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The case of the Maxilla reconstruction

2 Jun, 14 | by Kristy Ebanks

Reconstruction using a Fibula graft and virtual planning techniques We have some very interesting images for you but, can you answer the questions below? blog4 blog3 blog2 blog

1. How would you manage a maxillofacial defect such as this?
2. Would you consider using a graft?
3. How could you enhance the outcome?

If you don’t know the answers or want to know more read ’Reconstruction of the Maxilla Using a Fibula Graft and Virtual Planning Techniques

Too young for cancer. Case in the media highlights challenge of diagnosis

28 May, 14 | by Dr Dean Jenkins

The case of a 29 year old scientist who died of bowel cancer has been highlighted in the press because her brother is planning to raise funds for the World Cancer Research Fund.

A doctor who was told she was too young to get bowel cancer died after being sent home and misdiagnosed with bowel disease.” Doctor, 29, died of cancer after being told she was too young to have disease. Daily Telegraph, May 27th 2014

After suffering from stomach pains so severe she was forced to miss part of her brother’s wedding day, Suzanne was initially told by doctors she could not be suffering from bowel cancer as she was so young. She was instead diagnosed with an inflammatory bowel condition.” Tragic former Chatham pupil Dr Suzanne Gould died of bowel cancer after being told she was too young to have disease. Kent Online May 27th 2014

Tragic Suzanne Gould badgered family doctors for six months because of severe stomach pain but was told she had Crohn’s disease. In fact, she had terminal bowel cancer and died 18 months later.”  Brother of tragic doctor ‘too young for cancer at 29′ to raise money in her memory. Daily Express, May 28th 2014.

In 2012, my sister Suzanne, started to have bad stomach pains and other ailments. The doctors refused to believe she had bowel cancer because she was too young, however in November 2012 she was rushed to A&E where a cancerous tumor was removed, and her fight to get better began.” Rob Newton’s JustGiving page.

PhD, married, with kitten called Poppy, fighting bowel cancer previously misdiagnosed as Crohns disease. Hoping to raise awareness in the relatively young” @Dr_SooziG Twitter profile.

These types of cases – and others reported in BMJ Case Reports(1,2,3) – of younger patients presenting with symptoms where the underlying cause is malignancy are a challenge for diagnosis and there is no simple way of addressing it. Clinical examination may be normal which may lead the practitioner to be less likely to investigate. “Raising awareness” is often a phrase that is mentioned when these cases are presented at medical meetings. It helps, but by itself it doesn’t seem sufficient. Fine-tuning your “Index of suspicion” is something that can be achieved by reading more case reports … and seeing more, listening to and learning from patients in your clinical practice.

1. Raghunath Prabhu, Neha Kumar, Sunil Krishna, Rajgopal Shenoy. Primary colonic signet ring cell carcinoma in a young patient. BMJ Case Reports 2014:published online 20 March 2014, doi:10.1136/bcr-2013-200587

2. Syed Tausif Ahmed, Sudipto Kumar Singh, Tanmoy Mukherjee, Manju Banerjee. Breast carcinoma in a prepubertal girl. BMJ Case Reports 2014:published online 15 April 2014, doi:10.1136/bcr-2013-203251

3. Anna Freeman, David Weeden, Jane Wilkinson, Ramesh J Kurukulaaratchy. An unusual bronchial obstruction in a fit young man. BMJ Case Reports 2013:published online 9 January 2013, doi:10.1136/bcr-2012-007766

The case of early recurrence detection

23 May, 14 | by Kristy Ebanks

Phosphaturic tumor

We have some very interesting images for you but, can you answer the questions below?

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1. What would be your differential diagnosis?
2. What might be the relevance of electrolyte imbalance during the assessment of maxillary tumours?
3. How would you manage these type of tumours?

If you don’t know the answers or want to know more read ’Phosphaturic tumor: early recurrence detection

5th Year Anniversary Special Edition

15 May, 14 | by Kristy Ebanks

In celebration of the BMJ Case Report’s 5th Birthday (late 2013) we have produced a Special Edition booklet

Have a look at these articles and, feel free to use them as a guideline for the kind of cases that we are interested in publishing.

Enjoy!!

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Click on the image to download the PDF

The case of Tremor-induced ECG artifacts mimicking torsades de pointes

9 May, 14 | by Kristy Ebanks

Doctor, treat your patient, not your monitor!

We have some very interesting images for you but, can you answer the questions below?

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1. What does this ECG show?
2. How would you confirm the rhythm?
3. What would you do next?

If you don’t know the answers or want to know more read ’Doctor, treat your patient, not your monitor! Tremor-induced ECG artifacts mimicking torsades de pointes

The case of bilateral eruption cysts

2 May, 14 | by Kristy Ebanks

Bilateral eruption cysts associated with primary molars

We have some very interesting images for you but, can you answer the questions below?

Figure_4 (2) Figure_7 Figure_1 (17)

1. What would be your differential diagnosis?
2. Which ancillary exams would you recommend?
3. What sort of approach would you endorse given the age of the patient?

If you don’t know the answers or want to know more read ’A Rare Case of Bilateral Eruption Cysts Associated With Primary Molars in both the jaws

The case of a Forgotten Diagnosis

17 Apr, 14 | by Kristy Ebanks

An AIDS-defining neoplasm on highly active antiretroviral therapy

We have some very interesting images for you but, can you answer the questions below?

fig_3_PET_Transverse fig_1_CT_Transverse fig_2_MR_T2_transverse_fat_sat_2_Slice

1. What is the differential diagnosis of a lump in the groin?
2. How would you investigate this patient?
3. What are the options for treatment?

If you don’t know the answers or want to know more read ’An AIDS-defining neoplasm in a 30-year-old man on highly active antiretroviral therapy: a forgotten diagnosis?

The Case of the Giant Granuloma Gravidarium

9 Apr, 14 | by Kristy Ebanks

Giant Granuloma Gravidarium of the oral cavity

We have some very interesting images for you but, can you answer the questions below?

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What would it be your clinical diagnosis?
Should this lesion be managed aggressively?
What histological finding would be relevant regarding the final diagnosis?

If you don’t know the answers or want to know more read ’Giant Granuloma Gravidarium of the oral cavity

The case of acquired total maxillectomy defect

4 Apr, 14 | by Kristy Ebanks

Fabrication of hollow bulb prosthesis

We have some very interesting images for you but, can you answer the questions below?

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1. What might have cause this defect?
2. How would you manage it?

If you don’t know the answers or want to know more read ’Fabrication of hollow bulb prosthesis in rehabilitation of acquired total maxillectomy defect

The case of Surfer’s Eye

28 Mar, 14 | by Kristy Ebanks

We have a very interesting image for you but, can you answer the questions below?

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1. What does the image of the eye show?
2. What is your differential?
3. How would you make a diagnosis?

If you don’t know the answers or want to know more read “A Radical Treatment for Surfer’s Eye

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