A thousand leagues under the seaBMJ 2002; 325 doi: https://doi.org/10.1136/bmj.325.7363.537 (Published 07 September 2002) Cite this as: BMJ 2002;325:537
- F J H Brims, Royal Hospital Haslar
Having recently served as the medical officer of a Royal Navy nuclear powered submarine, sometimes isolated for up to 12 weeks without communications, I was occasionally confronted with vexing clinical dilemmas.
About four weeks from the end of a patrol, a 24 year old sailor presented with an itchy, raised, irregularly pigmented lesion on his back that had been bleeding over the past two days. He had first noticed it over six months ago but had failed to seek advice. It was hard, non-blanching, and surrounded …