We report a case of a 65-year-old woman who sustained a left neck of femur (NOF) fracture following low-energy trauma. Computed tomography (CT) scan for the neck, chest, abdomen and pelvis was normal apart from enlargement of the right lobe of the thyroid. Interestingly, thyroid function was normal. While waiting for the result of thyroid cytology and bone histology, the patient recovered well from the operation and started to engage well with physiotherapy. The result of the investigation showed presence of diffuse large B-cell lymphoma in the left NOF and right lobe of the thyroid. As the presence of lymphoma only in these two organs is extremely rare, it is not yet clear what is underlying mechanism for such association. Therefore, such observations may raise many future research questions as detailed in the discussion of this case report. This case also illustrates the importance of a multidisciplinary approach in identifying, evaluating, and treating unique and complex presentations of NOF fracture, with a focus on the patient’s history, clinical examination and applying diagnostic tools.

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IntroductionThroughout the ages there has been an association between music and the various ways in which it can affect one's mood. More recently there have been scientific revelations on how music can affect the body, on a physiological level. There are correlations between physiological changes (neurotransmitters and hormones) and psychological states of being (fear, positivity). We present here some considerations on the relevance of this for mental health therapies.ObjectivesTo gather and evaluate research which has already been carried out regarding the effects of music on the body and mind.AimsTo present an in-depth discussion on the ability of music to affect our physiology and correspondingly altering the psychological state. To then highlight some areas where this information may be relevant for potential psychiatric interventions.MethodsKnowledge will be acquired in this area through literature review and prominent books on the subject.ResultsDifferent types of sound vibration have been distinctly linked to certain psychological states such as focus, peacefulness, aggression, confusion etc, which have corresponding physiological changes brought about by neurotransmitters and hormones. This information coupled with an understanding of the study of psycho-neuro-immunology, indicates that music is a very powerful mover of psychology and emotions.ConclusionsMusic and sound vibration are potentially very powerful tools if understood appropriately. There is a deeply scientific basis for how music can affect the physical, psychological and emotional aspects of a person. Exposing service user to certain types of music could potentially provide an adjunct to conventional psychiatric intervention.

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