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Biomedical subjects

J R Cope

Publications and source records attributed to J R Cope.

12 recordsLinked to original sources

Rotatory subluxation of the scaphoid.

Rotatory subluxation of the scaphoid is an uncommon abnormality which is not widely understood. It can be difficult to diagnose and, if incorrectly managed, can lead to a severe and disabling radio-carpal arthritis. While complicating many forms of wrist trauma, its place in the lunate-perilunate dislocation spectrum being especially important, the abnormality may occur in the absence of trauma, such as with rheumatoid arthritis; its association with Kienböck's disease is documented in this paper. The mechanisms underlying the subluxation are discussed and the importance of early diagnosis is stressed. Eight cases of rotatory subluxation of the scaphoid are reported to illustrate the presentations, symptomatology and complexities of diagnosis.

Adult↗

The radiology of gastric reduction surgery for obesity.

The results of 181 gastric reduction operations for obesity, performed over a 3-year period, are reported. The indications for such surgery are presented and the results are briefly discussed. The broad surgical details of gastroplasty and of stapling procedures, the advantages of the latter and the newer trends in this field are described. The early and late complications are documented, illustrated and discussed. The important role of the radiologist in diagnosing these complications, especially in the acute post-operative period, is stressed.

Adolescent↗

Congenital absence of the kidney: problems in diagnosis and management.

We describe 6 patients with congenital absence of 1 kidney that has been confirmed surgically. These cases illustrate the thesis that renal agenesis can modify the presentation and the management of urinary tract disease, and include the only published account of carcinoma of the ureter draining a single kidney. The place of cystoscopy, isotopic studies, ultrasonography, computerized tomography, arteriography and renal venography is described briefly. The frequent difficulty in establishing a definite diagnosis of renal agenesis is emphasized and the indications for the investigation of possible cases of renal agenesis are reviewed.

Abnormalities, Multiple↗

Blastomycosis: diagnostic difficulties.

In five cases of blastomycosis, invasive procedures were required before the diagnosis was established; these included thoracotomy in two cases and craniotomy in a third case. Radiologic signs in blastomycosis are nonspecific, and the presentations of the disease may be protean and unusual. Certain factors and radiologic appearances should alert the physician and radiologist to the diagnosis.

Adult↗

Chest disease presenting as an acute abdomen.

Four patients with primary disease in the chest are discussed, each coming to laparotomy. The final postoperative diagnoses were empyema, pulmonary tuberculosis, pulmonary embolism and bacterial endocarditis. These cases well illustrate the real risk of confusing an acute chest condition with an acute abdomen.

Abdomen, Acute↗

Carpal coalition.

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Carpal Bones↗