Ruhaid Khurram

Introduction Nasogastric tubes are frequently placed as a temporary support measure for administration of nutrition and/or medications in patients who are unable to tolerate oral intake but have a preserved functional gastrointestinal tract.

Introduction A horseshoe adrenal gland is an extremely rare congenital anomaly characterised by the presence of a solitary fused adrenal gland. It is a finding documented almost exclusively in fetal, neonatal and infant autopsy studies and to date, there have only been a total of six prior cases reported in adults.1–6 It is often found incidentally on imaging, e.g. ultrasound, CT or MRI in otherwise asymptomatic adults.

Reminder of important clinical lesson Spontaneous tension pneumothorax and acute pulmonary emboli in a patient with COVID-19 infection Free http://orcid.org/0000-0002-6987-6698Ruhaid Khurram, Franklin T F Johnson, Revati Naran and Samanjit Hare Royal Free London NHS Foundation Trust, London, UK Correspondence to Dr Ruhaid Khurram; ruhaidk{at}gmail.com Abstract The COVID-19 pandemic has had a significant impact on the structure and operation of healthcare services worldwide.