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Clinical Medicine: Journal of the Royal College of Physicians of London

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https://www.readbyqxmd.com/read/29196378/response
#1
Arani Nitkunan, Bridget K MacDonald, Ajay Boodhoo, Andrew Tomkins, Caitlin Smyth, Medina Southam, Fred Schon
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196377/the-hyperacute-neurology-team
#2
David Whiteside
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196376/the-hyperacute-neurology-team
#3
John Cookson
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196375/antisynthetase-syndrome
#4
Graham Johnston
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196374/sarcopenia-frailty-and-exercise
#5
Hugh Jn Bethell
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196373/the-emergence-of-sarcopenia-as-an-important-entity-in-older-people
#6
Vikram Lal, Channa N Jayasena, Richard Quinton
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196372/acute-geriatrics-at-the-front-door
#7
Mike P Houghton
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196371/medical-problems-in-pregnancy
#8
Irina Stoian, Bridget MacDonald
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196370/medical-problems-in-pregnancy
#9
Ritesh Sah, Shahid A Kausar
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196369/response
#10
Andrew Goddard
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196368/referring-wisely-or-referring-when-you-need-help
#11
B C Whitelaw, V H Bradley
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196367/-t3-or-not-t3-a-poetic-guide-to-the-thyroid-exam
#12
Jamie Patel, Berger Pierre
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196366/the-application-game
#13
Killian Donovan, Gina Sangha
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196365/image-of-the-month-dysphasia-due-to-injury-of-the-corticobulbar-tract-following-traumatic-brain-injury
#14
Sung Ho Jang, Seong Ho Kim, Jeong Pyo Seo
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196364/lesson-of-the-month-2-use-of-thrombolysis-for-ischaemic-stroke-in-pregnancy-a-case-report-and-review-of-literature
#15
Asim Khan, Paris Hosseini, Branimir Nevajda, Sami Khan
A nine-week pregnant 33-year-old female presented with sudden-onset right-sided hemiparesis, hemisensory loss, dysarthria and homonymous hemianopia. She was known to have eleven previous miscarriages and used recreational drugs. A CT-head was unremarkable. The patient was subsequently diagnosed with an acute thromboembolic infarct and chose alteplase after counselling. During thrombolysis an ultrasound identified a foetus with no concerning features.  A post-thrombolysis CT revealed a left-sided posterior cerebral infarct...
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196363/lesson-of-the-month-1-obesity-hypoventilation-pickwickian-syndrome-a-reversible-cause-of-severe-pulmonary-hypertension
#16
Frazer Warricker, Zafir Islam, Benoy N Shah
Obesity hypoventilation syndrome (OHS) is a condition in which an individual with a body mass index >30 kg/m2 develops daytime alveolar hypoventilation (defined as a resting PaCO2 >45 mmHg) that cannot be attributed to other pathologies. It is a condition with increasing prevalence and rising cost to healthcare systems worldwide. Right heart failure and pulmonary hypertension are well-known complications of this syndrome. Here, we present the case of a female patient with OHS who presented to our centre with severe pulmonary hypertension, which resolved with appropriate treatment...
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196362/a-68-year-old-with-cranial-nerve-neuropathies-and-a-troponin-rise
#17
Luke Bennett, Javed Iqbal
In this case study, we summarise the inpatient investigations and management of a 68-year-old woman with Takotsubo cardiomyopathy secondary to a Varicella zoster encephalitis and the difficulties inherent with making this diagnosis. She presented with evolving cranial nerve neuropathies, which started with a vagal nerve mononeuritis and eventually included left-sided sensorineural hearing loss and a facial nerve palsy. These symptoms were concomitant with a variety of cardiac abnormalities, including fast atrial fibrillation and electrocardiographic changes...
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196361/cme-genetic-medicine-113042-self-assessment-questionnaire
#18
Julian Barwell, Tahseen A Chowdhury
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196360/the-use-of-panel-testing-in-familial-breast-and-ovarian-cancer
#19
Matina Prapa, Joyce Solomons, Marc Tischkowitz
Advances in sequencing technology have led to the introduction of panel testing in hereditary breast and ovarian cancer. While direct-to-consumer testing services have become widely available, the clinical validity of many of the genes on panel tests remains contentious and risk management guidelines are often lacking. This article gives an overview of advantages with panel testing as well as important challenges, including clinical translation of test results.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29196359/inherited-skin-tumour-syndromes
#20
Sarah Brown, Paul Brennan, Neil Rajan
This article provides an overview of selected genetic skin conditions where multiple inherited cutaneous tumours are a central feature. Skin tumours that arise from skin structures such as hair, sweat glands and sebaceous glands are called skin appendage tumours. These tumours are uncommon, but can have important implications for patient care. Certain appendageal tumours, particularly when multiple lesions are seen, may indicate an underlying genetic condition. These tumours may not display clinical features that allow a secure diagnosis to be made, necessitating biopsy and dermatopathological assessment...
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
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