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Specialty: Internal Medicine
Source: British Journal of Hospital Medicine

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Total 251 results found since Jan 2013.

Transient unilateral weakness: is it a transient ischaemic attack?
This article highlights the diagnostic challenges in transient ischaemic attack with relevance to unilateral weakness.PMID:36454061 | DOI:10.12968/hmed.2022.0414
Source: British Journal of Hospital Medicine - December 1, 2022 Category: Internal Medicine Authors: Charles C Southey Jonathan Birns Peter Sommerville Ajay Bhalla Source Type: research

An unusual cause of hemiplegia in a 28-year-old woman.
This article reports a case of a 28-year-old woman, who had no obvious underlying risk factor, presenting with ischaemic stroke. Further investigation with cerebral angiography found intracranial carotid stenosis and prominent collateral vessels in keeping with Moyamoya disease. PMID: 24022555 [PubMed - in process]
Source: British Journal of Hospital Medicine - September 1, 2013 Category: Internal Medicine Authors: H Tam H, Amiras D, Patel M, Win Z Tags: Br J Hosp Med (Lond) Source Type: research

Management of atrial fibrillation: when are invasive approaches useful?
Abstract The management of atrial fibrillation extends from stroke prevention to rate or rhythm control strategies. The role of an invasive strategy is expanding and it remains important to identify suitable candidates early in the disease process. PMID: 27487056 [PubMed - as supplied by publisher]
Source: British Journal of Hospital Medicine - August 1, 2016 Category: Internal Medicine Authors: Honarbakhsh S, Finlay M, Earley MJ, Lambiase PD, Schilling RJ, Hunter RJ Tags: Br J Hosp Med (Lond) Source Type: research

Internal carotid artery dissection.
Abstract Internal carotid artery dissection is an important cause of ischaemic stroke in those aged under 50 years. Awareness of the clinical features is crucial as they may offer the opportunity to intervene to reduce strokes occurring or recurring. PMID: 27937023 [PubMed - in process]
Source: British Journal of Hospital Medicine - December 1, 2016 Category: Internal Medicine Authors: Stoker TB, Evans NR, Warburton EA Tags: Br J Hosp Med (Lond) Source Type: research

Reducing delays to administration of prothrombin complex concentrate in patients with vitamin K antagonist-related intracerebral haemorrhage.
Abstract BACKGROUND/AIMS: Four-factor prothrombin complex concentrate is the first-line treatment in vitamin K antagonist-related intracerebral haemorrhage. Early administration is associated with improved patient outcomes. A quality improvement project investigated delays in prothrombin complex concentrate administration in vitamin K antagonist-related intracerebral haemorrhage in order to reduce the time from computed tomography scan confirming intracerebral haemorrhage to prothrombin complex concentrate administration (scan-to-needle time). METHOD: Twenty patients were identified by retrospective audit ove...
Source: British Journal of Hospital Medicine - February 1, 2020 Category: Internal Medicine Authors: Marrinan E, Chen L, Werring D, Turner D 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

Multiple cerebral infarction linked to underlying cancer: a review of Trousseau syndrome-related cerebral infarction
Br J Hosp Med (Lond). 2021 May 2;82(5):1-7. doi: 10.12968/hmed.2020.0696. Epub 2021 May 26.ABSTRACTTrousseau syndrome is a cancer-associated hypercoagulative state leading to venous or arterial thromboembolic events. Cerebral infarction is the most common result of arterial embolism and the pathogenesis is complicated, mainly associated with hypercoagulation and non-bacterial thrombotic endocarditis. On magnetic resonance imaging, multiple lesions are dispersed in more than two territories of the brain, often simultaneously involving the bilateral anterior and posterior circulation. Elevated plasma levels of D-dimer and fi...
Source: British Journal of Hospital Medicine - June 2, 2021 Category: Internal Medicine Authors: Chao Zhen Yabo Wang Haifeng Wang Dongmei Li Xin Wang Source Type: research