4,073 results match your criteria Scottish Medical Journal [Journal]


(Un)safe sex in James Bond films: what chance for sex education?

Scott Med J 2018 Nov;63(4):113-118

2 Ophthalmologist, Department of Ophthalmology, Diakonessenhuis, Utrecht/Zeist, The Netherlands.

Background And Aims: Many women in Bond films make love to James Bond (alias 007). Our objective was to quantify the practice of (un)safe sex in Bond films.

Methods And Results: All 24 Bond films were watched together by the authors and the following data were recorded: if the women had sex with 007, whether the women consumed any alcohol before they had sex, whether contraceptives were mentioned and/or used by 007 or the women and whether the women survived the film. Read More

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http://dx.doi.org/10.1177/0036933018809601DOI Listing
November 2018
8 Reads

Detaining patients in the general hospital - current practice and pitfalls.

Scott Med J 2019 Mar 18:36933019836054. Epub 2019 Mar 18.

3 Consultant Liaison Psychiatrist, Department of Psychological Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.

Aims: Much has been written about the use of the Mental Health Act in psychiatric settings. There is, however, little written on its use to detain patients with mental disorder in general hospitals.

Method And Results: We therefore carried out a survey of the use of the Mental Health Act in general hospital settings in Aberdeen, and also posted a questionnaire to Scottish Liaison Psychiatrists, asking about their experience of the use of the Mental Health Act in general hospitals. Read More

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http://dx.doi.org/10.1177/0036933019836054DOI Listing

Cephalic tetanus presenting with bilateral facial palsy.

Scott Med J 2019 Mar 13:36933019833326. Epub 2019 Mar 13.

2 Staff Grade Neurologist, Department of Neurology, Ipswich Hospital NHS Trust, UK.

We discuss the case and differential diagnoses of an elderly man who presented with bilateral facial palsy. He had injured his forehead in the garden during a fall on his face and the open wound was contaminated by soil. He then presented to the emergency department with facial weakness causing difficulty speaking. Read More

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http://dx.doi.org/10.1177/0036933019833326DOI Listing

Hyperimmunoglobulinemia D syndrome with recurrent perianal abscess successfully treated with canakinumab.

Scott Med J 2019 Mar 12:36933019836405. Epub 2019 Mar 12.

5 Professor, Department of Pediatric Rheumatology, Cukurova University Faculty of Medicine, Turkey.

Hyperimmunoglobulinaemia D syndrome is an autoinflammatory disease usually representing recurrent episodes of fever, arthralgia/arthritis, cervical lymphadenopathy, vomiting, diarrhoea, abdominal pain and skin rashes lasting 3-7 days every 4-8 weeks since their infancy. Recent reports suggested a link between perianal fistulae/abscess and severe colitis with hyperimmunoglobulinaemia D syndrome resembling an inflammatory bowel disease phenotype. Herein, we report an 18-month-old patient with recurrent attacks of fever and pharyngitis lasting 2-3 days every 10-15 days since the first two weeks of life. Read More

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http://dx.doi.org/10.1177/0036933019836405DOI Listing
March 2019
3 Reads

Editorial.

Authors:
John Larkin

Scott Med J 2019 Feb;64(1)

Editor-in-Chief, UK.

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http://dx.doi.org/10.1177/0036933019830890DOI Listing
February 2019

A prospective observational study of the utility of early diagnostic laparoscopy for right lower abdominal pain: a safe and effective diagnostic and therapeutic tool.

Scott Med J 2019 Jan 10:36933016649869. Epub 2019 Jan 10.

6 Consultant General Surgeon, Department of General Surgery, Ninewells Hospital, UK.

Background And Aims: Diagnostic laparoscopy is commonly performed for diagnosis of right lower abdominal pain and its use is increasing in the emergency setting. Some studies have reported that diagnostic laparoscopy and laparoscopic appendicectomy have advantages over conventional surgery. Many emergency surgeons now perform diagnostic laparoscopy for both clinically diagnosed appendicitis and when the diagnosis is in doubt. Read More

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http://journals.sagepub.com/doi/10.1177/0036933016649869
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http://dx.doi.org/10.1177/0036933016649869DOI Listing
January 2019
12 Reads

Routine monitoring of liver function tests in lung cancer resections - a necessary burden?

Scott Med J 2019 Jan 8:36933018823488. Epub 2019 Jan 8.

2 Consultant Thoracic Surgeon, Department of Thoracic Surgery, Golden Jubilee National Hospital, UK.

Background: Increased availability of routine investigations results in significant over-investigation, burdening patients with unnecessary tests as well as increasing cost. We aimed to identify the extent of monitoring of liver function tests in lung resections, and to ascertain whether any impact on clinical decision-making occurred.

Methods: Cases were identified using theatre records coded as "lobectomy/bilobectomy" in the three-month period 20 June 2017 to 20 September 2017. Read More

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http://dx.doi.org/10.1177/0036933018823488DOI Listing
January 2019
1 Read

Self-inflicted bilateral ocular and eyelid injuries in an unsuspected individual.

Scott Med J 2018 Dec 24:36933018819941. Epub 2018 Dec 24.

3 Oculoplastic Consultant, Royal Shrewsbury and Telford NHS Trust, UK.

Background And Aims: This report aims to illustrate a case of self-inflicted ocular and orbital injury, resulting in severe tissue loss and ophthalmoplegia in a patient with no known history of mental illness.

Methods And Results: A 71-year-old male initially presented to the emergency department with significant tissue loss from his left upper and lower lids, orbital tissue loss and complete ophthalmoplegia, after reportedly tripping and falling onto his desk. He subsequently attended the emergency department on two further occasions with similar injuries, affecting the same and contralateral eye, whilst maintaining a traumatic cause for his injuries. Read More

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http://dx.doi.org/10.1177/0036933018819941DOI Listing
December 2018
11 Reads

Recurrent Henoch Schönlein purpura without renal involvement successfully treated with methotrexate.

Scott Med J 2018 Nov 19:36933018809816. Epub 2018 Nov 19.

5 Professor, Department of Pediatric Rheumatology, Cukurova University Faculty of Medicine, Turkey.

Introduction: Henoch Schönlein purpura is characterised by palpable purpura, abdominal pain, arthritis/arthralgia, often with a self-limiting course. Herein, we report a patient with recurrent Henoch Schönlein purpura and severe gastrointestinal involvement, successfully treated with methotrexate.

Case Presentation: A 12-year-old boy was admitted to our department with palpable purpura, abdominal pain and arthralgia. Read More

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http://dx.doi.org/10.1177/0036933018809816DOI Listing
November 2018
13 Reads

Gender differences in the order of appearance of elbow ossification centres.

Scott Med J 2019 Feb 14;64(1):2-9. Epub 2018 Nov 14.

1 Consultant Paediatric Radiologist, Department of Radiology, Royal Hospital for Children, Glasgow, UK.

Background: The predictable order of appearance of elbow secondary ossification centres in children is important in interpreting elbow radiographs, most commonly in the context of trauma. The usual sequence of appearance of these ossification centres is given by the acronym CRITOL, but exceptions have been described and are recognised as normal variants.

Aim: To investigate the extent to which the appearance of the elbow secondary ossification centres follows a predictable sequence, and to establish the incidence of exceptions to the usual CRITOL order. Read More

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http://dx.doi.org/10.1177/0036933018812000DOI Listing
February 2019
1 Read

The speedboat vertebral fracture: a hazard of holiday watersports.

Scott Med J 2018 Nov 14:36933018760226. Epub 2018 Nov 14.

2 Consultant Orthopaedic Surgeon, Department of Trauma and Orthopaedics, Mater Dei Hospital, Malta.

Purpose: The purpose of this study was to describe and characterise spinal fractures sustained by watercraft occupants due to splashdown of light watercraft when riding over uneven water surfaces.

Methods: A retrospective review of all patients presenting with these injuries to St Luke's and Mater Dei state hospitals in Malta over a 10-year period was undertaken to determine patient demographics, the nature of spinal injuries sustained and the incidence of any associated extra-spinal injuries.

Results: Twenty-one patients (mean age 41. Read More

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http://dx.doi.org/10.1177/0036933018760226DOI Listing
November 2018
2 Reads

Treating the troponin: adverse consequences of over-treatment of elevated troponin in non-coronary presentations.

Scott Med J 2019 Feb 14;64(1):10-15. Epub 2018 Nov 14.

5 Consultant Cardiologist, Department of Cardiology, Queen Elizabeth University Hospital Glasgow, UK.

Background And Aims: Anti-platelet and anti-thrombotic therapy are well-established treatments in acute coronary syndromes. Highly sensitive assays have diminished the positive predictive value of troponin in acute coronary syndromes and increased the importance of the clinical assessment in interpreting positive results. This cohort study sought to investigate over-treatment of non-coronary troponin rises and associated adverse outcomes. Read More

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http://dx.doi.org/10.1177/0036933018809754DOI Listing
February 2019
26 Reads

Optic atrophy after cabazitaxel treatment in a patient with castration-resistant prostate cancer: a case report.

Scott Med J 2018 Nov 5:36933018810653. Epub 2018 Nov 5.

2 Medical Doctor, Department of Medical Oncology, Faculty of Medicine, Near East University, Nicosia, Cyprus.

Taxanes are a group of cytotoxic anti-cancer agents used in the treatment of solid tumours. The neurotoxic adverse effects of docetaxel and paclitaxel, including optic neuropathy, are well known. Cabazitaxel is a new generation taxane showing lesser drug resistance when compared with previous ones. Read More

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http://dx.doi.org/10.1177/0036933018810653DOI Listing
November 2018
8 Reads

Incidence of idiopathic intracranial hypertension in Fife.

Scott Med J 2018 Nov 5:36933018809727. Epub 2018 Nov 5.

3 Consultant Ophthalmologist, NHS Fife, UK.

Background And Aims: Idiopathic intracranial hypertension is a clinical syndrome of intracranial hypertension with normal cerebrospinal fluid in the absence of a mass lesion or hydrocephalus on brain imaging. Headache is the most common symptom of idiopathic intracranial hypertension, and about 10-15% of patients suffer from irreversible visual impairment. Previous estimates of the annual incidence of idiopathic intracranial hypertension vary worldwide from 0. Read More

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http://dx.doi.org/10.1177/0036933018809727DOI Listing
November 2018
15 Reads

A pyrrhic valedictory?

Authors:
John Larkin

Scott Med J 2018 Nov 1:36933018811242. Epub 2018 Nov 1.

Editor-in-Chief, UK.

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http://dx.doi.org/10.1177/0036933018811242DOI Listing
November 2018
1 Read

Non-invasive evaluation of a liver mass in a patient post splenectomy.

Scott Med J 2019 Feb 31;64(1):35-39. Epub 2018 Oct 31.

1 Physician, Liver Unit, Rambam Health Care Campus, Israel.

Introduction: Numerous conditions may cause liver lesions, solitary or multiple, benign or malignant. It can be crucial to establish the correct diagnosis. Splenosis is a rare condition that may result from the spillage of cells from the splenic pulp following abdominal trauma, accidental lesions to the spleen during operation or elective splenectomy. Read More

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http://dx.doi.org/10.1177/0036933018801449DOI Listing
February 2019
8 Reads

Dropped gallstones causing abdominal wall abscess and pleural empyema: a case series.

Scott Med J 2018 Oct 29:36933018807653. Epub 2018 Oct 29.

5 Consultant General Surgeon, Department of General Surgery, Forth Valley Royal Hospital, UK.

Introduction: Dropped gallstones are gallstones lost in the abdominal cavity during cholecystectomy. They are a rare occurrence and often cause minimal long-term issues. However, it is recognised that dropped stones can cause intra- or extra-abdominal sepsis. Read More

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http://dx.doi.org/10.1177/0036933018807653DOI Listing
October 2018
5 Reads

Pulmonary embolism, frostbite and high-altitude retinopathy - a combination of life- and sight-threatening vascular complications at high altitude.

Scott Med J 2019 Feb 25;64(1):30-34. Epub 2018 Oct 25.

4 Consultant Eye Surgeon, Cardiff Eye Unit, University Hospital of Wales, UK.

The effects of high altitude on the human vascular system are well described. This case demonstrates an interesting combination of vascular complications at high altitude which were both life- and sight-threatening. In May 2017, during an attempt on Mount Everest, a 58-year-old man was forced to descend from 8000 m because of adverse weather. Read More

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http://journals.sagepub.com/doi/10.1177/0036933018807343
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http://dx.doi.org/10.1177/0036933018807343DOI Listing
February 2019
14 Reads
0.543 Impact Factor

Guess the weight: the accuracy of estimated weight for surgical admissions - a comparison study.

Scott Med J 2018 Oct 18:36933018805657. Epub 2018 Oct 18.

4 Consultant, Department of Surgery, Forth Valley Royal Hospital, Larbert, UK.

Background and aims An accurate body weight is vital for safe dosing of many drugs. Weight is often unavailable for emergency admissions and an estimation is used. Emergency Department staff are poor at estimating patient weight, but no data existed for surgical admissions. Read More

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http://dx.doi.org/10.1177/0036933018805657DOI Listing
October 2018
15 Reads

Surgery, obstetrics and anaesthesia: a Cambrian explosion for global health.

Scott Med J 2019 Feb 18;64(1):22-24. Epub 2018 Oct 18.

1 Paul Farmer Research Fellow (KAV) and Kletjian Professor of Global Surgery (JGM), Program in Global Surgery and Social Change, Harvard Medical School, USA.

Our current global health structure has not yet evolved to do what the world needs of it. Despite significant advances in some areas of public health over the past few decades, disparities in health have worsened in many areas. The historical approach of global health governance to health issues has been overwhelmingly led by vertical, single disease efforts. Read More

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http://dx.doi.org/10.1177/0036933018804125DOI Listing
February 2019
17 Reads
0.543 Impact Factor

Distribution and motor ability of children with cerebral palsy in Scotland: a registry analysis.

Scott Med J 2019 Feb 18;64(1):16-21. Epub 2018 Oct 18.

3 Honorary Senior Lecturer, School of Medicine, University of St Andrews, Scotland.

Background And Aims: Cerebral palsy is the commonest long-term physical disability in children with a prevalence of between 1.77 and 2.11/1000 live births. Read More

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http://dx.doi.org/10.1177/0036933018805897DOI Listing
February 2019
14 Reads

Correlation of imaging and intraoperative findings in Pott's puffy tumour.

Scott Med J 2019 Feb 6;64(1):25-29. Epub 2018 Oct 6.

3 MD, Department of Radiology, Faculty of Medicine, Uludag University, Turkey.

Introduction: Pott's puffy tumour is characterised by frontal bone osteomyelitis accompanied by subperiosteal abscess. It can be further complicated by intracranial extension of the infectious process.

Case Presentation: A 12-year-old boy initially presented with signs and imaging findings of pan-sinusitis. Read More

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http://dx.doi.org/10.1177/0036933018803787DOI Listing
February 2019
1 Read

Behcet's disease and severe inflammatory reaction to 23-valent pneumococcal polysaccharide vaccine: a case report and review of literature.

Scott Med J 2018 Sep 25:36933018801215. Epub 2018 Sep 25.

3 Consultant Rheumatologist, Department of Rheumatology, Inverclyde Royal Hospital, Scotland.

Current European League Against Rheumatism guidelines strongly recommend considering the use of polysaccharide pneumococcal vaccine in all patients with autoimmune inflammatory rheumatic diseases. However, a previously published case series reports of reactions to 23-valent pneumococcal polysaccharide vaccine in patients with Behcet's disease. The purpose of this report is to present a similar case of a systemic adverse reaction in a patient with Behcet's disease to 23-valent pneumococcal polysaccharide vaccine. Read More

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http://dx.doi.org/10.1177/0036933018801215DOI Listing
September 2018
1 Read

A multispecialty study of determining the possibility of pregnancy and the documentation of pregnancy status in surgical patients: a cause for concern?

Scott Med J 2018 Sep 25:36933018801486. Epub 2018 Sep 25.

3 Specialty Registrar, Department of General Surgery, Ninewells Hospital and Medical School, Scotland.

Background Determining the possibility of pregnancy and the documentation of pregnancy status are important considerations in the assessment of females of reproductive age when admitted to hospital. Objectives Our aim was to determine the adequacy of the documentation of pregnancy status and possibility of pregnancy across multiple surgical specialties. Materials and methods A prospective audit of surgical specialties (general, orthopaedics, urology, vascular, maxillofacial, ENT, gynaecology and neurosurgery) within NHS Tayside, in May 2015. Read More

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http://dx.doi.org/10.1177/0036933018801486DOI Listing
September 2018
1 Read
0.543 Impact Factor

Learning from Excellence: the 'Yaytix' programme.

Scott Med J 2018 Sep 15:36933018799605. Epub 2018 Sep 15.

1 Royal Hospital for Sick Children, UK.

Background and aims Learning from error can have a negative impact on the staff involved in the error ('second victim phenomenon'). We created a project, based on the principles of the Learning from Excellence project, to learn from excellence and correct the imbalance of negative to positive feedback in the context of hospital practice. Methods and results Using a questionnaire, we surveyed staff on existing feedback mechanisms and morale. Read More

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http://dx.doi.org/10.1177/0036933018799605DOI Listing
September 2018
6 Reads

Masking and misleading: concomitant actinomycosis and B-cell lymphoma - a case report and review of literature.

Scott Med J 2018 Aug 30:36933018789312. Epub 2018 Aug 30.

2 Consultant Infectious Diseases Physician, Infectious Diseases Unit, Penang General Hospital, Penang, Malaysia.

We report a 72-year-old patient who presented with an ulcerated palatal mass, weight loss and adrenal insufficiency. Repeated biopsies from the mass revealed actinomycosis with no features of malignancy, while computed tomography scanning revealed a left maxillary sinus mass with invasive features and bilateral large adrenal masses. Blood and urine investigations showed adrenal insufficiency. Read More

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http://dx.doi.org/10.1177/0036933018789312DOI Listing
August 2018
7 Reads

Nicorandil-induced penile ulceration - surgical excision: case series and review of literature.

Scott Med J 2018 Aug 30:36933018785513. Epub 2018 Aug 30.

3 Consultant Urologist, Department of Urology, Monklands General District Hospital, UK.

Nicorandil, a nicotinamide ester, is used in the prevention of angina pectoris. There is now a well-established association of perianal ulceration and the use of the drug. However, in the recent years, there have been reports of penile skin, vulval and even vaginal ulcers caused by nicorandil. Read More

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http://dx.doi.org/10.1177/0036933018785513DOI Listing
August 2018
1 Read

Clostridium septicum arthroplasty infection: beware of occult aortitis and malignancy.

Scott Med J 2018 Aug 28:36933018793525. Epub 2018 Aug 28.

3 Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery, Golden Jubilee National Hospital, UK.

Introduction The Clostridia species are responsible for life-threatening conditions such as tetanus, botulism and gas gangrene. Clostridium septicum is a rare cause of clinical infection, accounting for less than 1% of blood culture samples that test positive for Clostridia. However, C. Read More

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http://dx.doi.org/10.1177/0036933018793525DOI Listing
August 2018
28 Reads

Massive heterotopic ossification after distal femur fracture.

Scott Med J 2018 Aug 8;63(3):95-98. Epub 2018 Jul 8.

3 Associate Professor, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Uludag University, Turkey.

Introduction Heterotopic ossification is the formation of lamellar bone in periarticular soft tissue that can be seen in paralysed patients or following trauma. It can cause significant burden to already debilitated patients. Case presentation A 12-year-old boy with paraplegia due to neuromyelitis optica presented with progressive right knee pain and swelling. Read More

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http://dx.doi.org/10.1177/0036933018783941DOI Listing
August 2018
6 Reads

Abstracts for Research and Audit Presentations.

Authors:

Scott Med J 2018 Feb;63(1):35-42

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http://dx.doi.org/10.1177/0036933016686033DOI Listing
February 2018
1 Read

The Royal Medico-Chirurgical Society of Glasgow (RMCSG) abstracts.

Authors:

Scott Med J 2018 02;63(1):43-60

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http://dx.doi.org/10.1177/0036933017727435DOI Listing
February 2018
1 Read

Reducing the use of inappropriate coagulation testing in emergency general surgical patients.

Scott Med J 2018 May 26;63(2):45-50. Epub 2018 Jun 26.

4 Consultant Haematologist, Department of Haematology, Aberdeen Royal Infirmary, Scotland.

Background and aims Indiscriminate coagulation testing in emergency general surgical patients can lead to inappropriate delay in surgery, cause unnecessary concern and is associated with significant cost. The British Committee for Standards in Haematology recommends against coagulation testing to predict peri-operative bleeding risk in unselected patients. Our aim was to assess the appropriateness of coagulation tests performed in emergency general surgical patients and evaluate the effect of a series of educational interventions on clinical practice. Read More

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http://dx.doi.org/10.1177/0036933018760762DOI Listing
May 2018
1 Read

Examining the impact of audience response systems on student performance in anatomy education: a randomised controlled trial.

Scott Med J 2018 Feb 17;63(1):16-21. Epub 2018 Jun 17.

8 Professor of Anatomy, Edinburgh Medical School, Biomedical Sciences (Anatomy) & Centre for Integrative Physiology, College of Medicine and Veterinary Medicine, University of Edinburgh, UK.

Background and aims Electronic audience response systems offer the potential to enhance learning and improve performance. However, objective research investigating the use of audience response systems in undergraduate education has so far produced mixed, inconclusive results. We investigated the impact of audience response systems on short- and long-term test performance, as well as student perceptions of the educational experience, when integrated into undergraduate anatomy teaching. Read More

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http://dx.doi.org/10.1177/0036933017741409DOI Listing
February 2018
14 Reads

Nodular melanoma presenting as an exophytic subungual mass.

Scott Med J 2018 Feb 17;63(1):32-34. Epub 2018 Jun 17.

4 Senior Podiatrist, Lyell McEwin Hospital, South Australia.

Despite being recognised and reported in the literature for decades, subungual melanoma of the foot remains a diagnostic pitfall, with it commonly being mistaken for benign conditions. We present an interesting case of delayed diagnosis of subungual melanoma of the hallux that was misdiagnosed in the community for over one year. With melanoma being the fourth most commonly diagnosed cancer in Australia in 2013, this case serves as a reminder to all clinicians about the importance of maintaining a high index of suspicion for melanoma of the foot. Read More

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http://dx.doi.org/10.1177/0036933018755938DOI Listing
February 2018
1 Read

Non-traditional skills in undergraduate medical education - the development of a teaching programme.

Scott Med J 2018 Aug 27;63(3):80-81. Epub 2018 May 27.

2 Lecturer, School and Computing Science and Digital Media, Robert Gordon University Aberdeen, UK.

As a junior doctor in what is an increasingly struggling healthcare system, I am concerned to see that many of my junior and senior colleagues have opted not to continue onto the next stage of training. Whilst entrepreneurship, leadership and management are now accepted as important skills for doctors to be exposed to, this is clearly not filtering through to medical education at the undergraduate level. We have surveyed final year medical students regarding this and used these results to develop a national teaching programme which aims to provide junior doctors with skills such as management, leadership and enterprise which they would otherwise not be exposed to. Read More

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http://journals.sagepub.com/doi/10.1177/0036933018776837
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http://dx.doi.org/10.1177/0036933018776837DOI Listing
August 2018
4 Reads

Contact tracing for chronic hepatitis B in primary care? A 'snapshot' audit in Grampian, Northeast Scotland.

Scott Med J 2018 Aug 27;63(3):75-79. Epub 2018 May 27.

3 Consultant in Public Health Medicine, Public Health Directorate, NHS Grampian, UK.

Introduction Contact tracing for chronic hepatitis B infection is an important activity for preventing the spread of hepatitis B infection. In the UK, the 'Green Book' recommends that all sexual and household contacts of individuals with chronic hepatitis B should be tested and vaccinated if required. This audit aimed to evaluate contact tracing in primary care. Read More

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http://dx.doi.org/10.1177/0036933018776537DOI Listing
August 2018
2 Reads

Periorbital necrotising soft tissue infection in a 12-year-old patient.

Scott Med J 2018 Aug 27;63(3):87-90. Epub 2018 May 27.

4 Consultant, Oral and Maxillofacial Surgery, Queen Elizabeth University Hospital, UK.

Head and neck necrotising soft-tissue infection is exceptionally uncommon in the paediatric population. necrotising soft-tissue infection is severe and often life-threatening. Rapid spread of infection and systemic illness make necrotising soft-tissue infection a challenge for the medical and surgical teams. Read More

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http://dx.doi.org/10.1177/0036933018776830DOI Listing
August 2018
3 Reads

A rare cause of proximal muscle weakness: immune necrotising myopathy.

Scott Med J 2018 Aug 8;63(3):82-86. Epub 2018 May 8.

4 Associate Professor, Division of Rheumatology, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Turkey.

Background Immune-mediated necrotising myopathies are characterised clinically by the subacute onset of proximal limb weakness, accompanied by elevated creatinine kinase levels. They are distinguished from other myopathies by the absence of prominent infiltration of the muscle with inflammatory cells in the biopsies. Case presentation A 44-year-old man presented with upper extremity weakness and dysphagia. Read More

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http://dx.doi.org/10.1177/0036933018769821DOI Listing
August 2018
10 Reads

Relapsed/refractory thrombotic thrombocytopenic purpura treated with N-acetylcysteine: a case report.

Scott Med J 2018 Nov 8;63(4):122-124. Epub 2018 May 8.

Department of Hematology, Van Yüzüncü Yil University, Turkey.

Thrombotic thrombocytopenic purpura is a rare condition that presents with microangiopathic haemolytic anaemia, thrombocytopaenia, fever, renal impairment and neurological symptoms. Plasma exchange is a lifesaving treatment for this condition. However, some cases may be non-responsive to plasma exchange, or loss of response may occur. Read More

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http://dx.doi.org/10.1177/0036933018775240DOI Listing
November 2018
4 Reads

Current standards for assessing pregnancy status before surgery are subjective and should be replaced with definitive, objective evidence.

Scott Med J 2018 May 7;63(2):60-62. Epub 2018 Mar 7.

3 Consultant Surgeon, Department of General Surgery, Ninewells Hospital, UK.

We report a case of a young woman admitted electively for laparoscopic Nissen fundoplication, and again three days post-operatively as an emergency with profuse vomiting and abdominal pain. She underwent diagnostic laparoscopy, and a small gastric perforation was found at the site of the fundoplication and this was suture-repaired. On both admissions, she was "screened" for pregnancy as per current guidelines. Read More

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http://dx.doi.org/10.1177/0036933018760766DOI Listing
May 2018
6 Reads
0.540 Impact Factor

Unstable angina in the era of high-sensitivity troponin testing: a genuine entity and a cautionary tale.

Scott Med J 2018 May 7;63(2):51-56. Epub 2018 Mar 7.

Consultant Cardiologist, Queen Elizabeth University Hospital, UK.

High-sensitivity cardiac troponin assays have emerged as a powerful tool in the management of patients presenting acutely to hospital with suspected cardiac chest pain. Recent guidelines emphasize the reassurance offered by low troponin concentrations early after admission. We describe a patient with known coronary artery disease, who presented with a classical history of recurrent myocardial ischaemia. Read More

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http://dx.doi.org/10.1177/0036933018760764DOI Listing
May 2018
8 Reads

A prospective observational study of emergency department presentations following novel psychoactive substance use.

Scott Med J 2018 May 7;63(2):39-44. Epub 2018 Mar 7.

Medical Student, University of Edinburgh Medical School, Royal Infirmary of Edinburgh Emergency Department, UK.

Background and aims Novel psychoactive substances are compounds intended to mimic the effects of illicit drugs. They provide a unique challenge to healthcare, as complications of their use and their impact on services are relatively unknown. This study aims to determine nature of presentations, patient demographics and impact on healthcare. Read More

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http://journals.sagepub.com/doi/10.1177/0036933018760761
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http://dx.doi.org/10.1177/0036933018760761DOI Listing
May 2018
30 Reads

A case of an acute cutaneous drug reaction with hydroxychloroquine.

Scott Med J 2018 Aug 7;63(3):91-94. Epub 2018 Mar 7.

2 Consultant Dermatologist, Department of Dermatology, Queen Elizabeth University Hospital, UK.

Hydroxychloroquine is considered a relatively benign drug and is regularly used by rheumatologists and dermatologists. We highlight the severe adverse drug reaction potential of this commonly prescribed medication. We report the case of a 63-year-old male, who presented with widespread skin eruption following initiation of hydroxychloroquine two weeks earlier for an inflammatory arthritis. Read More

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http://dx.doi.org/10.1177/0036933018763277DOI Listing
August 2018
5 Reads

Strangulation of giant rectal prolapse.

Scott Med J 2018 May 7;63(2):57-59. Epub 2018 Mar 7.

Surgeon, Department of General Surgery, Etterbeek-Ixelles Hospital, Belgium.

Introduction Rectal prolapse is the complete protrusion of the rectum through the anal canal, incarceration rarely complicates rectal prolapse. Even more rarely, it becomes strangulated and gangrenous, necessitating emergency surgery. Case presentation We present the first reported case of strangulated acute rectal prolapse as the first manifestation of rectal prolapse. Read More

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http://dx.doi.org/10.1177/0036933018764035DOI Listing
May 2018
10 Reads

Adult-onset Still's disease with prominent polyserositis.

Scott Med J 2018 May 5;63(2):63-66. Epub 2018 Mar 5.

2 Consultant Rheumatologist, The Royal Bournemouth & Christchurch Hospitals, UK.

Adult-onset Still's disease is a systemic autoinflammatory disease the presentation of which can often mimic infection. As a consequence, there is often a delay in diagnosis. Serositis is a recognised but less common clinical feature that can result in complications including cardiac tamponade and constrictive pericarditis. Read More

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http://dx.doi.org/10.1177/0036933018760763DOI Listing
May 2018
6 Reads

Cognitive impairment in older patients undergoing colorectal surgery.

Scott Med J 2018 Feb 22;63(1):11-15. Epub 2018 Feb 22.

2 North Bristol NHS Trust, Bristol, UK.

Background With increasing numbers of older people being referred for elective colorectal surgery, cognitive impairment is likely to be present and affect many aspects of the surgical pathway. This study is aimed to determine the prevalence of cognitive impairment and assess it against surgical outcomes. Methods The Montreal Cognitive Assessment (MoCA) was carried out in patients aged more than 65 years. Read More

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http://dx.doi.org/10.1177/0036933017750988DOI Listing
February 2018
4 Reads

Retraction notice.

Authors:

Scott Med J 2018 05 30;63(2):38. Epub 2018 Jan 30.

At the request of the Journal Editor and the Publisher, the following article has been retracted. Sajid M.S. Read More

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http://dx.doi.org/10.1177/0036933018757304DOI Listing
May 2018
2 Reads

Purple urine bag syndrome: a truly harmless sign?

Scott Med J 2018 Aug 25;63(3):99-101. Epub 2018 Jan 25.

3 Urology Consultant, Monklands General Hospital, UK.

Purple urine bag syndrome is an uncommon condition that describes the purple discolouration of a catheter bag and tubing. It mainly affects patients with limited mobility who have long-term catheters. Although benign in nature per se, its presence can alarm both patient and practitioner unfamiliar with the syndrome. Read More

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http://dx.doi.org/10.1177/0036933017743128DOI Listing
August 2018
2 Reads

An unexpected image on a chest radiograph.

Scott Med J 2017 Nov 14;62(4):156-158. Epub 2017 Mar 14.

3 Cardiovascular surgeon, Assistant professor, Department of Cardiovascular Surgery, Faculty of Medicine, Karadeniz Technical University, Turkey.

Introduction Central venous catheterisation is an essential component of patient care in hospital. A forgotten complete guide-wire is a rare complication, although the reported incidence has increased rapidly over the last decade. Case report We report a 72-year-old man with a complete guide-wire inadvertently overlooked during catheter insertion. Read More

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http://dx.doi.org/10.1177/0036933017699505DOI Listing
November 2017
7 Reads