Can ACE-I Be a Silent Killer While Normal Renal Functions Falsely Secure Us?

The current case report represents a warning against serious hyperkalaemia and acidosis induced by ACE-I during surgical stress while normal renal function could deceive the attending anaesthetist. Arterial gas analysis for follow-up of haemoglobin loss accidentally discovered hyperkalaemia and acidosis. Glucose-insulin and furosemide successfully corrected hyperkalaemia after 25 minutes and acidosis after 3 hours.

Terminology and details of the diagnostic process for testis cancer.

Purpose: We examined the process and causes of diagnostic delay, defined as the interval from symptom onset to diagnosis, for testis (germ cell) cancer and the change with time. Diagnostic delay influences disease burden and may be subdivided into symptomatic interval, defined as symptom onset to first presentation, and diagnostic interval, defined as first presentation to diagnosis.

Materials And Methods: We performed a single center review of 100 consecutive cases.

Hospital-based needlestick use and injuries by Dublin interns in 2010.

Background: Needlestick injuries (NSI) remain an occupational hazard for doctors. Previous reports suggested that needlestick practice among interns could be improved.

Aims: We aimed to report the current occupational sharp practice and experience amongst a modern cohort of Irish interns.

Is simple nephrectomy truly simple? Comparison with the radical alternative.

Background: The Oxford English dictionary defines the term "simple" as "easily done" and "uncomplicated". We tested the validity of this terminology in relation to open nephrectomy surgery.

Methods: Retrospective review of 215 patients undergoing open, simple (n = 89) or radical (n = 126) nephrectomy in a single university-affiliated institution between 1998 and 2002.

Malignant priapism: a case report.

Background: Metastatic involvement of the penis is most commonly from a primary malignant genitourinary tumour. It is a rare phenomenon usually reflecting disseminated malignancy associated with a poor prognosis. Metastasis to the penis mimicking priapism is extremely rare, particularly in the absence of disseminated disease.

Magnetic resonance imaging features of asymptomatic bipartite patella.

Objective: The purpose of our study was to describe the magnetic resonance imaging (MRI) features of bipartite patella in asymptomatic patients.

Materials And Methods: The study was prospective in type and performed following institutional ethical committees approval. In total, 25 subjects were recruited into the study and informed consent obtained in each case.

Acute scrotal oedema complicating peritoneal dialysis.

A case of extraperitoneal leakage of dialysate producing massive acute scrotal oedema complicating peritoneal dialysis is presented. Important diagnostic features including select clinical images, the role of imaging modalities and appropriate management are discussed.

An unusual cause of persistent headache: chloroma (2008: 2b).

A chloroma (granulocytic sarcoma) is a rare tumour that is usually associated with leukaemia. The osseous skeleton is most commonly involved, and it confers a poorer prognosis for the underlying leukaemic disease. We present a case of a chloroma of the nasal sinuses that was the primary presentation of the patient's underlying leukaemia.

Waiting for healthcare: a concept analysis.

Aim: This paper is a report of an analysis of the concept of waiting for health care from the client's perspective.

Background: Waiting is commonplace in many areas of health care and has become a topical and politically important issue in the provision of healthcare services. Whilst managers and governments search for solutions to this problem, it is important that this aspect of clients' healthcare experience is examined to evaluate its impact and implications for nursing practice.

Hepatic lymphangioma: a rare cause of abdominal pain in a 30-year-old female.

Background: Lymphangiomas are rare tumours usually found in the paediatric population in extra abdominal sites.

Aim: To report on a patient with a hepatic lymphangioma.

Result: A 30-year-old woman presented with a 4-year history of right upper quadrant pain.

Calvarial tuberculosis: an unusual presentation (2007: 8b).

We describe a case of calvarial tuberculosis with an associated extra-dural collection. This presentation has rarely been reported in the literature and the magnetic resonance imaging features are not well documented.

Direct thrombin injection into aneurysmal sac in a patient with a type II endoleak.

Endovascular grafting of abdominal aortic aneurysms provides a good alternative to open surgery, especially in high-risk patients. Endoleaks are a well-recognized complication and are typically diagnosed on CT. We describe a case in which a patient's endoleak was evaluated by MRI and successfully treated by direct thrombin injection into the site of the leak.

Changing trends in the management of gallstone disease.

Background: Day case cholecystectomy is increasingly becoming a management option for elective cases while "same admission" cholecystectomy is now considered a favorable option in the treatment of acute cholecystitis. To assess the advent of these changes in our surgical practice, a retrospective analysis of our experience is presented.

Methods: All patients undergoing cholecystectomy between January 2000 and January 2001 were analyzed according to admission status, operation type, conversion rate, complications, and nonsurgical intervention.