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Scottish Medical Journal

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https://www.readbyqxmd.com/read/28679337/paper-chase
#1
Colin Geddes
No abstract text is available yet for this article.
May 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28679336/a-rare-cause-of-urosepsis-answers
#2
Jasenka Kraljević, Leo Grandić, Mario Duvnjak, Davor Librenjak, Zenon Pogorelić
No abstract text is available yet for this article.
May 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28679335/a-rare-cause-of-urosepsis-clinical-quiz
#3
Jasenka Kraljević, Leo Grandić, Mario Duvnjak, Davor Librenjak, Zenon Pogorelić
No abstract text is available yet for this article.
May 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28679334/syncope-in-a-patient-with-minimal-change-disease-without-nephrotic-range-proteinuria
#4
Wen-Fang Chiang, Jenq-Shyong Chan, Pauling Chu, Chia-Chao Wu
Introduction Pulmonary embolism is a potentially life-threatening complication of nephrotic syndrome. Syncope is rarely reported as an initial presentation of pulmonary embolism in nephrotic patients. Case presentation We describe a 35-year-old man who was taking steroids and diuretics for relapse of minimal change disease who presented after a syncopal event. The patient was hypotensive and had distended neck veins. The major laboratory findings were hypoalbuminemia with mild proteinuria. The findings on electrocardiography, chest radiography, and echocardiography and the elevated plasma D-dimer level raised suspicion of pulmonary embolism...
May 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28670981/keep-an-eye-out-a-rare-case-of-acute-onset-charles-bonnet-syndrome-after-stanford-type-a-aortic-dissection-repair-surgery
#5
Fabian Cook, Scott Dougherty, Robert Moreton, Maziar Khorsandi
Charles Bonnet Syndrome describes the triad of complex visual hallucinations secondary to ophthalmic pathology in psychologically normal people. We present a rare case of acute-onset Charles Bonnet Syndrome following cardiac surgery that resulted in profound loss of visual acuity in both eyes with characteristic visual hallucinations that were initially mistaken for delirium. Computed tomography of the brain revealed bilateral occipital infarcts, providing the substrate for Charles Bonnet Syndrome. A high index of suspicion should be maintained in cognitively intact patients with visual loss who are also experiencing visual hallucinations to ensure prompt diagnosis and management of this often overlooked condition...
May 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28228054/this-message-is-sent-with-high-self-importance
#6
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28186466/mental-hospital-life-in-the-50s
#7
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.
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28173740/emergency-department-redirection-to-primary-care-a-prospective-evaluation-of-practice
#8
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...
February 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
#9
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...
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28110629/clippers-and-the-need-for-long-term-immunosuppression
#10
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/28110628/sublingual-glyceryl-trinitrate-during-colonoscopy-and-terminal-ileal-intubation-a-randomized-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
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...
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28084899/limited-role-of-hla-dq2-8-genotyping-in-diagnosing-coeliac-disease
#12
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/27889702/statins-and-the-cholesterol-mortality-paradox
#13
REVIEW
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...
February 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28899218/relationship-between-serum-25-hydroxy-vitamin-d-levels-and-retinopathy-of-prematurity
#14
Emrah Utku Kabataş, Nurdan Fettah Dinlen, Ayşegül Zenciroğlu, Dilek Dilli, Serdar Beken, Nurullah Okumuş
Aim To evaluate the relationship between serum 25-hydroxy vitamin D, 25 (OH) D, levels and retinopathy of prematurity. Methods and Results Serum 25 (OH) D levels were measured in 97 very low birth weight infants, prior to vitamin D supplementation. The development of retinopathy of prematurity and its treatment requirement were evaluated. At follow-up, retinopathy of prematurity developed in 71 (73.2%) infants. Serum 25 (OH) D levels were significantly lower in infants with retinopathy of prematurity than ones without retinopathy of prematurity ( P < 0...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28899217/-the-psychological-problem-is-looking-at-you-are-you-looking-for-it-psychological-associations-with-symptomatic-musculoskeletal-referrals
#15
M S Arshad, R W Paton
It is important that paediatric orthopaedic surgeons recognise that psychological conditions may present with musculoskeletal symptoms. Identification through careful and sensitive history taking is vital. There is a lack of training in this regard in paediatric orthopaedics. We present a series of cases initially referred for a musculoskeletal complaint. Further probing revealed an underlying psychological problem which was neither picked up by the referring physician nor volunteered by the patient. In our opinion, it is important that this training omission is addressed as such psychological problems may be devastating for these individuals and their families...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28899216/a-little-bit-of-science
#16
John Larkin
No abstract text is available yet for this article.
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28841083/hypokalaemia-periodic-paralysis
#17
Liam J Stapleton
Hypokalaemic periodic paralysis is a rare skeletal muscle channelopathy causing flaccid paralysis, which predominantly presents in adolescents and young adults. I report a case of a 33-year-old Caucasian man who presented with sudden onset paralysis, following previous similar presentations without investigation. Blood tests revealed undetectable serum potassium levels in the context of paralysis. Other causes of hypokalaemia were excluded, and the patient was treated with planned lifelong prophylactic potassium replacement for a diagnosis of primary hypokalaemic periodic paralysis...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28836928/delays-in-diagnosis-are-associated-with-poorer-outcomes-in-adult-hip-dysplasia
#18
John W Kennedy, Alistair S Brydone, Dominic Rm Meek, Sanjeev R Patil
Background and Aims Developmental dysplasia of the hip is a common cause of osteoarthritis. Periacetabular osteotomy can restore femoral head coverage; however, it is reserved for patients with minimal articular degeneration. We examined the relationship between delays in diagnosis and outcomes. Methods We identified patients presenting to a hip specialist with a new diagnosis of hip dysplasia. The time taken between patients presenting to their general practitioner and attending the young adult hip clinic was established...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28836927/statin-usage-vascular-diagnosis-and-vascular-risk-factors-in-parkinson-s-disease
#19
Kelvin Kw Cheng, Diane Ma Swallow, Katherine A Grosset, Donald G Grosset
Background and aims Vascular disease is a common comorbidity in Parkinson's disease patients. Statins are potentially neuroprotective for Parkinson's disease through non-vascular mechanisms. We investigated prevailing statin use in a Parkinson's disease cohort. Methods and results Data on diagnostic indication for statins, anti-Parkinson therapy, vascular risk factors, and statin prescription, were obtained from electronic medical record review for consecutive Parkinson's disease patients. The ASsessing cardiac risk using Scottish Intercollegiate Guidelines Network system was used to calculate future cardiovascular risk and identify those warranting statin use...
January 1, 2017: Scottish Medical Journal
https://www.readbyqxmd.com/read/28836926/platypnoea-orthodeoxia-syndrome-in-the-elderly-a-difficult-to-make-diagnosis-of-intracardiac-right-to-left-shunt
#20
Enrico M Zardi, Silvia Spoto, Luciana Locorriere, Giulio Cacioli, Silvia Mazzaroppi, Bruno B Zobel, Germano Di Sciascio, Sebastiano Costantino
Introduction Platypnea-orthodeoxia syndrome is a combination of positional dyspnoea and hypoxemia; it is caused by several cardiac, pulmonary and hepatic diseases. Case presentation In this study, we describe a 77-year-old female affected by unexplained dizziness and hypoxia that exacerbated in upright position. After diagnosing platypnea-orthodeoxia syndrome and excluding all possible causes (liver cirrhosis, acute and chronic pulmonary diseases and arteriovenous malformations), the origin of the syndrome was individuated in the presence of a patent foramen ovale with right-to-left shunt...
January 1, 2017: Scottish Medical Journal
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