Obstructive sleep apnoea syndrome is a common condition for which continuous positive airways pressure (CPAP) the standard treatment. The affects population of substantial proportion will be travelling.We use questionnaire survey CPAP users to gain understanding regarding behaviours, attitudes and problems surrounding travel with machines during while abroad. All patients on our database at UK district general hospital reviewed over period 4 years were sent postal questionnaire.A response...

Aims: In this retrospective study we assess the diagnostic yield of computed tomography pulmonary angiogram (CTPA) and incidence alterative incidental diagnoses. Methods: The results all CTPA scans performed in our trust over a period 18 months were reviewed diagnoses noted. Data collected was descriptively analysed. Results: A total 1138 (56.5% men, mean age 59 years). diagnosis embolism (PE) made 20.2%, an alternative aetiology for presenting symptoms 26.4% findings 19.5%. commonest...

Background. No trials of POCT device pathways have been published in the field anaemia CKD. We describe results a year use novel with its associated eHealth pathway home monitoring ESA therapy, aim evaluating performance and feasibility. Methods: used designed for self-testing, able to measure Hb from drop capillary blood (Luma, Entia, UK). Results were shared HCPs via an mobile application. The pilot ran August 2020 March 2022 single UK renal centre. All adult non-dialysis-dependent-CKD...

Sir, We read the recent article by Karkhanis and colleagues entitled “Flow volume loops as a diagnostic marker” with great interest.[1] The authors describe case of young girl who developed exertional dyspnea after period mechanical ventilation. Flow-volume demonstrated “box-pattern” suggesting fixed upper airways obstruction. Subsequently, diagnosis post-intubation tracheal stenosis was made. would like to present another airway obstruction, different etiology, reinforcing importance use...

A 54 year old man presented to his general practitioner because of a fullness in left lateral thigh that he first noticed while playing golf, although it was not related an identifiable injury. He had history hypertension and fibromyalgia taking atenolol, ramipril, pregabalin, tramadol but otherwise well. The GP thought the swelling caused by muscular injury, patient re-presented four months later mass grown from small bump 8 cm diameter. It also beginning cause some knee stiffness no pain....

A 58 year old man was brought to the emergency department with acute confusion after being found unconscious on his floor at home. He had a background of alcohol misuse alcoholic liver disease. not taking any regular medications. On examination he smelt and tachycardic 96 bpm BP 110/70. The patient’s Glasgow Coma Score 14, drowsy but responsive bilateral lower zone crepitations auscultation chest. Neurological revealed generalized reduced muscle bulk no focal deficits.

This T2 weighted MRI scan demonstrates a hyperintense trident shaped lesion extending from the pontomedullary junction to midbrain with peripheral sparing (figure 2 – abnormality indicated by white arrows).

Abstract Background and Aims The arteriovenous fistula (AVF) is well established as the preferred vascular access for haemodialysis (HD). However AVF remain prone to a number of complications, most common these being thrombosis, which usually occurs on background developing stenosis. development stenosis can be detected lesion treated before thrombosis occurs; this forms rationale behind monitoring surveillance programs. Surveillance uses more resources than has not been convincingly shown...