crohn’s disease (cd) is rarely presented with lower gi bleeding (lgib) which eludes the clinician. a 25-year-old lady with severe rectorrhagia was presented with no history of constipation, diarrhea or abdominal pain. colonoscopy revealed ulcers in the rectum, sigmoid colon, and terminal ileum. crohn’s pathologic features were detected in the terminal ileum. the bleeding was controlled via supp...

occurrence of cutaneous metastasis of gastrointestinal cancer is uncommon, with a reported frequency of less than 5 percent.they can occur as the first sign of disease recurrence in a treated patient or as a sign of terminal disseminated cancer or rarely as the first manifestation of an occult malignancy. the cases reported here represent three different manifestation of cutaneous metastasis of...

This case report describes a patient with cutaneous signs in the genital and peri-anal region suspicious of Crohn’s disease without any intestinal symptom or sign. Inflammatory bowel disease can be associated with some cutaneous signs. However, in this paper, we report a patient with isolated cutaneous Crohn’s disease which is very rare (less than 100 case reports across the world). Our patient...

OBJECTIVE To review studies of patients' and carers' experience of prostate cancer care. DESIGN Narrative literature review. METHODS Search strategies were developed for the following databases: MEDLINE (1966-2006), EMBASE (1980-2006), CINAHL (1982-2006) and PsycINFO (1987-2006). A search of SIGLE (System for Information on Grey Literature in Europe) was also undertaken. Experience was defi...

Of 27 children referred for assessment of suitability for heart-lung transplant, 10 (37%) were actually transplanted. Six are still alive from three months to three years since operation. Two thirds of the cohort have died at various stages during referral, assessment, and transplant. While the transplant has offered miraculous new life to a few children, many more have experienced increased an...

BACKGROUND Discrepancy between preferred and actual place of death is common in cancer patients. While previous research has elucidated the factors associated with congruence between patients' preferred and actual place of death, it is not known how the perspective of the family influences the place of death. This study examined whether family preference for place of death mediates the relation...

BACKGROUND Following criticism of the Liverpool Care of the Dying Pathway (LCP), widely used to guide care of dying people in British health-care settings, the UK Government set up an independent review which in 2013 recommended that use of the LCP be discontinued. In response, the Leadership Alliance for the Care of Dying People, a coalition of a wide range of stakeholders, recently published ...