Annals of the Royal College of Surgeons of England
-
Ann R Coll Surg Engl · Apr 2012
Case ReportsAcute neck pain referred to the surgeon: Lemierre's syndrome as a differential diagnosis.
Lemierre's syndrome is usually reported in the young and in fit individuals. We report a case of an 81-year-old woman who presented with thrombophlebitis of the internal jugular vein with a pulmonary embolism.
-
Ann R Coll Surg Engl · Apr 2012
Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery.
This paper describes, for the first time, the outcomes of patients undergoing total hip replacement for acute fractured neck of femur (#NOF) as recorded by the National Joint Registry of England and Wales (NJR). ⋯ Our data suggest that total hip replacements for acute #NOF give comparable results with total hip replacements for other indications.
-
Nicorandil is a commonly prescribed antianginal medication that has been found to be associated with painful anal ulceration. The incidence of this complication is unknown. We have used the best data available to us to make an estimate of this figure in a health district with a remarkably stable population of approximately 200,000 people. ⋯ Anal ulceration appears to occur in approximately four in every thousand patients prescribed nicorandil each year. Prescribing physicians should explain the risk of this unpleasant complication to their patients.
-
Ann R Coll Surg Engl · Mar 2012
Case ReportsTesticular dislocation: the importance of scrotal examination in a trauma patient.
Testicular dislocation after blunt perineal trauma is a rare event and a diagnosis that can be easily overlooked. Careful examination can help facilitate early and appropriate treatment. Timely diagnosis and surgical management are of paramount importance to preserve normal spermatogenic function in the dislocated testicle. We describe a case of testicular dislocation and discuss some of the issues surrounding diagnosis and treatment.