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Scottish Medical Journal

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https://www.readbyqxmd.com/read/29987988/winning-abstracts-guss-conference-2017
#1
(no author information available yet)
No abstract text is available yet for this article.
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29987987/a-reply-to-lingua-patientis-new-words-for-patient-communication-and-history-taking
#2
Chevonne Brady
No abstract text is available yet for this article.
May 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956603/brave-new-world
#3
John Larkin
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956602/abstracts-for-research-and-audit-presentations
#4
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956601/the-royal-medico-chirurgical-society-of-glasgow-rmcsg-abstracts
#5
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29956600/scottish-society-of-physicians-59th-annual-meeting-thursday-26-and-friday-27-october-2017-abstract-book
#6
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29984623/massive-heterotopic-ossification-after-distal-femur-fracture
#7
Gokhan Ozkocak, Guzin Cakir Kandemirli, Suheda Ozcakir
Introduction Heterotopic ossification is the formation of lamellar bone in periarticular soft tissue that can be seen in paralysed patients or following trauma. It can cause significant burden to already debilitated patients. Case presentation A 12-year-old boy with paraplegia due to neuromyelitis optica presented with progressive right knee pain and swelling. There was no history of trauma to the knee. Anteroposterior radiograph of femur at the initial presentation showed a supracondylar femur fracture for which casting was performed...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29945493/reducing-the-use-of-inappropriate-coagulation-testing-in-emergency-general-surgical-patients
#8
Lydiya Thomas, EeLaine Woon, Elizabeth Fong, Craig Parnaby, Henry G Watson
Background and aims Indiscriminate coagulation testing in emergency general surgical patients can lead to inappropriate delay in surgery, cause unnecessary concern and is associated with significant cost. The British Committee for Standards in Haematology recommends against coagulation testing to predict peri-operative bleeding risk in unselected patients. Our aim was to assess the appropriateness of coagulation tests performed in emergency general surgical patients and evaluate the effect of a series of educational interventions on clinical practice...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29945492/doctors-negligence-and-the-gmc
#9
John Larkin
No abstract text is available yet for this article.
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29911503/examining-the-impact-of-audience-response-systems-on-student-performance-in-anatomy-education-a-randomised-controlled-trial
#10
Stuart J Fergusson, Justine J Aka, Catherine M Hennessy, Andrew J Wilson, Simon H Parson, Ewen M Harrison, Gabrielle M Finn, Thomas H Gillingwater
Background and aims Electronic audience response systems offer the potential to enhance learning and improve performance. However, objective research investigating the use of audience response systems in undergraduate education has so far produced mixed, inconclusive results. We investigated the impact of audience response systems on short- and long-term test performance, as well as student perceptions of the educational experience, when integrated into undergraduate anatomy teaching. Methods and results A cohort of 70 undergraduate medical students was randomly allocated to one of the two groups...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29911502/nodular-melanoma-presenting-as-an-exophytic-subungual-mass
#11
B Finlay, T Ramachandren, K Hussey, S Parkyn, K Meyer, K Barrett
Despite being recognised and reported in the literature for decades, subungual melanoma of the foot remains a diagnostic pitfall, with it commonly being mistaken for benign conditions. We present an interesting case of delayed diagnosis of subungual melanoma of the hallux that was misdiagnosed in the community for over one year. With melanoma being the fourth most commonly diagnosed cancer in Australia in 2013, this case serves as a reminder to all clinicians about the importance of maintaining a high index of suspicion for melanoma of the foot...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29806541/non-traditional-skills-in-undergraduate-medical-education-the-development-of-a-teaching-programme
#12
Chevonne Brady, Mark Zarb
As a junior doctor in what is an increasingly struggling healthcare system, I am concerned to see that many of my junior and senior colleagues have opted not to continue onto the next stage of training. Whilst entrepreneurship, leadership and management are now accepted as important skills for doctors to be exposed to, this is clearly not filtering through to medical education at the undergraduate level. We have surveyed final year medical students regarding this and used these results to develop a national teaching programme which aims to provide junior doctors with skills such as management, leadership and enterprise which they would otherwise not be exposed to...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29806540/contact-tracing-for-chronic-hepatitis-b-in-primary-care-a-snapshot-audit-in-grampian-northeast-scotland
#13
Bethan Phillips, Helen Corrigan, Emmanuel Okpo
Introduction Contact tracing for chronic hepatitis B infection is an important activity for preventing the spread of hepatitis B infection. In the UK, the 'Green Book' recommends that all sexual and household contacts of individuals with chronic hepatitis B should be tested and vaccinated if required. This audit aimed to evaluate contact tracing in primary care. Barriers to effective follow-up of contacts of patients with chronic hepatitis B were explored and recommendations made. Methods and results Mixed method, including a survey of general practitioners and review of hepatitis B surveillance data from 1 June 2015 to 31 December 2015 held by NHS Grampian Health Protection Team...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29806539/periorbital-necrotising-soft-tissue-infection-in-a-12-year-old-patient
#14
Lewis Olsson, Drazsen Vuity, Peter McAllister, Mark Ansell
Head and neck necrotising soft-tissue infection is exceptionally uncommon in the paediatric population. necrotising soft-tissue infection is severe and often life-threatening. Rapid spread of infection and systemic illness make necrotising soft-tissue infection a challenge for the medical and surgical teams. Early identification and surgical intervention are essential for a favourable patient outcome. This report details the case of periorbital necrotising soft-tissue infection in a 12-year-old male patient following an uncomplicated facial laceration...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29739268/a-rare-cause-of-proximal-muscle-weakness-immune-necrotising-myopathy
#15
Deniz Can Guven, Abdulsamet Erden, Levent Kilic, Sevim Erdem Ozdamar, Omer Karadag
Background Immune-mediated necrotising myopathies are characterised clinically by the subacute onset of proximal limb weakness, accompanied by elevated creatinine kinase levels. They are distinguished from other myopathies by the absence of prominent infiltration of the muscle with inflammatory cells in the biopsies. Case presentation A 44-year-old man presented with upper extremity weakness and dysphagia. Laboratory tests included a creatinine kinase level of 4362 U/L (normal: 52-336 U/L). Rheumatological markers were all negative...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29739267/relapsed-refractory-thrombotic-thrombocytopenic-purpura-treated-with-n-acetylcysteine-a-case-report
#16
Sinan Demircioğlu, Ömer Ekinci, Ali Doğan, Cengiz Demir
Thrombotic thrombocytopenic purpura is a rare condition that presents with microangiopathic haemolytic anaemia, thrombocytopaenia, fever, renal impairment and neurological symptoms. Plasma exchange is a lifesaving treatment for this condition. However, some cases may be non-responsive to plasma exchange, or loss of response may occur. Treatment options for refractory cases include high-dose corticosteroids, rituximab, vincristine, cyclophosphamide, splenectomy, bortezomib and N-acetylcysteine. We present a refractory case of thrombotic thrombocytopenic purpura responding to the last of these therapies...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514585/current-standards-for-assessing-pregnancy-status-before-surgery-are-subjective-and-should-be-replaced-with-definitive-objective-evidence
#17
Keiran D Clement, Andreas Luhmann, Michael Sj Wilson, Pradeep Patil
We report a case of a young woman admitted electively for laparoscopic Nissen fundoplication, and again three days post-operatively as an emergency with profuse vomiting and abdominal pain. She underwent diagnostic laparoscopy, and a small gastric perforation was found at the site of the fundoplication and this was suture-repaired. On both admissions, she was "screened" for pregnancy as per current guidelines. On the second admission, following a CT scan, she was found to have a gravid uterus with a foetus of 16-18 weeks' gestation...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514584/unstable-angina-in-the-era-of-high-sensitivity-troponin-testing-a-genuine-entity-and-a-cautionary-tale
#18
Thomas Krysztofiak, John Byrne
High-sensitivity cardiac troponin assays have emerged as a powerful tool in the management of patients presenting acutely to hospital with suspected cardiac chest pain. Recent guidelines emphasize the reassurance offered by low troponin concentrations early after admission. We describe a patient with known coronary artery disease, who presented with a classical history of recurrent myocardial ischaemia. High-sensitivity cardiac Troponin-I concentrations remained in the low-normal sex-specific reference range, despite serial testing on the day of admission, and despite recurrent pain with dynamic ECG changes...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514583/a-prospective-observational-study-of-emergency-department-presentations-following-novel-psychoactive-substance-use
#19
David E Henshall, Callum Wd Innes, Scott R Morrison, Blair Wilson, Ryan A Brown, Shannon M McAllister, Seamus L Culshaw, Elaina Reda
Background and aims Novel psychoactive substances are compounds intended to mimic the effects of illicit drugs. They provide a unique challenge to healthcare, as complications of their use and their impact on services are relatively unknown. This study aims to determine nature of presentations, patient demographics and impact on healthcare. Methods Novel psychoactive substances users who presented to a large urban emergency department over 4 weeks were prospectively identified and followed for 1 year. Patients over 13 years old were eligible for inclusion...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29514582/a-case-of-an-acute-cutaneous-drug-reaction-with-hydroxychloroquine
#20
Amritakaur Randhawa, Grant Wylie
Hydroxychloroquine is considered a relatively benign drug and is regularly used by rheumatologists and dermatologists. We highlight the severe adverse drug reaction potential of this commonly prescribed medication. We report the case of a 63-year-old male, who presented with widespread skin eruption following initiation of hydroxychloroquine two weeks earlier for an inflammatory arthritis. He had typical clinical, biochemical and histological features of the now recognised formal 'diagnosis' of severe cutaneous adverse drug reaction...
January 1, 2018: Scottish Medical Journal
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