Medical students

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Items authored by medical students while they are on placement with the Royal Devon & Exeter NHS Foundation Trust.


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Now showing 1 - 5 of 19
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    Testing of a novel Valsalva Assist Device with supine and modified positions in healthy volunteers.
    (BMJ, 2018-12-01) FitzGerald, Isabel; Appelboam, Andrew
    The Valsalva manoeuvre (VM) is used to treat supraventricular tachycardia (SVT) by inducing a vagal response (drop in HR). There is debate as to the best position in which to carry out the VM and how the strain should be delivered in practice. We aimed to compare vagal responses induced with supine and modified VMs using strains delivered with a standardised manometer or novel Valsalva Assist Device (VAD), a simple device to provide resistance to exhalation.
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    A Simple Device to Control Valsalva Manoeuvre Strain Pressure; a Letter to Editor.
    (Emergency, 2018-04) Fitzgerald, Isabel; Appelboam, Andrew
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    Pelvic Floor Reconstruction with Bilateral Gracilis Flaps Following Extralevator Abdominoperineal Excision: A video Vignette.
    (WIley, 2017-10-20) Jones, Conor S; Nowers, Jennifer; Smart, Neil J.; Coelho, James; Watts, Andrew; Daniels, Ian R.
    The patient in this video was diagnosed with a locally invasive rectal carcinoma and had received neoadjuvant chemoradiotherapy prior to surgery. The defect seen on the right results from the abdominoperineal excision, performed in the extralevator plane with the abdominal part of the procedure being performed laparoscopically. This article is protected by copyright. All rights reserved.
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    Incomplete cauda equina syndrome secondary to haemorrhage within a Tarlov cyst.
    (BMJ, 2017-08-07) Yates, Joseph R.; Jones, Conor S.; Stokes, Oliver M.; Hutton, Mike
    Sacral perineural (Tarlov) cysts are benign, cerebrospinal fluid containing lesions of the spinal nerve root sheath. They are usually asymptomatic; however, a small proportion have the potential to cause compression of nerve roots and/or the cauda equina.We report a case of a 61-year-old man who presented with acute onset back pain associated with bilateral radiculopathy. Between referral and consultation, the patient developed urinary dysfunction which resolved spontaneously.MRI revealed haemorrhage within a Tarlov cyst, resulting in compression of the cauda equina. Due to the considerable clinical improvement at the time of consultation, surgical decompression of the cyst was not considered to be indicated.An interval MRI scan 8 weeks later demonstrated that the haemorrhage within the perineural cyst had spontaneously resolved and the patient remained asymptomatic at 5-year follow-up.