The ‘Berlin Patient’ ‘cured’ of HIV

The so-called ‘Berlin Patient’ has been in the news again as he has now reached 5 years of being clear of Human Immunodeficiency Virus Type 1 (HIV). Timothy Ray Brown has been interviewed on vaious media outlets giving his remarkable story. http://cnnpressroom.blogs.cnn.com/2012/07/24/timothy-ray-brown-to-sanjay-gupta-hiv-completely-gone/ He was HIV positive but later developed acute myeloid leukaemia which hematopoietic stem-cell […]

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Biliary disease: Utilisation of cholecystostomy and cystic duct as a route for percutaneous cutting balloon papillotomy and expulsion of common bile duct stones

Here the authors discuss the treatment of obstructing bile duct stones in a novel approach where the patient presents with an empyema of the gallbladder. Seema Biswas Editor-in-Chief Utilisation of cholecystostomy and cystic duct as a route for percutaneous cutting balloon papillotomy and expulsion of common bile duct stones […]

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Clinical Anatomy: Pancreatico-psoas fistula – a rare complication of acute pancreatitis

Clinical Anatomy The purpose of an integrated modular medical curriculum is to place basic science in a clinical context where the relevance of a multitude of medical facts is made clear to students. The facts then become memorable. How often does this really happen, though, in individual student learning? In this series of case reports […]

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Unusual causes of bowel obstruction: Fast atrial fibrillation and caecal volvulus – a case report and evidence based management

Elderly patients with bowel obstruction frequently present with cardiovascular complications that introduce an added challenge in their management. Here the authors describe an unusual presentation of a caecal carcinoma in a patient with concomitant atrial fibrillation. Seema Biswas Editor-in-Chief Fast atrial fibrillation and caecal volvulus – a case report and evidence based management […]

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Unusual causes of bowel obstruction: Disseminated histoplasma and CMV infection presenting as subacute intestinal obstruction in an immunocompromised patient

How common is a stricture in the ascending colon? Surely at colonoscopy this is worthy of biopsy? An interesting read…causes of bowel obstruction in immunocompromised patients… Seema Biswas Editor-in-Chief Disseminated histoplasma and CMV infection presenting as subacute intestinal obstruction in an immunocompromised patient […]

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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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