First visit is never forgotten

A never forgotten differential diagnosis of monoparesis.

A 58-year-old gentleman presented with gradually progressive left hand weakness for one year. Left leg dragging and dysarthria developed 3months before visiting our neurology clinics. Neurological examination revealed muscle atrophy without fasciculation in the left first dorsal interosseous and triceps brachii muscles. Left spastic hemiparesis with exaggerated jaw jerk and flaccid dysarthria w...

The 'forgotten disease' (or the never known).

Lemierre's syndrome is an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections. Despite its rarity, it is important to have a high degree of clinical suspicion to recognise it early. A history of sore throat followed by metastatic infections and abscesses should alert the clinician to the possibility of this unusual...

Crohn's disease: the first visit.

A Crohn's disease patient's first visit to a new practice is the optimal time to collect important clinical data and identify appropriate therapies. A methodologic approach to this visit is crucial. The focus of this visit should be on preparing the patient for the initiation of treatment, with particular attention to the necessary steps prior to the use of immunosuppressive and biologic agents...

A First Visit to Nigeria

From a chill grey day in London to be transported overnight to tropical heat and brilliant colours in Nigeria is enough to take one's breath away. During the three weeks of our stay we never lost that sense of wonder and strange beauty. At the invitation of Dr. Lambo, who made a memorable contribution to the N.A.M.H. Annual Conference in 1960, Lady Norman and I flew out to attend the first Pan ...

Pediatricians for Animals: That Important First Visit