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Original Article

Abstract Acute hypercapnic respiratory failure in chronic obstructive pulmonary disease can usually be managed initially with medical treatment and non- invasive ventilation. In circumstances where

Abstract Many Medical Admission Units admit patients who have suffered a fall. Falls are incredibly common, yet often assessed and managed suboptimally in hospitals. Falls may be due to an acute illness,

A 38 year old male presented with worsening breathlessness and cough for 6 months duration. He was treated in the community with salbutamol and steroid inhaler by GP for suspected asthma but with…

Abstract Asthma has a complex aetiology with many precipitating factors leading to a final common pathway of airway inflammation and bronchospasm. Patients with asthma are at risk of developing acute

Abstract Elderly People with hip fractures are among the most frail and medically complex of all hospital inpatients. In one sense, the fracture itself is merely a marker of frailty, and many of…

Abstract Suspected deep vein thrombosis (DVT) is a common reason for medical referral to hospital. We evaluated our new approach to assessment of DVT using combined automated strain gauge plethysmography

Abstract Myxoedema coma is a rare and extreme presentation of hypothyroidism. It has a poor prognosis due to multisystem decompensation, and demands prompt but careful management in a high-dependency

Abstract Narrow complex tachycardia usually refers to an abnormality of cardiac rhythm involving the tissues of the sinus node, atrial tissue, the atrioventricular node or an accessory atrioventricular

Abstract Acute pericarditis is usually a benign self-limiting condition, often of unexplained or viral aetiology, involving inflammation of the pericardial layers. It is often part of the differential

Abstract Guillain-Barré Syndrome (GBS) is an acute inflammatory polyneuropathy. Typical presentation is one of ascending tetraparesis with aref lexia. Variant forms of GBS include ataxia and ophthalmoplegia