A rare case of axillary lymphadenopathy We have some very interesting images for you but, can you answer the questions below? 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 […]
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The case of abnormal abdominal pain
Abnormal Abdominal Pain We have some very interesting images for you but, can you answer the questions below? 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? […]
The case of gastrointestinal haemorrhage!
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 […]
The case of the ‘not-so-simple’ fracture
Not just a fracture We have some very interesting images for you but, can you answer the questions below? 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 […]
The case of chylous ascites
Chylous ascites as a consequence of idiopathic pancreatitis We have some very interesting images for you but, can you answer the questions below? 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 […]
The case of chest pain
A Trojan Horse Saddle stuck in the Lung We have a very interesting image for you but, can you answer the questions below? 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? […]
Alveolar Ethmoidal Rhabdomyosarcoma in a Young Adult Male
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 […]
An Unusual Posterior Fossa Tumour in a Young Child
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 […]
Chiari malformation and central sleep apnoea: successful therapy with adaptive pressure support servo-ventilation following surgical treatment
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 […]
Three cases of severely disseminated Staphylococcus aureus infection in patients treated with tocilizumab
These cases illustrate a number of important points of relevance to acute and general medical physicians as well as in specialties such as Rheumatology. Firstly, patients who are on anti-IL-6 medications may present in a different and less florid way when infected systemically with Staphylococcus aureus than immunocompetent patients. Secondly, they provide a reminder to […]