Martorell ulcer is a form of lower limb ulceration, preceded by a small area of excruciating pain. It often appears as a solitary lesion on the outer aspect of the lower limb, and is primarily associated with poorly controlled hypertension and diabetes. Treatment of the ulcer involves awareness and early correct diagnosis, adequate control of blood pressure, management of infection, and wound c...

BACKGROUND the National Service Framework for Older People requires every general hospital which cares for stroke patients to introduce a specialist stroke service by 2004. OBJECTIVE to describe the organisation and staffing of specialist hospital-based stroke services in the UK. DESIGN a national postal survey of consultant members of the British Association of Stroke Physicians (BASP) see...

Abstract Ethiopia has heterogeneous topographic, climatic and socio-ecological systems. Recommendations of agricultural inputs management practices based on coarse domains such as agro-ecological zones (AEZ) may not lead to accurate targeting, mainly due large intra-zone variations. The lack well-targeted recommendations contribute the underperformance promising technologies. Therefore, there i...

Diarrhea, melena, and lower abdominal pain developed in a male in his 20s and colonoscopy showed pancolitis-type severe ulcerative colitis (UC). Treatment was initiated with 4,000 mg of 5-aminosalicylic acid and 60 mg/day of prednisolone, but the symptoms and inflammatory reaction worsened with prednisolone dose reduction. Tacrolimus was added to the treatment, which subsequently induced remiss...

A case is presented of rectal carcinoma in which during staging by endoscopic ultrasound (EUS) a second large extrarectal mass was seen not otherwise visualized on computer tomography (CT) that was a solitary ovarian metastasis. The surgeon was alerted to the EUS finding prior to the planned laparoscopic colectomy. On retrospective review of the CT pelvis after surgery, the radiologist could st...

Syphilis in pregnancy is a worrisome topic due to its fetal consequences. The diagnosis and management of such case might be intriguing when overlapped with Behçet’s disease, an inflammatory disease involving multiple organ systems. This presents 35-year-old pregnant female, known hypothyroidism, presenting at 33 weeks the emergency department Bahrain Defense Force (BDF) hospital vaginal leakin...