Views of Foundation Doctors (year 2) on distress likely with genital examination in children.

Little is known about the attitude of newly qualified doctors towards intimate examination of children. During the 2 course of a training day in child protection, an exercise was undertaken to ask Foundation doctors (FY2) what impact they thought genitalia examination had on children. These responses have been compared with the only systematic examination of the response of children and their parents to such examinations that has been published.

Prolonged QT Syndrome and Seizure Secondary to Alkaline Earth Metal Deficiency: A Case Report.

Introduction. Alkaline earth metal deficiency is recognized as a cause of both seizure and long QT syndrome. Their deficiency can have significant repercussions on the function of cells, tissues, and organs of the body.

Myopericarditis following Campylobacter infection.

Background: Myopericarditis can be caused by a wide range of infectious agents. There are a few reported cases implicating Campylobacter in the pathogenesis of myopericarditis.

Conclusions: We believe that this case report represents the first documented case in Ireland of myopericarditis associated with Campylobacter enteritis.

Massive colonic haematoma following blunt trauma sustained playing rugby.

A case is presented of a 24-year-old man who sustained a forceful blow to the right side of the abdomen during a tackle while playing rugby union. The patient was thought to be "winded" and could not play on. He sought medical attention several hours later at the local hospital where initial evaluation revealed mild right iliac fossa tenderness with no signs of peritonism and clinical parameters showed haemodynamic stability.

Anton's syndrome due to cerebrovascular disease: a case report.

Introduction: Anton's syndrome describes the condition in which patients deny their blindness despite objective evidence of visual loss, and moreover confabulate to support their stance. It is a rare extension of cortical blindness in which, in addition to the injury to the occipital cortex, other cortical centres are also affected, with patients typically behaving as if they were sighted.

Case Presentation: We present a case report of an 83-year-old white woman with cortical blindness as a result of bilateral occipital lobe infarcts.

Infection by Panton-Valentine leukocidin-producing Staphylococcus aureus clinically mimicking Lemierre's syndrome.

Lemierre's syndrome is an oropharyngeal infection which leads to severe septic thrombophlebitis of the internal jugular vein and metastatic abscesses of the lungs and other organs. It is usually caused by Fusobacterium necrophorum, a Gram-negative obligate anaerobe. An unusual case of Panton-Valentine leukocidin (PVL)-producing Staphylococcus aureus infection masquerading as Lemierre's syndrome is reported here.

Feasibility and long term outcome of home vs hospital initiated thrombolysis.

Background: Thrombolytic therapy improves mortality in acute myocardial infarction especially in those who receive treatment early. Pre-hospital therapy can reduce the time to treatment.

Methods: Open, randomized study of patients with acute myocardial infarction of less than six hours duration in a rural community.

Achieving quality assurance standards in colposcopy practice: a teaching hospital experience.

Objective: To assess the performance of the colposcopy service of the teaching hospitals of Cardiff and Vale Trust, University of Wales, Cardiff, South Wales, UK by determining if patients attending colposcopy clinic had been managed in accordance with the local departmental, regional and national (National Health Service Cervical Screening Programme) guidelines with the ultimate purpose of identifying areas for improvement in patients' care.

Methods: We retrospectively analysed the case notes of 426 women who attended the colposcopy clinic over a three-month period in 2005.

Results: This study has shown that five of the national standards have been achieved.

A case of papillary carcinoma arising in ectopic thyroid tissue within a branchial cyst with neck node metastasis.

We describe the interesting case of a young man who presented with a lateral neck node that was diagnosed as a branchial cyst. Histopathology of the excised node revealed that a papillary carcinoma was located within thyroid tissue, which in turn was located within a branchial cyst. A total thyroidectomy with local lymph node clearance was performed.

Obtaining urine for culture from non-potty-trained children.

The accurate diagnosis of urinary tract infection (UTI) in young children is important for initial management and the prevention of long-term damage to the developing kidney. Various methods are used for urine collection from the non-potty-trained age group, including catheterisation, suprapubic aspiration, clean-catch sampling, adhesive bag sampling and urine collection pads. Research literature was examined to identify which method is most effective.

Letters.

TOPICAL PREPARATIONS WOUND CARE SOCIETY PREVENTING PRESSURE SORES AFTER HIP FRACTURES LEG ULCER CLINIC DRESSING METHODS AFTER TOENAIL REMOVAL WOUND CARE IS NOT A GAME POINT OF STYLE JOURNAL BINDERS.

Prehospital thrombolysis in a rural community: short- and long-term survival.

In order to assess the feasibility and outcome of using prehospital thrombolysis in acute myocardial infarction in a rural community, we performed an open randomized study of patients with symptoms of acute myocardial infarction of less than 6 hours. One hundred and forty-five patients with acute myocardial infarction were allocated to receive IV streptokinase prehospital by means of a mobile coronary care unit (MCCU) (n = 43) or to receive IV streptokinase in hospital (n = 102). The mean delay time to treatment was 138 minutes (MCCU group) and 172 minutes (hospital group) (p less than 0.