Postgraduate Medical Journal

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Republished: Clinicopathological correlates of adrenal Cushing's syndrome
Postgraduate Medical Journal - Tập 91 Số 1076 - Trang 331-342 - 2015
Kai Duan, Karen Hernandez, Özgür Mete
ABSTRACTEndogenous Cushing's syndrome is a rare endocrine disorder that incurs significant cardiovascular morbidity and mortality, due to glucocorticoid excess. It comprises adrenal (20%) and non-adrenal (80%) aetiologies. While the majority of cases are attributed to pituitary or ectopic corticotropin (ACTH) overproduction, primary cortisol-producing adrenal corti...... hiện toàn bộ
Late-onset retinal macular degeneration: clinical insights into an inherited retinal degeneration
Postgraduate Medical Journal - Tập 85 Số 1007 - Trang 495-500 - 2009
Shyamanga Borooah, Cian E. Collins, Giriraj R. Chandak, Baljean Dhillon
Abstract Aim This study describes, in detail, the phenotype of late-onset retinal macular degeneration (L-ORMD) an inherited condition affecting both the retina and anterior segment. A staging based on clinical characteristics is proposed, and the relevance of this condition to c...... hiện toàn bộ
Correct recognition and management of anaphylaxis: not much change over a decade
Postgraduate Medical Journal - Tập 91 Số 1071 - Trang 3-7 - 2015
Benjamin Plumb, Philip Bright, Mark Gompels, David Joe Unsworth
ABSTRACT Background Anaphylaxis is increasing in incidence. This potentially fatal condition requires immediate intramuscular adrenaline as a vital part of early treatment. A 2002 survey of UK Senior House Officers showed a lack of knowledge regarding the recognition and manageme...... hiện toàn bộ
Lemierre’s syndrome: more than a historical curiosa
Postgraduate Medical Journal - Tập 80 Số 944 - Trang 328-334 - 2004
T. P. Riordan, Mary Wilson
Abstract Lemierre’s syndrome is a severe illness caused by the anaerobic bacterium, Fusobacterium necrophorum which typically occurs in healthy teenagers and young adults. The infection originates in the throat and spreads via a septic thrombophlebitis of the tonsillar vein and internal jugular vein. The ensuing bacteraemia is complicated by septic e...... hiện toàn bộ
Malakoplakia of the gastrointestinal tract
Postgraduate Medical Journal - Tập 57 Số 664 - Trang 95-103 - 1981
John McClure
Summary The clinical and pathological features of 3 cases of colonic malakoplakia are documented thereby bringing to 34 the total of recorded cases of malakoplakia involving the gastrointestinal tract. This is therefore the most common site of involvement outside the urogenital tract. A comprehensive review of the world literature on gastrointestinal...... hiện toàn bộ
Endobronchial involvement in Wegener’s granulomatosis
Postgraduate Medical Journal - Tập 59 Số 693 - Trang 452-454 - 1983
Rajni Amin
Summary Right middle lobe collapse as a result of endobronchial involvement with Wegener’s granulomatosis is reported in a 60-year-old woman. A review of the literature has revealed 6 cases of lobar collapse, only 2 of which had endobronchial disease.
Male fertility in Crohn's disease
Postgraduate Medical Journal - Tập 62 Số 726 - Trang 269-272 - 1986
D Burnell, J F Mayberry, Brian Calcraft, John Morris, JM Rhodes
Summary The fertility of 70 men with Crohn's disease and a group of age matched controls were compared. Crohn's disease was associated with a significant reduction in family size independent of steroid or sulphasalazine treatment.
A descriptive survey of uncontrolled methicillin-resistant Staphylococcus aureus in a twin site general hospital
Postgraduate Medical Journal - Tập 64 Số 754 - Trang 606-609 - 1988
Stephen Barrett, O N Gill, J. Mellor, Joy Bryant
Summary Over a five year period beginning in 1981, during which control measures were applied intermittently, the incidence of methicillin-resistant Staphylococcus aureus (MRSA) isolates increased steadily within a twin site general hospital. A retrospective chart review of 154 patients identified in 1984-1985 showed that the MRSA ‘definitely’ contri...... hiện toàn bộ
Continuous professional development for GPs: experience from Denmark
Postgraduate Medical Journal - Tập 90 Số 1065 - Trang 383-387 - 2014
Niels Kristian Kjær, Annette Plesner Steenstrup, Line Bjørnskov Pedersen, Anders Halling
AbstractBackground and objectivesContinuous professional development (CPD) for Danish general practitioners (GPs) is voluntary and based on funded accredited activities. There is an ongoing discussion on how to improve this current system by introducing mandatory elements. To inform this debate, we set out to identify GPs’ current...... hiện toàn bộ
Improving laboratory usage: a review
Postgraduate Medical Journal - Tập 64 Số 750 - Trang 283-289 - 1988
David W. Young
Summary Influencing the ordering of laboratory investigations, and in particular reducing unnecessary ones, is a vital concern to many hospitals. An account of the reasons why control is necessary is presented. The different methods evaluated are reviewed, including rationing, form design, resource management (budget control), education, protocols an...... hiện toàn bộ
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