Went to the grand round in Truro again yesterday and there were two cases presented. Both were quite unusual and presented a real diagnostic challenge to the admitting teams. They were described as fascinomas.
Blogging your CPD is a bit of a challenge when you can't discuss the details of the cases. However, suffice to say it was a very useful reminder of (1) the possible rare causes of right heart failure, and (2) to always keep sepsis in mind when there is an unusual presentation and especially when the CRP is 300.
The small cakes were very good but the coffee is barely drinkable. Haven't tried the pasties yet as they all seem to go very quickly. Will be more forthright in the future.
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