Publications by authors named "Joanne May Jenkins"

Article Synopsis
  • Acute porphyria, particularly variegate porphyria, is a rare condition that can cause severe symptoms like abdominal pain and neuropsychiatric issues, making it challenging to diagnose.
  • A 40-year-old man presented to the Emergency Department confused and in distress, showing signs of acute delirium, hypertension, and abrasions, with initial tests showing hyponatremia and kidney injury before his porphyria diagnosis emerged.
  • This case underscores the need for emergency physicians to recognize acute porphyria as a potential diagnosis in patients with abdominal pain and neurological symptoms, emphasizing the importance of a comprehensive evaluation even in trauma cases.
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A 55-year-old man was working in a trench when the wall collapsed in on him, pinning him to the wall. On arrival in the emergency department the patient began reporting of right-sided headache. Neurological examination revealed left-sided reduced sensation with weakness.

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A 31-year-old Argentinian woman presented with a 3-week history of fever, night sweats, myalgia and lethargy following a work trip to Uganda where she ran a marathon. Malarial screens were negative but C reactive protein, erythrocyte sedimentation rate and neutrophil count were raised and she was anaemic. A new pansystolic murmur was heard over the mitral valve and the transthoracic echocardiogram showed a large vegetation (>1 cm) with at least moderate mitral regurgitation.

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