Metastatic carcinoma of the hand.
Secondary deposit from carcinoma is rare in the hand. We describe three cases, and discuss some of the diagnostic difficulties.
Biomedical subjects
Publications and source records attributed to A F Dove.
Secondary deposit from carcinoma is rare in the hand. We describe three cases, and discuss some of the diagnostic difficulties.
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A simple, non-invasive method of control of haemorrhage from severe fractures of the pelvis is described. This method is the application of a pneumatic splint from the costal margin to the toes; the splint is then inflated to a pressure of 30 cm of water. The splint was originally designed for the control of leaking aortic aneurysms. We have applied it to 4 patients with severe fractures of the pelvis. There was dramatic improvement in 2 of these patients in whom the bleeding had continued in spite of energetic initial resuscitation.
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Plasma electrolytes, glucose and insulin concentrations were measured and serial electrocardiograms performed during the intravenous infusion of salbutamol to five women in premature labour. The plasma potassium (mean +/- standard error) fell from 3-5 +/- 0-1 to 2-7 +/- 0-1 mmol/l, and the glucose and insulin rose by 4-2 +/- 0-7 mmol/l (75 +/- 13 mg/100 ml) and 26 +/- 5 mU/l respectively. The maximum fall in potassium, and the rise in glucose and insulin occurred two hours after starting the infusion. No changes in other electrolytes were found. Electrocardiograms showed no signs of hypokalaemia. Highest pulse rates (148 +/- 4 beats per minute) occurred at two hours but no arrhythmias were observed.
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