Bilateral sequential Ramsay Hunt syndrome in an immunocompromised adult: a rare entity.

Bilateral Ramsay Hunt syndrome is a rare clinical entity. We present a case of bilateral Ramsay Hunt syndrome in an immunocompromised adult, with sequential symptom onset. It is important to consider this as a differential diagnosis in patients presenting with bilateral lower motor neuron facial weakness.

Scarring of the Eustachian tube: an unusual presentation following septoplasty and inferior turbinate reduction.

Septoplasty and inferior turbinate reduction is a common operation performed by ear, nose and throat surgeons for obstructive nasal symptoms. We present a case of complete unilateral scarring of the Eustachian tube orifice, a previously unreported complication, following septoplasty and inferior turbinate reduction for nasal obstruction. It is important to consider this differential diagnosis in patients presenting with unilateral middle ear effusion postoperatively.

Work Based Assessments (WBAs) amongst UK medical trainees during the COVID-19 pandemic: How have we adapted?

Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2) was recently identified as the RNA virus resulting in the Coronavirus disease (COVID-19). This was following cases of pneumonia identified in Hubei Province in China. The World Health Organisation (WHO) recently declared COVID-19 as a pandemic in March 2020. The COVID-19 pandemic has resulted in medical, financial and social disruption on an international scale. Such disruption has additionally impacted postgraduate medical training. This has been reflected in the attainment of Work Based Assessments amongst medical trainees in the United Kingdom.

Acute cholecystitis in a patient with heterotaxic anatomy and partial situs inversus.

It is well recognised that situs inversus totalis can make surgery challenging. However, partial situs inversus with heterotaxic anatomy has rarely been reported. While routine, the presence of symptomatic gallstones or cholecystitis can lead to a complex and difficult operation for such patients. We present the case of a patient with heterotaxic anatomy and partial situs inversus with acute cholecystitis.