{"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}
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":"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}
{"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}
{"title":"Avascular necrosis of the hip post radioactive Palladium-103 seed implantation in a patient with prostate cancer.","authors":"Shivanee Vigneswaran, Ali S Jawad","doi":"10.1177/14782715241304450","DOIUrl":"10.1177/14782715241304450","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"31-32"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796402","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":"The reversible absence of brainstem reflexes does not mimic death by neurological criteria.","authors":"Sophie Robinson, Mark A Henderson","doi":"10.1177/14782715241308924","DOIUrl":"10.1177/14782715241308924","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"71"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839954","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":"Wild & Tame: Animals in History.","authors":"","doi":"10.1177/14782715251320853","DOIUrl":"10.1177/14782715251320853","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"81"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442431","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}