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.
Ciprofloxacin: quinolone antibiotic; inhibition of enzymes required for bacterial DNA replication, transcription, repair and recombination.
Error in research can be systematic or random; systematic error is also referred to as bias
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)
Question A two-week-old baby is brought to your general ICU in extremis pending transfer to a paediatric centre. Born at term, she had been discharged well on day 5 of life. For three days she has had progressive tachypnoea, lethargy…