R Sriman Narayan Reddy, Balaji Musunuri, Shiran Shetty
{"title":"Colonic pseudo-obstruction with bowel preparation for colonoscopy: A rare complication.","authors":"R Sriman Narayan Reddy, Balaji Musunuri, Shiran Shetty","doi":"10.1177/14782715251334692","DOIUrl":"10.1177/14782715251334692","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"112-113"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052865","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}
{"title":"Which digital application do healthcare professionals use for communication within the National Health Service?","authors":"Krishna Kannan, Harsh Goswami, Indrajit Chattopadhyay, Vedamurthy Adhiyaman","doi":"10.1177/14782715251342123","DOIUrl":"10.1177/14782715251342123","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"154-155"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086867","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}
Jennifer Murray, Amirhosein Kefayat, Mhairi Finlayson, John Paul Seenan, Ronald Hsu, Shahida Din
{"title":"RCPE in association with the American College of Gastroenterology and the Scottish Society of Gastroenterology - Gastroenterology: A global perspective.","authors":"Jennifer Murray, Amirhosein Kefayat, Mhairi Finlayson, John Paul Seenan, Ronald Hsu, Shahida Din","doi":"10.1177/14782715251332318","DOIUrl":"10.1177/14782715251332318","url":null,"abstract":"<p><p>On 6 November 2024, the Royal College of Physicians of Edinburgh (RCPE) hosted its annual gastroenterology symposium, marking the first collaboration with the American College of Gastroenterology (ACG) and the Scottish Society of Gastroenterology (SSG). The event addressed key global challenges in gastroenterology, including obesity, liver disease, inflammatory bowel disease (IBD), the gut microbiome, endoscopy quality and artificial intelligence (AI) applications. Discussions emphasised the growing burden of metabolic dysfunction-associated steatotic liver disease (MASLD), with promising pharmacologic and endoscopic interventions emerging. Advances in microbiome-targeted therapies, including faecal microbiota transplantation (FMT), were explored for recurrent Clostridium difficile infection and IBD. Professor David Rubin delivered the esteemed Sir Stanley Davidson lecture, highlighting the era of disease modification in IBD, emphasising early intervention and personalised treatment strategies. The symposium also addressed the role of AI in improving endoscopic detection rates and optimising resource allocation. This international collaboration underscored the importance of a multidisciplinary approach to tackling global digestive diseases, integrating clinical innovation, policy interventions and technological advancements. The event fostered knowledge exchange among global experts, aiming to advance patient care and improve long-term outcomes in gastroenterology.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"132-138"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988957","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}
{"title":"RCPE Advance.","authors":"","doi":"10.1177/14782715251343153","DOIUrl":"10.1177/14782715251343153","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"165"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136451","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}
Malo Scullion, Simon As Beggs, Robert Sykes, Pieter Neef, Fiona Thorburn, Sarah Whitehead, Veronica Baston
{"title":"Myopericarditis due to <i>Capnocytophaga canimorsus</i> infection after a dog bite: A case report.","authors":"Malo Scullion, Simon As Beggs, Robert Sykes, Pieter Neef, Fiona Thorburn, Sarah Whitehead, Veronica Baston","doi":"10.1177/14782715251338728","DOIUrl":"10.1177/14782715251338728","url":null,"abstract":"<p><p><i>Capnocytophaga canimorsus</i> infection occurs after a dog/cat bite and asplenic patients are most vulnerable. We describe a rare case of myopericarditis due to <i>C. canimorsus</i> infection. A 41-year-old man presented with chest pain and ST-segment elevation to the coronary reperfusion service. He had been unwell for 3 days with fever and diarrhoea. Coronary angiography excluded coronary plaque rupture or occlusion, and transthoracic echocardiography revealed biventricular systolic dysfunction. Cardiac MRI confirmed myopericarditis with extensive circumferential midwall/epicardial late gadolinium enhancement (LGE) and hyposplenia. <i>C. canimorsus</i> was grown in blood cultures. The patient later revealed he had been bitten by a dog. Ventricular function normalised after 8 days. Myocarditis due to <i>C. canimorsus</i> has only been reported in an autopsy case series and one previous case report. We postulate previous cases of 'myocardial infarction' may have been cases of myocarditis. Cardiac MRI pattern of LGE was also helpful in risk stratification.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"102-105"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086865","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}
{"title":"Hooked: 500 Years of addiction.","authors":"","doi":"10.1177/14782715251343723","DOIUrl":"10.1177/14782715251343723","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"164"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188255","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}
Mary T McCullagh, Ferghal McVerry, Peter Flynn, Niall MacKenzie, Gillian Thompson, Mark O McCarron
{"title":"A neuroradiology e-mail service for a district general hospital in the COVID-19 era.","authors":"Mary T McCullagh, Ferghal McVerry, Peter Flynn, Niall MacKenzie, Gillian Thompson, Mark O McCarron","doi":"10.1177/14782715251329141","DOIUrl":"10.1177/14782715251329141","url":null,"abstract":"<p><strong>Background: </strong>Hospital care for most neurological patients occurs in district general hospitals (DGHs). The COVID-19 pandemic displaced our DGH weekly neuroradiology meeting to an email service.</p><p><strong>Methods: </strong>Neuroradiological discrepancies among selected neurological patients were compared between face-to-face (f2f) meetings and an e-mail service.</p><p><strong>Results: </strong>Among 734 consecutively selected patients there was no statistically significant differences in outcomes - frequency of clinically unimportant discrepancies (10.3% e-mail vs 12.8% f2f, <i>p</i> = 0.300) or frequency of clinically important discrepancies (16.0% e-mail vs 15.6% f2f, <i>p</i> = 0.889). Among all imaged patients assessed by a neurologist, clinically important discrepancies were estimated to be 4.2% (95% CI: 3.5%-5.0%), with little annual variation (Chi-square for trend, <i>p</i> = 0.156).</p><p><strong>Conclusion: </strong>This study shows that DGH general radiology provides good quality reporting of neuroimaging, and neurologists provide a pivotal role in identifying patients who require neuroradiology second opinions. During the COVID-19 pandemic, an e-mail service maintained neuroimaging quality assurance in a DGH.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"88-93"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665065","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}
{"title":"Features in this issue.","authors":"Graeme Currie","doi":"10.1177/14782715251344022","DOIUrl":"10.1177/14782715251344022","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"87"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112279","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}
{"title":"Acute hand dystonia and action myoclonus unveiling diabetic striatopathy: The critical role of hyperglycemia.","authors":"Subhankar Chatterjee, Ritwik Ghosh, Shambaditya Das, Samya Sengupta, Debaleena Mukherjee, Alak Pandit, Rana Bhattacharjee, Julián Benito-León, Souvik Dubey","doi":"10.1177/14782715251332317","DOIUrl":"10.1177/14782715251332317","url":null,"abstract":"<p><strong>Background: </strong>Diabetic striatopathy is a rare complication of diabetes mellitus characterised by movement disorders secondary to hyperglycemia. While most commonly associated with chorea and ballism, it may also present with other hyperkinetic manifestations, including, albeit rarely, isolated dystonia and myoclonus. We report a case of a patient with poorly controlled diabetes mellitus who developed acute hand dystonia and action myoclonus, highlighting the broader spectrum of hyperglycemia-induced movement disorders.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"98-101"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755066","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}
{"title":"Healing the mind and skin: The urgent need for psychodermatology in clinical practice.","authors":"Sharang Gupta","doi":"10.1177/14782715251334695","DOIUrl":"10.1177/14782715251334695","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"150-151"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017458","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}