OBJECTIVE This study reviewed the clinical research and practice literature relating to the prevalence and patterns of concomitant psychotropic medication given to youths with emotional and behavioral disorders. METHOD A MEDLINE search from 1996 through spring 2002, including a review of references from relevant published articles and reports, was undertaken to identify available information ...

Devastating perilunate injuries are rare, compromising of less than 10% of wrist injuries. We report a 19-year-old worker man who presented with left wrist pain and swelling after falling from a height. Not only the lunate was seen in middle third of forearm, but also proximal part of the scaphoid was in distal forearm. Open reduction and internal fixation was done via volar approach. He came b...

65-year-old woman presented with a 2-month history of postmenopausal bleeding. Her past medical history was significant for hypertension, type 2 diabetes, and a remote history of pulmonary embolism, and her surgical history was significant for a thyroidectomy for benign disease and a hip replacement. On physical examination, she was found to have a mass protruding through the cervix. Biopsy rev...

A full term male baby, weighing 2.9 kg, presented to us with neonatal intestinal obstruction. A routine ante-natal ultrasound had shown dilated loops of bowel. The baby did not tolerate feeds and pass meconium rather developed progressive abdominal distension and bilious vomiting. Abdominal X-ray showed dilated bowel loops. A contrast enema showed micro colon and cut off sign at splenic flexure...

Experiments are reported in which was studied the effect of a concomitant infection, vaccinia, upon the syphilitic reaction of rabbits. Vaccine virus was inoculated intracutaneously on the side of the body at the time of intratesticular inoculation with Treponema pallidum. The results showed clearly that the vaccination caused a profound disturbance in the syphilitic reaction, the ensuing syphi...

A 48-year-old man was being treated unsuccessfully for miliary tuberculosis for 5 months until he presented with acromioclavicular joint swelling. Imaging of the shoulder revealed destruction of the acromioclavicular joint and the patient was brought to the operating theatre and underwent the excision of the distal end of the clavicle, synovectomy and drainage of the abscess. Surgery was follow...