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The case of a Nasopalatine duct cyst Vs. a Radicular cyst

21 Mar, 14 | by Kristy Ebanks

A clinical report distinguishing a nasopalatine duct cyst from a radicular cyst

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

Postoperative_radiograph_Figure_3 (1) Figure_2_Histopathology (1) Preoperative_radiograph_Figure_1 (1)
1. What is your clinical diagnosis?
2. What is your differential diagnosis?
3. Would you consider different treatment options based on the histology?
If you don’t know the answers or want to know more read ’A clinical report demonstrating the significance of distinguishing a nasopalatine duct cyst from a radicular cyst

The rare case of Kikuchi’s disease

13 Mar, 14 | by Kristy Ebanks

A rare case of axillary lymphadenopathy

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

f2 f

1. How would have initially managed this patient?
2. How should axilliary lymphadenopathy be investigated?
3. Which conditions would you want to exclude?

If you don’t know the answers or want to know more read ‘A rare cause of axillary lymphadenopathy: Kikuchi’s disease

The case of abnormal abdominal pain

10 Mar, 14 | by Kristy Ebanks

Abnormal Abdominal Pain

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

CT_Thorax

 

Chest_X_Ray

1. What is your differential diagnosis for cases with recurrent pain-abdomen and breathlessness?
2. Can you identify any abnormality on the chest CT scan ?
3. What would your plan of action/treatment strategy be for this case?

If you don’t know the answers or want to know more read ’Recurrent pain-abdomen, breathlessness and abdominal injury in the remote past

The case of gastrointestinal haemorrhage!

28 Feb, 14 | by Kristy Ebanks

Acquired Haemophilia A as a cause of acute upper gastrointestinal haemorrhage

Can you answer the questions below?

1. How would you manage coagulopathy in a patient with gastrointestinal haemorrhage?
2. How would you diagnose an underlying disorder of coagulation?
3. What is the pathophysiology of Haemophilia A?

If you don’t know the answers or want to know more read ‘ Acquired Haemophilia A as a cause of acute upper gastrointestinal haemorrhage

 

The case of the ‘not-so-simple’ fracture

20 Feb, 14 | by Kristy Ebanks

Not just a fracture

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

 554LRed dot

1. What is the significance of a child not being able to weight bear on a leg?
2. What do figures 1 and 2 show?
3. What are the typical abnormalities in Type 1 Neurofibromatosis?

If you don’t know the answers or want to know more read ‘Not just a fracture

The case of chylous ascites

14 Feb, 14 | by Kristy Ebanks

Chylous ascites as a consequence of idiopathic pancreatitis

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

 dei1

 

1. What are the causes of chylous ascites?
2. What is the pathophysiology?
3. How would you manage this case?

If you don’t know the answers or want to know more read ‘Chylous ascites as a consequence of idiopathic pancreatitis

The case of chest pain

7 Feb, 14 | by Kristy Ebanks

A Trojan Horse Saddle stuck in the Lung

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

saddle

1. What is your differential diagnosis for chest pain and dyspnoea?
2. What abnormality is seen on the CT scan and ECG?
3.What is the gold standard for investigation of this condition?

If you don’t know the answers or want to know more read A Trojan Horse Saddle stuck in the Lung !!

Alveolar Ethmoidal Rhabdomyosarcoma in a Young Adult Male

20 Dec, 13 | by Kristy Ebanks

A very well written case, which would be of interest to many specialties, with a clear discussion and relevant references. It may be useful for readers to highlight that rhabdomyosarcoma is most common in the paediatric population and thereby making the  presentation of this type of tumour in this case more unusual. Also mention of the reasoning behind mode of imaging includes the learning point “MR imaging is preferred to CT for diagnostic and follow-up investigation”. Most centres will have easier access to CT scanning and usually perform CT sinus imaging with such a presentation, as was done in this case, so it would be helpful to discuss features on CT than would make one consider further imaging. I believe this case to be fit for publication and enjoyed reading it.

Reviewer
Dr Emma Parish
Ninewells Hospital and Medical School, Dundee

Alveolar Ethmoidal Rhabdomyosarcoma in a Young Adult Male

An Unusual Posterior Fossa Tumour in a Young Child

10 Dec, 13 | by Kristy Ebanks

The authors describe the case of a 23-month old child with a posterior fossa tumour, which was removed and turned out to be a choroid plexus papilloma. As they state, choroid plexus papilloma is encountered commonly in the first two years of life, but very rarely in the posterior fossa. It is more common in the lateral ventricles. In such a young child, the most likely diagnoses at this age would be medulloblastoma or Atypical Teratoid Rabdoid Tumour (ATRT). This is an interesting case, worth illustrating, serving as a reminder of rare pathological entities.

Reviewer
Professor Spyros Sqouros
Mitera Childrens Hospital

An Unusual Posterior Fossa Tumour in a Young Child

Chiari malformation and central sleep apnoea: successful therapy with adaptive pressure support servo-ventilation following surgical treatment

3 Dec, 13 | by Kristy Ebanks

This is a well written manuscript. The case is of interest to general physicians and highlights an important associations. The therapy described is of innovative nature and allows the reader to be familiarized with this novel mode of therapy. The case also discusses important, to general physicians, Chiari malformation. In my opinion this is a very interesting case that provides valuable learning points.

Reviewer
Dr Kastelik
Castle Hill Hospital

Chiari malformation and central sleep apnoea: successful therapy with adaptive pressure support servo-ventilation following surgical treatment

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