8 results match your criteria: "Epsom and St Helier University NHS Trust[Affiliation]"

Conversion disorder after general anaesthesia for cystoscopy: A case report.

Saudi J Anaesth

June 2024

Senior Clinical Fellow of Anaesthesia and Intensive Care, Epsom and St Helier University NHS Trust, Surrey, United Kingdom.

Article Synopsis
  • Conversion disorder (CD) is a rare condition that can occur after general anesthesia, leading to sensory and motor deficits.
  • Before diagnosing CD, doctors must rule out any organic or metabolic causes of the symptoms.
  • A case study highlighted a 62-year-old woman who experienced quadriplegia and altered consciousness after awakening from anesthesia due to CD.
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Objectives: To compare diagnostic reference levels (DRLs) in paediatric fluoroscopy at a secondary referral centre with 2018 European guidelines. Secondly, to compare secondary referral centre DRLs for paediatric fluoroscopy examinations not included in European guidelines with 2010 national UK DRLs.

Methods: Paediatric fluoroscopy studies were grouped by age (groups: 0, 1, 5, 10, 15 years) for examination type and analysed retrospectively, over a period of 14 years.

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Article Synopsis
  • The study assesses the diagnosis and treatment practices of pediatric gastroenterologists for eosinophilic esophagitis (EoE) in European children, highlighting a lack of real-world clinical data.
  • Retrospective analysis of 410 patients revealed that common triggering allergens for EoE include milk and eggs, with many patients not responding to proton pump inhibitors (PPIs) before treatment.
  • The findings indicate variations in treatment approaches, where a combination of dietary elimination and steroids was most common, and highlight challenges faced by physicians, such as patient refusal and limited endoscopy resources.
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Benign intracranial hypertension (BIH) is a condition which is strongly associated with weight gain. A well-known potential adverse effect of anti-psychotic treatment, especially the atypical group, is weight gain. Our case describes the use of risperidone in a young obese lady who gained significant weight after commencing the antipsychotic and later developed headache and blurred vision.

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Objective: Different formulations of botulinum toxin type A (BoNTA) are not identical and may behave differently in clinical practice. The reportedly lower incidence of adverse effects with one formulation (from Allergan, Ltd.) relative to another (from Ipsen, Ltd.

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The relationship between pain and leg ulcers: a critical review.

Br J Nurs

January 2005

Epsom and St Helier University NHS Trust, Epsom Hospital, York House, Epsom, UK.

Leg ulceration may have a profound impact on the individual: in some cases activities of living become subservient to the degree of pain experienced. Pain control, which is viewed as a key function in health care, appears marginalized in leg ulcer management. Pain can be intense, bringing psychological implications for the patient.

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