Background Acute appendicitis requires timely diagnosis. The diagnostic efficacy of tongue examination in making this diagnosis has not been established. This study investigates whether the Tongue ...

A 67 year old woman taking a monoamine oxidase inhibitor (MAOI) presented to the accident and emergency department with an anaphylactic reaction to flucloxacillin. This case highlights the uncertainty ...

University Hospital of North Staffordshire NHS Trust, City General Hospital, Stoke on Trent, Staffordshire, UK Correspondence to Dr Ruth Kinston, University Hospital of North Staffordshire NHS Trust, ...

Background Diagnosis of venous thromboembolism (VTE) requires chest CT angiography for pulmonary embolism and venous ultrasound for deep vein thrombosis. To reduce imaging, guidelines recommend ...

Test characteristics of clinical findings and clinical decision rules for the diagnosis of septic arthritis in children with an acute limp presenting to the emergency department: a prospective ...

3 School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia Correspondence to Gayle Elizabeth McLelland, School of Nursing and Midwifery, Monash University, PO BOx 527, ...

Correspondence to: H R Guly Department of Accident and Emergency Medicine, Derriford Hospital, Plymouth PL6 8DH, UK; henry.guly{at}phnt.swest.nhs.uk We describe five cases of scombroid that presented ...

7 Department of Intensive Care Medicine, North Manchester General Hospital 8 Department of Intensive Care Medicine, Wythenshawe Hospital, Manchester 9 Department of Intensive Care Medicine, Hope ...

Respiratory Medicine, Salford Royal Hospitals Foundation NHS Trust, Salford, UK Dr B R O’Driscoll, Respiratory Medicine, Hope Hospital, Salford M6 8HD, UK; ronan.o'driscoll{at}srft.nhs.uk Background: ...

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A diagnosis of tension pneumothorax is usually only considered within the context of trauma, incorrect chest drain insertion or positive pressure ventilation. Four patients are presented who developed ...

Emergency Medicine Research Group, Centre for Primary Health Care Studies, University of Warwick, Coventry, UK Correspondence to: Dr M Cooke, Emergency Medicine Research Group, Centre for Primary ...