Acute-on-chronic liver failure: to admit to intensive care or not?
Abstract Acute-on-chronic liver failure is used to describe an acute decline in liver function in a patient with existing liver disease combined with other organ failure. Acute-on-chronic liver failure is associated with high short-term mortality, and the greater the number and severity of organ failures, the higher the mortality. The most commonly identified precipitants of acute-on-chronic liver failure include bacterial infection, gastrointestinal haemorrhage, viral hepatitis and recent excessive alcohol intake. Since some of these aetiologies are treatable, organ failure may return to pre-decompensation levels...
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Arshad A, Irshad L, Nabavi T, Whitehouse T Tags: Br J Hosp Med (Lond) Source Type: research

Core surgical field camps: a new deanery-based model for enhancing advanced skills in core surgical trainees through simulation.
Abstract Hands-on wet lab simulation training is a vital part of modern surgical training. Since 2010, surgical 'boot camps' have been run by many UK deaneries to teach core surgical trainees basic entry level skills. Training in advanced skills often requires attendance at national fee-paying courses. In the Wessex Deanery, multiple, free of charge, core surgical 'field camps' were developed to provide more advanced level teaching in the particular specialty preference of each core surgical trainee. After the COVID-19 pandemic, national hands-on courses will be challenging to provide and deanery-based advanced sk...
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Room HJ, Ji C, Kohli S, Choh C, Robinson P, Knight J, Dennis S, Wessex Deanery Core Surgery Teaching Group Tags: Br J Hosp Med (Lond) Source Type: research

Lateral neck X-ray provides a diagnostic clue in a child presenting with dyspnoea and stridor.
PMID: 32990070 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Tan YH, Jang JHI, Chan CY, Merchant K, Thomas B Tags: Br J Hosp Med (Lond) Source Type: research

Imaging of the small bowel: a review of current practice.
This article summarises radiological imaging of the small bowel, with an emphasis on Crohn's disease. Different imaging techniques are discussed, including the advantages and disadvantages of each modality, and radiological findings for common small bowel pathologies are described, supplemented with pictorial examples. PMID: 32990071 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Peiris D, Wills M Tags: Br J Hosp Med (Lond) Source Type: research

Should all patients with septic shock have a mean arterial pressure threshold of 65 mmHg?
Abstract Sepsis requiring cardiovascular support is a common reason for critical care admission. The threshold for mean arterial pressure in septic shock has been set at a population-wide threshold of 65 mmHg by a European consensus statement, but should the threshold be higher? PMID: 32990072 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Campbell N, McGuire S, Carle C Tags: Br J Hosp Med (Lond) Source Type: research

Ulnar tunnel syndrome: pathoanatomy, clinical features and management.
Abstract Ulnar tunnel syndrome is compression of the ulnar nerve at the level of the wrist within Guyon's canal. It is most commonly caused by a ganglion cyst but may also be secondary to fractures, inflammatory conditions, neoplasm, vascular anomalies, aberrant musculature or a combination of these. Assessment should include a detailed history focusing on duration, site and progression of symptoms. The level of compression can be estimated clinically on examination by assessing motor and sensory changes in the hand. Investigations are used to confirm diagnosis or to clarify the underlying cause. X-rays and comput...
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Scarborough A, MacFarlane RJ, Mehta N, Smith GD Tags: Br J Hosp Med (Lond) Source Type: research

The place of hydration using intravenous fluid in patients at risk of developing contrast-associated nephropathy.
Abstract There has been a significant rise in the incidence of contrast-associated nephropathy caused by administration of contrast media during cardiac interventions. This is one of the major complications of percutaneous coronary interventions, which may proceed to acute renal failure. Risk factors, including pre-existing renal dysfunction, older age and use of high osmolar contrast media, predispose patients to the development of contrast-associated nephropathy. Different risk-reduction strategies have been used to prevent contrast-associated nephropathy, including use of low osmolar contrast media, N-acetylcys...
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Liu S, Shan XG, Zhang XJ Tags: Br J Hosp Med (Lond) Source Type: research

Spinal clearance and management of spinal cord injury in the trauma patient.
Abstract The British Orthopaedic Association's Standards for Trauma and Orthopaedics outline the essential clinical standards for spinal clearance and management of spinal cord injury in the acute trauma patient. From initial presentation in the hospital setting to long-term rehabilitation, the recommendations for clinical assessment, imaging, treatment priorities and the role of trauma networks are summarised. PMID: 32990075 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Trockels A, Ahluwalia AK, Harris J, Sewell M Tags: Br J Hosp Med (Lond) Source Type: research

Augustus Volney Waller: physiologist who described distal degeneration of severed nerve fibres.
Abstract Most readers will be familiar with the term 'Wallerian degeneration' - the degenerative changes that take place in nerve fibres distal to the site of their division. Few, I would respectfully suggest, would know very much about the discoverer of this phenomenon, Augustus Waller. This year marks the 200th anniversary of his death. PMID: 32990076 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Ellis H Tags: Br J Hosp Med (Lond) Source Type: research

Balancing the pressures: a review of the quality of care provided to children and young people aged 0-24 years who were receiving long-term ventilation.
This article details how and why such reviews are necessary. PMID: 32990077 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Freeth H, Mahoney N, Juniper M, Moses R, Wilkinson K Tags: Br J Hosp Med (Lond) Source Type: research

What you need to know about malnutrition in older adults.
This article discusses the risk factors for the development of malnutrition in older patients and the different nutritional assessment tools available. Management strategies for optimising nutrition can be divided into systems and supplementation. With an ageing population, most doctors will inevitably become increasingly involved with treating older patients and this article highlights the need to consider a patient's nutritional status. Nutrition should be considered during every ward round and the multidisciplinary team as a whole should maintain an awareness and responsibility for managing malnutrition. PMID: 3299...
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Cheah K, Illsley A Tags: Br J Hosp Med (Lond) Source Type: research

Idiopathic digital clubbing.
PMID: 32990079 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Awadallah Z, Dubrey S Tags: Br J Hosp Med (Lond) Source Type: research

An anaesthetic and intensive care perspective on infection control measures for the prevention of airborne transmission of SARS-CoV-2.
Abstract Guidance regarding appropriate use of personal protective equipment in hospitals is in constant flux as research into SARS-COV-2 transmission continues to develop our understanding of the virus. The risk associated with procedures classed as 'aerosol generating' is under constant debate. Current guidance is largely based on pragmatic and cautious logic, as there is little scientific evidence of aerosolization and transmission of respiratory viruses associated with procedures. The physical properties of aerosol particles which may contain viable virus have implications for the safe use of personal protecti...
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: O'Mahony HR, Martin DS Tags: Br J Hosp Med (Lond) Source Type: research

Cerebral venous thrombosis in patients with severe COVID-19 infection in intensive care.
PMID: 32990081 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Keaney K, Mumtaz T Tags: Br J Hosp Med (Lond) Source Type: research

The impact of the COVID-19 pandemic on medical education: a student perspective.
PMID: 32990082 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Duguid J, Duguid L, Bryan J Tags: Br J Hosp Med (Lond) Source Type: research

High-quality end of life care for older people with frailty: helping people to live and die well.
Abstract Guidance from the British Geriatrics Society provides practical advice to support healthcare professionals who are involved in caring for frail, older people in the last phase of life. PMID: 32990083 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Beggs J, Handalage C, Jundi A, Burns E Tags: Br J Hosp Med (Lond) Source Type: research

Massive penile metastasis of bladder cancer.
PMID: 32990084 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Ayyildiz V, Aydin F, Baspinar S, Ogul H Tags: Br J Hosp Med (Lond) Source Type: research

In-transit metastases: the migration of melanoma.
PMID: 32990085 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Pararajasingam A, Goodwin R Tags: Br J Hosp Med (Lond) Source Type: research

When predictive analytics goes wrong: what can healthcare learn from Formula 1?
This article considers the challenges of this technology and how these should be considered, before incorporating this technology into healthcare settings. PMID: 32990086 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Shah SF, Sheridan Z Tags: Br J Hosp Med (Lond) Source Type: research

Transitioning to digital learning: a medical student perspective.
PMID: 32990087 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Thomas B, Britton C Tags: Br J Hosp Med (Lond) Source Type: research

Cardio-oncology for the general physician: 'old' and 'new' cardiovascular toxicities and how to manage them.
Abstract Cardio-oncology is the care of cancer patients with cardiovascular disease. The need for a dedicated subspecialty emerged to address heart failure caused by drugs such as anthracyclines and anti-human epidermal growth factor receptor 2 (HER2) therapies, but over time has expanded into an exciting subspecialty with widening horizons. While still dealing with a lot of commonly recognised toxicities, such as heart failure, hypertension and coronary disease, new and revolutionary cancer therapies have been associated with challenging cardiovascular complications, requiring specialist input to manage effective...
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Mallouppas M, Walker JM, Guha A, Dobson R, Ghosh AK Tags: Br J Hosp Med (Lond) Source Type: research

Neuromyelitis optica spectrum disorder secondary to COVID-19.
PMID: 32990089 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2020 Category: Internal Medicine Authors: Shaw VC, Chander G, Puttanna A Tags: Br J Hosp Med (Lond) Source Type: research

Transient hepatic portal venous gas secondary to emphysematous infectious spondylodiscitis.
PMID: 32845746 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Hung YC, Chang CJ, Fu-Zong W Tags: Br J Hosp Med (Lond) Source Type: research

Gaming disorder: what doctors need to know.
Abstract Playing video games (online or offline) is not a recent phenomenon and for most people it is a leisure activity with no adverse consequences whatsoever. However, for a small minority, gaming has the potential (akin to substance use) to lead on to problematic gaming and gaming disorder. Gaming disorder is a new entry in both the Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Diseases. Given gaming's ever-growing popularity, GPs, psychiatrists and other doctors will be increasingly likely to come across individuals who present with gaming-related problems. Cons...
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: George S, Griffiths MD Tags: Br J Hosp Med (Lond) Source Type: research

Current advances in lymphoedema management.
This article presents an overview of lymphoedema and recent advances in its management. PMID: 32845748 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Wong KY, Furniss D Tags: Br J Hosp Med (Lond) Source Type: research

Improving the quality of hospital care provided to people aged 11-25 years with a mental health condition.
This article summarises the findings and associated recommendations relevant for the general hospital setting. PMID: 32845749 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Freeth H, Wood S, Allsopp M, Wilkinson K Tags: Br J Hosp Med (Lond) Source Type: research

COVID-19 infection in children and adolescents.
Abstract The COVID-19 pandemic has predominantly affected the adult population. The disease is less well-defined in children (≤18 years). This review summarises the current understanding of the epidemiology, clinical manifestations, and management of COVID-19 in children and adolescents. The prevalence of COVID-19 is significantly lower in children than adults, but paediatric disease is likely underdiagnosed as a result of the high numbers of asymptomatic or mild cases. Children are vulnerable to family cluster outbreaks, but are unlikely to be index cases within a household. Vertical transmission or breast mil...
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Naja M, Wedderburn L, Ciurtin C Tags: Br J Hosp Med (Lond) Source Type: research

Discussing deactivation of implantable cardiac defibrillators.
This article discusses the background to deactivation of implantable cardioverter defibrillators and the practical considerations for different circumstances. PMID: 32845751 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Bahl R, Dubrey S Tags: Br J Hosp Med (Lond) Source Type: research

Colorectal cancer bone metastasis compressing the sagittal sinus.
PMID: 32845752 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Bhakta J, Dewdney A Tags: Br J Hosp Med (Lond) Source Type: research

Acute hepatitis C infection with secondary liver injury successfully treated with sofosbuvir/velpatasvir combination.
PMID: 32845753 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Micallef S, Gauci J, Gerada J Tags: Br J Hosp Med (Lond) Source Type: research

Acute stroke showing cerebral infarcts and microbleeds in a 31-year-old man with COVID-19 pneumonia.
PMID: 32845754 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Planinc D, El-Rekaby A, Sivakumar R, Saksena R, Ngeh J Tags: Br J Hosp Med (Lond) Source Type: research

Regional anaesthesia and perioperative medicine.
Abstract The practice of regional anaesthesia has advanced rapidly, with well-defined benefits such as reducing pain, reduced opioid consumption, and improved quality of early recovery. Challenges include extending the benefit beyond the immediate postoperative period, improving access for patients and defining the long-term effects. PMID: 32845755 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Pack E, Saha S Tags: Br J Hosp Med (Lond) Source Type: research

Techniques and approaches for revascularisation of left heart coronary diseases.
Abstract Coronary artery disease and its associated clinical sequelae are a significant medical burden to clinicians and patients. Severe coronary artery disease presenting in the context of acute myocardial ischaemia, or stable plaques causing chronic symptoms despite best conservative and pharmacological intervention, are often amenable to further intervention such as coronary artery bypass grafting. This procedure has been extensively compared to newer and less invasive techniques, such as percutaneous coronary intervention, and other minimally invasive procedures such as robotic or endoscopic techniques. This ...
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Maskell P, Oo S, Muir AD, Fan KS, Harky A Tags: Br J Hosp Med (Lond) Source Type: research

General William Gorgas: outstanding medical administrator.
Abstract This year marks the 100th anniversary of the death of General William Crawford Gorgas, probably the most famous public health administrator, who first achieved fame for his work in dealing with the epidemic of yellow fever in Cuba in the early 20th century. PMID: 32845757 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Ellis H Tags: Br J Hosp Med (Lond) Source Type: research

A rare intranasal ectopic tooth in a child.
PMID: 32845758 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Song NY, Liu Y, He S, Liu F Tags: Br J Hosp Med (Lond) Source Type: research

Why are we seeing an increasing incidence of infective endocarditis in the UK?
Abstract The increasing incidence of infective endocarditis in England is real, and education is critical to ensure swift diagnosis and best clinical outcomes. Factors responsible remain speculative, but multiple explanations are likely. PMID: 32845759 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Dayer MJ, Prendergast BD, Thornhill MH, Baddour LM Tags: Br J Hosp Med (Lond) Source Type: research

Why tackling burnout is important: a student perspective.
PMID: 32845760 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Goralwalla M, Ali N, Younes A, Badar M, Khanom T Tags: Br J Hosp Med (Lond) Source Type: research

Langerhans cell hyperplasia manifesting as skull erosion in the CNS.
PMID: 32845761 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: You H, Xu J, Liu Q Tags: Br J Hosp Med (Lond) Source Type: research

Dismal performance in response to coronavirus: the problem no one wants to discuss - the NHS.
Abstract The UK death toll from COVID-19 is currently the fourth worst in the world behind the USA, Brazil and Mexico. Possible reasons include delays in lockdown, the provision of scientific advice to government and the decisions that government made based on the information they were given. When we review our performance and plan for the next public health crisis, we need to be brave enough to dare to challenge the NHS and its advisors. PMID: 32845762 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Bleetman A Tags: Br J Hosp Med (Lond) Source Type: research

Hip fractures.
This article provides an overview of the presentation, assessment and management of hip fractures for core surgical, acute care common stem and emergency medicine trainees. PMID: 32845763 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Li L, Bennett-Brown K, Morgan C, Dattani R Tags: Br J Hosp Med (Lond) Source Type: research

Improving guideline-mandated care of patients with implantable cardiac defibrillators.
CONCLUSIONS: Focused multidisciplinary interventions can impact favourably on appropriate implantable cardiac defibrillator deactivation and improve patient engagement. PMID: 32845764 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Garner D, Blackburn M, Wright DJ, Rao A Tags: Br J Hosp Med (Lond) Source Type: research

What you need to know about brain abscesses.
Abstract A brain abscess is a focal accumulation of pus in the brain parenchyma arising from direct inoculation, contiguous spread from local anatomical structures or haematogenous seeding from a remote source of infection. It can result in significant morbidity and mortality, making early diagnosis and treatment vital. Only one fifth of patients present with the classic triad of headache, fever and focal neurological symptoms. More commonly patients show signs and symptoms of raised intracranial pressure alone, such as confusion or reduced conscious level, headache, nausea and vomiting, which can be a presentatio...
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: De Andres Crespo M, McKinnon C, Halliday J Tags: Br J Hosp Med (Lond) Source Type: research

The role of the physiotherapist in the management of people with haemophilia: defining the new normal.
Abstract Physiotherapists aim to maximise quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention and rehabilitation. Haemophilia care is witnessing a significant shift towards a new era of potentially life-changing treatments which offer a future of minimal or no bleeds for people with haemophilia. As such, physiotherapy intervention should be more proactive rather than reactive to treat and rehabilitate recurrent bleeding episodes. The role of the physiotherapist within the multidisciplinary team includes the differential diagnosis of musculoskeletal bleeding, s...
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Wells AJ, Stephensen D Tags: Br J Hosp Med (Lond) Source Type: research

Ureteric calculi and abdominal distension.
PMID: 32845768 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - August 1, 2020 Category: Internal Medicine Authors: Haywood S, Somani S, Miller G, Wilkinson C, Khafagy R Tags: Br J Hosp Med (Lond) Source Type: research

Novel treatments for progressive multifocal leukoencephalopathy.
This article reviews research into novel therapies: immune checkpoint-blocking antibodies (nivolumab and pembrolizumab), allogenic BK virus-specific T cell treatment and filgrastim. Results for these therapies in small clinical trials are promising, but further research is required to assess efficacy fully. PMID: 32730143 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - July 1, 2020 Category: Internal Medicine Authors: Bennett KM, Fernandes PM Tags: Br J Hosp Med (Lond) Source Type: research

The impact of the COVID-19 pandemic on medical education.
Abstract The coronavirus pandemic has caused major disruption of systems worldwide, including education and health services. The duration and scale of the impact is yet to be established. The effect of the pandemic on medical education should be managed on the basis of early response, alternative education options and future changes and actions. PMID: 32730144 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - July 1, 2020 Category: Internal Medicine Authors: Samaraee AA Tags: Br J Hosp Med (Lond) Source Type: research

Making workplace wellbeing a priority for the NHS.
This article outlines strategies to improve the NHS as a place of work. PMID: 32730145 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - July 1, 2020 Category: Internal Medicine Authors: Miah R, Ahmed N Tags: Br J Hosp Med (Lond) Source Type: research

Developmental dysplasia of the hip.
Abstract Developmental dysplasia of the hip encompasses a range of hip abnormalities in which the femoral head and acetabulum fail to develop and articulate anatomically. Developmental dysplasia of the hip is a clinically important condition, with a prevalence of 1-2/1000 in unscreened populations and 5-30/1000 in clinically screened populations. The pathology is incongruence between the femoral head and the acetabulum, which can be caused by an abnormally shaped femoral head, acetabulum, or both. This results in a spectrum of different hip abnormalities. The precise aetiology behind developmental dysplasia of the...
Source: British Journal of Hospital Medicine - July 1, 2020 Category: Internal Medicine Authors: Zhang S, Doudoulakis KJ, Khurwal A, Sarraf KM Tags: Br J Hosp Med (Lond) Source Type: research

Persistent opacity on chest X-ray: take a closer look at the ribs.
PMID: 32730147 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - July 1, 2020 Category: Internal Medicine Authors: Cheng ZR, Thomas B, Pugalenthi A, Tan YH, Teoh OH Tags: Br J Hosp Med (Lond) Source Type: research

Eye care in the intensive care unit: intraocular pressure in prone patients with COVID-19.
PMID: 32730148 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - July 1, 2020 Category: Internal Medicine Authors: Deol S, Hanna-Jumma S, Tsaousis KT Tags: Br J Hosp Med (Lond) Source Type: research