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Archive for January, 2011

Searching whilst feeding

21 Jan, 11 | by Dr Dean Jenkins

Had one of those yes-this-is-how-it-could-work moments recently.

I was sat at the back of a departmental lunchtime meeting (in Turo) recently eating a cake and clocking up some CPD. There was a presentation on ‘refeeding syndrome’ and I managed to search BMJ Case Reports for ‘refeeding syndrome’ on my recently acquired smartphone and found several cases.

It would be good for future meetings to perhaps highlight such cases and the associated media that would come with them. For example, including the case reports as examples of other presentations of ‘refeeding syndrome’ would reinforce the message of the meeting. The message was more on ‘phosphate’ and could have been more on possible presentations of refeeding syndrome and who is at risk.

Using the now enormous database of BMJ Case Reports to supplement case presentations at work is becoming a real opportunity. For a department that has a license to the collection they can then use the cases, images, diagrams etc. in their own teaching.

Dean Jenkins
Editor at Large

POEMS syndrome – a unique presentation of a rare paraneoplastic syndrome

19 Jan, 11 | by Emma

This is an interesting story of a 40 year old man who developed severe hip pain after tripping on the pavement.

From the opening description one would suspect  a pathological fracture and the authors proceed to meticulously describe the pathology behind the fracture. Interestingly in this case the pathology was not just confined to the bone but also involved his nerves, spleen, skin and endocrine apparatus.

A practicable treatment approach is discussed as well.

POEMS syndrome – a unique presentation of a rare paraneoplastic syndrome

Rakesh Biswas
Deputy Editor

A very public neurosurgery case report

11 Jan, 11 | by Dr Dean Jenkins

An account of the early management, prompt surgical intervention and subsequent care of a person with severe trauma from a bullet wound to the head is unfolding in the world’s press.

The news of the tragic shooting of Congresswoman Gabrielle Giffords and the killing and injury of several others by a gunman in Arizona has been followed by details of her remarkable recovery.

The first aid provided by a member of her staff, Daniel Hernandez, and the subsequent management by surgeon Peter Rhee including a hemicraniectomy are discussed in hundreds of news articles, TV and radio stations.

http://www.nypost.com/p/news/national/good_sign_gabrielle_thumbs_up_Aqub1TMTx5y2r9wCPhTW8K

http://www.bbc.co.uk/news/health-12152501

http://www.bbc.co.uk/news/world-us-canada-12148446

Dean Jenkins
Editor at Large

360 degree case reports – e.g. rheumatoid arthritis

5 Jan, 11 | by Dr Dean Jenkins

I highly recommend reading a recent case report published in the BMJ that talks about rheumatoid arthritis from the perspectives of the patient, her clinician and the National Rheumatoid Society that she represents. (1)

It is an historic account of her disease from presentation, how treatments have changed over the last 20 years, and the effect of the disease on her work and life. I really enjoy reading patient perspectives and especially when as well written as this with multiple view points. They help us gain a broader understanding of the condition.

In this time of 360 degree appraisals maybe it is time for more of these types of perspective?

1) Bosworth A, Steuer A. Rheumatoid arthritis. BMJ 2010; 341:c7095

Dean Jenkins
Editor at Large

Torsades de Pointes Associated with Methadone and Voriconazole

5 Jan, 11 | by Emma

The authors describe in detail the presentation of this patient with Torsades de Pointes tachycardia. They go on to argue the case that the interaction of methadone and voriconazole led to the presentation. An excellent case with good ECG recordings.

Dean Jenkins
Editor at Large

Torsades de Pointes Associated with Methadone and Voriconazole

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