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Journal of the Royal College of Physicians of Edinburgh最新文献

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Racing against a stopped clock: Inequitable access to stroke thrombectomy. 与停止的时间赛跑：获得中风血栓切除术的不公平机会。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-09-01 Epub Date: 2025-05-12 DOI: 10.1177/14782715251341065
Charlotte Squires, Aoife Duignan
{"title":"Racing against a stopped clock: Inequitable access to stroke thrombectomy.","authors":"Charlotte Squires, Aoife Duignan","doi":"10.1177/14782715251341065","DOIUrl":"10.1177/14782715251341065","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"230-231"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'White islands in a sea of red' in dengue fever: Recognising a distinct rash pattern. 登革热的“红色海洋中的白色岛屿”：识别一种独特的皮疹模式。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-09-01 Epub Date: 2025-07-18 DOI: 10.1177/14782715251359807
Sonika Garg, Dishika Goyal, Chirantan S Talwar, Vishal Gaurav
{"title":"'White islands in a sea of red' in dengue fever: Recognising a distinct rash pattern.","authors":"Sonika Garg, Dishika Goyal, Chirantan S Talwar, Vishal Gaurav","doi":"10.1177/14782715251359807","DOIUrl":"10.1177/14782715251359807","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"205-206"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Voriconazole-induced photosensitivity and cheilitis. 伏立康唑诱导的光敏性和唇炎。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-09-01 Epub Date: 2025-08-04 DOI: 10.1177/14782715251365359
Mrinal Kanti Das, Krishna Deb Barman, Ananya Sharma
{"title":"Voriconazole-induced photosensitivity and cheilitis.","authors":"Mrinal Kanti Das, Krishna Deb Barman, Ananya Sharma","doi":"10.1177/14782715251365359","DOIUrl":"10.1177/14782715251365359","url":null,"abstract":"<p><p>We present the case of a middle-aged man with orbital and maxillary invasive aspergillosis on treatment with oral voriconazole, who presented with photosensitivity, cracked lips and dark-brown hyperpigmentation of face, upper chest and trunk after 4 months of treatment. Photosensitvity occurs in 10%-20% of patients on treatment with voriconazole, and may even lead to cutaneous malignancies. Patient education about the phototoxic effects of voriconazole is essential at the outset of therapy.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"207-208"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute meningoencephalitis with subdural empyema associated with Acanthamoeba in an immunocompetent individual. 急性脑膜脑炎伴硬膜下脓肿与棘阿米巴在免疫功能正常的个体。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-09-01 Epub Date: 2025-05-19 DOI: 10.1177/14782715251342120
Samik Pramanik, Sugata Dasgupta, Samarendranath Samui, Atanu Chandra, Francis J Kattady, Moloy Makhal
{"title":"Acute meningoencephalitis with subdural empyema associated with <i>Acanthamoeba</i> in an immunocompetent individual.","authors":"Samik Pramanik, Sugata Dasgupta, Samarendranath Samui, Atanu Chandra, Francis J Kattady, Moloy Makhal","doi":"10.1177/14782715251342120","DOIUrl":"10.1177/14782715251342120","url":null,"abstract":"<p><p><i>Acanthamoeba</i>-induced meningoencephalitis is a rare and frequently fatal condition. We describe a case of acute <i>Acanthamoeba</i> meningoencephalitis complicated by subdural empyema in a previously healthy 50-year-old man who presented with high-grade fever, neck stiffness and left-sided hemiparesis. Neuroimaging revealed a subdural collection in the right fronto-temporo-parietal region, while cerebrospinal fluid analysis demonstrated neutrophilic pleocytosis with trophozoites morphologically consistent with <i>Acanthamoeba</i> species. The patient underwent burr-hole evacuation of the subdural collection and was managed with antimicrobial therapy and supportive care. The patient achieved complete recovery and was discharged after 2 weeks. This case underscores the importance of considering <i>Acanthamoeba</i> as a potential etiological agent in meningoencephalitis, even among immunocompetent individuals and highlights the critical role of early diagnosis and timely intervention in improving clinical outcomes.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"184-187"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reframing failure; redefining success. 重塑失败;重新定义成功。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-09-01 Epub Date: 2025-08-21 DOI: 10.1177/14782715251368571
Clare Bostock
{"title":"Reframing failure; redefining success.","authors":"Clare Bostock","doi":"10.1177/14782715251368571","DOIUrl":"10.1177/14782715251368571","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"228-229"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increase in self-presenting patients with ST-elevation myocardial infarction to the emergency department. 自诉st段抬高型心肌梗死患者急诊人数增加
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-06-01 Epub Date: 2025-05-18 DOI: 10.1177/14782715251342287
Ronald Manorekang, Alison Eales, James Thomas, Veeran Subramaniam
{"title":"Increase in self-presenting patients with ST-elevation myocardial infarction to the emergency department.","authors":"Ronald Manorekang, Alison Eales, James Thomas, Veeran Subramaniam","doi":"10.1177/14782715251342287","DOIUrl":"10.1177/14782715251342287","url":null,"abstract":"<p><strong>Background: </strong>We provide data on self-presenting patients with a diagnosis of ST-elevation myocardial infarction (STEMI) from our local hospitals who were transferred to tertiary centres for primary percutaneous coronary intervention (PPCI).</p><p><strong>Methodology: </strong>An audit of self-presenting patients with STEMI who underwent PPCI from 1 April 2020 to 31 March 2023. Time variables and post-PPCI results were scrutinised.</p><p><strong>Results: </strong>A total of 126 patients were reviewed. There was a substantial increase in the number of self-presenting patients from 2020 to 2023 (23, 48 and 55, respectively, each year, <i>p</i> = 0.006). One hundred and one (80%) patients were men and 83 (66%) patients attended during out-of-hours. The median time from patients' registration to having an ECG was 20 min [interquartile range (IQR) 12-38], from ECG to receiving dual anti-platelet was 29 min (IQR 18-52), from a referral made to the regional PPCI centre to when patients left emergency department (ED) was 55 min (IQR 32-79), and total time patients spent in the ED was 126 min (IQR 88-174). One hundred and eleven (88%) patients had PPCI, mostly single vessel and 4 (3%) patients died within 30 days of PPCI.</p><p><strong>Conclusion: </strong>There is an increasing trend in self-presentation with chest pain diagnosed as STEMI, with suboptimal guideline-directed timely management.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"94-97"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Esophagitis dissecans superficialis: Often underdiagnosed entity. 浅表性食管炎：常被误诊。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-06-01 Epub Date: 2025-02-24 DOI: 10.1177/14782715251322854
Fazil Mohammed, Shiran Shetty, Megha Murali, Geetha Vasudevan, Balaji Musunuri
{"title":"Esophagitis dissecans superficialis: Often underdiagnosed entity.","authors":"Fazil Mohammed, Shiran Shetty, Megha Murali, Geetha Vasudevan, Balaji Musunuri","doi":"10.1177/14782715251322854","DOIUrl":"10.1177/14782715251322854","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"110-111"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cauda equina syndrome due to extramedullary hematopoiesis. 髓外造血引起的马尾综合征。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-06-01 Epub Date: 2025-02-10 DOI: 10.1177/14782715251318873
Uddalak Chakraborty, Amlan Kusum Datta, Adreesh Mukherjee, Sudeshna Malakar
{"title":"Cauda equina syndrome due to extramedullary hematopoiesis.","authors":"Uddalak Chakraborty, Amlan Kusum Datta, Adreesh Mukherjee, Sudeshna Malakar","doi":"10.1177/14782715251318873","DOIUrl":"10.1177/14782715251318873","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"106-107"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The skin deep truth: Why pulse oximeters may be misleading. 肤浅的真相：为什么脉搏血氧计可能会误导人。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-06-01 Epub Date: 2025-03-12 DOI: 10.1177/14782715251327240
Sharang Gupta
{"title":"The skin deep truth: Why pulse oximeters may be misleading.","authors":"Sharang Gupta","doi":"10.1177/14782715251327240","DOIUrl":"10.1177/14782715251327240","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"146-147"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using HINTS in acute vestibular syndrome: A practical guide for the acute care physician. 在急性前庭综合征中使用提示：急性护理医师的实用指南。
IF 0.9
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2025-06-01 Epub Date: 2025-03-12 DOI: 10.1177/14782715251325585
Steven Aldridge, Kailash Krishnan
{"title":"Using HINTS in acute vestibular syndrome: A practical guide for the acute care physician.","authors":"Steven Aldridge, Kailash Krishnan","doi":"10.1177/14782715251325585","DOIUrl":"10.1177/14782715251325585","url":null,"abstract":"<p><p>Acute vestibular syndrome (AVS) is a common clinical presentation. Common causes include peripheral, self-limiting labyrinthine disorders, but a significant proportion are caused by posterior circulation stroke (PoCS). Delineating between a peripheral versus central cause in AVS is challenging for acute care physicians, but a simple, three-step bedside test known collectively as the HINTS examination may be useful. Substantial evidence supports the use of the HINTS examination in detection of PoCS in AVS, but it is important that performer is trained and experienced to ensure reliability of the test's results. There is some evidence that video-assisted HINTS examination may help to improve HINTS performance, but further research is needed. This review is a practical guide for acute care physicians in regards to when to perform the HINTS examination, how to interpret its findings, limitations and practical considerations.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"139-145"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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