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A Case to Remember

Abstract Stroke is more common in older patients; when it occurs in younger persons the causes may be slightly different. If adequately investigated, a cause can be ascertained in significant proportion

Abstract Cellulitis of the lower limb is a common presentation in patients with diabetes. We report a case illustrating how Charcot neuropathy can be overlooked because of its resemblance to cellulitis….

A 60 year old female was admitted with jaundice, malaise & loss of appetite. Two weeks before admission she had complained of diarrhoea with abdominal pain. There was no previous history of jaundice,…

Abstract Thoracic aortic dissection may present in many different ways leading to delayed diagnosis, often with catastrophic results. We present a patient with sudden onset epigastric pain, breathlessness,

A 22 year old woman presented with a seven week history of arthralgia, intermittent fever, fatigue, and sore throat. In the week prior to hospital referral she had become more unwell, with painful…

A 38 year old man spent several hours flying a power kite, towing himself along a beach on a buggy. The wind generated sufficient force for this to be vigorous exercise. An hour…

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Abstract A case is presented in which a man with anomalous coronary artery anatomy and thrombotic oronary stenoses had an episode of syncope. Further subsequent presyncopal events coincided with ventricular

Milk–alkali syndrome is described as a triad of hypercalcaemia, metabolic alkalosis and renal impairment, resulting from the ingestion of calcium and absorbable alkali1. It was more common in the

Abstract Low dose methotrexate has been used successfully to treat patients with refractory rheumatoid arthritis.1 Methotrexate-induced pneumonitis occurs in about 1 to 5% of patients, although opportunistic

A 33 year old, previously healthy woman was referred to hospital with a 3 month history of cough, 6kg weight loss, dyspnoea and night sweats. She described intermittent expectoration of purulent sputum