A 41 year-old lady, with no relevant medical or family history, presented with sharp right flank discomfort for 2 days and weight loss of 3 kilograms over 1 month. Aside from mild right flank tenderness, no other abnormality was noted on a multisystem clinical examination. She had normal leucocyte, hemoglobin, and liver function levels, a […]
Latest articles
Unusual findings in a Patient Presenting with Right Upper Quadrant Pain
A 69 year old gentleman presented to the ED with a 1 day history of right upper quadrant abdominal pain. He described the pain as cramping in nature radiating to his lower abdomen. He denied any history of trauma but did report a week’s history of productive cough and shortness of breath. He had a […]
A disappearing lumen filling colonic lesion.
A 34 year old man was admitted to hospital with a history of progressively worsening abdominal pain associated with loss of weight. Clinical abdominal exam elicited left iliac fossa pain, but was otherwise normal. Blood tests were unremarkable. A CT KUB at presentation for suspected renal colic was performed and demonstrated a 5cm lesion in […]
#FGDebate: Investigating for Bowel Cancer
Date: 26th April 2018 Time: 20:00-21:00 Guests: Dr Andrew Plumb @aaoplumb and Dr Siwan Thomas-Gibson @SiwanTG Dr Andrew Plumb Andrew Plumb is a Senior Lecturer in Medical imaging at University College London and Consultant Radiologist at UCLH. He trained at St John’s College, Oxford University before completing the MRCP in 2007. His initial radiology training was […]
Yellowish lesion in the colon
An 82-year-old woman with a history of eosinophilic granulomatosis with polyangiitis treated with 4 mg/day prednisolone underwent a colonoscopy because of a positive fecal occult blood test. This revealed a 2-mm slightly elevated yellowish lesion in the transverse colon (figure 1). Narrow-band imaging showed intact pits of the colonic mucosa (figure 2). Physical examination was […]
#FGDebate- Frontline Hepatology: HCV eradication
Frontline Hepatology: HCV is easier to treat that H. Pylori, Why isn’t it treated in primary care? Date: Wednesday 25th March 2018 Time: 20:00- 21:00 (GMT) Guest: Dr James O’Beirne @drobeirne James O’Beirne is Consultant Hepatologist at The Sunshine Coast University Hospital, Queensland Australia. He trained in Hepatology in London and spent 10 years as […]
An unusual case of dysphagia?
A 16 year-old girl was referred to our paediatric department due to intermittent dysphagia during six months. Occasionally, she needed to induce vomit to dispose of stuck food. She reported no odynophagia, no gastroesophageal reflux symptoms, no abdominal or retrosternal pain, and no changes to defecation patterns. The patient was otherwise healthy and average weight […]
#FGDebate: Endoscopy in Barrett’s: All you need to know
Date: 22nd February 2018 Time: 20:00- 21:00 GMT Guest: Professor Krish Ragunath (@KrishRagunath) Bio: Krish Ragunath is Professor of GI Endoscopy, Head of Endoscopy service and Consultant Gastroenterologist at the Nottingham University Hospitals. He is a Fellow of the Royal College of Physicians of Edinburgh and London.He is the BSG Secretary for International affairs, advisor for […]
A blushing ulcer?
An elderly lady was admitted to hospital following recurrent episodes of malaena. She had an oesophagoduodenoscopy which revealed a large bleeding gastric ulcer (50mm) near the lesser curvature of the stomach (Forrest III). (Figure 1). The vessel was clipped and spray applied with haemospray. She had a repeat CT angiogram the next day. (Figure 2). […]
#FGDebate: Perianal Crohn’s disease – fistula and more
Date: Wednesday 24th January 2018 Time: 8- 9pm GMT Guest: Phil Tozer (@philtozer1) Phil Tozer is a Consultant colorectal surgeon at St Mark’s with a clinical and research interest in perianal Crohn’s, anal and rectovaginal fistulae and IBD. […]