JPMA. The Journal of the Pakistan Medical Association
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To determine the perceptions of house officers working in hospitals about joining anaesthesiology as a career. ⋯ House officers had reservations about joining anaesthesiology as a career. The findings are suggestive of a positive effect of anaesthesiology house job on house officers attitude about the specialty.
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We report a case of Henoch-Schonlein purpura (HSP) presenting without typical skin lesion; atypical symptoms initially appeared following influenza infection. A 4-year-old girl with influenza presented with epigastric pain and vomiting. On physical examination, there was epigastric tenderness, but no other signs, such as skin rash. ⋯ Steroid therapy was initiated, and symptoms improved, but microscopic haematuria persisted. Even in the absence of typical purpura, if any gastrointestinal symptoms are observed and HSP is suspected, aggressive diagnostic tools must be considered, including ultrasonography or endoscopy. With only a few reported cases of HSP associated with influenza infection, this is the first reported case with gastrointestinal involvement and renal impairment, but without typical skin lesions.