Detection of hepatic encephalopathy.

abstract：OBJECTIVE:To determine the utility of a novel Paediatric Consultation Assessment Tool (PCAT). DESIGN:Developed to measure clinicians' communication behaviour with children and their parents/guardian, PCAT was designed according to consensus guidelines and refined at a number of stages. Volunteer clinicians provided vi...

journal_title：Postgraduate medical journal

authors： Howells RJ,Davies HA,Silverman JD,Archer JC,Mellon AF

更新日期：2010-10-01 00:00:00

abstract：:Patients with Gardner's syndrome are increasingly found to have polyps on routine upper gastrointestinal endoscopy, and their risk of developing periampullary carcinoma is between 3-12%. We report a 45 year old man with Gardner's syndrome who presented with periampullary carcinoma 5 years after colectomy. Review of th...

journal_title：Postgraduate medical journal

authors： Sinha J,Williamson RC

更新日期：1988-11-01 00:00:00

abstract：:The monocyte function, as measured by phagocytosis and killing of Candida albicans and Candida pseudotropicalis by peripheral blood monocytes, was found impaired in a patient with cirrhosis of the liver on two separate determinations before the occurrence of bleeding from oesophageal varices. Unexpectedly, Hodgkin's d...

journal_title：Postgraduate medical journal

authors： Dan M,Hassner A,Jedwab M,Shibolet S

更新日期：1984-07-01 00:00:00

abstract：:The inflammatory neuropathies are a large diverse group of immune-mediated neuropathies that are amenable to treatment and may be reversible. Their accurate diagnosis is essential for informing the patient of the likely course and prognosis of the disease, informing the treating physician of the appropriate therapy an...

journal_title：Postgraduate medical journal

authors： Lunn MP,Willison HJ

更新日期：2009-08-01 00:00:00

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

authors： Robinson TJ

更新日期：1977-02-01 00:00:00

abstract：:We report two patients with primary adenocarcinoma of the duodenum who underwent successful pancreatico-duodenectomy (modified Whipple operation). One patient died from an unrelated cause three years following surgery whilst the other remains well and clinically free of disease 3 years after resection. An aggressive s...

journal_title：Postgraduate medical journal

authors： Carragher A,Russell C

更新日期：1987-10-01 00:00:00

abstract：BACKGROUND:This explorative study was triggered by the '#hellomynameis' campaign initiated by Dr Kate Granger in the UK. Our objectives were twofold: first, to measure rates of introduction in an Irish hospital setting by both consultant and non-consultant hospital doctors. Second to establish whether such practices we...

journal_title：Postgraduate medical journal

authors： Gillen P,Sharifuddin SF,O'Sullivan M,Gordon A,Doherty EM

更新日期：2018-04-01 00:00:00

abstract：:Seventy-eight clinically euthyroid patients with atrial dysrhythmias, either established or paroxysmal, and sixty-three patients in sinus rhythm with coronary disease were screened for hyperthyroidism using thyroid function tests including the thyroid-stimulating hormone (TSH) response to thyrotrophin-releasing hormon...

journal_title：Postgraduate medical journal

authors： Symons C,Myers A,Kingstone D,Boss M

更新日期：1978-10-01 00:00:00

abstract：:I report a case of a large liver abscess causing a severe debilitating condition in which the diagnosis was delayed by several weeks following two normal ultrasound scans at days 5 and 19 of the illness. Up to one in four cases of liver abscess can be missed on ultrasound. A high degree of clinical suspicion must be m...

journal_title：Postgraduate medical journal

authors： Bunney RG

更新日期：1988-05-01 00:00:00

abstract：:Postherpetic neuralgia is defined as pain persisting, or recurring, at the site of shingles at least three months after the onset of the acute rash. Thus defined, at least half of shingles sufferers over the age of 65 years develop postherpetic neuralgia. In addition to increasing age, less important risk factors for ...

journal_title：Postgraduate medical journal

authors： Bowsher D

更新日期：1997-10-01 00:00:00

abstract：:A patient with Laurence-Moon-Biedl syndrome and nephrotic range proteinuria is presented. Radiological investigation of the urinary tract revealed clubbed calyces but no evidence of obstruction or vesicoureteric reflux. Renal biopsy revealed occasional sclerotic glomeruli, extensive foot-process fusion and segmental g...

journal_title：Postgraduate medical journal

authors： Cheng IK,Chan KW,Chan MK,Kung A,Ma J,Wang C

更新日期：1988-08-01 00:00:00

abstract：:A 56 year old man presented with an atypical chest infection. Remote inferoposterior myocardial infarction was noted on electrocardiography and transthoracic echocardiography. Hepatic failure developed with sudden gross elevation of liver aminotransferases and coagulopathy. No primary hepatic cause could be identified...

journal_title：Postgraduate medical journal

authors： Szawarski P,Sensky PR,Doshi M,Hudson I

更新日期：2004-09-01 00:00:00

abstract：:The selective COX-2 inhibitors (coxibs) were originally developed to minimise the adverse effects of conventional non-steroidal anti-inflammatory drugs (NSAIDs) while maintaining the same analgesic and anti-inflammatory properties. Many large studies confirmed the improved gastric side effect profile of coxibs compare...

journal_title：Postgraduate medical journal

authors： Sooriakumaran P

更新日期：2006-04-01 00:00:00

abstract：:A case of gonococcal urethritis with bilateral tysonitis is discussed. The patient was treated successfully with oral tetracycline 500 mg 6 hourly for 10 days, with a complete resolution. ...

journal_title：Postgraduate medical journal

authors： Abdul Gaffoor PM

更新日期：1986-09-01 00:00:00

abstract：:A case of fetal tension pneumoperitoneum following gastric perforation due to aerophagy is described. Comment is made on the probably pathogenesis. ...

journal_title：Postgraduate medical journal

authors： Hutchinson GH,Alderson DM,Turnberg LA

更新日期：1980-07-01 00:00:00

abstract：:The clinical features of 62 cases of computerized axial tomography scan-proved cerebral haemorrhage and 81 cases of cerebral infarction in the carotid territory have been compared in a retrospective case note survey. The clinical features which can help in making the distinction between haemorrhage and infarction at t...

journal_title：Postgraduate medical journal

authors： Harrison MJ

更新日期：1980-09-01 00:00:00

abstract：:Acute ventilatory failure is a challenging yet increasingly common medical emergency reflecting the growing burden of respiratory disease. It is not a diagnosis in itself but the end result of a diversity of disease processes culminating in arterial hypoxaemia and hypercapnia. This review focuses on key management iss...

journal_title：Postgraduate medical journal

authors： Chakrabarti B,Calverley PM

更新日期：2006-07-01 00:00:00

abstract：OBJECTIVE:To assess parent preferences for utilisation of a parent-focused, telephone-based coaching service, or 'FITLINE,' to prevent or manage childhood obesity. METHODS:A cross-sectional survey of parents of children aged 2-12 years was conducted at a paediatric practice in Greater Boston, Massachusetts, USA, betwe...

journal_title：Postgraduate medical journal

authors： Blaine RE,Pbert L,Geller AC,Powers EM,Mitchell K

更新日期：2015-04-01 00:00:00

abstract：:A study was undertaken to determine the effects of long-term insulin therapy on the development and regression of lipid perturbations and experimental cholesterol atherosclerosis in rabbits: (1) Insulin administration for 15 days significantly reduced plasma lipid levels and free fatty acids in rabbits fed a high-chol...

journal_title：Postgraduate medical journal

authors： Marquié G

更新日期：1978-02-01 00:00:00

abstract：:In severe appendicitis, the effect of a single intravenous dose of metronidazole (500 mg) was compared with cefoxitin (1 g). The antibiotics were given by random allocation once the diagnosis had been established at operation. In the metronidazole group, 5 out of 48 patients developed a wound infection whilst in hospi...

journal_title：Postgraduate medical journal

authors： Corder AP,Bates T,Prior JE,Harrison M,Donaldson PJ

更新日期：1983-11-01 00:00:00

abstract：:Alcohol is a major cause of liver cirrhosis in the Western world and accounts for the majority of cases of liver cirrhosis seen in district general hospitals in the UK. The three most widely recognised forms of alcoholic liver disease are alcoholic fatty liver (steatosis), acute alcoholic hepatitis, and alcoholic cirr...

journal_title：Postgraduate medical journal

authors： Walsh K,Alexander G

更新日期：2000-05-01 00:00:00

abstract：BACKGROUND:Obstructive sleep apnoea syndrome (OSAS) is associated with cardiovascular disease, especially in patients with high blood pressure. Continuous positive airway pressure (CPAP) seems to contribute to blood pressure control in patients with OSAS, mainly those with uncontrolled hypertension. However, the effect...

journal_title：Postgraduate medical journal

authors： de Morais Lima JH,da Cruz Santos A,Barros SE,Soares de Abreu Morais P,Figueiroa JN,Alves JG

更新日期：2016-03-01 00:00:00

abstract：:An 84 year old woman who was a heavy smoker presented with clinical features suggestive of acute exacerbation of chronic obstructive lung disease complicated by left ventricular failure. She responded poorly to treatment and then the finding of stridor, only when she was in the supine position, led to the diagnosis of...

journal_title：Postgraduate medical journal

authors： Antonios TF,Singer DR,Millard FJ,Wilson AG,MacGregor GA

更新日期：1994-12-01 00:00:00

abstract：:This paper discusses the relationship between panic and other symptoms of anxiety disorders. The approach to classification of these disorders described in the Diagnostic and Statistical Manual of Mental Disorders (Third Edition) of the American Psychiatric Association is outlined. It is concluded that there are subst...

journal_title：Postgraduate medical journal

authors： Brandon S

更新日期：1988-01-01 00:00:00

abstract：:Two patients presented with hypophosphataemic osteomalacia and were subsequently found to have small tumours unusual histopathology and location causing the osteomalacia. Each tumour was found after an intensive search for occult masses. Studies of vitamin D metabolism and renal tubular function before and after surge...

journal_title：Postgraduate medical journal

authors： Weiss D,Bar RS,Weidner N,Wener M,Lee F

更新日期：1985-04-01 00:00:00

abstract：OBJECTIVE:Lactate dehydrogenase (LDH) anomaly is one of the macroenzymes. Macroenzymes are enzymes in serum that have formed high molecular mass complexes, either by self polymerisation or by association with other serum components. The aim of this study was to identify the properties of LDH anomaly and observe the cha...

journal_title：Postgraduate medical journal

authors： Liu ZJ,Zhang Y,Zhang XB,Yang X

更新日期：2004-08-01 00:00:00

abstract：:Non-invasive assessment of coronary artery patency has been attempted with different imaging modalities over the last few decades. The continuous motion of the heart, the respiratory movement, together with the small and tortuous nature of the coronary arteries, made this a technically challenging task. Over the last ...

journal_title：Postgraduate medical journal

authors： Yerramasu A,Venuraju S,Lahiri A

更新日期：2011-03-01 00:00:00

abstract：:The effective management of constipation in childhood requires an understanding of the ways that the physical and psychological factors interact. The early difficulty with defecation that leads to pain, fear, and refusal to use the pot or lavatory often progresses to the formation of vicious cycles of increasing faeca...

journal_title：Postgraduate medical journal

authors： Clayden G,Keshtgar AS

更新日期：2003-11-01 00:00:00

abstract：OBJECTIVES:Although risk assessment is an integral part of management, there are currently no risk calculators of long-term mortality after acute coronary syndrome (ACS). The aim was to provide risk equations for 10-year and 20-year mortality following ACS. METHODS:Patients hospitalised with ACS from December 1990 to ...

journal_title：Postgraduate medical journal

authors： Magri CJ,Debono R,Calleja N,Galea J,Fava S

更新日期：2017-05-01 00:00:00

abstract：:A previously undescribed type of congenital abdominal wall hernia is described. Presentation was with the symptoms and signs of subacute large bowel obstruction. The diagnosis was suggested by barium enema and confirmed at laparotomy. ...

journal_title：Postgraduate medical journal

authors： Siriwardena AK

更新日期：1989-02-01 00:00:00