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Biomedical subjects

N A Malcolm-Smith

Publications and source records attributed to N A Malcolm-Smith.

8 recordsLinked to original sources
PubMed2005

Clinical photograph from the Royal Infirmary of Edinburgh - 1853.

A child with a facial defect is presented using clinical details recorded in a ward journal of the Royal Infirmary of Edinburgh for 1853. The entry in the journal is illustrated by a clinical photograph and a pen and ink drawing. The operation for facial reconstruction is described together with an account of post-operative course and outcome. The differential diagnoses and views on the aetiology of the patient's disorder are considered. The photograph itself is described and the historical and social background of the patient are outlined.

Child↗
PubMed2004

Syme and his amputation.

The study examines Syme's indications for and technique of amputation at the ankle and reviews the outcome of cases operated on by him for the years 1841-1866. Sources are the Ward Journals and the General Registers of Patients of the Royal Infirmary of Edinburgh for the period under review together with abstracts from contemporary medical journals and surgical textbooks. Ninety-eight cases are included in the study, of which 87 survived and 11 died in the post-operative period. The principal indication for this amputation was 'caries' and the nature of this disorder is outlined. Syme's operative technique is described together with variations recommended by other contemporary surgeons. Syme introduced amputation at the ankle joint with the object of reducing mortality and providing a better stump in cases of disease and injury to the foot. The figures from this study conclude that he was justified on both counts.

Ankle Joint↗
PubMed1983

The use of induced hypotension to control bleeding during posterior fusion for scoliosis.

The operative and anaesthesic technique for 44 patients undergoing posterior spinal fusion with Harrington rod instrumentation for idiopathic scoliosis is described. There were two groups of 21 and 23 patients, matched for diagnosis and status before operation. The management of both groups was similar but in one group anaesthesia with induced hypotension was employed, using a mixture of sodium nitroprusside and trimetaphan. The mean blood loss at operation and after operation in this group was significantly lower than in the other group, with a consequent reduction in the transfusion requirement. No adverse sequelae were observed. All patients showed a drop in haemoglobin concentration after operation, despite clinically adequate blood transfusion.

Adolescent↗
PubMed1980

Viral hepatitis.

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Hepatitis B Surface Antigens↗