OBJECTIVE To derive, cross validate, and externally validate a clinical prediction model that assesses the risks of different serious bacterial infections in children with fever at the emergency department. DESIGN Prospective observational diagnostic study. SETTING Three paediatric emergency care units: two in the Netherlands and one in the United Kingdom. PARTICIPANTS Children with fever...

Badheka A, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222056 Description Patients with congestive heart failure (CHF) have high incidence of sleep-disordered breathing. Two distinct types are known: obstructive sleep apnoea (OSA) and Cheyne-Stokes respiration (CSR). Effective heart failure treatment improves CSR but not OSA, indicating that the development of CSR is secondary to heart failu...

BACKGROUND Accurate diagnosis of pneumonia complicating severe stroke is challenging due to difficulties in physical examination, altered immune responses and delayed manifestations of radiological changes. The aims of this study were to describe early clinical features and to examine C-reactive protein (CRP) as a diagnostic marker of post-stroke pneumonia. METHODS Patients who required nasog...

A 12 months old, castrated male, mix-breed dog was presented due to acute onset of vomiting, retching, anorexia, and tachypnoea. Idiopathic megaoesophagus diagnosed three prior presentation. Radiographic CT examination revealed gastroesophageal intussusception with herniation the complete spleen into intussusception. After initial stabilization surgical treatment performed. The stomach were man...

Foreign body aspiration (FBA) is a common problem necessitating prompt recognition and early treatment to minimize the potentially severe sometimes fatal consequences. We presented 24-year-old girl who was admitted for chronic cough recurrent pneumonia associated with constitutional symptoms. She feverish temperature of 39°C had tachycardia tachypnoea an oxygen saturation 98%. Investigations re...

Objective: To compare mother and foetal outcomes in various delivery positions, as well the duration of second stage labour. Materials Methods: A total 75 primigravidae with vertex presentation no co-morbidities were grouped into supine 25 (Group 1), lateral 2) all fours birthing positions 3). The maternal fetal studied. Study Design: Randomized Parallel Group Trial. Results: mean labour was de...

Abstract A 7‐year‐old male neutered Cocker Spaniel presented with a 6‐hour history of severe tachypnoea. Cardiac evaluation revealed advanced second‐degree atrioventricular block (2AVB) and biventricular congestive heart failure (CHF). Due to concerns impending respiratory arrest, mechanical ventilation (MV) emergency transvenous pacemaker implantation were planned. General anaesthesia was achi...

INTRODUCTION Hyponatraemia is the most common electrolyte imbalance seen in clinical practice, and a common laboratory finding in children with community-acquired pneumonia (CAP). This study aimed to identify the incidence of hyponatraemia in cases of CAP, to find predictive tools in order to classify the severity and outcome of CAP and to explore possible differences of clinical importance bet...