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 […]

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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 […]

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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 […]

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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 […]

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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 […]

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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 […]

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