Use of minocycline in rheumatoid arthritis: a district general hospital experience.
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Biomedical subjects
Publications and source records attributed to I M Morris.
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This paper compares two methods of skin preparation in terms of their effectiveness in rendering the skin sterile, ease of use, and their cost.
Erosions of the humeral head can occur in the frozen shoulder, with or without other radiological features. True erosions need to be distinguished from radiographic projectional artefacts. The presence of an erosion does not affect the prognosis adversely.
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Carpal tunnel syndrome is much commoner in those with limited joint mobility of the hands than in those without this complication of insulin-dependent diabetes mellitus. The implications of this are discussed.
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A case is reported in which clinical and radiological abnormalities were present nine years after the initial acute presentation of intervertebral disc calcification of childhood. In view of the major anatomical and pathological changes that have been described with this condition it is suggested that the prognosis should be guarded.
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In order to assess the size and nature of the workload in general practice resulting from rheumatic diseases and to assess the value of the National Insurance 'Sick Note' as an index of this, a prospective survey was carried out. The survey was based upon a health centre which provides the primary medical care for the majority of the inhabitants of a small town. During four periods of two weeks at a different season of the year, all patients considered by the family doctor to be suffering from a rheumatic condition were seen by a visiting rheumatologist. Firm diagnostic criteria were applied and functional capacity was assessed and related to both the diagnosis and symptoms. The rheumatic diseases and conditions accounted for about 5% of total attendances and a slightly greater proportion of total surgery time. This is less than suggested by some previous studies of different design. The sick notes provided such a poor index of the size and nature of the problem that information based merely upon retrospective analysis of these is probably of little practical value.
During a nine-year period (1968--76) 75 patients were admitted to Coventry Hospitals becaues of pyogenic arthritis. Of these patients, 22 suffered from pre-existing rheumatoid disease, and in these the foot was the most common site of primary infection. Adequate and energetic management of foot problems and associated skin sepsis in patients suffering from rheumatoid disease appears to offer the best opportunity of reducing the incidence of superimposed pyogenic arthritis.