Cystic fibrosis (CF) is diagnosed in the first years of life. There are only two reports in the literature of adult patients with unusual presentation of newly diagnosed CF. We report here an adult patient apparently in a good health, who presented with serious hypokalaemia and metabolic alkalosis as the only abnormalities, who, through a fortuitous event, was tested by additional means for see...

Abstract Aims Surgical patients are prone to hypokalaemia due gastrointestinal losses1. Hypokalaemia prolongs ileus2 and thus prompt management is essential. No current guideline on focuses surgical patients. We aimed identify the prevalence of in emergency as well measure timeliness appropriateness replacement. Methods retrospectively reviewed adult admissions exceeding 48 hours between 05/05/...

Incidence and clinical significance of left ventricular thrombus in tako-tsubo cardiomyo-pathy assessed with echocardiography. Profound hypokalaemia mimicking acute myocardial infarction Sir, A 70-year-old female, recently diagnosed with metastatic rectal carcinoma requiring a de-functioning colostomy, presented to her local emergency department with chest pain in keeping with myocar-dial ischa...

DiSCuSSion Hypnic Headache is a benign nocturnal headache which predominantly affects elderly people. This case illustrates some classic features of the syndrome. Evers and Goadsby 1 reviewed the 71 reported cases giving us the clearest picture of the syndrome to date. 37% were male and 63% female. Mean age of onset was 63 +/-11 years (range 36-83). Average duration was 67 +/-44 minutes (range ...

Thirteen patients developed syncope and a prolonged QTc interval while taking therapeutic doses of sotalol. Polymorphous ventricular tachycardia was observed in 12 patients, and criteria typical of torsade de pointes were present in 10. In 12 patients sotalol had been given with hydrochlorothiazide in a combined preparation, Sotazide, but with inadequate or no potassium supplementation. Serum p...

A 48-year-old Caucasian male underwent a cadaveric renal transplantation in November 2000 after 15 months of haemodialysis. He was treated by nifedipine (30 mg o.d.) and nisoldipine (20 mg o.d.) for arterial hypertension evidenced more than 20 years before. No laboratory investigation was performed until May 1999, when he was admitted for chest pain. Blood pressure was 185u95 mmHg and serum cre...