Abstract This is a rare presentation of an impacted gallstone leading to ileovaginal fistula. A 76-year old female presented with 4 week history faecal vaginal discharge and weight loss on background endometrial cancer treated chemotherapy radiotherapy 9 years ago. She was initially investigated pelvc MRI which showed collection in the stump. further abdominal pelvic CT scan revealed cholecysto...

Abstract Many science educators have argued in favour of including socioscientific issues (SSI) general, and ethical particular, school science. However, there been a number objections to this proposal, it is widely acknowledged that such teaching places additional demands on teachers. This study examined the curricula, textbooks views both student teachers established England Germany regarding...

• 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 •...

INTRODUCTION Heel pain is a common presentation at a primary care setting. The majority of these cases are benign and self limiting in nature. Common differential diagnoses include plantar fasciitis and peroneal muscle sprains. However, certain conditions-if undetected early-may cause significant morbidity to the patient. A high index of suspicion and early referral for further investigations a...