CASE HISTORY A 9-month-old male presented to his local hospital with a 2week history of diarrhoea and vomiting and a 48-h history of tachypnoea and grunting. He was afebrile on admission and oxygen saturation was 96% in room air, but he had mild respiratory distress and tachypnoea. Inflammatory markers were not raised but a chest radiograph showed left-sided collapse and consolidation. Treatmen...

BACKGROUND In the United Kingdom there has been a long term pattern of increases in children's emergency admissions and a substantial increase in short stay unplanned admissions. The emergency admission rate (EAR) per thousand population for breathing difficulty, feverish illness and diarrhoea varies substantially between children living in different Primary Care Trusts (PCTs). However, there h...

We report a 71-year-old woman with takotsubo-like myocardial dysfunction accompanied with cerebellar hemorrhage. On admission time, although she was unconscious by cerebellar hemorrhage, no obvious heart failure and serological disorder were observed. Three days later, operation for extraventricular drainage was performed. However, conscious level did not change. Four days after admission, the ...

OBJECTIVE To study the association between admission hyperglycaemia and the presence and pattern of intracranial and extracranial vascular disease. METHODS This retrospective study was conducted at a major tertiary care hospital in Karachi, Pakistan. Patients who had presented with acute stroke and had undergone a carotid ultrasound Doppler of the carotids and/or Magnetic Resonance Angiograph...

Thiamin status has been measured using the erythrocyte transketolase (EC 2.2.1.1) assay in twenty-eight normal children and in twenty-five severely-malnourished children throughout the course of recovery. Subclinical thiamin deficiency was found in 7% of the normal children and 36% of the malnourished children on admission. There was no significant association between thiamin status and oedema,...