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Education: Royal College of Physicians
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Total 344 results found since Jan 2013.
Blurring of vision with malaise
We present the case of a 56-year-old female brought to the Emergency Department via routine ambulance transport with complaints of blurred vision and malaise. She was screened by ambulance crew using the facial arm speech time (FAST) tool and a basic top-to-toe assessment as per current routine. The examining practitioner performed a thorough assessment of the patient, revisiting the initial examination findings, and establishing new clinical features of visual field deficit and pan-systolic murmur. The likely diagnosis of septic emboli or stroke with infective endocarditis was identified through the power of rigorous hist...
Source: Journal of the Royal College of Physicians of Edinburgh - April 20, 2021 Category: General Medicine Authors: Mansoor Zafar Ratan Singh Randhawa Barnaby Peacock-Young Reem Eldebri Umesh Dashora Source Type: research
Examining outcomes following thrombolysis in an increasingly older and dependent stroke population.
CONCLUSION: Patients aged ˜80 years and with dependency increasingly receive thrombolysis. Given poorer outcomes thrombolysis trials are needed in pre-stroke dependent patients.
PMID: 33469611 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - January 21, 2021 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Inclusion of medical fitness to drive in medical postgraduate training curricula.
CONCLUSION: There are notable deficits in MFTD training for specialists in Ireland and the UK. Common conditions which can significantly impair MFTD such as stroke, diabetes and alcohol use disorders are severely underrepresented and curricula should be revisited to include relevant training and guidance on MFTD for trainees.
PMID: 32936112 [PubMed - as supplied by publisher]
Source: Journal of the Royal College of Physicians of Edinburgh - September 17, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Winslow pathway collaterals: an unusual arterial network in Takayasu arteritis.
We present a case of a young male with Takayasu arteritis with middle aortic syndrome and Winslow pathway collaterals with lower limb ischaemia, hypertension, coronary occlusion and stroke. The extensive collateral formation was visible as a clinical finding over the abdominal wall. The identification of these collateral pathways is essential in understanding the extent of haemodynamically significant disease and it alerts to the possibility of surgical injury during procedures like laparotomy or harvesting of internal thoracic artery for coronary artery bypass graft.
PMID: 32936107 [PubMed - as supplied by publisher]
Source: Journal of the Royal College of Physicians of Edinburgh - September 17, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Progressive ataxia and cognitive decline in a 67-year-old male: a diagnostic challenge.
We report the case of a 67-year-old male who presented with a six-week history of progressive unsteadiness, cognitive impairment and weight loss, in the context of a recent bereavement. Magnetic resonance imaging (MRI) performed several weeks earlier excluded acute stroke. Examination revealed gross bilateral ataxia, bradyphrenia and physical manifestations of depression. Collateral history suggested rapidly progressing symptoms over three months. Repeat MRI head showed features suggestive of Creutzfeldt-Jakob disease (CJD) including T2 hyperintensities in the basal ganglia. Cerebrospinal ˜fluid (CSF) samples were positiv...
Source: Journal of the Royal College of Physicians of Edinburgh - September 17, 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 - June 18, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Forme fruste anti-GQ1b-negative Miller Fischer syndrome masquerading as posterior circulation stroke.
In this report, a case of MFS is highlighted that was mistakenly treated as posterior circulation stroke, as well as the challenges faced in reaching the correct diagnosis and hence the appropriate treatment.
PMID: 31808458 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - December 7, 2019 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
254 An Audit of the Frequency of Early Swallow Screens Performed in Patients Diagnosed with a Stroke
ConclusionIn summary while our hospital is succeeding in getting the vast majority of diagnosed strokes into our stroke unit we are not currently meeting the UK target for early swallow screening. We aim to roll out an education and training programme targeting nurses and doctors in our stroke unit regarding early swallow screening and re-audit this in 6-12 month ’s time.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research
Embolic stroke with Lambl's excrescence: a rare presentation.
Authors: Inam Y, Salam A, Shahid M
PMID: 31188347 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - June 13, 2019 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Steroid refractory giant cell arteritis with bilateral vertebral artery occlusion and middle cerebellar peduncle infarction.
We describe a 72-year-old male who developed bilateral vertebral artery occlusion and middle cerebellar peduncle infarction secondary to giant cell arteritis in spite of high-dose steroids.
PMID: 31188339 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - June 13, 2019 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Mobile apps: an emerging tool to improve acute stroke care.
Authors: Noone ML, Moideen F
PMID: 30838983 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - March 8, 2019 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Stroke rehabilitation service quality improvement plan - a tale of two towns
Purpose: Oxford Health NHS Foundation Trust (OHFT) committed to a Stroke Quality Improvement (QI) Project to enhance the quality of rehabilitation for patients on the Oxfordshire Stroke Pathway. Following poor performance in the national indicators Sentinel Stroke National Audit Program (SSNAP) and local Key Performance Indicators (KPIs), the Stroke Quality meeting was initiated by the physiotherapy team to review care and develop a multi-professional improvement plan. Aligning service provision with that recommended in the 2016 Royal College of Physicians National Stroke Guidelines required consolidation of two stroke uni...
Source: Physiotherapy - January 1, 2019 Category: Physiotherapy Authors: E. Garratt, S. Bolton Tags: P197 Source Type: research
Successful intravenous thrombolysis of a wake-up stroke with underlying valvular atrial fibrillation.
Authors: Shahedah KK, Khoo CS, Wan Nur Nafisah WY, Ng CF, Noor Ashikin I, Mohd Naim MY, Syazarina Sharis O, Rozman Z, Wan Asyraf WZ
Abstract
A 42-year-old female admitted with new-onset atrial fibrillation had a wake-up stroke on the high-dependency unit and the time last seen well (TLSW) was 6.5 h. She suffered left-sided body weakness and her National Institutes of Health Stroke Scale (NIHSS) score was 17. An emergency CT perfusion showed right M1 segment occlusion with more than 50% penumbra. She was given recombinant tissue plasminogen activator (r-tPA) at 9 h from TLSW. An immediate diagnostic angiogram with...
Source: Journal of the Royal College of Physicians of Edinburgh - September 8, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
The key challenges of discussing end-of-life stroke care with patients and families: a mixed-methods electronic survey of hospital and community healthcare professionals.
CONCLUSION: Key topics of unmet need for education in end-of-life care in stroke have been identified and these have influenced the content of an open access, web-based educational resource.
PMID: 30191909 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - September 8, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Cost-effectiveness of physical fitness training for stroke survivors.
Conclusions Physical fitness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.
PMID: 29741531 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - May 10, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
