Grand Rounds - The original online open access peer-reviewed case report journal
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Emergency Medicine and Surgery
Chronic hypokalaemia often remains a diagnostic challenge, especially in young women without hypertension. A concealed diuretic abuse should be suspected, especially in young women with eating disorders. This case describes a woman with chronic hypokalaemia in whom a thorough medical history and proper laboratory tests were essential to early and accurate diagnosis.
(Vol 11 p 53-55, Acute Medicine; Nephrology; Psychiatry: 18 July 2011)
We describe a case of very late stent thrombosis (ST) in a patient presenting with hematemesis while taking aspirin and oral anticoagulation therapy (OAC). This case shows that the management of patients with an indication for OAC who undergo percutaneous coronary intervention with drug-eluting stent (DES) implantation is challenging because of the need to balance the...
(Vol 11 p 48-52, Cardiology; Emergency Medicine; Gastroenterology; Haematology; Histopathology; Pathology: 18 July 2011)
Static winging of the scapula is a rare diagnosis. It may be caused by pathology of the scapula or the chest wall. Solitary osteochondroma of the scapula is one of the rare causes and may present an initial diagnostic difficulty. We present a case of an 18-year-old man who presented with non-specific pain in his right shoulder following a fall. Initial examinations and...
(Vol 10 p 86-88, Emergency Medicine; Trauma; Orthopaedics: 22 October 2010)
Lateral abdominal wall haematoma following blunt trauma can be a life-threatening condition and requires prompt diagnosis and treatment. We present the imaging findings and treatment modalities used for a young man presenting to the emergency department with abdominal pain and bruising.
(Vol 9 p 33-37, Accident and Emergency Medicine and Surgery (including Trauma), Radiology, Vascular Surgery: 17 November 2009)
Compartment syndrome is a potentially limb- and life-threatening clinical entity resulting from elevated intra-compartmental pressures. A high clinical suspicion is paramount in diagnosis since full recovery is time-sensitive. We present a unique case of chronic myelomonocytic leukemia-induced (CMML) compartment syndrome which illustrates the importance of quick diagnosis...
(Vol 8 p 31-34, Accident and Emergency Medicine and Surgery (including Trauma); Orthopaedic Surgery; Vascular Surgery: 1 October 2008)
We report the case of a healthy 44-year-old gentleman who sustained bilateral patellar tendon rupture while jumping on a trampoline. Although this kind of injury has been reported in the literature previously, it is extremely rare in healthy individuals. We believe it is the first documented case associated with the use of a trampoline.
(Vol 7 p 70-74, Accident and emergency medicine and surgery (including trauma); Orthopaedic surgery: 20 November 2007)
A 60-year-old woman attended A&E following an unwitnessed ‘collapse query cause’. Over 4 months she recalled involuntary movement of her eyes and head to the left and, on one occasion, complete rotation of her body. She had subtle neurological signs. Imaging identified the cause of these adversive seizures.
(Vol 7 p 61-63, Accident and Emergency Medicine and Surgery (including Trauma); Neurology; Neuroradiology; Neurosurgery: 13 June 2007)
Hereditary angioedema (HAE) is an infrequent disorder characterised by abnormalities in the levels and/or function of complement C1 esterase inhibitor (C1 INH). Clinical manifestations of HAE are due to recurrent episodic swelling of the subcutaneous or submucosal tissue. When swelling involves the gastrointestinal mucosa, patients may present with nausea, vomiting,...
(Vol 7 p 29-35, Accident and Emergency Medicine, Surgery (including Trauma): 28 March 2007)
Penetrating traumatic laryngeal–pharyngeal injuries are relatively rare and traumatic injuries to the epiglottis are extremely rare. The incidence varies between countries. Most of these cases are dealt with by ear, nose and throat specialists, and trauma surgeons deal with such trauma when concomitant injury is present. In our institution laryngeal–pharyngeal trauma...
(Vol 6 p 8-10, Emergency medicine, Trauma: 25 May 2006)
Musculoskeletal injuries following low voltage electrocution are extremely rare. We present the case of a 54-year-old gentleman who had an accident while working with 240-volt live wires. The absence of any associated trauma should not rule out the presence of scapular fractures in such cases.
(Vol 4 p 10-12, Orthopaedics, Emergency medicine: May 2004)
Hydatid disease, caused by the cestode Echinococcus, is common in Mediterranean regions. Depending on its size, an intact cyst may be ‘silent’ or may compress adjacent organs, causing symptoms. The cystic stage of Echinococcus granulosus is commonly located in the liver, which frequently results in a long symptom-free period [1]. Rupture of a hydatid cyst commonly gives...
(Vol 2 p 17-20, Emergency Medicine: April 2002)
Contents by specialty
Editor-in-Chief
Frank Cross
Consultant Surgeon
St. Bartholomew's and The London NHS Trust, UK
Editors
Neil Barnes
Consultant Physician
St. Bartholomew's and The London NHS Trust, UK
Ali Jawad
Consultant Rheumatologist
St. Bartholomew's and The London NHS Trust, UK
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