Postgraduate Medical Journal articles from January 2002

Postgraduate Medical Journal archives from January 2002

Reducing the stress in medicine: It's time to stress which elements of medicine are responsible.(Editorial)
January 1, 2002... R Persaud There is certainly some good evidence that doctors suffer an increased prevalence of mental health problems compared with the general population, (1-3) the early postgraduate years being possibly the most stressful of all. (4-6)...

Management of gastrointestinal haemorrhage. (Review).
January 1, 2002... A variety of endoscopic hoemostatic techniques have enabled major advances in the management of not only bleeding peptic ulcers and bleeding varices, but also in a variety of bleeding lesions in the small intestine and in the colon. Indeed, the...

New aspects of human trichinellosis: the impact of new Trichinella species. (Review).
January 1, 2002... Trichinellosis is a re-emerging zoonosis and more clinical awareness is needed. In particular, the description of new Trichinella species such as T papuae and T murrelli and the occurrence of human cases caused by T pseudospiralis, until very...

Inflammatory bowel disease in pregnancy. (Review).
January 1, 2002... Concerns about sexual health, fertility, and pregnancy are common in patients with inflammatory bowel disease (IBD). Fertility is usually normal, although may be decreased in women with active Crohn's disease. Women with active IBD (especially...

Acute myocardial infarction in young adults: causes and management. (Review).
January 1, 2002... The case report in this review illustrates an acute myocardial infarction in a young adult probably due to arterial thrombosis that can be attributed to a hypercoagulable state resulting from the nephrotic syndrome. Although rare, acute...

Changing face of adult coeliac disease: Experience of a single university hospital in South Yorkshire. (Original Article).
January 1, 2002... Objective: To determine the incidence and presenting features of adult coeliac disease in a single university hospital in South Yorkshire. Design: A retrospective case finding study. Data were obtained from pathology and immunology...

A review of oesophageal manometry testing in a district general hospital. (Original Article).
January 1, 2002... Although several modalities are available to investigate oesophageal motility disorders, manometry is the gold standard. The procedure is increasingly available in district general hospitals but the clinical utility of this investigation in...

Ability to learn inhaler technique in relation to cognitive scores and tests of praxis in old age. (Original Article).
January 1, 2002... Clinical observations have shown that some older patients ore unable to learn to use a metered dose inhaler (MDI) despite having a normal abbreviated mental test (AMT) score, possibly because of dyspraxia or unrecognised cognitive impairment....

Adenosine provokes diastolic dysfunction in microvascular angina. (Original Article).
January 1, 2002... Adenosine stress echocardiography was performed in nine patients (58 ([+ or -]3) years, eight women) with documented microvascular angina. Global ventricular function was assessed by [Tc.sup.99m] blood pool imaging and Doppler, whereas...

An audit of activity and outcome from a daily and a weekly "one stop" rapid assessment chest pain clinic. (Audit).
January 1, 2002... Objectives: The recent National Service Framework for coronary heart disease advocates the establishment of rapid assessment clinics for chest pain. But how should these clinics be organised and do they fulfil their objectives? The aim of this...

Necrotising fasciitis in a patient receiving infliximab for rheumatoid arthritis. (Case Report).
January 1, 2002... A case of necrotising fasciitis in a patient receiving infliximab, an antitumour necrosis factor alpha (TNF-[alpha]) agent for rheumatoid arthritis, is presented. A widespread confluent, erythematous, pustular skin rash was the presenting sign....

Chronic pericardial constriction linked to the antiparkinsonian dopamine agonist pergolide. (Case Report).
January 1, 2002... Constrictive pericarditis is present when a fibrotic, thickened, and adherent pericardium restricts diastolic filling of the heart. Several drugs can cause pericarditis, which can lead to chronic pericardial constriction. A case of constrictive...

MEN-2A syndrome and pulmonary metastasis. (Case Report).
January 1, 2002... A case of multiple endocrine neoplasia syndrome type-2A (MEN-2A) with primary hyperparathyroidism and medullary carcinoma of thyroid initially treated by surgery is reported. The presence of pulmonary nodules six years after the initial...

The danger of ignoring a migraine. (Migraine).
January 1, 2002... A 31 year old man was referred with prolonged loss of vision after a typical migraine attack. His usual migraine attacks consisted of a left sided headache preceded by nausea and vomiting and a visual aura of coloured and flashing lights in...

Hyperkalaemia in an elderly diabetic patient. (Hyperkalaemia).
January 1, 2002... A 76 year old man was referred to casualty with a non-haemolysed serum potassium of 6.6 mmol/l. He was entirely asymptomatic. He had a past medical history of type II diabetes mellitus with diabetic nephropathy, hypercholesterolaemia, and...

Recurrent orogenital ulcers with papilloedema and headaches. (Occlusive Vasculitis).
January 1, 2002... A 33 year old man with a past history of recurrent orogenital ulcers, generalised arthritis, eye inflammation, and an episode of deep vein thrombosis presented with a three day history of worsening headaches not responding to simple analgesia....

Malaise, weight loss, and respiratory symptoms. (Pulmonary Disease).
January 1, 2002... A 58 year schoolteacher was admitted with a two month history of malaise, weight loss, worsening dyspnoea, and dry cough. There was no improvement after a course of antibiotics. There were no symptoms of arthralgia, wheezing, or fever. The...

Jaundice in primary school pupils. (Jaundice).
January 1, 2002... A previously well 10 year old boy was admitted from school with increasing epigastric pain and vomiting. He had a six day history of feeling generally unwell and feverish with loose motions. On examination he was well, pyrexial at...

Letters.(Letter to the Editor)
January 1, 2002... Culture negative endocarditis: data from the national survey in Slovakia Millar et al in their interesting review discussed culture negative endocarditis. (1) The mainstay of diagnosis of infective endocarditis is still conventional blood...

Correction.(to 'Cor pulmonale: variation on a theme,' in Postgrad Med J 200l;77:665,675-7)(Correction Notice)
January 1, 2002... Cor pulmonale: variation on a theme We regret that an error occurred in the above paper by Jolobe, Schlayer, and Yates (Postgrad Med J 200l;77:665,675-7). The final diagnosis should have read "Cor pulmonale resulting from pulmonary tumour...