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European Journal of Internal Medicine 06/2010; 21(3):173-5. · 2.00 Impact Factor
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ABSTRACT: The Royal College of Physicians (RCP) is to host the European School of Internal Medicine for two years from 2009-10. This affords a unique opportunity for specialist registrars to exchange ideas about professional development and training and to make contacts with young internists from across Europe. Such links should prove useful for future RCP initiatives in European medicine.
Clinical medicine (London, England) 05/2009; 9(2):129-30. · 1.15 Impact Factor
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JCR Journal of Clinical Rheumatology 11/2007; 13(5):296-7. · 1.36 Impact Factor
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ABSTRACT: The painful shoulder is a very common condition encountered in the rheumatology clinic with rotator cuff disorders, glenohumeral disorders, acromioclavicular joint disease and referred neck pain being the most common causes. Other rare causes have to be considered in the presence of "red flag" indicators. We describe a case of a patient with mild rheumatoid arthritis and a past medical history of stage 2C epithelial ovarian carcinoma who presented to the rheumatology clinic with a painful shoulder and who was initially diagnosed with rotator cuff tendinopathy. When seen 3 months later she was found to have a 15 x 10-cm firm, non-tender soft tissue mass over the right scapula and X-rays showed a large lytic mass destroying much of the upper border of the scapula, suggestive of metastasis. Bone metastases in patients with ovarian carcinoma are very rare; they occur in about 2% of cases and are invariably predictors of poor prognosis. To our knowledge, this is the first case of ovarian cancer metastasised to the scapula. We suggest that rheumatologists should be aware of the differential diagnosis of painful shoulder and look for "red flag" indicators in patients with known rheumatic conditions.
Clinical Rheumatology 10/2007; 26(9):1549-51. · 2.00 Impact Factor
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JCR Journal of Clinical Rheumatology 09/2007; 13(5):296-297. · 1.36 Impact Factor
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Magdalena Dziadzio, Andrew Keat, Clare Higgens
Jcr-journal of Clinical Rheumatology - JCR-J CLIN RHEUMATOL. 01/2007; 13(5):296-297.
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Werner Bauer,
Petra-Maria Schumm-Draeger,
Johannes Koebberling,
Thomas Gjoerup,
Jose Javier Garcia Alegria,
Faustino Ferreira, Clare Higgens,
Mark Kramer,
Giuseppe Licata,
Moshe Mittelman,
James O'Hare,
Serhat Unal
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ABSTRACT: What will be the future of internal medicine in Europe? Because of rapidly growing concerns regarding the position of internal medicine in many European countries, the European Federation of Internal Medicine (EFIM) has established a working group to analyze the situation. Being well aware of the variation in working practices in the different countries, the members of the group used an "all-European" approach to answer the following questions: Are there problems for internal medicine? If so, what are these problems and why? Why do the health care systems in the European countries need internal medicine? Why do patients need internal medicine? What needs to be done? Internal medicine is the modern, clinical, and scientific medical discipline that is responsible for the care of adult patients with one or more complex, acute, or chronic illnesses. Internal medicine is the cornerstone of an integrated health care delivery service that is needed today. Decision-makers in politics and hospitals, insurers, journalists, and the general public need a better understanding of what internal medicine can offer to the health care system and to the individual patient.
Polskie archiwum medycyny wewnȩtrznej 07/2006; 115(6):612-6. · 1.37 Impact Factor
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Werner Bauer,
Petra-Maria Schumm-Draeger,
Johannes Koebberling,
Thomas Gjoerup,
Jose Javier Garcia Alegria,
Faustino Ferreira, Clare Higgens,
Mark Kramer,
Giuseppe Licata,
Moshe Mittelman,
James O'Hare,
Serhat Unal
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ABSTRACT: What will be the future of Internal Medicine in Europe? Because of rapidly growing concerns regarding the position of Internal Medicine in many European countries, the European Federation of Internal Medicine has established a working group to analyze the situation. Being well aware of the variation of working practices in the different countries, the members of the group used an "all-European" approach to answer the following questions: Are there problems for Internal Medicine, what problems and why? Why do the health care systems of the European countries need Internal Medicine? Why do the patients need Internal Medicine? What needs to be done? Internal Medicine is the modern, clinical and scientific medical discipline taking care of adult patients with one or more complex, acute or chronic illnesses. Internal Medicine is the cornerstone of integrated health care delivery service that is needed today. Decision-makers in politics and hospitals, insurers, journalists and the general public need a better understanding of what Internal Medicine can offer to the health care system and to the individual patient.
Acta clinica Belgica 60(3):157-60. · 0.59 Impact Factor
