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Abstract Examination of the pupillary responses, being simple, reliable and highly reproducible can elicit one of the “hard” neurological signs. In this article we provide an overview of
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
Abstract Delirium (also referred to as acute confusional state or toxic confusional state) is common in elderly patients admitted to hospital, and is usually secondary to an acute physical problem rather
Abstract Sepsis is a common problem in hospital practice. As well as being an important precipitant of hospital admission many patients develop the problem after arrival in hospital, including in excess
Abstract Accelerated hypertension is a rare but life threatening disease. The commonest cause is poorly controlled essential hypertension but other causes exist. Diagnosis is made by the finding of
Abstract Current management of exacerbation of chronic obstructive pulmonary disease (COPD) takes into account new understanding of the factors contributing to morbidity, hospital admission and mortality.