For many physicians, retinal haemorrhages (RHs) in infants and young children remain highly diagnostic of non-accidental (abusive) head trauma. Because clinicians have applied indirect ophthalmoscopy selectively to cases of suspected child abuse, the association between RH and other conditions such as infection, coagulopathy and accidental trauma has encountered habitual bias, creating the pote...

OBJECTIVES The aim of this study is to present the main - surgical and non-surgical - therapeutic approaches (or methods) used in the treatment of pelvic bleeding of neoplastic origin. MATERIALS AND METHODS analysis of the materials found in the literature on this subject. RESULTS Among the surgical methods used, hypogastric artery ligation is the oldest therapeutic approach in cervical ble...

Buried drusen of the optic discs are the main cause of difficulty in the diagnosis of early papilloedema. In a series of 28 cases of pseudopapilloedema, which had been mistakenly diagnosed as papilloedema due to brain tumour, Hoyt found buried drusen to be the major cause of confusion (Hoyt and Pont, I962). Many of his patients had undergone unnecessary and often hazardous investigations, inclu...

To cite: Hirai T, Koster M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-009759 DESCRIPTION A 22-year-old man with a history of intravenous heroin misuse, presented with 1 week of fatigue and fever. Blood cultures were positive for methicillin-sensitive Staphylococcus aureus. Physical examination showed multiple painful 1– 2 mm macular rashes on the palm ...

A study of coroner's necropsy statistics showed that subarachnoid and cerebral haemorrhage were important causes of sudden death in the community. There were more sudden deaths due to cerebral haemorrhage in women than in men but this was due to the increasing frequency of this condition with age and the sexes were equally affected if standardized mortality rates were calculated. Comparison wit...