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Claustrum hyperintensity as a marker of anti-NMDAR encephalitis
Claustrum hyperintensity as a marker of anti-NMDAR encephalitis
A young adult male patient presented with subacute onset, rapidly progressive cognitive impairment and refractory seizures...
A rare cause of shoulder pain
A rare cause of shoulder pain
A 23-year-old woman presented to the emergency department with a 1-year history of atraumatic right shoulder pain. Over th...
Surveys in decline: the death of the denominator
Surveys in decline: the death of the denominator
COVID-19 has revealed many unrecognised problems. I have become aware that medical surveys are becoming less scientific. T...
Emphysematous cystitis in a haemodialysis patient
Emphysematous cystitis in a haemodialysis patient
A woman in her late 70s on haemodialysis with type-2 diabetes and microscopic polyangiitis was admitted for treatment of a...
Wide-ranging clinical spectrum of paradoxical embolism
Wide-ranging clinical spectrum of paradoxical embolism
The purpose of this review is to raise the index of suspicion for paradoxical embolism among generalists. The review is ba...
Multifocal nodular steatosis mimicking malignancy
Multifocal nodular steatosis mimicking malignancy
A previously fit man presented with breathlessness. Chest radiography showed right lower lobe density. Liver function test...
What gets resident physicians stressed and how would they prefer to be supported? A best-worst scaling study
What gets resident physicians stressed and how would they prefer to be supported? A best-worst scaling study
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Non-alcoholic steatohepatitis in a Japanese obese child
Non-alcoholic steatohepatitis in a Japanese obese child
A 10-year-old boy was referred to our hospital because of liver dysfunction. His body mass index was 29.7; however, other ...
Low level of complement factor H increases the risk of cancer-related death in patients with small-cell lung cancer
Low level of complement factor H increases the risk of cancer-related death in patients with small-cell lung cancer
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Revealing image of arterial spin labelling in posterior reversible encephalopathy syndrome
Revealing image of arterial spin labelling in posterior reversible encephalopathy syndrome
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Diffusely increased 18F-FDG thyroid radionuclide uptake is not always hyperthyroidism
Diffusely increased 18F-FDG thyroid radionuclide uptake is not always hyperthyroidism
IntroductionIn the routine evaluation of the thyroid, imaging is often a useful modality, which gives anatomical and funct...
Multiple fibroadenomas of the breasts: a cause of monthly chest pain
Multiple fibroadenomas of the breasts: a cause of monthly chest pain
A 35-year-old woman reported of continuous bilateral chest pain lasting several years, aggravated by vibration or shaking ...
Fitz-Hugh-Curtis syndrome with right shoulder pain
Fitz-Hugh-Curtis syndrome with right shoulder pain
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Lady Windermere syndrome
Lady Windermere syndrome
An 81-year-old woman, with hypertension and dyslipidaemia, was admitted with an 8-month history of intermittent episodes o...
Motivations of medical students and doctors leaving the NHS explored in a residency training application webinar series
Motivations of medical students and doctors leaving the NHS explored in a residency training application webinar series
IntroductionThe UK has historically been highly regarded among other developed countries such as the USA and Australia as ...
Muscle involvement in sarcoidosis
Muscle involvement in sarcoidosis
A 31-year-old man presented with dry cough of 2 months duration. He was detected to have mediastinal adenopathy, raised se...
Hyperkalemia in diabetes: newer insights into mechanism and treatment
Hyperkalemia in diabetes: newer insights into mechanism and treatment
Hyperkalemia is a troublesome complication in diabetes which may present in early stages of diabetic kidney disease. Hyper...
Symmetrical white matter lesions in a patient with systemic lupus erythematosus
Symmetrical white matter lesions in a patient with systemic lupus erythematosus
A 16-year-old girl presented with two episodes of headache, neck pain and vomiting in the last 4 months. In the first epis...
Residency interviews in the digital era
Residency interviews in the digital era
In the midst of the SARS-CoV-2 pandemic, the US Association of American Medical Colleges (AAMC) required residency program...
UK Foundation Programme Office (UKFPO) changes: a step in the right direction?
UK Foundation Programme Office (UKFPO) changes: a step in the right direction?
We thank Thakker et al 1 for their insights into the recent announcement of changes to the UK Foundation Programme Office ...
Decreased eosinophil counts and elevated lactate dehydrogenase predict severe COVID-19 in patients with underlying chronic airway diseases
Decreased eosinophil counts and elevated lactate dehydrogenase predict severe COVID-19 in patients with underlying chronic airway diseases
BackgroundSARS-CoV-2 was first identified after sequencing relevant clinical samples in a bunch of unknown viral pneumonia...
Post BNT162b2 mRNA COVID-19 vaccination Henoch-Schönlein Pupura
Post BNT162b2 mRNA COVID-19 vaccination Henoch-Schönlein Pupura
IntroductionAdministration of BNT162b2 mRNA COVID-19 vaccine on a large scale was performed to combat the COVID-19 pandemi...
Dieulafoys lesion of the rectum
Dieulafoys lesion of the rectum
The patient is a 59-year-old woman with Goodpasture’s disease on immunosuppressants presenting with hemodynamically signif...
Chaos theory: lessons on educating equality and leadership
Chaos theory: lessons on educating equality and leadership
Chaos is a state of complete disorder and confusion. Chaos theory is an interdisciplinary branch of mathematics focusing o...
Poliovirus returns to the UK after nearly 40 years: current efforts and future recommendations
Poliovirus returns to the UK after nearly 40 years: current efforts and future recommendations
Poliomyelitis is an infectious disease that belongs to the family of Picornaviridae. It has a varied clinical mechanism, f...
Surgical training fit for the future: the need for a change
Surgical training fit for the future: the need for a change
IntroductionThe landscape of surgical practice is changing with pace. The acceleration of technological advancement and it...
Delayed olanzapine induced myocarditis and rhabdomyolysis
Delayed olanzapine induced myocarditis and rhabdomyolysis
A 65-year-old woman with a background of paranoid schizophrenia presented to hospital with generalised muscle aches and we...
Do we overtreat patients with presumed neutropenic sepsis?
Do we overtreat patients with presumed neutropenic sepsis?
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Real-world observational study of assessment of CHA2DS2-VASc, C2HEST and HAVOC scores for atrial fibrillation among patients with rheumatological disorders: a nationwide analysis
Real-world observational study of assessment of CHA2DS2-VASc, C2HEST and HAVOC scores for atrial fibrillation among patients with rheumatological disorders: a nationwide analysis
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Thirty-day unplanned readmission in hospitalised asthma patients in the USA
Thirty-day unplanned readmission in hospitalised asthma patients in the USA
Introduction Hospital quality improvement and hospital performance are commonly evaluated using parameters such as average...
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