An atypical presentation of meningococcaemia without purpura poses diagnostic problems. The importance of the identification of shock manifest as delayed capillary refill in two children with meningococcal septicaemia presenting with fever and abdominal pain is discussed. Abdominal pain is an unusual presentation of meningococcal disease. cheap canadian Skelaxin
The meningitic and septicaemic presentations of acute meningococcaemia [...]

We all have a personal interest in pain: we have all experienced it; we have all inflicted it; and some of us spend much of our time trying to prevent and treat it. Few of the latter group will be unfamiliar with the name of Patrick Wall, who has been a giant in this field [...]

This study aimed to investigate the diagnosis and consequences of pubic symphysis diastasis postpartum, in particular the use of ultrasonography to measure interpubic gap. It was a prospective follow-up study, which included an ultrasonographic comparison between symptomatic mothers and controls, set in Morriston Hospital, Swansea. Nine women presenting with unusual pubic pain post-partum were included: [...]