Brit J Hosp Med
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Dramatic regional variations in outcomes for patients with less survivable cancer (lung, pancreatic, brain, oesophageal and gastric) have been highlighted in a report published by MSD. This editorial examines this report and considers the implications for UK cancer strategy.
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Fluids are usually administered perioperatively to maintain euvolaemia and adequate oxygen delivery, but administration of too little or too much fluid can cause problems. This article summarises the current evidence on the type of fluid and volume best administered in the perioperative period.
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Osteochondritis dissecans is a condition characterised by acquired pathological subchondral bone lesions and its incidence is unknown. It has a multifactorial aetiology, with a combination of genetic and acquired risk factors. It commonly presents in adolescents and young adults. ⋯ The joints primarily affected are the knee, ankle and elbow joint. Early identification is key to treatment and to prevent future osteoarthritis of the joint. This article gives an overview of the presentation, assessment and management of the juvenile form of osteochondritis dissecans.