Irish journal of medical science
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Diarrhoea in hospitalised patients is usually attributed to medications especially antibiotics, enteral tube feeding or enteropathogenic bacteria particularly Clostridium difficile. ⋯ The majority of cases of diarrhoea were related to medications and enteral tube feeding. A small but significant number did develop bacterial infections. In contrast to some suggested guidelines, when investigating hospital acquired diarrhoea, it is considered worthwhile to perform microbiological stool examinations.
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Solitary plasmacytoma localised to bone or soft tissue without myeloma. ⋯ Solitary plasmacytoma cases should be followed carefully regarding local relapse and progression to myeloma.
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Acute appendicitis in elderly patients often presents late and atypically. Presentation as an incarcerated femoral hernia is rare. ⋯ Unusual clinical presentations of acute appendicitis represent an interesting diagnostic challenge.
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Efficacy of intra-articular injections is controversial and published studies on efficacy and risks are few. ⋯ Correct patient selection, proper indications for use, and a limited number of appropriately spaced injections were all perceived to be important to achieve maximum benefit without serious side-effects.
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Sequentially evolving intracranial bilateral haematomas, where the second haematoma develops after the surgical removal of the first one is rarely reported. ⋯ While rising intracranial pressure after the evacuation of a traumatic haematoma is usually attributed to brain oedema or recurrent haematoma at the craniotomy site, the development of a contralateral epidural haematoma requiring surgical treatment should not be overlooked.