Bloody semen, severe hypertension and a worried man

Haematospermia is often associated with severe uncontrolled hypertension. The bloody semen is often very worrisome for the patient and his sexual partner(s). In addition to anti-hypertensive, counselling and lifestyle modification are essential for management of the condition

An exaggerated presentation of salbutamol induced hypokalaemia

Background: Generalized weakness is a common complaintwith numerous differential diagnosis. However, it is not common to find salbutamol causing an exaggerated generalized weakness mimicking Guillain-Bairré Syndrome (GBS).Aim: To present a case of generalized weakness associated with hypokalaemia in a patient receiving salbutamol.Setting: Federal Medical Centre, Yenagoa.Case Report: We present a 24-year-old woman who presented with generalized weakness after use of Salbutamol.Conclusion: Generalized weakness can occur as a result of salbutamol induced hypokalemia. There should be thus a high index of suspicion on the part ofthe physician for any patient on salbutamol presenting with generalized weakness.Keywords: Salbutamol, potassium, metabolic acidosis, generalized weaknes

Developing inclusive and resilient systems: COVID-19 and assistive technology

Assistive technology is a critical component of maintaining health, wellbeing, and the realization of rights for persons with disabilities. Assistive technologies, and their associated services, are also paramount to ensuring individuals with functional limitations have access to important health and social service information, particularly during a pandemic where they may be at higher risk than the general population. Social isolation and physical distancing have further marginalized many within this population. We have an opportunity to learn from the COVID-19 response to develop more inclusive and resilient systems that will serve people with disabilities more effectively in the future. In this Current Issues piece, we present a starting point for discussion, based on our experiences working to promote access to assistive technologies through inclusive and sustainable systems and policies

Exudative pleural effusion associated with Behcet's disease

Background: Behcet's disease is a rare immune mediated small vessel systemic vasculitis in which diagnosis is mainly clinical and requires the presence of recurrent oral ulcers and at least two additional criteria that includes recurrent mouth and genital ulcers, skin lesions, eye inflammation (uveitis) and a positive pathergy reaction.Methods: The case records of an 82 year old female Nigerian who presented to the medical outpatient clinic of the Federal Medical Centre, Yenagoa with a six months' history of recurrent oral ulcers, diarrhoea, arthralgia, blurring of vision, breathlessness, abdominal pain and extreme weakness was reviewed.Results: She responded well to oral corticosteroids.Conclusion: Behcet's disease should be given consideration in the differential diagnosis of pleural effusion in the presence of recurrent mucosal ulcers.Keywords: Behcet’s disease, Pleural effusion, uveitis, vasculiti