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Scottish Medical Journal

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https://www.readbyqxmd.com/read/28228054/this-message-is-sent-with-high-self-importance
#1
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28110629/clippers-and-the-need-for-long-term-immunosuppression
#2
Tarig M Abkur, Hugh Kearney, Michael J Hennessy
Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS) is a rare chronic inflammatory disorder of the central nervous system. Herein, we describe the case of a 62-year-old female who presented with right sided facial tingling, gait ataxia and diplopia. Neuroimaging revealed pontine curvilinear enhancing lesions with extension into cerebellar peduncles, characteristic of CLIPPERS. This report discusses the differential diagnosis and the importance of prolonged immunomodulatory treatment for this rare neuro-inflammatory disorder...
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28084899/limited-role-of-hla-dq2-8-genotyping-in-diagnosing-coeliac-disease
#3
Siba P Paul, Matthew Hoghton, Bhupinder Sandhu
The European guidelines for diagnosing coeliac disease in children were revised in 2012. These recommend that in symptomatic children, a diagnosis of coeliac disease can be made without small-bowel biopsies provided their anti-tissue transglutaminase (anti-tTG) titre is >10 times of upper-limit-of-normal (>10×ULN) and anti-endomysial antibody is positive. In order to firm up the diagnosis in these children with very high anti-tTG titre, HLA-DQ2/DQ8 should be checked and be positive. Approximately 25-40% of white Caucasian population has HLA-DQ2/DQ8 haplotype...
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28534663/pulmonary-granular-cell-tumours-case-presentations-and-literature-review
#4
Petra Radić, Luka Brčić
Pulmonary granular cells tumours are very rare tumours, most probably originating from Schwann cells. Although rare, clinical and biological presentation is diverse. They are most commonly endobronchial masses, usually a solitary pulmonary lesion, although in up to 20% they can occur as multiple lesions and can be mistaken for malignant process. In spite of infiltrative growth, and rare direct lymph node invasion, they have a very good prognosis if completely removed. Here we present two cases from the archives of the Institute of Pathology, University of Zagreb School of Medicine, with literature review...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28530529/thinking-allowed
#5
John Larkin
No abstract text is available yet for this article.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28511619/daylight-photodynamic-therapy-in-scotland
#6
Helen Cordey, Ronan Valentine, Andrea Lesar, Harry Moseley, Ewan Eadie, Sally Ibbotson
Chronic sun-induced dysplastic skin changes (actinic keratoses) are extremely common in fair-skinned people in Scotland. These changes are a major cause of morbidity and may develop into skin cancer. Actinic keratoses are often extensive and pose a therapeutic challenge as field-directed treatment is required for chronic disease management. One such treatment approach is hospital-based photodynamic therapy, which is a well-established treatment in Scotland for actinic keratoses, using a photosensitiser pro-drug and red LED light irradiation...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28490287/cheiro-oral-syndrome
#7
Mamoun Saeed, Abdelrahman Abbker, Paul Brenan, Tarig Mohammed Abkur
We describe a 64-year-old man who presented to the emergency department with a two-day history of left perioral and hand numbness. Examination revealed impaired sensation of the left corner of the mouth and ipsilateral fingers. Neuroimaging showed an acute right thalamic lacunar infarct consistent with the diagnosis of cheiro-oral syndrome. In this report, we discuss the importance of recognising this syndrome and instituting appropriate management to prevent further cerebrovascular events.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28490286/loss-of-consciousness-collapse-and-associated-driving-restrictions-a-retrospective-case-note-review-an-important-reminder-regarding-driving-restrictions
#8
Adam Williamson, Scott Muir
Background and aims National guidelines outlining medical standards for fitness to drive are provided by The Driver and Vehicle Licensing Agency. We aimed to establish whether patients presenting with collapse or loss of consciousness received documented advice regarding driving restrictions, if appropriate for their working diagnosis. Methods and results A retrospective case note review was undertaken over a four-month period for emergency patients clinically coded as seizure/convulsion (R568) and collapse/syncope (R55X); 163 patients had a primary or working diagnosis on discharge that suggested driving status and restrictions could have been reviewed...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28480792/a-rare-presentation-of-meralgia-paraesthetica-in-limb-girdle-muscular-dystrophy
#9
Ozgur Zeliha Karaahmet, Eda Gurcay, Duygu Ozturk, Sukran Guzel, Aytul Cakci
A 44-year-old female with paraesthesia and pain on the left anterolateral thigh who had been diagnosed with limb-girdle muscular dystrophy by electromyography and muscle biopsy is presented. Neurological examination revealed atrophy of the proximal muscles of both shoulders, plus pseudo hypertrophy of both calves. Electromyography exhibited a myopathic pattern. Musculoskeletal ultrasound imaging demonstrated a fusiform nerve swelling below the inguinal ligament suggesting lateral femoral cutaneous nerve compression, consistent with meralgia paraesthetica...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28480791/reversible-cerebral-vasoconstriction-syndrome-secondary-to-caffeine-withdrawal
#10
Dheeraj Kalladka, Aslam Siddiqui, Alok Tyagi, Edward Newman
We describe a 39-year-old man who developed thunderclap headaches during a hospital admission for accidental superficial burns. His magnetic resonance brain imaging was normal expect for diffuse segmental vasoconstriction. Prior to admission, he was consuming excessive amounts of caffeine which was restarted and slowly tapered and stopped over weeks. Repeat magnetic resonance angiogram showed resolution of segmental vasoconstriction. The implications of prescribed and non-prescribed drugs on cerebral vasculature have been discussed...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28480790/wound-botulism-its-neurological-manifestations-treatment-and-outcomes-a-case-series-from-the-glasgow-outbreak-2015
#11
Sarah-Jane Martin, Gillian Penrice, Corinne Amar, Kathie Grant, George H Gorrie
Background and aims We examined the neurological manifestations, treatment and outcomes of a subset of 25 patients within the largest ever outbreak of wound botulism in Europe. Methods and results All 25 cases were intravenous drug users. The most common presenting symptom was dysarthria in 19/25 (76%), followed by dysphagia in 12/25 (48%), blurred vision in 10/25 (40%) and double vision in 8/25 (32%). Microbiological analysis confirmed the diagnosis in nine cases (36%). Duration of admission positively correlated with time to antitoxin, time to wound debridement and female sex...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28186466/mental-hospital-life-in-the-50s
#12
Leslie Bartlet
The recollections of a retired psychiatrist concerning his time as a house doctor in a 1952 Scottish mental hospital. These pertain to early days of the National Health Service. He describes the routines and practices of those times, and he refers to some of his reactions to his experiences.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28173740/emergency-department-redirection-to-primary-care-a-prospective-evaluation-of-practice
#13
James A Bentley, Shobhan Thakore, William Morrison, Weijie Wang
Background and aim Non-urgent Emergency Department presentations contribute to overcrowding, which can adversely affect patient care. Redirecting patients to a more appropriate service is an option to help address this. We conducted a prospective evaluation of a major Scottish hospital's Emergency Department redirection policy to assess its safety. Methods and results Over two months, 620 patients triggered senior assessment for redirection with 444 (72%) redirected to primary care. Information on presentation was collected with subsequent management and outcome of redirection provided by the patient's general practitioner...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28152662/posterior-reversible-encephalopathy-syndrome-as-a-complication-of-henoch-sch%C3%A3-nlein-purpura-in-a-seven-year-old-girl
#14
Daiane Dos Santos, Felipe Welter Langer, Tatiane Dos Santos, Giordano Rafael Tronco Alves, Marisa Feiten, Walter Teixeira de Paula Neto
Introduction Henoch-Schönlein purpura is a multisystem small vessel vasculitis. Neurologic manifestations are uncommon. Posterior reversible encephalopathy syndrome is a rare complication of Henoch-Schönlein purpura with typical clinical and neuroimaging findings that occurs most commonly in the setting of severe hypertension and renal injury. Case presentation A seven-year-old girl was admitted to our institution presenting with clinical and laboratory findings suggestive of Henoch-Schönlein purpura. Glucocorticoid therapy was initiated, but five days following her admission, she developed altered consciousness, seizures, arterial hypertension, and cortical blindness...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28152661/crisis-what-crisis
#15
John Larkin
No abstract text is available yet for this article.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28142402/one-that-got-away
#16
John Larkin
No abstract text is available yet for this article.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28110628/sublingual-glyceryl-trinitrate-during-colonoscopy-and-terminal-ileal-intubation-a-randomized-controlled-trial
#17
Patsy-Anne Hill, Sofoklis Panteleimonitis, Graham McKay, Carol Watson, Andre Prach, Angus Macdonald
Background and aims Sublingual glyceryl trinitrate has been used as an aid to cannulate the Sphincter of Oddi during endoscopic retrograde cholangiopancreatography. Its role in terminal ileal intubation during colonoscopy is unknown. This study examines the role of sublingual glyceryl trinitrate in terminal ileal intubation during colonoscopy. Methods A triple-blind randomized controlled trial comparing sublingual glyceryl trinitrate (800 µg) vs. placebo (saline) in relation to terminal ileal intubation during colonoscopy was performed...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/27889702/statins-and-the-cholesterol-mortality-paradox
#18
José Pedro L Nunes
Large-scale randomised controlled trials, carried out in the context of secondary cardiovascular prevention, have shown that statins are superior to placebo: these drugs were shown to decrease cardiovascular events and total mortality. A further set of clinical trials compared high intensity to low/standard intensity LDL cholesterol lowering in the same setting (using either statins or a statin/ezetimibe association). In this case, a decrease in LDL cholesterol and a concomitant significant reduction in cardiovascular events were seen with intensive therapy, however with no change in total mortality...
November 26, 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/28093950/gems-2015-abstract-submission-for-publication
#19
(no author information available yet)
No abstract text is available yet for this article.
November 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/28093949/scottish-cardiac-society-24th-annual-general-meeting
#20
(no author information available yet)
No abstract text is available yet for this article.
November 2016: Scottish Medical Journal
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