Gout is an inflammatory joint disease associated with deposition of monosodium urate crystals in the bones forming the joints, in periarticular tissues and in other organs. The disease is one of the most frequent causes of disability. This paper presents the case of a 57-year-old male patient treated for generalised gout. A "clinical mask" suggesting another disease was the cause of making the ...

CASE REPORT We report 3 cases with a vertical incomitance in upgaze, narrowing of palpebral fissure, and pseudo-overaction of both inferior oblique muscles. Surgery consisted of an elevation of both lateral rectus muscles with an asymmetrical weakening. A satisfactory result was achieved in 2 cases, whereas a Lambda syndrome appeared in the other case. DISCUSSION The surgical technique of upp...

Aortocoronary bypass surgery, widely accepted in the treatment of patients with coronary artery disease, is controversial in the management of variant angina. Persistence of attacks, occlusion of the graft or postoperative infarction have been described and could be explained by a persistent spasm frequently observed in variant angina that might occlude the distal part of the grafted vessel. It...

The results obtained by pars plana vitrectomy in 24 eyes with chronic uveitis, including endogenous intermediate and other types of uveitis, were retrospectively analyzed. Vitrectomy and lensectomy were performed in 8, and vitrectomy alone in 16 eyes. The mean follow-up period was 50 months, and mean patient age 38 years. There were 15 (71.4%) male and 6 (28.6%) female patients. Improvement of ...

Three patients with insulinoma have been presented. Accurate diagnosis, localization, and multiplicity are possible employing angiography, sonography, CAT, and insulin concentration determinations of speci mens obtained by percutaneous, transhepatic simultaneous sampling of the portal, splenic and superior mesenteric veins. Meticulous exploration of the gland will permit enucleation rather than...

Bronchiectasis is pathologically defined as a condition in which there are abnormal and permanent dilatations of proximal bronchi with predominance at the level of the second to the sixth bronchial division. This definition differentiates true bronchiectasis from functional bronchiectasis or pseudobronchiectasis, which is expected to return to normal once control of infection has been achieved ...

ROBERT CAMPBELL, in honour of whose nmemory this lecture is held, was one of the great pioneers of aseptic surgery. He was the first surgeon to use rubber gloves in the British Isles, and he was responsible for many advances in our craft. He had a particular interest in the surgery of repair, and his appointment at the Children's Hospital gave him nmany opportunities to restore by means of repa...

The first edition of this work appeared in 1910 ? it was reprinted in the following year and the present work has been largely revised : convincing evidence of its populaiity. The book is divided into two parts, the first of which is general dealing with the conditions and complFcations which may arise after any operation. It includes chapters on the preparation of the sick room, thirst, pain, ...