Recently added articles from Clinical Medicine:
conversations with Charles: 'Swine flu', to do or not to do?
Aug 01, 2009; ... On 11 June 2009 the World Health Organization (WHO) declared a H1N1 (swine) flu pandemic. I was interested in Charles's comments on the potential severe acute respiratory syndrome (SARS) epidemic (Clin Med August 2003) and so I rang to ask if we could meet and discuss what he thought about the ...
Non-cystic fibrosis bronchiectasis/In response
Aug 01, 2009; ... Editor - In their excellent review of noncystic fibrosis bronchiectasis Murray and Hill (Clin Med April 2009 pp 164-9) failed to mention an important and increasingly prevalent variety of bronchiectasis in older adults. Bronchiectasis associated with nontuberculous mycobacterial (NTM) infection, ...
Investigation of the patient with pleural effusion (2)/In response to both
Aug 01, 2009; ... Given the fact that culture of pleural fluid (using Lowenstein medium) has only 36.6% sensitivity for diagnosis of tuberculous pleural effusion versus 79.8% sensitivity obtained with the more invasive modality of histological identification of caseating granuloma, 1 among the non-invasive ...
Investigation of the patient with pleural effusion (1)
Aug 01, 2009; ... Editor - Rahman and Munavvar's paper on investigating the patient with pleural effusion (Clin Med April 2009 pp 174-8) made no mention of the utility of quantifying pleural fluid adenosine deaminase (ADA) as a diagnostic parameter. Assay of ADA is simple and inexpensive, coupled with a ...
Diagnosing dying in the acute hospital setting (2)/In response (2)
Aug 01, 2009; ... Editor - Gibbins and colleagues show that providing end-of-life care is a challenge in hospitalised patients (Clin Med April 2009 pp 116-9). We conducted a similar audit in acute medical patients and reviewed case notes of 50 patients who died following admission to the department. We excluded ...