Paget's disease of bone is a metabolic disorder of the bone, resulting in deformation and pain. It most commonly affects the axial skeleton; pelvis, lumbo-sacral spine, skull, femur and tibia. Diagnostic imaging is a key part of modern day diagnosis, and many cases are in fact incidental findings.
A patient is day 1 post-laparotomy. his abdomen feels tight and his urine output has dropped off... Can you save the day in this gastrointestinal gutwrencher?
You are assessing a 37 year old male in the emergency department. He appears to be in discomfort and states that he fell asleep at a party and thinks ‘someone put something up his back passage while he was out of it’.
Clinical governance is “a framework through which organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.”
A man, originally from Somalia, is jaundiced and has abnormal LFTs. Can you work out the cause?
A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed? Is this a Gordian knot?
A 50 year-old man presented to the ED with sharp abdominal pain localised to his left lower quadrant.
Description Köbner (Koebner) phenomenon – the appearance of isomorphic lesions following local trauma in skin areas that were not previously involved with the skin condition. That is, when patients with a cutaneous disease are stressed by exgternal cutaneous stimuli such…
Heinrich Köbner (1838 – 1904) was a German dermatologist. Eponym: Koebner phenomenon; Köbner syndrome (Epidermolysis bullosa simplex)
Xeroderma pigmentosum (XP): rare autosomal recessive disorder of DNA repair characterised by photosensitivity, progressive pigmentary change, and an increased incidence of ultraviolet (UV)-induced skin and mucous membrane cancers.
Kaposi Sarcoma: An idiopathic pigmented sarcoma of the skin. Red nodules of varying size develop in the skin initially appearing on the sole of the foot then affecting the hands, progressing to affect the rest of the body.
Moriz 'Kohn' Kaposi (1837 – 1902) was a Hungarian physician and dermatologist. Provided first, descriptions of systemic lupus erythematosus (1869/1872); Kaposi Sarcoma (1872); xeroderma pigmentosum (1882); lichen ruber moniliformis (1886); and varicelliform eruption (1887)