Lymphocytic meningitis as the sole manifestation of Q fever.

Abstract:

:A young man who presented with a 3 week history of fever and severe headache accompanied by mild leukocytosis, was found to have lymphocytic meningitis due to Coxiella burnetti. Thus, Q fever can present as lymphocytic (aseptic) meningitis responsive to tetracycline with no evidence of pulmonary involvement.

journal_name

Postgrad Med J

authors

Schattner A,Kushnir M,Zhornicky T,Fenakel G

doi

10.1136/pgmj.69.814.636

subject

Has Abstract

pub_date

1993-08-01 00:00:00

pages

636-7

issue

814

eissn

0032-5473

issn

1469-0756

journal_volume

69

pub_type

杂志文章
  • The practice of rectal examination.

    abstract::Rectal (both digital and rigid sigmoidoscopic) examination is an important part of the clinical examination. The aim of this study was to find out the opinions of the patients to this routine examination at the time of referral by their general practitioner and during their first hospital interview. Assessment of the ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.67.792.904

    authors: Ng DP,Mayberry JF,McIntyre AS,Long RG

    更新日期:1991-10-01 00:00:00

  • The changing context of undergraduate medical education.

    abstract::It has long been recognised that intensive efforts are needed to reform medical education in order to meet the future needs of populations worldwide. Pressure for changes to the organisation, content and delivery of both undergraduate and postgraduate medical education has greatly increased in the last two decades. Th...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.71.837.397

    authors: Parsell GJ,Bligh J

    更新日期:1995-07-01 00:00:00

  • Hypokalaemia induced by thiazide diuretics in the treatment of hypertension: a cause for concern, not nihilism.

    abstract::Thiazide diuretics used alone to treat hypertension can cause hypokalaemia in a substantial proportion of patients. The possibility exists that any benefit of reducing high blood pressure by such treatment may be offset by an increased mortality due to arrhythmias initiated by hypokalaemia. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Poole-Wilson PA

    更新日期:1983-01-01 00:00:00

  • Crohn's disease and pericarditis.

    abstract::A patient is described who developed acute pericarditis during a severe first attack of Crohn's disease. The opportunity was taken to measure levels of circulating immune complexes, both during the acute phase of the illness and during convalescence; no significant change in these levels from normal values was found. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.60.708.682

    authors: Manomohan V,Subbuswamy SG,Willoughby CP

    更新日期:1984-10-01 00:00:00

  • What is osteoporosis?

    abstract::Osteoporosis is a very common disorder, which results in an increase in fracture risk. The annual cost attributable to hip, vertebral, and wrist fractures in England and Wales is pound 1.7 billion. Significant mortality and morbidity are associated with osteoporotic fractures. The method that is most widely used for t...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pmj.79.929.133

    authors: Christodoulou C,Cooper C

    更新日期:2003-03-01 00:00:00

  • Biliary peritonitis secondary to perforation of common bile duct: an unusual presentation of chronic calcific pancreatitis.

    abstract::Common bile duct perforation causing biliary peritonitis is an unusual entity and a pancreatic calculus causing this perforation is all the more rare, and to our knowledge has not been reported previously. Such an unusual presentation of chronic calcific pancreatitis is herein reported. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.68.804.837

    authors: Kumar A,Kataria R,Chattopadhyay TK,Karak PK,Tandon RK

    更新日期:1992-10-01 00:00:00

  • Improving residents' clinical approach to obesity: impact of a multidisciplinary didactic curriculum.

    abstract:BACKGROUND/OBJECTIVES:Obesity has been declared a 21st century pandemic by WHO. Yet surveys reveal physicians-in-training are uncomfortable managing obesity. One major barrier is the lack of residency education on obesity management. This study incorporates an obesity-specific didactic curriculum into an internal medic...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2014-132821

    authors: Acosta A,Azzalin A,Emmons CJ,Shuster JJ,Jay M,Lo MC

    更新日期:2014-11-01 00:00:00

  • Optimising clinical performance during resuscitation using video evaluation.

    abstract::Video evaluation of resuscitation is becoming increasingly integrated into practice in a number of clinical settings. The purpose of this review article is to examine how video may enhance clinical care during resuscitation. As healthcare and available therapeutic interventions evolve, re-evaluation of accepted paradi...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2016-134357

    authors: Lowe DJ,Dewar A,Lloyd A,Edgar S,Clegg GR

    更新日期:2017-08-01 00:00:00

  • Subconjunctival haemorrhage: a feature of acute severe asthma.

    abstract::Bilateral subconjunctival haemorrhage was observed on 5 separate occasions in 4 patients presenting a fulminant form of acute severe asthma. Four of these episodes required ventilatory support. All patients recovered from their asthma attack after treatment with bronchodilators, corticosteroids, and oxygen. The incide...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.717.579

    authors: Rodriguez-Roisin R,Torres A,Agustí AG,Ussetti P,Agustí-Vidal A

    更新日期:1985-07-01 00:00:00

  • Primary hepatocellular carcinoma associated with Wilson's disease in a young woman.

    abstract::A 27 year old woman with hepato-lenticular degeneration (Wilson's disease) was found to have primary hepatocellular carcinoma (PHC) three and a half years after she was started on treatment with D-penicillamine. The tumour was resected since when she has remained well. Her liver function tests were normal throughout t...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.714.357

    authors: Guan R,Oon CJ,Wong PK,Foong WC,Wee A

    更新日期:1985-04-01 00:00:00

  • Caverno-saphenous shunt in the treatment of priapism.

    abstract::The painful pathological condition of the penis, priapism, is usually associated with serious destructive changes which lead to impotence if treatment is with-held or delayed. Conservative therapy is slow, uncertain and usually ineffective. Early surgical decompression of the corpora cavernosa, repeated if necessary, ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.57.664.132

    authors: Ihekwaba FN,Lawani J

    更新日期:1981-02-01 00:00:00

  • Current problems in the measurement of gastrin release. A reproducible measure of physiological gastrin release.

    abstract::The interpretation of gastrin release is confused because of variation in the technique of the radioimmuoassay of gastrin, the lack of a standard stimulus for the release of gastrin and diversity in the method used to express the results. These problems have been analysed (a) by examining the cross-reactivity of three...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.52.612.645

    authors: Russel RC,Bloom SR,Fielding LP,Bryant MG

    更新日期:1976-10-01 00:00:00

  • Coeliac disease and goitre.

    abstract::Two cases of coeliac disease associated with thyroid enlargement are presented. One had a large simple adenomatous goitre which was removed surgically and the other had histological confirmation of lymphadenoma (Hashimoto's disease). ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.53.616.95

    authors: Robinson TJ

    更新日期:1977-02-01 00:00:00

  • Do questions help? The impact of audience response systems on medical student learning: a randomised controlled trial.

    abstract:BACKGROUND:Audience response systems (ARSs) are electronic devices that allow educators to pose questions during lectures and receive immediate feedback on student knowledge. The current literature on the effectiveness of ARSs is contradictory, and their impact on student learning remains unclear. OBJECTIVES:This rand...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/postgradmedj-2014-132987

    authors: Mains TE,Cofrancesco J Jr,Milner SM,Shah NG,Goldberg H

    更新日期:2015-07-01 00:00:00

  • Thoracic disc herniation in acromegaly.

    abstract::Herniation of a thoracic disc in an acromegalic giant is reported. Degenerative changes in the spine in association with dorsal kyphosis, and the additional strain, resulted in the disc prolapse. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.65.765.491

    authors: Chhang WH,Sharma BS,Dash RJ,Kak VK

    更新日期:1989-07-01 00:00:00

  • Thrombotic thrombocytopenic purpura associated with pregnancy in two sisters.

    abstract::Two sisters suffered from thrombotic thrombocytopenic purpura late in their first pregnancies. HLA typing of the patients and their immediate family members demonstrated no obvious relationship. Hereditary aspects, association with pregnancy, prognosis and management of pregnant women with TTP are discussed. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.809.229

    authors: Alqadah F,Zebeib MA,Awidi AS

    更新日期:1993-03-01 00:00:00

  • Iron deficiency in pernicious anaemia: a neglected diagnosis.

    abstract::In 114 patients (52 males and 62 females) with long-standing pernicious anaemia, hypoferritinaemia was found in 27 (23.7%) and hypochromic microcytic anaemia in 19 (16.6%). Our findings indicate that iron deficiency is a common yet neglected complication of long-standing pernicious anaemia and warrants greater diagnos...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.748.110

    authors: Atrah HI,Davidson RJ

    更新日期:1988-02-01 00:00:00

  • The clinical value of Haemoccult and Fecatwin in the detection of colorectal neoplasia in hospital and general practice patients.

    abstract::Four hundred and fifty asymptomatic general practice patients and 330 hospital inpatients had their stools tested for occult blood with the Haemoccult and Fecatwin methods. In general practice, 9/64 (14%) of patients with a positive result had a colonic neoplasm (three carcinomas, one Dukes' Stage A, two Dukes' Stage ...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1136/pgmj.61.718.701

    authors: Barrison IG,Parkins RA

    更新日期:1985-08-01 00:00:00

  • Prostatic involvement in Wegener's granulomatosis.

    abstract::Prostatic involvement is an unusual complication of Wegener's granulomatosis. We report two cases with this complication and emphasize the importance of recognizing this manifestation in diagnosis and management of the disease condition. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.735.53

    authors: Tung KT,Woolf A,Falzon M

    更新日期:1987-01-01 00:00:00

  • Destructive bone lesions in primary amyloidosis.

    abstract::We describe a patient with primary amyloidosis in whom multiple osteolytic lesions caused by amyloid bone tumours developed, and review the clinical features of the 18 cases with primary amyloidosis in whom destructive bone lesions have been reported. In contrast to amyloidosis associated with multiple myeloma, destru...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.62.733.1037

    authors: Kramer MR,van Dijk JM,Hadas I,Hershko C

    更新日期:1986-11-01 00:00:00

  • Clomiphene-induced pituitary apoplexy in a patient with acromegaly.

    abstract::We describe the case of an acromegalic woman with primary infertility who was treated with clomiphene, and subsequently developed pituitary apoplexy. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.72.845.172

    authors: Walker AB,Eldridge PR,MacFarlane IA

    更新日期:1996-03-01 00:00:00

  • Possible functional regression of insulinoma with prolonged octreotide.

    abstract::A 75 year old woman was treated for over three years with the somatostatin analogue, octreotide for an insulinoma. She had presented in a hypoglycaemic coma. C-peptide and insulin concentrations were both raised and an area of increased vascularity within the pancreas was shown by angiography. No lesion was found at l...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.924.623

    authors: Craig CE,Gallen IW

    更新日期:2002-10-01 00:00:00

  • The renal effects of dopamine and dobutamine in stable chronic heart failure.

    abstract::Although an extensive literature exists on factors controlling sodium excretion in animal experimental models of heart failure, the relevance of these to the human condition remains largely unexplored. Increased renal sympathetic stimulation is considered responsible for heightened urinary sodium retention. Stimulatio...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Good J,Frost G,Oakley CM,Cleland JG

    更新日期:1992-01-01 00:00:00

  • Failure of conventional chemotherapy in aggressive lymphomas.

    abstract::Between 1975 and 1982 in 2 centres in Glasgow, 53 previously untreated patients with aggressive non-Hodgkin's lymphomas received chemotherapy consisting of one of the following regimens-CVP, MOPP, CHOP or BACOP. Twenty nine patients (55%) entered complete remission (CR), 20 (38%) had partial remission (PR) and 4 (7%) ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.735.11

    authors: Cunningham D,Hepplestone A,Gilchrist NL,Dagg JH,Evans IL,Soukop M

    更新日期:1987-01-01 00:00:00

  • Cervical spondylotic myelopathy with occult foramen magnum meningioma--a case for MRI?

    abstract::A fatal case of occult foramen magnum meningioma is described which presented with features of cervical myelopathy confirmed by cervical myelogram. Surgical decompression led to initial improvement followed by progressive deterioration and death. Postmortem examination revealed a 4 cm diameter foramen magnum meningiom...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.815.720

    authors: Chakravarty K,Scott DG,Dick D,Visick J

    更新日期:1993-09-01 00:00:00

  • A solitary jejunal vascular abnormality: a source of massive rectal bleeding.

    abstract::Haemorrhage of small bowel origin may prove to be a clinical and diagnostic challenge, particularly when the bleeding is massive and continuous. Such a case is described where the source of blood loss was a jejunal vascular abnormality. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.67.789.683

    authors: Saunders MP

    更新日期:1991-07-01 00:00:00

  • Acquired common variable hypogammaglobulinaemia and lymphoedema.

    abstract::Two patients with lymphoedema of the legs developed recurrent respiratory infections and were found to have panhypogammaglobulinaemia. The early recognition and treatment of this form of immunity deficiency in patients with lymphoedema is important in order to prevent recurrent infections which could cause pulmonary d...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.747.63

    authors: Lozewicz S,Morris G,Garbett N,Browse N,Slavin B,Cole P

    更新日期:1988-01-01 00:00:00

  • Persistent chorea as a manifestation of thyrotoxicosis.

    abstract::We report a case of persistent chorea as a manifestation of thyrotoxicosis. The chorea was severe and persisted after the patient was rendered euthyroid. Dopamine antagonists only partially suppressed the involuntary movements during the first few months. It was eventually controlled with haloperidol, but whenever she...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.756.789

    authors: Javaid A,Hilton DD

    更新日期:1988-10-01 00:00:00

  • The clinical consequences of the absorption, distribution, metabolism and excretion of amlodipine.

    abstract::By comparison with other calcium antagonist drugs, amlodipine has unique pharmacokinetic properties that are probably attributable to its chemical structure and positive ionic charge at physiological pH. Thus, amlodipine undergoes gradual absorption from the gastro-intestinal tract and is widely distributed throughout...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Elliott HL,Meredith PA

    更新日期:1991-01-01 00:00:00

  • Teaching M&M rounds skills: enhancing and assessing patient safety competencies using the Ottawa M&M model.

    abstract:BACKGROUND:Postgraduate medical education bodies and national patient safety institutes recommend that trainees develop patient safety competencies such as those for Morbidity and Mortality (M&M) rounds, yet there exists no model for their educational delivery. OBJECTIVE:We studied the effect of a single educational i...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2015-133265

    authors: Mondoux SE,Frank JR,Kwok ESH,Cwinn AA,Lee AC,Calder LA

    更新日期:2016-11-01 00:00:00