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Archive for August, 2012

Goodbye world tweet from ‘locked-in’ patient

27 Aug, 12 | by Dr Dean Jenkins

Tony Nicklinson who campaigned for the right to die and recently lost his High Court battle for euthanasia has died. He had asked his family to tweet “Goodbye world the time has come, I had some fun“.

He had suffered a stroke in 2005 which left him with quadriplegia and loss of speech. Following the High Court ruling he refused to eat and drink and died just six days later.

In a recent conversation with Guardian journalist Elizabeth Day he said:

“Opponents of giving me the ability to choose life or death will tell you that it will fundamentally alter the doctor-patient relationship,” he wrote. “Why? The vast majority of a GP’s patients already have the ability to commit suicide so it’s the norm.”

His case highlights the continuing debate about assisted dying. Joan Smith of the Independent wrote:

“There’s a clear danger that ethical issues will get lost in this focus on a handful of tragic individuals; it’s also worth noting that doctors, who would be called on actively to end lives if the law were to be changed, oppose a change in the law.”

The BMA recently voted to reject a proposal to adopt a neutral stance on assisted dying.

Clinical Anatomy: Recurrent intramedullary epidermoid cyst of conus medullaris

22 Aug, 12 | by Emma

Learning neuroanatomy may present a challenge at medical school. In clinical context, however, and with the aid of some remarkable images, perhaps this report of a case a spinal lesion resulting in bladder dysfunction may help.

Seema Biswas
Editor-in-Chief

Recurrent intramedullary epidermoid cyst of conus medullaris

Clinical Anatomy: Isolated posterior cruciate ligament calcification

16 Aug, 12 | by Emma

Here the authors present the case of a 61 year old man with knee pain at night. The cause becomes clear as investigations are performed. These investigations produce some excellent images to learn or revise the anatomy of the knee and understand the basis of anatomical pathology.

Seema Biswas
Editor-in-Chief

Isolated posterior cruciate ligament calcification

Clinical Anatomy: Thoracic inlet syndrome – a diagnosis made on CT pulmonary angiogram

9 Aug, 12 | by Emma

In this case report striking CT pulmonary angiogram images reveal an unusual cause of breathlessness and chest pain in a patient with hypothyroidism and Addison’s disease…

Seema Biswas
Editor-in-Chief

Thoracic inlet syndrome – a diagnosis made on CT pulmonary angiogram

Clinical Anatomy: Repair of rectus femoris rupture with LARS ligament

1 Aug, 12 | by Emma

The rectus femoris muscle is the most frequently involved quadriceps muscle involved in strain pathologies. Here the authors tell us why and describe treatment options.

Seema Biswas
Editor-in-Chief

Repair of rectus femoris rupture with LARS ligament

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