Online Articles

Articles

Thrombolysis of acute ischaemic stroke in a district general hospital: are we doing enough?

AJH Tan, J Cronan and DP Walters

Compliance to oseltamivir and subsequent occurrence of self-reported adverse drug reactions among nursery and primary school children following exposure to Influenza A(H1N1)v

E van Velzen, S Hutchinson, G Penrice, S Ahmed and J McMenamin

Case Reports

1. Primary hepatoid adenocarcinoma of the endometrium with a high alpha-fetoprotein level

J H Hwang, S H Song, Y H Kim, B K Shin, J K Lee, N W Lee and K W Lee

These neoplastic epithelial cells, which resemble hepatocytes, demonstrate evidence of alphafetoprotein production. This well-illustrated case report presents the natural history of the diagnosis, which adds to the limited data available on this tumour.

2. Therapeutic hypothermia and frostbite injury: a preventable source

P Lohana and A Hart

The desperate race to cool the body to protect the brain after ischaemia, while an international recommendation, is not without risk. This case report describes harm to a patient, who was successfully resuscitated at home following a cardiac arrest from ventricular fibrillation.

3. Type 1 Bland Sutton colonic atresia complicated by fetalis hydrops in a premature neonate

S S Y Tan, Z C Liang, D Loh and K Prabhakaran

This case report of postnatally diagnosed colonic atresia, complicated by fetalis hydrops and anaemia, is apparently the first to be published. The patient is a premature baby delivered at 32 weeks section following fetal distress.

4. A 45-year-old male presenting with anterior compartment syndrome three weeks following conservative treatment of an Achilles tendon rupture

M van Niekerk, F Jawad, J S Huntley and S McCowan

This reflective account describes the serious consequences of a routine conservative procedure resolved by timely incision to relieve compartment pressure. A review of the literature is accompanied by learning points including the risks of weight-bearing equinus casts.

5. Duodenal rupture following trauma in a child

D McWhirter

Duodenal rupture is a rare but serious complication of blunt abdominal trauma. Early diagnosis of duodenal injury is critical as delayed diagnosis and treatment leads to increased morbidity and mortality. Two images and eight references are provided.