Syncope is a common symptom in outpatient clinics or emergency departments. Laugh induced syncope is rare and laughter may not be recognized by physicians as a cause of syncope. I believe this case report is useful for generalists. Reviewer Dr Kurokawa Kawasaki Medical School Laugh-induced syncope […]
Latest articles
Bilateral cataracts and insulin oedema in a child with type 1 diabetes mellitus
Well written case report of insulin edema and cataract following intense insulin. The only similar case is by Juliusson[1] but in this latter case cataract was present initially and insulin edema followed insulin therapy. The current case report offers good discussion allowing students to learn about the pathophysiology of cataract and insulin edema. This unique […]
Germany adopts rare disease strategy
Following a three year consultation the German plan Measures to Improve the Health Situation of Persons with Rare Diseases in Germany has been published. “[it] contains 52 distinct proposals for action. Nationally recognised centres of excellence for diseases or groups of diseases that collaborate nationally and internationally are a cornerstone of the German plan in […]
Unusual foreign bodies
Interesting case of a bronchial obstruction from a germinating pea has resurfaced. Only in America: Pea plant grows inside man’s lung (Hospital Doctor) … but the case is an old one from 2010. Pea plant grows inside man’s lung (BBC Health) Doctor finds plant growing inside man’s lung (WHDH News) Pea sprout plucked from Cape […]
Vulvar adenocarcinoma: the visual resemblance with a vulvar abscess
Though vulvar cancer is not very common, the misdiagnosis of malignancy as an abscess by practising gynaecologists is a mistake, which can prove costly to the patient. This article focuses attention on this aspect. Reviewer Ranganath Ratnagiri Yashoda Cancer Institute Vulvar adenocarcinoma: the visual resemblance with a vulvar abscess […]
A very unique cyclist
Cyclist Tom Staniford from Exeter has a particularly rare form of Type 2 diabetes associated with absent subcutaneous fat and hearing loss. “Although he was born a normal weight, he lost all the fat around his face and limbs during his childhood, and yet his body still thinks he is obese, meaning he has type […]
Case report of Fibrous Dysplasia 120,000 years post mortem
PLoS One has published archeological evidence of a possible primary rib cancer in a Neanderthal era human from over 120,000 years ago. (1) This, clearly, is a very long time to wait for the publication of a case report! The authors provide photographic and radiographic evidence of the tumour and presume it to be a […]
Variable ECG findings associated with pulmonary embolism
Very interesting case and well written. One could postulate that the hypoxia associated with massive PE might have caused ischaemic changes without infarction or that the death was too soon for changes of infarction to be visible at post mortem examination. Either way, a good learning point, though clearly thrombolysis for either PE or MI […]
Perioperative risk stratification for a patient with severe obstructive sleep apnoea undergoing laparoscopic banding surgery
Surgery on patients with OSA can be problematic, and a preoperative assessment is useful as a predictor of complications and as a means of planning best clinical practice. This proposed assessment takes into account the 3 major areas of concern, namely the severity of OSA, the planned procedure, and the need for perioperative sedation and […]
A not very NICE case of endocarditis
The recommendations of the American Heart Association and European Society for Cardiology on the use of antibiotic prophylaxis for patients considered to be high risk is very relevant in dental practice. The NICE guidelines as described by the author, at times need not be too nice for a high risk patient. Reviewer Dr Peter George […]