September 2009

Pictorial essay III: Permanent pacemakers and Oesophageal Doppler probe

INTRODUCTION Chest radiographs are done not only for diagnostic reasons to look for abnormalities...
Analgesia in day-case ENT surgery: The efficacy of lornoxicam

Introduction Day-case surgery is of great value to patients and the health service. It has rapidly...
Erythropoietin Friend or Foe in Chronic Kidney Disease Anemia: An Analysis of Randomized Controlled Trials, Observational Studies and Meta-analyses.

Introduction: According to The National Kidney Foundation of The United States of America 1 CKD is...
UK Junior Doctors’ Experience of Clinical Audit in the Foundation Programme

INTRODUCTION The Foundation Programme1,2,3 is a 2-year, ubiquitous, vocational curriculum...
Open Mesh Repair Of Different Hernia. Is The Technique Free Of Complications?

INTRODUCTION: Implantation of prosthetic mesh in repair of different hernias has gained a global...
Team Assessment Behaviour (TAB) as an assessment tool: A critical evaluation.

Introduction Good Medical Practice describes the professional behaviour expected of doctors and...
Leg Ulcers in Older People: A Review of Management

Leg ulcers are defined as discontinuity of the epidermis and dermis in the lower limb of more than...
Emergency Contraception

What is emergency contraception? Emergency contraception (E.C) is also known as post-coital pill (...
Approach to spasticity in General practice

Spasticity is a common symptom seen as a consequence of an injury to the brain (stroke, trauma,...
Global Health Challenges: The Indian Conundrum

Introduction The huge disease burden and vast health inequalities and given that one...
The Mental Capacity Act 2005: What it does and some thoughts on its impact on practice.

Introduction. This legislation is based on rules established by case law about how to...
The dysfunctional relationship between trainer and trainee: mother of all problems

Healthcare organisations are a fertile breeding ground for interpersonal conflict and the...
A case report of a Giant Schwannoma of the Mesorectum

Introduction Schwannoma (neurilemmoma) is a peripheral nerve sheath tumour and commonly occurs on...
A case of accidental carotid artery cannulation in a patient for Hemofilter: complication and management

Inadvertent carotid arterial puncture complication is reported to have an incidence of 2% - 8% 1, 2...
Anaesthetic management of a patient with Klippel-Feil syndrome for elective Caesarean section

Case report We describe a case of a 32 year old primigravida with type III Klippel-Feil Syndrome...