Volume 13

Information For Authors

Original Articles, Volume 13, Issue 4, Pages 149 - 194 (2014)

Editorial Policies:

This peer reviewed/indexed journal is designed to meet the continuing education needs of practising professionals. In accordance with Copyright Acts the senior or corresponding author must accompany each manuscript with a signed copyright transfer statement. Author(s) will be consulted, whenever possible, regarding republication of material.This peer reviewed/indexed journal is designed to meet the continuing education needs of practising professionals. In accordance with Copyright Acts the senior or corresponding author must accompany each manuscript with a signed copyright transfer statement. Author(s) will be consulted, whenever possible, regarding republication of material.

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A patient with palpitations (Answers)

Picture Quiz, Volume 13, Issue 4, Pages 149 - 194 (2014)

Discussion

Ventricular tachycardias represent an important cause of palpitations. The differentiation of “benign” or “idiopathic” ventricular tachycardias from those which require more aggressive pharmacological and device therapy is an important diagnostic step and requires careful history taking, clinical examination and ultrasound evaluation of both left and right ventricular function.

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Why I decided to #TakeAIM

Trainee Section, Volume 13, Issue 4, Pages 149 - 194 (2014)

I’ve been a consultant Acute Physician for just a few years, but I can honestly say that I have no regrets in choosing AIM as my specialty. In 2005 I applied to be one of the first AIM specialty trainees in my region. At the time, some were very keen to tell me that it was a risky choice to make, and asked me “are you sure you don’t want to do a ‘proper’ specialty”?

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Why I decided to #TakeAIM

Trainee Section, Volume 13, Issue 4, Pages 149 - 194 (2014)

Having realised early in my medical school training I was a medic not a surgeon, I had long assumed I would end up being a cardiologist or gastroenterologist. I enjoyed looking after acutely unwell patients, liked intervention and procedures and enjoyed being part of a hard-working team. The thing that always worried me was that I would become so specialised in my chosen field, that I would end up forgetting how to manage the vast range of medical conditions present among hospital inpatients.

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Are the skills of neurological assessment in need of resuscitation?

Viewpoint, Volume 13, Issue 4, Pages 149 - 194 (2014)

Abstract

The aim of this paper is to outline the background to several recent papers which highlight deficiencies in acute neurological care- all of which highlight (to differing degrees) issues in relation to neurological assessment with some proposed solutions. Given that 10% of acute emergency admissions are for neurological conditions (up to 20% if stroke included), this should be of concern to all acute medical physicians.

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A patient with palpitations

Picture Quiz, Volume 13, Issue 4, Pages 149 - 194 (2014)

Case Report

A 52 year old woman presented to the Acute Medical Unit with her 4th episode of palpitations in the past four weeks. Each episode was similar in nature and described as being acute in onset, fast and regular, associated with pre-syncope but never syncope or chest pain. The episodes lasted for 30 – 45 minutes and would self terminate. Of particular note, the episodes were not associated with exertion and she had a normal exercise tolerance.

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Weil’s disease presenting as atypical pneumonia

Case Reports, Volume 13, Issue 4, Pages 149 - 194 (2014)

Abstract

Leptospirosis is a disease caused by spp. Leptospira, also known as Weil’s disease if it manifests with jaundice. It can be associated with respiratory, renal, hepatic and haematological complications and most importantly carries a high mortality when untreated. We describe a case of a 53 year old man presenting with myalgia and fever in whom the diagnosis of leptospirosis was not initially considered. Following a deterioration in his condition a careful history revealed an apparent brief exposure to animal urine and subsequent grossly positive Leptospira serology. Treatment of his condition led to complete resolution after a brief stay on the intensive care unit. This case highlights the atypical nature of a presentation of Leptospirosis, its respiratory complications, and importance of serological testing in its diagnosis.

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A patient with pleuritic chest pain and abnormal blood clotting tests

Case Reports, Volume 13, Issue 4, Pages 149 - 194 (2014)

Abstract

We present the case of a 58 year old man who developed pleuritic chest while an in-patient; investigations revealed pulmonary embolism, despite a significantly raised Activated Partial Thromboplastin Time (APTT), which was subsequently attributed to Antiphospholipid syndrome (APS). The diagnosis and initial management of APS in the acute setting is discussed.

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