Socioeconomic Privation & Congenital Birth Defects – Cause or Coincidence?

By Kristian Dye This week I’m looking at two very sad cases of stillbirth in Cali, Colombia. When we think of disease caused by social circumstance we often imagine non-communicable diseases or infectious diseases, usually where poor living conditions loom large in the aetiology. When we consider the higher rates of genetic birth defects in […]

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Ramifications of poor medical education and screening in minority populations: an extensive acral melanoma

By Manasi Jiwrajka Ramifications of poor medical education and screening in minority populations: an extensive acral melanoma reports a case of a Samoan man with acral melanoma and explores the precipitating factors leading to the progression of a condition that may otherwise have been screened for and treated at a much earlier stage. This case is […]

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Maternal mortality in the developing world – what circumstances lead to the death of this young woman?

By Midhun Mohan – Student Editor Read this case about a 25-year-old anaemic woman who died from a massive atonic postpartum haemorrhage How and why did this happen? The case report states that on a national scale a culmination of three factors are responsible for the state of healthcare in India, especially in regard to […]

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A case of an erroneous preference diagnosis?

“Misdiagnosing patients’ preferences may be less obvious than misdiagnosing disease, but the consequences for the patient can be just as severe”, states a new publication from the Kings Fund – Patients’ preferences matter: stop the silent misdiagnosis. The author, Al Mulley, argues that well informed patients make different choices about their treatment. Also, patients’ may […]

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Global Health: Acute hypokalaemic quadriparesis in dengue fever

Here are two cases of hypokalaemic quadriparesis complicating Dengue fever in India. The authors discuss the neurological complications arising from this virus transmitted by mosquitoes in the sub-tropical regions of the world where over 2.5 billion people (two fifths of the world’s population) are at risk. Seema Biswas Editor-in-Chief Acute hypokalaemic quadriparesis in dengue fever […]

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Global Health: An elderly woman with Prevotella bacteraemia secondary to pyometrium

Here an 87 year old lady with an abdominal mass present for 20 years presents with sepsis and vaginal discharge in Spain. With the help of some eye-catching images the authors discuss the aetiology and natural history of pyometrium. Seema Biswas Editor-in-Chief An elderly woman with Prevotella bacteraemia secondary to pyometrium […]

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Global Health: PCR negative cerebral malaria in a traveller returning from Mumbai

A 21 year old man returns from India agitated, confused and nearly unconscious. He is intubated and empirically treated for bacterial meningitis and viral encephalitis. Three days later, with no improvement, intravenous quinine is started and the patient begins to recover… The medical challenges of global travel… Seema Biswas Editor-in-Chief PCR negative cerebral malaria in […]

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Global Health: Mycobacterium TB – sometimes, a hidden culprit

We learn as medical students to include TB in the differential diagnosis of virtually all conditions. In the current state of global health where reducing the global incidence of TB by 50% by 2015 is a millennium development goal, this report in our images in section illustrates, in spectacular fashion, this great mimicker of disease. […]

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