Wishaw General Hospital

About: Wishaw General Hospital is a healthcare organization based out in Wishaw, Scotland, United Kingdom. It is known for research contribution in the topics: Population & Survival rate. The organization has 256 authors who have published 222 publications receiving 4324 citations.

The non-pressurised boot dressing: an alternative for use in managing diabetic foot ulceration.

Abstract: A non-pressurised boot dressing keeps wounds moist, warm and humid, stimulating healing and providing a barrier against wound odour. Its use in the management of problematic neuroischaemic diabetic foot ulcers is reported.

Fifteen-minute consultation: The child with an incidental finding of low IgA

Abstract: Low or absent immunoglobulin A (IgA) levels are frequently found in children in whom immunodeficiency is not suspected. IgA deficiency is the most common primary immunodeficiency disorder in the UK affecting approximately 1 in 600 people. Isolated IgA deficiency is often identified coincidentally when investigating a child for conditions such as coeliac disease. The aim of this article is to provide a structured approach to the history, investigation and management of an isolated IgA deficiency.

Reasonable Adjustments to Provide Equitable and Inclusive Assessment, Screening and Treatment of Osteoporosis for Adults with Intellectual Disabilities: A Feasibility Study.

Abstract: Background: People with intellectual disabilities are a high risk population for developing osteoporosis and fragility fractures, yet they experience barriers to accessing dual‐energy x‐ray absorptiometry (DXA) bone mineral density (BMD) screening and fracture assessment Reasonable adjustments are a statutory requirement in the UK, but there is a paucity of evidence‐based examples to assist their identification, implementation and evaluation Method: Thirty adults with intellectual disabilities underwent DXA BMD screening and fracture risk assessment Reasonable adjustments were identified and implemented Results: The presence of osteopenia or osteoporosis was detected in 23 out of 29 (79%) participants Osteoporosis professionals report that 17 of 18 reasonable adjustments identified and implemented are both important and easy to implement Conclusion: Adults across all levels of intellectual disabilities can complete DXA BMD screening with reasonable adjustments Widely implementing these reasonable adjustments would contribute to reducing inequalities in health care for adults with intellectual disabilities

Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer.

Abstract: This paper describes the case of a 25-year-old woman with virilisation occurring during pregnancy in the presence of metastatic colorectal cancer. Virilisation during pregnancy is rare. The potential causes include adrenal, foetal, or ovarian pathologies. The most common causes during pregnancy are pregnancy luteoma and hyperreactio luteinalis. The incidence of cancer during pregnancy is rare and the incidence of colorectal cancer (CRC) in pregnancy is even rarer. The presenting signs and symptoms of CRC can be confused with symptoms commonly encountered during pregnancy, thereby delaying diagnosis and commencement of treatment. Diagnosis and staging also proves more problematic in the pregnant patient as the usual modalities of colonoscopy with biopsy and imaging with CT are relatively contraindicated. Treatment is dependent on gestational age of the foetus. There is currently no agreed best practice as to the role of prophylactic oophorectomy in the prevention of metachronous ovarian metastases. Surgical and adjuvant treatments have implications for females of child-bearing age.

Gas gangrene presenting with back pain.

Abstract: A 61-year-old Caucasian man (previously fit and well) presented to the emergency department with 2 days of non-traumatic, non-radiating lower back pain. He was admitted to our department having been provisionally diagnosed with discitis. Later that night, while being reassessed, a skin lesion on his thigh appeared and gas could be palpated. The patient was then taken immediately to theatre and a radical surgical debridement was performed. The organism that grew from tissue samples was Clostridium septicum, which when identified is an indication to exclude colonic neoplasms. The patient managed to preserve his limb on this occasion, however, he underwent a right hemicolectomy for what proved to be a colonic tumour at a later date.