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All Grand Rounds case reports are Open Access OPEN ACCESS – for your medical education

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Volume 1

The following case history details a treatment with essential oils of an infected eczematous lesion over the author’s own right calf. The use of tea tree, lemon, bergamot, lavender and niaouli resulted in demonstrable healing after six days. Lavender and tea tree had an immediate effect on itchiness. Detailed and controlled studies are required to confirm the role of...
(p 11-14, Alternative Therapies: May 2001)
A 20 year old Turkish man presented with a one year history of weight loss and epigastric pain. Pancreatitis was confirmed with hyperamylasaemia. CT scanning of the pancreas revealed a complex pseudo-cyst and ERCP demonstrated a pancreatic duct stricture. Hydatid disease was suggested on Ultrasound scan but serological tests were negative. After ERCP the patient...
(p 7-10, General Surgery: April 2001)
In 1995 a 42-year old patient with common variable immunodeficiency associated with granulomatous disease had an elective repair of a granulomatous abdominal aortic aneurysm. Five years later he presented with a ruptured false aneurysm of the left common iliac artery. Granulomata may cause aneurysm formation and weakens surgical anastomoses.
(p 7-8, Vascular Surgery: February 2001)
We describe a case of varicella pneumonitis in an elderly Bangladeshi man. As seroconversion may occur at a later age in this population, early admission and the use of intravenous (i.v) aciclovir should be considered in all adult immigrants presenting with respiratory symptoms and a history of chickenpox exposure.
(p 3-4, Virology: February 2001)
A patient presenting with a left thoracic stab wound causing pneumothorax and treated with a chest tube is presented. A chest X-ray barely revealed the base of an unsuspected, completely retained intra-abdominal knife. Although the elimination of routine abdominal X-ray in the evaluation of patients with abdominal and lower thoracic stab wounds has been recommended,...
(p 1-2, Trauma: February 2001)

Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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