First recurrence of small cell lung cancer presenting as subacute monoarticular arthritis.

We describe a case of recurrent small cell lung cancer presenting as an acute monoarticular arthritis. This patient had recently undergone comprehensive review and surveillance imaging under a local oncology unit, 18 months after undergoing chemoradiotherapy for limited disease small cell lung cancer. He had presented to the emergency department on multiple occasions and been managed as an outpatient for a provisional diagnosis of spontaneous haemarthrosis in the setting of rivaroxaban therapy.

Anticoagulation in the obese patient with COVID-19-associated venous thromboembolism.

A 61-year-old obese man who had recently tested positive for COVID-19 presented to the emergency department following an unwitnessed collapse, with a brief period of unresponsiveness. CT pulmonary angiography confirmed the presence of extensive bilateral pulmonary embolism despite the patient reporting full compliance with long-term dabigatran. The patient was initially anticoagulated with low-molecular-weight heparin and was treated with non-invasive ventilation and dexamethasone for COVID-19 pneumonia.

Obstetric and neonatal outcomes for women ≥ 45 years of age: a cohort study.

Objective: To evaluate outcomes in women ≥ 45 years of age in comparison to a group of women aged 40 to 44 years.

Materials And Methods: A cohort study was conducted including women ≥ 45 years who delivered at > 24 weeks gestation during the period (1989-2011). Women aged 40 to 44 years formed the comparison group.