296 e-Letters

  • case report a 66 year old male with lower abdominal lump
    zakiuddin oonwala

    the clinical diagnosis of a partially reducible umblical hernia was absolutely correct. Most interesting findings were lump in the mesentry which histologically proved to be benign fibromotas- extremely rare.Lesson to learn -always examine the contents of hernia meticulously,no matter even if the sac is empty.

    Conflict of Interest:

    None declared

  • Re:lactation ketoacidosis-bmj case report
    Adam Szulewski

    Thank you for your interest in our paper and for your comments. As was correctly pointed out in the letter, patients who are kept NPO should be given IV glucose supplementation. This was not done for our patient and this is indeed one of the reasons we decided to present her case in the Learning from errors section of the journal. We would like to clarify that it is in fact very unlikely for a non- breastfeeding patient t...

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  • lactation ketoacidosis-bmj case report
    mahesh masand

    It was indeed a very interesting report to read and was actually fascinated with the title initially. After reading the case report I am tempted to make some comments on the title which may be quite misleading .Even a normal person( meaning who is not breast feeding) will become ketotic if made nil by mouth for whatever reason for 3 days .But here the breast feeding probably aggravated the process further so it is dif...

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  • Fahr's syndrome
    Dr Osama hammer MBBch.,MSC.,MRCPsych

    S K Mathur and colleagues have done some excellent case report tracking a very rare syndrome Fahr's Syndrome is a rare, genetically dominant, inherited neurological disorder characterized by abnormal deposits of calcium in areas of the brain that control movement, including the basal ganglia and the cerebral cortex. First described in 1930 by German neurologist Karl Fahr .The basal ganglia calcification may occur as...

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  • The Chameleon among diseases
    Rainer Spiegel

    When I was in medical school, my lecturers used to say that Lues is the chameleon among diseases. The presentation of this case is another fine example why this description seems appropriate.

    Conflict of Interest:

    None declared

  • Haloperidol induce obsessive compulsive symptom
    Dr usama hammer
    Inam Ulhaq and Adam Abba-Aji have done an excellent case report which it has obvious strengths, it employs the effect of conventional antipsychotic medications (haloperidol )in induction of OCD .Obsessive-compulsive disorder (OCD)-is a neuropsychiatric condition that affects 1-2% of the population and often has an early age at onset of symptoms. OCD has been shown to be familial, and a major gene effect has been reported.( Grad...
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  • RE: "Mucormycosis complicating lower limb crash injury in a multiple traumatised patient: an unusual case"
    Jakub Kaczynski

    Dear Authors,

    I read this well presented case report with a great interest. This manuscript highlights the difficulties and challenges regarding the management of the critically ill polytrauma patients which are recognised worldwide. It also emphasises the role of the initial pre Intensive Care Unit (ICU) resuscitation, which is essential not only in reducing the physiological insult from trauma, but more impor...

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  • Anesthesia for Shoulder
    Rajendra J Amin

    Great case report. Atracurium has a problem. Its been so long that we have used SUX and Ro--cuim. Our muscle relaxant of choice is Cista---cium. This is how we do our shoulder open or scopes-- Interscalene brachial plexus block followed by LMA after propofol..

    Works great...

    Don't need to intubate ALL pts. except intra-abdominal ,hx,lx or prone position etc.etc.

    Conflict of Interest:

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  • Was it from the breast? Was it from the muscle?
    Swaroop Revannasiddaiah
    We commend the authors for highlighting a difficult clinical scenario. We read the article with interest and would like to share a small thought of ours. The possibility of the tumour's origin being the underlying pectoralis muscles can not be discounted. The appearance on the CT scan does suggest a breast lesion, which appears to be inseparable from the muscle underneath. Moreover, another point which prompted us to feel so was t...
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  • Diagnosing Sarcoidosis: Still a challenge
    Rahul srivastava

    Sarcoidosis most of the times mimics tuberculosis symptomatically as well as radiologically and poses diagnostic dilemma. It is nice to see case report on Sarcoidosis with caseating granuloma as biopsy usually differentiate it from tuberculosis as tuberculosis produces caseating granuloma and sarcoidosis non caseating type. Anergy produced by sarcoidosis can lead to loss of induration in PPD testing. As bronchoscopy was...

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