Supporting our Fellows and Members through COVID-19.
Authors: Pound S, Bhandari S, Maguire C, Elder A PMID: 32568273 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Hydroxychloroquine and coronavirus disease 2019.
Authors: Mukhtyar C PMID: 32568274 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Compassion, resilience and COVID-19.
Authors: Gillies A PMID: 32568275 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

COVID-19: An initial view from the Scottish critical care frontline.
Authors: Fleming G, McNeill G PMID: 32568276 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

SARS-CoV-2 pandemic in the western world: the lessons learned.
Authors: Castelli F PMID: 32568277 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Publication models in scientific publishing: to open or not?
Authors: Misra DP, Ravindran V PMID: 32568278 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Is the Medicines and Healthcare products Regulator Agency (MHRA) guidance on sodium valproate acceptable to women of childbearing age?
CONCLUSION: Our study suggests that patients and carers do not wish to stop valproate or engage in PPP despite being made aware of MHRA guidance. PMID: 32568279 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Epidemiological, clinical and laboratory features of leptospirosis compared to other acute febrile illnesses.
CONCLUSION: Our study suggests that certain epidemiological, clinical and laboratory features in patients with leptospirosis may allow an early diagnosis. Our study also underscores the usefulness of confirming the leptospiral serology by enzyme-linked immunosorbent assay (ELISA) in combination with relevant epidemiological and clinical features in diagnosing leptospirosis using the modified Faine's criteria. PMID: 32568280 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Changing paradigms in the management of gout.
Authors: Nuki G, Riches P Abstract The incidence and prevalence of gout have increased, as have comorbid obesity, diabetes mellitus, hypertension, chronic kidney and cardiovascular disease. Gout is now the commonest type of inflammatory arthritis despite availability of safe, effective and potentially 'curative' urate-lowering drugs. Modern imaging studies show that gout is a chronic inflammatory crystal deposition disorder even at the first acute attack and they illuminate the need to eliminate urate crystals by continuing reduction of the serum urate below its solubility threshold. Clinical outcomes, adherence to...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Emerging pharmacotherapy for COVID-19.
Authors: Lipworth B, Kuo CR, Chan R Abstract Broadly speaking, pharmacological treatments for COVID-19 can be divided into those acting on upstream pathways early on in the disease process via suppression of viral replication or by inhibiting cell entry, and those acting on downstream pathways later on via selective attenuation of the adaptive immune cytokine-mediated inflammatory response. The antiviral drug remdesivir has been shown to shorten duration of disease while interferon beta-1b may speed up viral clearance. The results with hydroxychloroquine have thus far been rather disappointing. Trials with selectiv...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Talaromyces (Penicillium) species infection in the central nervous system.
Authors: Chuah CH, Ong YC, Kong BH, Woo YY, Wong PS, Leong KN, Chow TS Abstract Talaromycosis typically occurs as an opportunistic infection among immunocompromised individuals. Infection caused by species other than T. marneffei is uncommon. While most reported cases describe infection in the lungs, we report an extremely rare intracranial Talaromyces species infection. This 61-year-old with end-stage renal disease who was unwell for the previous two months, presented with fever and worsening confusion lasting for three days. Lumbar puncture was suggestive of meningitis. Cerebrospinal fluid (CSF) culture was later...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Primary Ewing sarcoma of the lung: a challenging case.
We report the case of a 33-year old man with primary Ewing sarcoma of the lung diagnosed upon postsurgical histological examination. Initially presenting with unilateral pleural effusion, our patient underwent various investigations before final diagnosis. This case report reviews the available literature of similarly reported cases and discusses the current developments on managing this rare and aggressive disease. As a supplementary learning point, this case reminds us always to consider unusual possibilities and seek further sub-specialist opinion when presented with unresolved clinical and radiological abnormalities th...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Microangiopathic haemolytic anaemia and thrombocytopenia due to combined vitamin B12 and folate deficiency masquerading as thrombotic thrombocytopenic purpura.
We present a case of a 47-year-old male with a history of diffuse large B-cell lymphoma (DLBCL) who was admitted for fatigue, persistent frontal headache and left upper-quadrant abdominal pain. Further investigation showed that he had pancytopenia with microangiopathic haemolytic anaemia (MAHA) and intracranial bleeding (ICB). Serum vitamin B12 and folate were later found to be low and a diagnosis of combined vitamin B12 and folate deficiency mimicking thrombotic thrombocytopenic purpura (TTP) was made. The patient responded well to vitamin B12 and folate replacement. PMID: 32568285 [PubMed - in process] (Source: Journ...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Diabetic myonecrosis: an unusual mimicker of idiopathic inflammatory myositis.
We report a case of a 59-year-old male, who had diabetes for ten years. He presented with bilateral thigh pain of insidious onset for three months and difficulty in walking, with a similar episode in his right thigh in 2015. Creatine phosphokinase (CPK) was one and half times the normal upper limit. Magnetic resonance imaging (MRI) of his thighs showed symmetrical bulky muscles with hyperintensities on T2-weighted and short tau inversion recovery (STIR) images, supporting a clinical diagnosis of idiopathic inflammatory myositis (IIM). However, a review of histopathology slides of a muscle biopsy from the right vastus later...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Disseminated bacillus Calmette-Gu érin (BCG): a cause of delirium in an older adult.
We report a case of disseminated BCG in an older patient for whom early involvement of his family was pertinent to determining the precipitant for delirium. PMID: 32568287 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Immunoglobulin A vasculitis presenting as terminal ileitis in late adulthood.
Authors: Thomas JP, Htet Z Abstract Adult-onset immunoglobulin (IgA) vasculitis presenting as terminal ileitis is a rare clinical encounter which can mimic inflammatory bowel disease or infectious gastroenteritis. A high index of clinical suspicion is required to reach the correct diagnosis and to implement the appropriate management plans. Herein, we report a case of an elderly female presenting with a short history of abdominal pain, vomiting, bloody diarrhoea, fatigue and reduced appetite. Based on the blood tests and imaging, she was initially managed as having an infective or inflammatory bowel condition. Subs...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Have we found the panacea to COVID-19 with remdesivir, an old but newly packaged drug?
Authors: Thalha AMM, Lee YY, Besari A, Omar SFS PMID: 32568289 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Sister Mary Joseph's nodule.
Authors: Grech A, Abela R PMID: 32568290 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

The silver lining: pleural calcification in an end-stage renal disease patient with tertiary hyperparathyroidism.
Authors: Chiew KS, Cheng YF PMID: 32568291 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Left ventricular diverticulum: incidental ÿ nding of a rare congenital cardiac abnormality.
Left ventricular diverticulum: incidental ÿ nding of a rare congenital cardiac abnormality. J R Coll Physicians Edinb. 2020 Jun;50(2):166-167 Authors: Subburaman B, Martins J, Shahid M PMID: 32568292 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Tuberculosis of the axial skeleton mimicking malignancy.
We present a young Indian female who had bony lesions involving multiple cancellous bones, without constitutional features. Extensive search for a neoplastic cause revealed negative results. Histopathological examination of the involved tissue revealed diagnosis of tuberculosis, which was not suspected. The patient improved remarkably with antitubercular therapy. Tuberculosis of the spine commonly presents with destructive spondylitis (Pott's spine), leading to spinal deformity. Multifocal involvement of the skeleton is an atypical presentation of musculoskeletal tuberculosis. This case highlights the fact that tuberculosi...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

The optic fundus of secondary polycythaemia.
Authors: Kumanan T, Malaravan M PMID: 32568294 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Physical activity and moving more for health.
Authors: Crooke R, Haseler C, Haseler T, Collins J, Crockett A Abstract Non-communicable diseases are a leading cause of death and levels are rising. Lifestyle changes, including physical activity, have benefits in all-cause mortality, cardiovascular and metabolic disease, respiratory conditions and cognitive and mental health. In some cancers, particularly colon, prostate and breast, physical activity improves quality of life and outcomes before, during and after treatment. Sedentary time is an independent risk factor with adverse effects in hospitalised patients. Mechanisms include anti-inflammatory effects and a...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Improving intravenous fluid prescribing.
This article reviews the need for such guidance and discusses how the Scottish National IV Fluid Improvement Programme hopes to achieve its aims across Scotland. This may provide an improvement framework for fluid prescribing in other regions. PMID: 32568296 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

John Goodsir and local opposition to Rudolf Virchow's election to Fellowship of the Royal Society of Edinburgh in 1868.
We describe the background and outcome of this dispute. PMID: 32568297 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Hydrology, rheumatology, and rehabilitation: the campaigning of Fortescue Fox.
Authors: Fox RM Abstract Soon after qualification, Fortescue Fox (1858-1940) began practice in a Scottish spa where he acquired a lifelong interest in chronic disorders, especially arthritis. He worked to improve the status of spa medicine, recasting it as medical hydrology. At the start of the First World War, his interests turned to the handling of war casualties and a seminal work on physical treatment and rehabilitation was published in 1916. He set up a physical treatment clinic for damaged soldiers and co-founded a residential community where such treatment could be coupled with paid work in rural crafts. Aft...
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

RCPE Symposium: Remote and Rural medicine.
Authors: MacLeod J, McDowall C PMID: 32568299 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Have we improved in diagnosing hip fractures?
Authors: Goel A, Adhiyaman V, Chattopadhyay I PMID: 32568300 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Ictal asystole - a letter within a letter.
Authors: Mbizvo GK, Derry C, Davenport R PMID: 32568301 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

'Compassion' - an overused and out-of-context term in healthcare.
Authors: Sivakumar C, Kumar NA, Merrett A, Bhandari S PMID: 32568302 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

COVID-19 and Rapid Research Translation: universal masking as a case study.
Authors: Sunjaya AP PMID: 32568303 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

COVID-19 epidemic: cocoon the elderly and the vulnerable.
Authors: Seshadri MS, John TJ PMID: 32568304 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Falling usage of hospital-based emergency care during the COVID-19 pandemic in the UK.
Authors: Bodington R, Bhandari S PMID: 32568305 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Challenges to scientific publishing in times of COVID-19.
Authors: Goyal M PMID: 32568306 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

A few points about indwelling pleural catheters.
Authors: Aujayeb A, Jackson K PMID: 32568307 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Author's reply.
Authors: Chetty M, Currie GP PMID: 32568308 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 24, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Publication misconducts related to copyright: tread carefully to avoid falling.
Authors: Misra DP, Ravindran V PMID: 32539026 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Intrapleural catheters: changing the paradigm of malignant pleural effusion management
Authors: Currie GP, Chetty M PMID: 32539027 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Drug-induced rheumatic syndromes: the need to be aware.
Authors: Sahoo RR, Agarwal V, Wakhlu A PMID: 32539028 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Acute respiratory distress syndrome in the tropics: there is much to learn!
Authors: Mohan A, Pradeep V PMID: 32539029 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Aetiology and short-term outcome of acute respiratory distress syndrome: a real-world experience from a medical intensive care unit in southern India.
CONCLUSION: The aetiology of ARDS in tropical medical setting is infection related. ARDS due to scrub typhus appeared to be mild with good outcome. PMID: 32539030 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Long-term outcomes of patients investigated for suspected upper extremities deep venous thrombosis irrespective of imaging results.
Authors: Ang DTY, Haseler TWL, Kosar S, McCullough KL, Jemade C, Gallacher C, Murchison JT, Lockman KA Abstract BACKGROUND: Outcome data are limited for upper extremity deep venous thrombosis (UEDVT). The outcomes of patients investigated for, but without UEDVT remain uncertain. METHODS: Retrospective analysis of clinical records of adult patients undergoing Doppler ultrasound for potential UEDVT between 1 January 2007 and 31 December 2014 was undertaken. Primary outcome was all-cause mortality. Secondary outcomes were new cancer diagnosis and thromboembolic recurrence. RESULTS: The final cohort (n = 528) c...
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Thrombotic microangiopathy with renal injury: an approach for the general physician
Authors: Htet Z, Karim M Abstract Thrombotic microangiopathy with renal dysfunction is a haematological and renal emergency warranting urgent diagnosis and intervention. As the potential underlying causes may be complex, assessment and management can be challenging for treating clinicians, and a timely and collaborative approach between general physicians, haematologists and nephrologists may be extremely helpful in order to optimise clinical outcomes. This paper will aim to build an understanding of different potential presentations of thrombotic microangiopathies and provide a practical framework for diagnosis an...
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Scleroedema of Buschke in conjunction with ovarian carcinoma: rare association of a rare disease.
We report a case of a 56-year-old female with rapidly progressing skin thickening of limbs, face and trunk for 1 year and abdominal distension for 3 months. Patient had thickened skin, mask-like facies and ascites on examination. Atypical cells were seen in ascitic fluid. Contrast-enhanced computerised axial tomography scan of abdomen was suggestive of ovarian malignancy. Markers for autoimmune disorders were negative. CA 125 was elevated. Other causes of sclerodermiform-like syndrome were ruled out. Histopathology of skin biopsy was definitive of scleroedema. Diagnosis of scleroedema associated with ovarian malignancy was...
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

A rare cause of tumour lysis syndrome and acute kidney injury.
Authors: Ali A, Al-Janabi RD Abstract Tumour lysis syndrome is rare in solid malignancies. Here, we report a case of tumour lysis syndrome and acute kidney injury in a 23-year-old female with gestational trophoblastic neoplasia. Hydration and early dialysis therapy were started with good recovery. On follow up she progressed to chronic kidney disease. After 6 years of follow up, the patient conceived and delivered successfully. PMID: 32539034 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Indolent varicella encephalitis with vasculopathy in an immunocompromised patient.
Authors: Maramattom BV Abstract A 68-year-old female with B-cell non-Hodgkin's lymphoma presented to us with sequential blindness followed by hemiparesis. Four months earlier, the patient had developed chicken pox that was treated with intravenous acyclovir. An MRI brain showed multiple cerebral infarcts and beaded appearance of her intracranial vasculature. PET-CT showed hypermetabolism in the right frontal lobe and pons suggestive of encephalitis. Cerebral spinal fluid examination showed 15 cells and varicella zoster vasculopathy (VZVV) polymerase chain reaction was positive. A final diagnosis of indolent VZVV va...
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Bilateral subretinal abscess in community-acquired meticillin-susceptible Staphylococcus aureus infection.
We present here a case of probable Panton-Valentine leucocidin (PVL) syndrome. PVL is a cytotoxin produced by S. aureus. Infection with PVL-positive S. aureus produces a clinical disease that is characterised by necrotising pneumonia and disseminated infection that often carries a high mortality. Our patient showed prompt clinical response to cloxacillin that was given for a total duration of 6 weeks. At the end of 6 weeks vision also recovered. The successful outcome in our patient was likely due to early and appropriate antibiotic therapy. PMID: 32539036 [PubMed - in process] (Source: Journal of the Royal College of ...
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

A case of a 'rude' but not to be missed manifestation of epilepsy: ictal swearing.
Authors: Khoo CS, Park KM, Lee D, Lee BI, Kim SE Abstract Swearing is described in various neurological conditions such as Tourette syndrome, Lesch-Nyhan syndrome and post stroke or encephalitis. However, swearing as an ictal manifestation or automatism has rarely been reported. We herein describe a case with swearing as a predominant manifestation in focal epilepsy. PMID: 32539037 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Old drug, new trick: colchicine for cardiovascular diseases.
Authors: Dudam R, Dekate P PMID: 32539038 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Management of refractory heartburn: are we convinced that surgery is better than medical treatment?
Authors: Jalil MABM, Wong Z, Ali RAR, Lee YY PMID: 32539039 [PubMed - in process] (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research