241223%26dopt%3DAbstract This article outlines the ocular complications of viral infection. The emphasis is on the most common viruses encountered by the physician, and their clinical features and treatment are discussed while demonstrating the variation and often significant sequelae of ocular viral infection. PMID: 22241223 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617287 Thu, 01 Dec 2011 05:00:00 +0100 5617287 http://www.medworm.com/index.php?rid=5617285&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241225%26dopt%3DAbstract This article reviews the most common manifestations seen in clinical practice. PMID: 22241225 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617285 Thu, 01 Dec 2011 05:00:00 +0100 5617285 http://www.medworm.com/index.php?rid=5617284&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241226%26dopt%3DAbstract This article summarizes the ocular pathology that can be seen in conjunction with renal disease. Both the eye and the kidney can be the target of systemic disease processes, but the eye can also be affected as a consequence of either renal disease or its treatment. PMID: 22241226 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617284 Thu, 01 Dec 2011 05:00:00 +0100 5617284 http://www.medworm.com/index.php?rid=5617283&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241227%26dopt%3DAbstract Authors: Shalchi Z, Taylor SR, Lightman S Abstract The eye allows living functioning blood vessels to be observed and is thus ideal for the study of haematological disease. Disorders of the blood have significant ocular manifestations and pose a real threat to vision, making knowledge of the subject essential to ophthalmologists, haematologists, oncologists and general physicians. PMID: 22241227 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617283 Thu, 01 Dec 2011 05:00:00 +0100 5617283 http://www.medworm.com/index.php?rid=5617282&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241228%26dopt%3DAbstract Authors: Newstead C Abstract Live and donation after cardiac death has increased markedly recently. The allocation system for donation after brain death reserves the least mismatched organs for young people. Live donors most often donate to relatives but a scheme tries to 'exchange' live donor kidneys when direct transplantation is not possible. PMID: 22241228 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617282 Thu, 01 Dec 2011 05:00:00 +0100 5617282 http://www.medworm.com/index.php?rid=5617281&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241229%26dopt%3DAbstract Authors: Kelliher L Abstract Over the years the surgical stress response and the efforts to modify it have been the subject of a great deal of research. Most recently this has led to the development of 'enhanced recovery' programmes which are revolutionizing perioperative patient care across the UK. PMID: 22241229 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617281 Thu, 01 Dec 2011 05:00:00 +0100 5617281 http://www.medworm.com/index.php?rid=5617280&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241230%26dopt%3DAbstract This article demonstrates how trainees in surgery can incorporate learning opportunities into their normal working day. PMID: 22241230 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617280 Thu, 01 Dec 2011 05:00:00 +0100 5617280 http://www.medworm.com/index.php?rid=5617279&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241231%26dopt%3DAbstract Joseph Bell: surgeon and master of 'spot diagnosis'. Br J Hosp Med (Lond). 2011 Dec;72(12):711-Unknown Authors: Ellis H Abstract This year marks the centenary of the death, on 4 October 1911, of Joseph Bell, surgeon at the Edinburgh Royal Infirmary, who brought to perfection the art and science of close observation in clinical diagnosis. Even after 100 years, stories of his prowess still circulate, no doubt modified and embellished in the process. PMID: 22241231 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617279 Thu, 01 Dec 2011 05:00:00 +0100 5617279 http://www.medworm.com/index.php?rid=5617278&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241232%26dopt%3DAbstract This article reports a case of a patient who presented with left-sided neck pain and crepitus, several days after discharge from hospital for an elective arthroscopic rotator cuff repair performed under general anaesthesia. PMID: 22241232 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617278 Thu, 01 Dec 2011 05:00:00 +0100 5617278 http://www.medworm.com/index.php?rid=5617277&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241233%26dopt%3DAbstract This article describes a patient who presented on several occasions with left hip pain eventually presenting with small bowel obstruction. This resulted in a computed tomography-proven diagnosis of obturator hernia. PMID: 22241233 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617277 Thu, 01 Dec 2011 05:00:00 +0100 5617277 http://www.medworm.com/index.php?rid=5617276&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241234%26dopt%3DAbstract Authors: Waqar S, Smith M Abstract A 69-year-old woman undergoing chemotherapy for multiple myeloma presented to accident and emergency with a 3-week history of swollen lids and blurred vision in her left eye. PMID: 22241234 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617276 Thu, 01 Dec 2011 05:00:00 +0100 5617276 http://www.medworm.com/index.php?rid=5617273&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241237%26dopt%3DAbstract Authors: John M, John R, Gupta S Abstract Neuroaxial blockade is commonly used to provide anaesthesia to mothers undergoing caesarean sections. Maternal position when performing this can influence the success rate, speed of block onset, degree of haemo-dynamic change and patient comfort. Debate still exists as to whether sitting or lateral is the most effective position. PMID: 22241237 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617273 Thu, 01 Dec 2011 05:00:00 +0100 5617273 http://www.medworm.com/index.php?rid=5617272&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241238%26dopt%3DAbstract Authors: Wolff JF Abstract Registrars in the medical specialties who are dually accrediting in both their specialty and general internal medicine commonly run acute medical takes as part of their training. PMID: 22241238 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617272 Thu, 01 Dec 2011 05:00:00 +0100 5617272 http://www.medworm.com/index.php?rid=5617271&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241239%26dopt%3DAbstract Authors: Nijjer SS, Lefroy DC Abstract All doctors may encounter patients having palpitations or an abnormal electrocardiogram. Determining the diagnosis can be a challenge, while medical therapies and strategies can appear confusing to the uninitiated. Furthermore, invasive electrophysiological techniques have improved our diagnostic abilities as well providing an opportunity for curing pathology. This series of articles revises the commonly encountered tachyarrhythmias. The first article addresses the approach to the patient with palpitations. PMID: 22241239 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617271 Thu, 01 Dec 2011 05:00:00 +0100 5617271 http://www.medworm.com/index.php?rid=5617270&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241240%26dopt%3DAbstract Authors: Abstract Clinical coding is defined by Connecting for Health as 'the translation of medical terminology, as written by the clinician, to describe a patient's complaint, problem, diagnosis, treatment or reason for seeking medical attention, into a coded format which is nationally and internationally recognised' (Harding, 2009). It involves classifying diagnoses, procedures and other categories of care. It is necessary for various clinical and statistical purposes. PMID: 22241240 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617270 Thu, 01 Dec 2011 05:00:00 +0100 5617270 http://www.medworm.com/index.php?rid=5617268&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22241241%26dopt%3DAbstract Authors: Finegold J, Pantazis A Abstract Pulsus bisferiens is Latin for 'beat twice'. This describes the pulse where two systolic beats are palpated each cardiac cycle with an interposed mid-systolic dip. The earliest reference to the pulsus bisferiens is an edition of Galen's de Pulsibus, published in 1532. Galen was insistent that the pulsus bisferiens is characterized by 'quies media ictus' - a central pause in the stroke. Normally, the character of the pulse is best palpated in central arteries, e.g. the carotid artery. Pulsus bisferiens is the exception, however, as it is most easily palpated in the peripheral arterial system, e.g. the radial artery. PMID: 22241241 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5617268 Thu, 01 Dec 2011 05:00:00 +0100 5617268 http://www.medworm.com/index.php?rid=5407236&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083000%26dopt%3DAbstract Authors: Abstract Clinical News. PMID: 22083000 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407236 Wed, 09 Nov 2011 05:00:00 +0100 5407236 http://www.medworm.com/index.php?rid=5407231&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083005%26dopt%3DAbstract This article discusses its current and future applications. PMID: 22083005 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407231 Wed, 09 Nov 2011 05:00:00 +0100 5407231 http://www.medworm.com/index.php?rid=5407223&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083013%26dopt%3DAbstract Authors: Descatha A, Raju K Abstract Correspondence. PMID: 22083013 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407223 Wed, 09 Nov 2011 05:00:00 +0100 5407223 http://www.medworm.com/index.php?rid=5407221&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083015%26dopt%3DAbstract Authors: Taylor AJ, Patel R, Griffiths R Abstract Book Reviews. PMID: 22083015 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407221 Wed, 09 Nov 2011 05:00:00 +0100 5407221 http://www.medworm.com/index.php?rid=5407243&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082976%26dopt%3DAbstract This article explains the principles of their closure and provides advice on optimal management. Wound healing occurs in four phases: haemostatic, inflammatory, proliferative and maturation (Janis et al, 2010). The guidance below is based on the authors' personal practice, designed to promote transition through these stages and result in optimized healing with minimal scarring. It is intended to guide the reader through what can be a daunting prospect for many doctors in training: the acute closure of simple wounds. PMID: 22082976 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407243 Tue, 01 Nov 2011 04:00:00 +0100 5407243 http://www.medworm.com/index.php?rid=5407242&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082977%26dopt%3DAbstract Authors: Brown NF, Marks DJ, Smith PJ, Bloom SL Abstract Splenomegaly is a common finding on clinical examination, and frequently features in postgraduate assessments. The spleen does not normally descend below the left costal margin. The routine abdominal examination will identify whether the spleen is palpable, and if so splenomegaly is almost universally present. This is generally pathological and warrants investigation. PMID: 22082977 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407242 Tue, 01 Nov 2011 04:00:00 +0100 5407242 http://www.medworm.com/index.php?rid=5407241&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082978%26dopt%3DAbstract Authors: Moore M, Nelson-Piercy C Abstract In pregnancy the liver can be affected by diseases specific to pregnancy as well as unrelated conditions. The possible effect of the disease and its management on both the fetus and mother must be considered. Several physiological changes occur during pregnancy as liver metabolism is altered. Serum protein concentrations fall, with a decrease in serum albumin in part the result of the dilutional effect of an increase in plasma volume. Alanine transaminase and aspartate transaminase levels decrease (Table 1), complicating the diagnosis of disorders involving subtle changes in liver function. Alkaline phosphatase is also produced by the placenta, making this an unreliable marker of liver dysfunction in pregnancy. PMID: 22082978 [PubMed -... British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407241 Tue, 01 Nov 2011 04:00:00 +0100 5407241 http://www.medworm.com/index.php?rid=5407240&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082979%26dopt%3DAbstract This article explores the management and prognosis of multiple sclerosis, including the rapidly evolving field of disease-modifying therapeutics. However, equally important is the management of problems related to chronic multiple sclerosis and knowledge of which symptomatic treatments may be helpful. Finally, the prognosis is discussed; vital when counselling newly diagnosed patients. PMID: 22082979 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407240 Tue, 01 Nov 2011 04:00:00 +0100 5407240 http://www.medworm.com/index.php?rid=5407239&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082998%26dopt%3DAbstract Authors: Byrne P Abstract Common medical disorders that fail to achieve proportionate clinical or research attention are usually complex, hidden or stigmatized. Functional somatic syndromes are all three of these, complicated further by ongoing disagreements about terminology and diagnostic criteria. PMID: 22082998 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407239 Tue, 01 Nov 2011 04:00:00 +0100 5407239 http://www.medworm.com/index.php?rid=5407238&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082999%26dopt%3DAbstract Authors: Steinhausen K, Berghmans S, Højgaard L Abstract Progress in clinical research has played a huge role in the great improvements in frontline health care achieved over the last 50 years, both in general practice and in hospitals. PMID: 22082999 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407238 Tue, 01 Nov 2011 04:00:00 +0100 5407238 http://www.medworm.com/index.php?rid=5407235&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083001%26dopt%3DAbstract This article reviews its pathogenic mechanisms, with particular relevance to the pathophysiology of the cystic fibrosis airway, and recent advances in therapeutic approaches. PMID: 22083001 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407235 Tue, 01 Nov 2011 04:00:00 +0100 5407235 http://www.medworm.com/index.php?rid=5407234&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083002%26dopt%3DAbstract Authors: Dubrey SW, Mehta PA, O Connell S Abstract Heart involvement from Lyme disease is uncommon in the UK but, when it does occur, can be rapidly progressive and require intensive therapy. A history of exposure and frequently a characteristic rash (erythema migrans) are the cardinal features in diagnosis. PMID: 22083002 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407234 Tue, 01 Nov 2011 04:00:00 +0100 5407234 http://www.medworm.com/index.php?rid=5407233&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083003%26dopt%3DAbstract Authors: Lwin A, Symeon C, Jan F, Sule A Abstract Schizophrenia is known to increase morbidity and mortality. Physical illness in schizophrenia is influenced by a combination of genetic and environmental factors. This review highlights the multifactorial aetiology of morbidity and mortality in schizophrenia and considers the use of antipsychotics for patients with this disorder. PMID: 22083003 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407233 Tue, 01 Nov 2011 04:00:00 +0100 5407233 http://www.medworm.com/index.php?rid=5407232&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083004%26dopt%3DAbstract This article discusses a rare cause of heart failure and uses this case to illustrate that histological confirmation of the amyloid-causing protein is essential. Mistaken assumption of AL amyloid could have resulted in inappropriate cytotoxic therapy targeting the plasma cell clone. PMID: 22083004 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407232 Tue, 01 Nov 2011 04:00:00 +0100 5407232 http://www.medworm.com/index.php?rid=5407230&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083006%26dopt%3DAbstract This article takes an international perspective on medical leadership and leadership development through discussion of case study examples and initiatives from around the world. PMID: 22083006 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407230 Tue, 01 Nov 2011 04:00:00 +0100 5407230 http://www.medworm.com/index.php?rid=5407229&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083007%26dopt%3DAbstract Authors: Leung YL, Adesara S, Burr S Abstract To achieve the optimum patient outcome one must be able to choose the most appropriate course of action. How this choice is made may not be actively contemplated, and there may be many unrecognized pitfalls for the unwary. An increased awareness of how we think should increase both the efficiency and success of clinical decision making. PMID: 22083007 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407229 Tue, 01 Nov 2011 04:00:00 +0100 5407229 http://www.medworm.com/index.php?rid=5407228&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083008%26dopt%3DAbstract Inverted takotsubo cardiomyopathy secondary to adrenaline injection. Br J Hosp Med (Lond). 2011 Nov;72(11):646-7 Authors: Magri CJ, Fava S, Felice H Abstract A young woman presented with severe chest pain and an inverted takotsubo cardiomyopathy following adrenaline injection for treatment of an allergic reaction. To the authors' knowledge, this is the first reported case of inverted takotsubo cardiomyopathy following systemic adrenaline administration. The case strongly suggests a central role of catecholamines in the pathogenesis of takotsubo cardiomyopathy. PMID: 22083008 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407228 Tue, 01 Nov 2011 04:00:00 +0100 5407228 http://www.medworm.com/index.php?rid=5407227&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083009%26dopt%3DAbstract This article presents a case of profound vasodepressor syncope in a patient with recurrent pharyngeal malignancy, and discusses the mechanisms by which this occurs and the possible therapeutic options. PMID: 22083009 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407227 Tue, 01 Nov 2011 04:00:00 +0100 5407227 http://www.medworm.com/index.php?rid=5407226&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083010%26dopt%3DAbstract This article outlines the case of a 62-year-old man who presented with a deep vein thrombosis, pulmonary embolus and right middle cerebral artery territory ischaemic stroke in association with a patent foramen ovale with right-to-left shunting. Despite anticoagulation, he was noted to have desaturation and tachypnoea when upright, without other symptoms or cardiovascular compromise, that resolved on lying down. The article describes the syndrome of platypnoea-orthodeoxia, characterized by breathlessness, hypoxia and/or cyanosis while in the upright position that improves on lying down, its relationship to this case, and its resolution by closure of the patent foramen ovale. PMID: 22083010 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407226 Tue, 01 Nov 2011 04:00:00 +0100 5407226 http://www.medworm.com/index.php?rid=5407225&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083011%26dopt%3DAbstract Authors: Durai R, Husain F, Oke T, Siddiqui M Abstract Crohn's disease can cause abdominal pain and diarrhoea. A 33-year-old man presented with a 3-month history of recurrent abdominal pain and occasional diarrhoea. PMID: 22083011 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407225 Tue, 01 Nov 2011 04:00:00 +0100 5407225 http://www.medworm.com/index.php?rid=5407224&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083012%26dopt%3DAbstract Authors: Ellis H Abstract Guy's Hospital and its medical school rejoiced in a remarkable group of physicians in the 19th century. These included Richard Bright, a pioneer in the study of chronic nephritis, Thomas Addison, who described two diseases that bear his name (Addison's disease of the suprarenals and Addison's, or pernicious, anaemia), Thomas Hodgkin, who gave the first clear account of lymphadenoma and Sir William Gull, who documented myxoedema, its relationship to the thyroid and its resemblance to cretinism in children. PMID: 22083012 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407224 Tue, 01 Nov 2011 04:00:00 +0100 5407224 http://www.medworm.com/index.php?rid=5407222&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083014%26dopt%3DAbstract This article explains what they are and the other options available to help parents save for their children's future. PMID: 22083014 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407222 Tue, 01 Nov 2011 04:00:00 +0100 5407222 http://www.medworm.com/index.php?rid=5407220&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083016%26dopt%3DAbstract Authors: Gillen P, Duffy M Abstract Acute respiratory distress syndrome is a severe form of respiratory failure characterized by acute onset of significant hypoxaemia (PaO2:FiO2<200mmHg) with diffuse bilateral pulmonary air-space shadowing on chest X-ray, without clinical signs of heart failure (Bernard et al, 1994). It has a heterogeneous aetiology with wide-ranging pulmonary and extra-pulmonary causes. PMID: 22083016 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5407220 Tue, 01 Nov 2011 04:00:00 +0100 5407220 http://www.medworm.com/index.php?rid=5372071&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041723%26dopt%3DAbstract Authors: Abstract Clinical News. PMID: 22041723 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372071 Tue, 11 Oct 2011 04:00:00 +0100 5372071 http://www.medworm.com/index.php?rid=5372056&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041738%26dopt%3DAbstract Authors: Blaker P, Sanderson J, Quint J Abstract Book Reviews. PMID: 22041738 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372056 Tue, 11 Oct 2011 04:00:00 +0100 5372056 http://www.medworm.com/index.php?rid=5372077&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041658%26dopt%3DAbstract Authors: Hassan-Smith G, Douglas MR Abstract Multiple sclerosis is an inflammatory disease of the CNS. The disease is predominantly diagnosed in young adults, with long-term implications for both their personal and professional lives. The economic impact of the condition is particularly significant as the majority of patients are of working age, costing the UK economy approximately £1.4 billion (McCrone et al, 2008). PMID: 22041658 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372077 Sat, 01 Oct 2011 04:00:00 +0100 5372077 http://www.medworm.com/index.php?rid=5372076&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041659%26dopt%3DAbstract This article outlines the criteria for advanced life support interventions and hence admission to critical care. The focus of discussion will be patients in need of level 2 to 3 care requiring priority 1 to 2 admissions. PMID: 22041659 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372076 Sat, 01 Oct 2011 04:00:00 +0100 5372076 http://www.medworm.com/index.php?rid=5372075&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041660%26dopt%3DAbstract Authors: Morrow JM, Reilly MM Abstract Joseph Babinski (1857-1932), a French neurologist of Polish descent, was the first person to describe extension of the big toe following stimulation of the sole of the foot on 22 February 1896 (Babinski, 1896). He referred to the sign as 'phénomène des orteils' (toes phenomenon) but it is now usually referred to eponymously as the 'Babinski sign' or descriptively as the extensor plantar response. PMID: 22041660 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372075 Sat, 01 Oct 2011 04:00:00 +0100 5372075 http://www.medworm.com/index.php?rid=5372074&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041661%26dopt%3DAbstract Authors: Griffiths R Abstract The treatment of patients in pain is a fundamental skill of all doctors. From the junior doctor to the senior GP all will require an ability to manage the commonest presenting symptom. So why would you want to specialize in pain medicine? Well, the burden of pain is huge. Surveys estimate that almost 20% of adults in Britain are suffering from significant long-term painful symptoms. The consequences both to health of the nation and the economy are huge. But all is not lost - pain is rarely intractable and it is seldom that 'nothing can be done'. PMID: 22041661 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372074 Sat, 01 Oct 2011 04:00:00 +0100 5372074 http://www.medworm.com/index.php?rid=5372073&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041721%26dopt%3DAbstract Celebrating 45 years of postgraduate medical education. Br J Hosp Med (Lond). 2011 Oct;72(10):544-7 Authors: Blandy J, Allen M, Miller R, Linssen R Abstract We are delighted to be celebrating 45 years of publication of the British Journal of Hospital Medicine. The first issue was published in October 1966 (see right) and its introductory editorial is reproduced on p. 546-7. Here we have some brief thoughts from Professor John Blandy, one of the original members of the editorial board, from Mark Allen, the publisher who took the journal over from its previous publishers Thomson in 1985, and from Professor Rob Miller and Rebecca Linssen, the current Editor-in-Chief and Editor. PMID: 22041721 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372073 Sat, 01 Oct 2011 04:00:00 +0100 5372073 http://www.medworm.com/index.php?rid=5372072&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041722%26dopt%3DAbstract Authors: Halligan A Abstract 'One morning recently, a professor conducted a ward round on an elderly medicine ward in a London teaching hospital. The entourage stopped at an 82-year-old man's bed. The elderly patient was confused and so, unfortunately, was the junior doctor who presented the case. PMID: 22041722 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372072 Sat, 01 Oct 2011 04:00:00 +0100 5372072 http://www.medworm.com/index.php?rid=5372070&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041724%26dopt%3DAbstract This article provides a clinical overview of otitis externa, focusing on clinical aspects of the aetiology, diagnosis and management of this important and debilitating condition. PMID: 22041724 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372070 Sat, 01 Oct 2011 04:00:00 +0100 5372070 http://www.medworm.com/index.php?rid=5372069&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041725%26dopt%3DAbstract Authors: Naughton J, Morley E, Chan D, Fong Y, Bosanquet D, Lewis M Abstract Carotid body tumours are a rare class of paraganglionoma arising from the upper neck, but should be considered in the differential diagnosis of neck lumps. A wrong diagnosis of cervical lymphadenopathy followed by excision biopsy may have serious consequences. The only way to minimize such risk is to be aware of their existence. PMID: 22041725 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372069 Sat, 01 Oct 2011 04:00:00 +0100 5372069 http://www.medworm.com/index.php?rid=5372068&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041726%26dopt%3DAbstract This article summarizes the published work on the use of coblation in the field of otorhinolaryngology. PMID: 22041726 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372068 Sat, 01 Oct 2011 04:00:00 +0100 5372068 http://www.medworm.com/index.php?rid=5372067&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041727%26dopt%3DAbstract Authors: Calvello EJ, Hu K, Khoujah D Abstract Undifferentiated body temperature of greater than 38 degreesC can herald a number of important clinical syndromes essential to diagnose besides just infectious aetiologies. This review examines the pathophysiology, clinical features and approach to the management of hyperthermia that will lead to appropriate diagnosis and treatment. PMID: 22041727 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372067 Sat, 01 Oct 2011 04:00:00 +0100 5372067 http://www.medworm.com/index.php?rid=5372066&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041728%26dopt%3DAbstract Authors: Walker-Bone K Abstract Fractures in the elderly are devastating, causing premature death and compromised independence among survivors. With demographic changes, their occurrence is expected to double. Given their crippling consequences, the identification and treatment of osteoporosis and prevention of falls are priorities. PMID: 22041728 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372066 Sat, 01 Oct 2011 04:00:00 +0100 5372066 http://www.medworm.com/index.php?rid=5372065&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041729%26dopt%3DAbstract Authors: Jolobe OM Abstract Constrictive pericarditis is characterized by elevation in jugular venous pressure disproportionate to the severity of concurrent breathlessness. As pleural effusion may be an associated feature it is recommended that jugular venous pressure should be documented in all patients who present with pleural effusion. PMID: 22041729 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372065 Sat, 01 Oct 2011 04:00:00 +0100 5372065 http://www.medworm.com/index.php?rid=5372064&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041730%26dopt%3DAbstract Online generic induction for doctors in training: an end to repetition? Br J Hosp Med (Lond). 2011 Oct;72(10):586-9 Authors: Nathavitharana K Abstract Multi-professional collaboration across the West Midlands has developed an online generic induction package consisting of 18 statutory, mandatory and general modules. The material incorporates best practises in e-learning, including an assessment component. PMID: 22041730 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372064 Sat, 01 Oct 2011 04:00:00 +0100 5372064 http://www.medworm.com/index.php?rid=5372063&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041731%26dopt%3DAbstract This article describes a 75-year-old man with a Heidenhain variant of sporadic Creutzfeldt-Jakob disease who presented with a sudden onset of homonymous hemianopia mimicking a stroke. PMID: 22041731 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372063 Sat, 01 Oct 2011 04:00:00 +0100 5372063 http://www.medworm.com/index.php?rid=5372062&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041732%26dopt%3DAbstract This article discusses an elderly woman presenting with haematemesis and chest pain who underwent urgent oesophago-gastroduodenoscopy. This revealed a large dissecting intramural oesophageal haematoma, initially mistaken for a varix. This is a rare cause of haematemesis and chest pain but has characteristic endoscopic findings. It is a benign condition that may be managed conservatively and both clinicians and endoscopists should be aware of its classical presentation. Misdiagnosis of the chest pain as cardiac ischaemia may have an adverse outcome if antiplatelet or anticoagulation therapy is commenced. Follow up endoscopy a week later showed complete resolution of the lesion leaving a linear mucosal defect. PMID: 22041732 [PubMed - in process] (Source: British Journal of Hospital Medi... British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372062 Sat, 01 Oct 2011 04:00:00 +0100 5372062 http://www.medworm.com/index.php?rid=5372061&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041733%26dopt%3DAbstract Authors: Gunawardena I Abstract A 72-year-old woman with Parkinson's disease presented to outpatients with a history of falls. The falls were not associated with loss of consciousness, and the history suggested gait and balance problems leading to falls. A 12-lead electrocardiogram, as shown in Figure 1, had the appearance of torsades de pointes. However, the patient was cardiologically asymptomatic, and the electrocardiogram appearance was thought to be caused by a Parkinson's disease-associated artefact. PMID: 22041733 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372061 Sat, 01 Oct 2011 04:00:00 +0100 5372061 http://www.medworm.com/index.php?rid=5372060&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041734%26dopt%3DAbstract Authors: Durai R, Husain F, Oke T, Siddiqui M Abstract Paragangliomas can be confused with adrenal incidentalomas because of their proximity to the adrenal glands. A 71-year-old man presented with left-sided abdominal pain. A computed tomography scan showed a large cystic mass with a solid component arising from the left adrenal gland (Figure 1). PMID: 22041734 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372060 Sat, 01 Oct 2011 04:00:00 +0100 5372060 http://www.medworm.com/index.php?rid=5372059&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041735%26dopt%3DAbstract Authors: Ellis H Abstract This year is the 250th anniversary of the birth of Matthew Baillie, whose textbook Morbid Anatomy of the Human Body, published in 1793, and its accompanying atlas, published 6 years later, constituted the first textbook which dealt exclusively with system-based pathology. This adopted a new and convenient method of describing pathology according to the organs involved rather than according to symptoms, as Giovanni Morgagni (1682-1771) of Padua had adopted in his De Sedibus et Causis Morborum (On the sites and causes of disease). This, published in 1760, was rightly regarded as the first textbook which correlated symptoms in life with the appearance of the viscera at autopsy. PMID: 22041735 [PubMed - in process] (Source: British Journal of Hospital Medi... British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372059 Sat, 01 Oct 2011 04:00:00 +0100 5372059 http://www.medworm.com/index.php?rid=5372058&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041736%26dopt%3DAbstract Authors: Jolobe O Abstract To the comprehensive review of transient ischaemic attack and its underlying causes (vol 72(7), 2011, p. 372) I would like to add a brief mention of so-called 'haemodynamic transient ischaemic attack', a subtype of transient focal neurological deficit caused by hypoperfusion resulting from a drop in blood pressure which is either systemic or regional (Klijn and Kappelle, 2010). PMID: 22041736 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372058 Sat, 01 Oct 2011 04:00:00 +0100 5372058 http://www.medworm.com/index.php?rid=5372057&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041737%26dopt%3DAbstract Authors: Medical Sickness W Abstract You have worked hard to get to where you are today, so it would be foolish to risk it all by not ensuring your income and your assets are protected. Cars, homes and valuables are among the first things we insure, but many people forget about protecting the most valuable asset we have - our income. PMID: 22041737 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372057 Sat, 01 Oct 2011 04:00:00 +0100 5372057 http://www.medworm.com/index.php?rid=5372055&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041739%26dopt%3DAbstract Should sevoflurane be used for maintenance of anaesthesia in children? Br J Hosp Med (Lond). 2011 Oct;72(10):598-Unknown Authors: Duffen A, Williams A Abstract Sevoflurane is used for inhalational induction of anaesthesia because of its pleasant odour and quick onset. However, its use for maintenance of anaesthesia in children has been questioned because of the risk of emergence delirium. Emergence delirium is defined by Sikich and Lerman (2004) as a disturbance in awareness of, and attention to, the environment with disorientation and perceptual alterations including hypersensitivity to stimuli and hyperactive motor behaviour in the immediate post-anaesthesia period. Its incidence is between 10 and 80% following general anaesthesia, and it has the potential to cause injur... British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372055 Sat, 01 Oct 2011 04:00:00 +0100 5372055 http://www.medworm.com/index.php?rid=5372054&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041826%26dopt%3DAbstract Authors: Maruthappu M, Camm C, Shalhoub J PMID: 22041826 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372054 Thu, 01 Sep 2011 04:00:00 +0100 5372054 http://www.medworm.com/index.php?rid=5372053&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041827%26dopt%3DAbstract Authors: Fassiadis N PMID: 22041827 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372053 Thu, 01 Sep 2011 04:00:00 +0100 5372053 http://www.medworm.com/index.php?rid=5372052&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041828%26dopt%3DAbstract Authors: Marks DJ, Smith PJ PMID: 22041828 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372052 Thu, 01 Sep 2011 04:00:00 +0100 5372052 http://www.medworm.com/index.php?rid=5372051&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041829%26dopt%3DAbstract Authors: Hoefield R, Power A, Williams N, Lewington AJ PMID: 22041829 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372051 Thu, 01 Sep 2011 04:00:00 +0100 5372051 http://www.medworm.com/index.php?rid=5372050&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041830%26dopt%3DAbstract Authors: Srivastava B, Alexander GJ PMID: 22041830 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372050 Thu, 01 Sep 2011 04:00:00 +0100 5372050 http://www.medworm.com/index.php?rid=5372049&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041831%26dopt%3DAbstract Medical management of renal stone disease. Br J Hosp Med (Lond). 2011 Sep;72(9):504-9 Authors: Xu G, Iyasere O, Al-Jayyousi R PMID: 22041831 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372049 Thu, 01 Sep 2011 04:00:00 +0100 5372049 http://www.medworm.com/index.php?rid=5372048&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041832%26dopt%3DAbstract Venous complications of thoracic outlet syndrome. Br J Hosp Med (Lond). 2011 Sep;72(9):511-4 Authors: Ward AS, Chand M PMID: 22041832 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372048 Thu, 01 Sep 2011 04:00:00 +0100 5372048 http://www.medworm.com/index.php?rid=5372047&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041833%26dopt%3DAbstract Authors: Kirkham L, Thomas M PMID: 22041833 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372047 Thu, 01 Sep 2011 04:00:00 +0100 5372047 http://www.medworm.com/index.php?rid=5372046&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041834%26dopt%3DAbstract Authors: Sharma M, Horgan A PMID: 22041834 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372046 Thu, 01 Sep 2011 04:00:00 +0100 5372046 http://www.medworm.com/index.php?rid=5372045&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041835%26dopt%3DAbstract Authors: McKimm J, Spurgeon P, Needham G, O'Sullivan H PMID: 22041835 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372045 Thu, 01 Sep 2011 04:00:00 +0100 5372045 http://www.medworm.com/index.php?rid=5372044&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041836%26dopt%3DAbstract Authors: Bleibleh S, Childs J, Baqai N PMID: 22041836 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372044 Thu, 01 Sep 2011 04:00:00 +0100 5372044 http://www.medworm.com/index.php?rid=5372043&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041837%26dopt%3DAbstract Conn's syndrome unmasked by thiazide-induced hypokalaemia. Br J Hosp Med (Lond). 2011 Sep;72(9):530-1 Authors: Burton TJ, Salsbury J, Hood S, Brown MJ PMID: 22041837 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372043 Thu, 01 Sep 2011 04:00:00 +0100 5372043 http://www.medworm.com/index.php?rid=5372042&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041838%26dopt%3DAbstract Hepatorenal syndrome precipitated by infective endocarditis. Br J Hosp Med (Lond). 2011 Sep;72(9):532-3 Authors: Patel PA, Lowe E, Baig W, Sandoe J PMID: 22041838 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372042 Thu, 01 Sep 2011 04:00:00 +0100 5372042 http://www.medworm.com/index.php?rid=5372041&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041839%26dopt%3DAbstract Dissecting thoracic aneurysm: an unusual presentation. Br J Hosp Med (Lond). 2011 Sep;72(9):533 Authors: Akhtar A, Jones C, Stafford J, Low B PMID: 22041839 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372041 Thu, 01 Sep 2011 04:00:00 +0100 5372041 http://www.medworm.com/index.php?rid=5372040&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041841%26dopt%3DAbstract Authors: Hill AM, Shalhoub J PMID: 22041841 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372040 Thu, 01 Sep 2011 04:00:00 +0100 5372040 http://www.medworm.com/index.php?rid=5372039&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041842%26dopt%3DAbstract Authors: PMID: 22041842 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372039 Thu, 01 Sep 2011 04:00:00 +0100 5372039 http://www.medworm.com/index.php?rid=5372038&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041844%26dopt%3DAbstract Authors: Turnbull J, Moonesinghe R PMID: 22041844 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372038 Thu, 01 Sep 2011 04:00:00 +0100 5372038 http://www.medworm.com/index.php?rid=5372037&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22049558%26dopt%3DAbstract Authors: Boyd M, Holroyd B PMID: 22049558 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5372037 Thu, 01 Sep 2011 04:00:00 +0100 5372037 http://www.medworm.com/index.php?rid=5131512&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841585%26dopt%3DAbstract Authors: Clinical News. PMID: 21841585 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131512 Tue, 09 Aug 2011 23:00:00 +0100 5131512 http://www.medworm.com/index.php?rid=5131499&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841598%26dopt%3DAbstract Authors: Tayal U, Bell A, Mittal T, Banner NR, Hill AM, Shalhoub J Correspondence. PMID: 21841598 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131499 Tue, 09 Aug 2011 23:00:00 +0100 5131499 http://www.medworm.com/index.php?rid=5131497&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841600%26dopt%3DAbstract Authors: O Mahony G, Chillal M Book Reviews. PMID: 21841600 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131497 Tue, 09 Aug 2011 23:00:00 +0100 5131497 http://www.medworm.com/index.php?rid=5131517&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841580%26dopt%3DAbstract This article provides the clinical knowledge necessary to manage these injuries competently. PMID: 21841580 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131517 Sun, 31 Jul 2011 23:00:00 +0100 5131517 http://www.medworm.com/index.php?rid=5131516&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841581%26dopt%3DAbstract Authors: Johns RH, Rahman A, Sharp S, Back C, Ishaque A, Jenkins HS Achieving a safe and timely hospital discharge can be a formidable challenge. For most patients discharge planning is straightforward, but around 20% of patients have more complex needs. They need multidisciplinary assessment before discharge, and may require a period of rehabilitation, a programme of health care or social support at home, or placement in a residential or nursing home. PMID: 21841581 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131516 Sun, 31 Jul 2011 23:00:00 +0100 5131516 http://www.medworm.com/index.php?rid=5131515&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841582%26dopt%3DAbstract Authors: Billington P, Khan S, Lapsia S Within the abdomen there are multiple organs that can cause acute pain. It is often difficult to determine the cause of acute abdomen clinically but it is usually the result of a non-traumatic pathology; in these instances plain film radiology is usually the initial investigation to determine serious pathology that may require surgical intervention. The second-line investigations are ultrasound and computed tomography. In trauma cases a FAST (focussed assessment for the sonographic examination of the trauma patient) ultrasound scan to look for the presence of intra-abdominal free fluid is often performed in the emergency department. Computed tomography is the best examination to investigate abdominal trauma because of its superior three-dimension... British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131515 Sun, 31 Jul 2011 23:00:00 +0100 5131515 http://www.medworm.com/index.php?rid=5131514&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841583%26dopt%3DAbstract Authors: Hamilton-Fairley D, Smith D Over the years many concerns have been raised about the context and content of postgraduate medical education and the preparation of junior doctors for their future roles as consultants or GPs. In response there have been many changes to training both at national and at local level. Since 2005 the Postgraduate Medical Education and Training Board (now the General Medical Council) has had the statutory role of quality assuring postgraduate medical education. Effective quality assurance and, crucially, quality improvement needs to be based on good evidence. One source of evidence is the General Medical Council's national survey of trainee doctors. PMID: 21841583 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131514 Sun, 31 Jul 2011 23:00:00 +0100 5131514 http://www.medworm.com/index.php?rid=5131513&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841584%26dopt%3DAbstract Authors: Ellershaw J, Hayes A The National End of Life Care Strategy for England (Department of Health, 2008) was a blueprint for improving the care of all dying people over the next 10 years regardless of diagnosis. The strategy emphasized the importance of improved end of life care provision in acute hospitals as more than half of all deaths take place there. As well as ensuring that those who die in hospital have a good death, the strategy called for improved discharge arrangements and better coordination with a range of community services so that more people can die at home if this is their preferred choice. PMID: 21841584 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131513 Sun, 31 Jul 2011 23:00:00 +0100 5131513 http://www.medworm.com/index.php?rid=5131511&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841586%26dopt%3DAbstract This article summarizes features of advanced disease and the impact of realistic prognostication. PMID: 21841586 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131511 Sun, 31 Jul 2011 23:00:00 +0100 5131511 http://www.medworm.com/index.php?rid=5131510&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841587%26dopt%3DAbstract Authors: Randall F Advance care planning takes place 'in advance of' anticipated loss of capacity with the aim of informing the best interests judgments required when capacity is later lost. It is an ethically and clinically distinct subset of general care planning. PMID: 21841587 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131510 Sun, 31 Jul 2011 23:00:00 +0100 5131510 http://www.medworm.com/index.php?rid=5131509&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841588%26dopt%3DAbstract This article considers the extent to which place of death is an appropriate way to determine good end of life care. PMID: 21841588 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131509 Sun, 31 Jul 2011 23:00:00 +0100 5131509 http://www.medworm.com/index.php?rid=5131508&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841589%26dopt%3DAbstract This article outlines the approach to the decision, common difficulties encountered in patients with both malignant and non-malignant disease, and a simple approach to considering the question 'Is this patient dying?' PMID: 21841589 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131508 Sun, 31 Jul 2011 23:00:00 +0100 5131508 http://www.medworm.com/index.php?rid=5131507&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841590%26dopt%3DAbstract This article focuses on the care of these patients in their last days specifically discussing medication review, symptom control, assisted nutrition and hydration, spiritual and religious needs, and documentation. PMID: 21841590 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131507 Sun, 31 Jul 2011 23:00:00 +0100 5131507 http://www.medworm.com/index.php?rid=5131506&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841591%26dopt%3DAbstract This article summarizes the clinical features, investigation and treatment of these disorders and examines the factors contributing to failures of diagnosis. PMID: 21841591 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131506 Sun, 31 Jul 2011 23:00:00 +0100 5131506 http://www.medworm.com/index.php?rid=5131505&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841592%26dopt%3DAbstract This article examines the links between medical professionalism and medical leadership and discusses how the values that are required to be a 'good doctor' are the same as a 'good leader'. The potential of this overlap to inform the debate on developing and assessing both medical leadership and professionalism is evaluated. PMID: 21841592 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131505 Sun, 31 Jul 2011 23:00:00 +0100 5131505 http://www.medworm.com/index.php?rid=5131504&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841593%26dopt%3DAbstract Authors: Ellis H A useful way of reading about practice in any branch of medicine in the not too distant past is to look up the reports of the proceedings of the various sections of the British Medical Association Scientific Meeting for the year in question. So, to find out the topics which were interesting surgeons 100 years ago, you need go no further than the relevant pages in the second volume of the British Medical Journal for 1911. PMID: 21841593 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131504 Sun, 31 Jul 2011 23:00:00 +0100 5131504 http://www.medworm.com/index.php?rid=5131503&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841594%26dopt%3DAbstract This article presents two patients with quinolone-resistant enteric fever with bone involvement and describes successful outcomes using oral azithromycin. PMID: 21841594 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131503 Sun, 31 Jul 2011 23:00:00 +0100 5131503 http://www.medworm.com/index.php?rid=5131502&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841595%26dopt%3DAbstract Authors: Raju P, Sallomi D, Patel N, Lloyd G Aortic valve thickening or stenosis is a highly prevalent heart valve lesion seen in 2-7% of adults over 65 years (Freeman and Otto, 2005). The diagnosis can be overlooked in the acutely ill patient because the signs may be masked and difficult to detect, and yet untreated, when severe, it carries a very grave prognosis (Horstkotte and Loogen, 1988). PMID: 21841595 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131502 Sun, 31 Jul 2011 23:00:00 +0100 5131502 http://www.medworm.com/index.php?rid=5131501&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841596%26dopt%3DAbstract This article presents a case of an elderly patient whose carotid sinus hypersensitivity was revealed in interesting circumstances. PMID: 21841596 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131501 Sun, 31 Jul 2011 23:00:00 +0100 5131501 http://www.medworm.com/index.php?rid=5131500&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841597%26dopt%3DAbstract Authors: Durai R, Ch Ng P A 40-year-old African patient presented with loss of appetite and weight, and a 3-month history of vague ill-defined abdominal pain. A computed tomography scan demonstrated an isolated hypodense 36mm lymphadenopathy in the porta hepatis (Figure 1). The lymph node was harvested by laparoscopy (Figure 2). PMID: 21841597 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131500 Sun, 31 Jul 2011 23:00:00 +0100 5131500 http://www.medworm.com/index.php?rid=5131498&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841599%26dopt%3DAbstract Authors: Medical Sickness W With the latest inflation figures showing the consumer price index (the government's preferred measure) at 4.2%, there is no denying that the cost of living is continuing to increase at a significant rate. PMID: 21841599 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131498 Sun, 31 Jul 2011 23:00:00 +0100 5131498 http://www.medworm.com/index.php?rid=5131496&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841601%26dopt%3DAbstract Authors: Hoyle J, Williams A Dexamethasone is commonly used by anaesthetists for its antiemetic properties and ability to reduce laryngeal oedema. Dexamethasone is 20-30 times more potent than cortisol, and is given for a range of indications including treatment of several autoimmune and endocrine disorders. As it has anti-inflammatory and immunosuppressive properties, there is concern that its use in patients with an underlying malignancy may worsen prognosis. PMID: 21841601 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131496 Sun, 31 Jul 2011 23:00:00 +0100 5131496 http://www.medworm.com/index.php?rid=5131490&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841607%26dopt%3DAbstract Authors: Fricker J, Lyon S Clinical News. PMID: 21841607 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131490 Sun, 10 Jul 2011 23:00:00 +0100 5131490 http://www.medworm.com/index.php?rid=5131411&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841622%26dopt%3DAbstract Authors: Warriner D, Kaur N, Hershman MJ Book Reviews. PMID: 21841622 [PubMed - as supplied by publisher] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131411 Sun, 10 Jul 2011 23:00:00 +0100 5131411 http://www.medworm.com/index.php?rid=5131495&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841602%26dopt%3DAbstract This article first takes an ABCDE approach (airway, breathing, circulation, disability and exposure) and then discusses the principles of managing commonly encountered overdoses. Finally, an approach to overdose with an unknown agent is discussed. PMID: 21841602 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131495 Thu, 30 Jun 2011 23:00:00 +0100 5131495 http://www.medworm.com/index.php?rid=5131494&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841603%26dopt%3DAbstract This article reviews the normal anatomy, systematic interpretation of thoracic and lumbar radiographs and typical injury patterns. PMID: 21841603 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131494 Thu, 30 Jun 2011 23:00:00 +0100 5131494 http://www.medworm.com/index.php?rid=5131493&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841604%26dopt%3DAbstract Authors: Kasznia-Brown J, Karnati G Colicky abdominal pain is an intermittent spasmodic pain within the abdominal cavity, characterized by multiple recurrent episodes. The severity of the pain can vary from mild abdominal cramps to very intense, acute attacks, which require hospitalization and treatment with intra-venous analgesia. Between recurrent episodes, patients usually feel well and are pain and symptom free. PMID: 21841604 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131493 Thu, 30 Jun 2011 23:00:00 +0100 5131493 http://www.medworm.com/index.php?rid=5131492&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841605%26dopt%3DAbstract Authors: Windfuhr K Suicide is a leading cause of death worldwide. Approximately 3000 people die by suicide every day, equating to over 1 million deaths per year globally (World Health Organization,2002). The average global suicide rate is 14.5 (per 100000 population) although rates vary substantially by country and geographical region (Hawton and van Heeringen, 2009). PMID: 21841605 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131492 Thu, 30 Jun 2011 23:00:00 +0100 5131492 http://www.medworm.com/index.php?rid=5131491&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841606%26dopt%3DAbstract Authors: Haja Mydin H, West SD The number of road signs on our motorways encouraging drivers to stop driving when they feel tired, highlights that up to a fifth of road traffic accidents may be caused by sleepiness. Drivers may be sleepy for many reasons, such as insufficient sleep following a late night or a night shift, but underlying medical conditions leading to daytime somnolence, such as obstructive sleep apnoea syndrome, are often under-recognized. PMID: 21841606 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131491 Thu, 30 Jun 2011 23:00:00 +0100 5131491 http://www.medworm.com/index.php?rid=5131489&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841608%26dopt%3DAbstract Authors: Giles MF Transient ischaemic attack carries a high stroke risk. Accurate diagnosis requires careful clinical assessment and high-risk individuals can be identified by the ABCD2 score and the presence of large artery disease and brain infarction on imaging. Urgent secondary prevention improves early outcome. PMID: 21841608 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131489 Thu, 30 Jun 2011 23:00:00 +0100 5131489 http://www.medworm.com/index.php?rid=5131488&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841609%26dopt%3DAbstract This article reviews the role of the non-enhanced computed tomography brain scan, particularly focusing on the hyper-acute presentation of stroke from a radiological perspective. PMID: 21841609 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131488 Thu, 30 Jun 2011 23:00:00 +0100 5131488 http://www.medworm.com/index.php?rid=5131476&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841610%26dopt%3DAbstract This article reviews radiological techniques beyond the non-enhanced computed tomography brain scan. PMID: 21841610 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131476 Thu, 30 Jun 2011 23:00:00 +0100 5131476 http://www.medworm.com/index.php?rid=5131474&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841611%26dopt%3DAbstract This article makes recommendations about how and what to document as part of the technique of recording, on the basis of the literature. PMID: 21841611 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131474 Thu, 30 Jun 2011 23:00:00 +0100 5131474 http://www.medworm.com/index.php?rid=5131473&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841612%26dopt%3DAbstract Authors: Hunter J, Quarterman C, Waseem M, Wills A Necrotizing fasciitis is a rapidly progressive, life-threatening soft tissue infection which is rapidly fatal unless diagnosed promptly and treated with immediate debridement of necrotic tissue. As early clinical suspicion is paramount to improved survival, this review aims to increase awareness of the condition. PMID: 21841612 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131473 Thu, 30 Jun 2011 23:00:00 +0100 5131473 http://www.medworm.com/index.php?rid=5131460&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841613%26dopt%3DAbstract This article reflects on medical professionalism as an entity, reviews the challenges it faces, and considers proactive ways of nurturing the concept of professionalism in radiology. PMID: 21841613 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131460 Thu, 30 Jun 2011 23:00:00 +0100 5131460 http://www.medworm.com/index.php?rid=5131454&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841614%26dopt%3DAbstract This article seeks to explore the hidden costs incurred by trainees of various specialties and grades for postgraduate training. PMID: 21841614 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131454 Thu, 30 Jun 2011 23:00:00 +0100 5131454 http://www.medworm.com/index.php?rid=5131453&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841615%26dopt%3DAbstract This article provides a guide to how junior doctors can act as leaders within their workplace using various leadership and management tools, and discusses a novel academic foundation programme in clinical leadership and management. PMID: 21841615 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131453 Thu, 30 Jun 2011 23:00:00 +0100 5131453 http://www.medworm.com/index.php?rid=5131445&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841616%26dopt%3DAbstract This article describes the case and sequelae of a young man accidently poisoned by carbon monoxide from a barbecue placed in his camper van. This seemingly innocent action, when the barbecue was apparently extinct and cool enough to pick up with his bare hands, resulted in him being discovered unconscious. Recognized as the most common cause of fatal poisoning worldwide (Hopkins and Woon, 2006), many people remain unaware of the dangers of carbon monoxide. PMID: 21841616 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131445 Thu, 30 Jun 2011 23:00:00 +0100 5131445 http://www.medworm.com/index.php?rid=5131433&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841617%26dopt%3DAbstract This article reports a novel case of severe sitagliptin-associated renal failure in a 71-year-old woman. In view of the limited data supporting the long-term safety of dipeptidyl peptidase 4 inhibitors the authors suggest that active monitoring of renal function should be considered following initiation of sitagliptin. PMID: 21841617 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131433 Thu, 30 Jun 2011 23:00:00 +0100 5131433 http://www.medworm.com/index.php?rid=5131415&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841618%26dopt%3DAbstract Authors: Durai R, Khan A, Siddiqui M, Oke T Acute appendicitis is a common surgical condition (Durai et al, 2008) but it can pose a diagnostic challenge even to an experienced surgeon (Ong and Venkatesh, 2009). Two patients presented with a positive Murphy's sign which eventually turned out to be sub-hepatic appendicitis. PMID: 21841618 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131415 Thu, 30 Jun 2011 23:00:00 +0100 5131415 http://www.medworm.com/index.php?rid=5131414&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841619%26dopt%3DAbstract Authors: Ellis H T his year marks the 150th anniversary of the birth, on 20 June 1861, of Frederick Gowland Hopkins, a father figure of modern biochemistry, which started around the beginning of the 20th century. PMID: 21841619 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131414 Thu, 30 Jun 2011 23:00:00 +0100 5131414 http://www.medworm.com/index.php?rid=5131413&cid=s_37930_49_f&fid=37930&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841620%26dopt%3DAbstract Authors: Sickness WM Inheritance tax is one of the few taxes you can prepare for. With some careful planning you can help your loved ones avoid a sizeable tax bill and ensure your legacy benefits those you care for, and not the government. PMID: 21841620 [PubMed - in process] (Source: British Journal of Hospital Medicine) British Journal of Hospital Medicine journals http://www.medworm.com/rss/comments.php?id=5131413 Thu, 30 Jun 2011 23:00:00 +0100 5131413