Elevated acetaminophen level: Could it be a red herring?

Elevated acetaminophen level: could it be a red herring?

A 34 year old woman, previously healthy and on no medications or supplements, presented with a 5 week history of fatigue and jaundice. She denied alcohol or illicit drug use. She had no encephalopa-thy or ascites, and transaminases were 8 times normal , gamma-glutamyl transpeptidase 9 times normal, alkaline phosphatase 3 times normal, INR 1.7 (normal 0.9-1.1), MCV 97 fL (normal 80-98 fL) and bi...

A pelvic mass in a 10-year-old: could it be a Hydatid Cyst?

This article reports a pelvic hydatid cyst in a 10-year-old boy who initially presented with right flank pain. Computed tomography (CT) revealed a cystic lesion containing internal densities, which was found to be a hydatid cyst between the bladder and rectum during surgery. The lesion was excised and sent to a pathology laboratory for further examination.

Could it be Lyme neuroborreliosis?

Could it be a secondary hypertension?

• No family history of hypertension in a thin child • Age younger than 10 years and prepubertal stage • Acute rise in blood pressure previously normal • Severe hypertension (SBP/DBP ≥ 99th percentile plus 5 mmHg) • Mild hypertension (SBP/DBP ≥ 95th percentile plus 5 mmHg) in systemic disease • Nocturnal hypertension, reduced nocturnal dipping or diastolic hypertension at 24-hour BP monitoring •...

Authenticity: a red herring?

Authenticity is a difficult and taxing notion in both the digital and the analogue world. It is a retrospective and by implication dynamic notion, a reaction to whether or not we are dealing with the genuine article, that an object is what it purports to be at a moment in time and its content can be validated using available technology. It is not an end in itself like a fresh herring, but a red...