Enterocutaneous fistula is amongst the most challenging of surgical complications to manage. Here a patient with multiple comorbidities treated successfully results in a favourable outcome. Seema Biswas Editor-in-Chief Efficacy of administration of coagulation factor XIII with definitive surgery for multiple intractable enterocutaneous fistulae in a patient with decreased factor XIII activity […]
Month: May 2011
‘Quality and Safety in Medicine’ Series: Hypertensive emergency as a complication of brachial plexus block
Complications recognised early and treated promptly can avert disaster. In this case regional anaesthetic blockade exacerbates hypertension in a patient prepared for emergency surgery. The patient is treated urgently and surgery is cancelled. The authors discuss possible mechanisms where nerve blockade of baroreceptors may result in life-threatening hypertension and myocardial damage. Seema Biswas Editor-in-Chief Hypertensive […]
‘Quality and Safety in Medicine’ Series: Subungual malignant melanoma – re-learning the lesson
It is not unusual for patients to present with trauma only to be found to have a second, more sinister, diagnosis. Here, the authors present two cases of hand trauma where subungual melanoma is subsequently found. Seema Biswas Editor-in-Chief Subungual malignant melanoma – re-learning the lesson […]
‘Quality and Safety in Medicine’ Series: The assessment and treatment of a complex geriatric patient by an interprofessional primary care team
The multi-disciplinary team is perhaps one of the triumphs of modern medicine. The following account of the inter-professional management of an 89 year old lady who suffers recurrent falls is an example of how well the system can work. Seema Biswas Editor-in-Chief The assessment and treatment of a complex geriatric patient by an interprofessional primary […]