Trauma Management: Should it be a part of Medical Curriculum?

Trauma management is an approach to assess and treat multiply injured patients. Casualties that present within the first twohours of injury are deaths that can be prevented. Medical professionals need to be trained to appraise and manage these patientsduring this period. A variety of courses are available, designed entirely to teach medical professionals to treat trauma patients.Many counties have adopted these programs and now they are being taught in over 60 countries worldwide. In developingcountries, injuries due to trauma are regrettably neglected, and accounts for more than five million deaths each year. This isnearly equal to combined number of deaths from tuberculosis, malaria and HIV/AIDS. Medical graduates are supposed to beable to handle all types of emergencies, common or traumatic. Lack of ATLS, BCLS and ACLS certified doctors in emergencydepartments lead to improper and un-necessary delay in provision of medical care to patients

Case of recurring Kikuchi disease and autoimmune hepatitis

Abstract We present a case of a 47‐year‐old female patient with a history of diagnosed Kikuchi disease and autoimmune hepatitis 13 years ago who presented with recurrent fevers and a desquamative rash on the lower extremities. Computed tomography neck showed enlarged lymph nodes, and with her daily fevers and skin rashes the presentation was concerning for recurrence of her Kikuchi disease. The patient was also found to have an elevated anti‐smooth muscle antibody titer, and subsequent liver biopsy confirmed the diagnosis of autoimmune hepatitis. She was started on methylprednisolone with improvement. Our case emphasizes the association of Kikuchi disease with autoimmune conditions other than systemic lupus erythematosus. Given the recurrence of the disease after a decade of quiescence, long‐term follow‐up of patients with Kikuchi disease should be implemented