A rare case of mullerianosis of the liver and lung mimicking metastatic biliary cystadenocarcinoma
We report a mullerianosis involving the liver and lung in a 41-year-old female that mimicked metastatic biliary cystadenocarcinoma. It is the first case reported in literature where there is simultaneous involvement of the liver and lung by mullerianosis. The diagnosis was made with the help of histopathology and immunohistochemistry in the resected specimens.PMID:38660757 | DOI:10.1177/14782715241247244 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 25, 2024 Category: General Medicine Authors: Charles Panackel Joe Francis Mathew Nita John Mathew Jacob Source Type: research

On board against bias
J R Coll Physicians Edinb. 2024 Apr 19:14782715241248484. doi: 10.1177/14782715241248484. Online ahead of print.NO ABSTRACTPMID:38641863 | DOI:10.1177/14782715241248484 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 20, 2024 Category: General Medicine Authors: Clare Bostock Source Type: research

High-flow carotid cavernous fistula and 'white eye': A rare and easily misdiagnosed presentation - A case report and literature review
J R Coll Physicians Edinb. 2024 Apr 18:14782715241246572. doi: 10.1177/14782715241246572. Online ahead of print.ABSTRACTThe three classic symptoms of carotid cavernous fistula (CCF) are pulsating exophthalmos, bruit and conjunctival chemosis. Here, we present a clinical case of isolated abducens nerve palsy due to a high-flow CCF in an 84-year-old woman, without the typical congestive orbito-ocular features. It was a diagnostic challenge because, for patients older than 50 years with cardiovascular risk factors, ischaemic mononeuropathy is the most frequent aetiology. This case illustrates the least common type of CCF that...
Source: Journal of the Royal College of Physicians of Edinburgh - April 18, 2024 Category: General Medicine Authors: Francisco Caiza-Zambrano Mart ín Gómez Lastra Silvia Garbugino Fabio Maximiliano Gonzalez Julio Galarza Menoscal Mauricio Benetti Yemina Neme Segura Luis Ariel Miquelini Claudia Uribe-Roca Manuel Fern ández-Pardal Luciana Le ón-Cejas Ricardo Reisin Pa Source Type: research

Informed consent in clinical practice: Old problems, new challenges
J R Coll Physicians Edinb. 2024 Apr 14:14782715241247087. doi: 10.1177/14782715241247087. Online ahead of print.ABSTRACTInformed consent is a fundamental tenet of patient-centred clinical practice as it upholds the ethical principle of patient autonomy and promotes shared decision-making. In the medicolegal realm, failure to meet the accepted standards of consent can be considered as medical negligence which has both legal and professional implications. In general, valid consent requires three core components: (1) the presence of mental capacity - characterised by the patient's ability to comprehend, retain information, we...
Source: Journal of the Royal College of Physicians of Edinburgh - April 14, 2024 Category: General Medicine Authors: Isaac Ks Ng Source Type: research

Remote and Rural Remedies exhibition
J R Coll Physicians Edinb. 2024 Mar;54(1):113. doi: 10.1177/14782715241242191.NO ABSTRACTPMID:38606804 | DOI:10.1177/14782715241242191 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 12, 2024 Category: General Medicine Source Type: research

Prolonged arthralgias in Whipple's disease - A common but often overlooked symptom of a rare disease
We report the case of a middle-aged man admitted for etiologic investigation of prolonged, migrating, and inflammatory arthralgias and subsequent development of gastrointestinal symptoms. Despite its reputation as a great mimicker of many different illnesses, the difficulty in diagnosis probably lies with its rarity rather than its masking.PMID:38606805 | DOI:10.1177/14782715241237283 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 12, 2024 Category: General Medicine Authors: Bernardo Tourais Canh ão Andr é Trigo Joana In ês Madeira Ad élia Simão Jo ão Madaleno Source Type: research

Features in this issue
J R Coll Physicians Edinb. 2024 Mar;54(1):3. doi: 10.1177/14782715241244583.NO ABSTRACTPMID:38606806 | DOI:10.1177/14782715241244583 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 12, 2024 Category: General Medicine Authors: Graeme P Currie Source Type: research

Remote and Rural Remedies exhibition
J R Coll Physicians Edinb. 2024 Mar;54(1):113. doi: 10.1177/14782715241242191.NO ABSTRACTPMID:38606804 | DOI:10.1177/14782715241242191 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 12, 2024 Category: General Medicine Source Type: research

Prolonged arthralgias in Whipple's disease - A common but often overlooked symptom of a rare disease
We report the case of a middle-aged man admitted for etiologic investigation of prolonged, migrating, and inflammatory arthralgias and subsequent development of gastrointestinal symptoms. Despite its reputation as a great mimicker of many different illnesses, the difficulty in diagnosis probably lies with its rarity rather than its masking.PMID:38606805 | DOI:10.1177/14782715241237283 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 12, 2024 Category: General Medicine Authors: Bernardo Tourais Canh ão Andr é Trigo Joana In ês Madeira Ad élia Simão Jo ão Madaleno Source Type: research

Features in this issue
J R Coll Physicians Edinb. 2024 Mar;54(1):3. doi: 10.1177/14782715241244583.NO ABSTRACTPMID:38606806 | DOI:10.1177/14782715241244583 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 12, 2024 Category: General Medicine Authors: Graeme P Currie Source Type: research

Remote and Rural Remedies exhibition
J R Coll Physicians Edinb. 2024 Mar;54(1):113. doi: 10.1177/14782715241242191.NO ABSTRACTPMID:38606804 | DOI:10.1177/14782715241242191 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - April 12, 2024 Category: General Medicine Source Type: research