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Biomedical subjects

G Mulley

Publications and source records attributed to G Mulley.

14 recordsLinked to original sources

Walking frames.

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Aged

Calcification on chest radiographs: the association with age.

Seven hundred chest radiographs taken in a general hospital were reviewed, 100 (50 men and 50 women) from each of seven decades (3rd to 9th). Each radiograph was examined to determine the site and extent of calcific changes. Prevalence of costal cartilage calcification increased from 6% in the 3rd decade to 45% in the 9th and was commoner in men. Aortic calcification was absent below age 50 and increased from 4% in the 6th decade to 57% in the 9th. Both these trends were statistically significant. Other sites of calcification were found only in patients aged over 70; these included pleural, pericardial, tracheal, myocardial and diaphragmatic calcification.

Adult

Splinter haemorrhages in the elderly.

We have determined the frequency and significance of finger-nail splinter haemorrhages in 220 patients over the age of 65 years admitted to acute geriatric wards. Splinter haemorrhages were found in 35 (16%) patients. Splinters are less common in the elderly than in younger people. They are associated with the use of walking aids; trauma to the nails seems to be the main causative factor. We found no association between splinter haemorrhages and specific medical disorders, bacteraemia or senile purpura. Splinter haemorrhages are an unhelpful physical sign in the elderly.

Aged

Hip fracture after hemiplegia.

In a series of 57 hemiplegic patients who subsequently fractured their hips, it was found that hip fracture occurred significantly more often on the hemiplegic side. Hip fracture was equally common in right- and left-sided hemiplegia, and often occurred within one year of the stroke. Two factors seem to be important in the genesis of hip fractures in hemiplegic patients: the tendency of stroke patients to fall to the affected side as a result of impaired locomotor function, and the development of disuse osteoporosis in the hemiplegic limb.

Aged

Dexamethasone in acute stroke.

Over 13 months 118 patients admitted to hospital with acute stroke were allocated at random to treatment with either dexamethasone or placebo. At one year there was no significant difference in the numbers of survivors or in the quality of life between the two groups. The results suggest that there is no indication for the routine administration of dexamethasone to a heterogeneous group of patients with stroke.

Acute Disease