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Biomedical subjects

R L Golden

Publications and source records attributed to R L Golden.

11 recordsLinked to original sources

Recurrent giant hypogastric artery aneurysms--a case report.

Aneurysms of the hypogastric artery are rare occurrences that are frequently asymptomatic until the time of rupture. When signs and symptoms are present, a pulsatile pelvic mass, frequently detected by rectal or vaginal examination, may produce compression symptoms with urologic, gastrointestinal, and neurologic manifestations. In addition to classical invasive methods of detection such as angiography, newer noninvasive imaging techniques, including ultrasonography, computerized tomography, and magnetic resonance imaging, may be employed to establish the diagnosis. Proximal ligation of the hypogastric artery is the usual method of treatment. A case of bilateral, giant hypogastric artery aneurysms with successful surgical management is reported.

Aged

Sir William Osler and the anatomical tubercle.

Tuberculosis of the skin resulting from direct inoculation of a tuberculin-sensitive individual (tuberculosis verrucosa cutis) is a rare disease first described by Laennec. Various terms, including prosector's wart and the anatomical tubercle, have been used to describe these lesions, which were often acquired in the autopsy room. The disease usually remains local in those patients with acquired immunity from previous infection with tuberculosis. Sir William Osler possessed an abiding interest in pathology throughout his career and performed nearly 1,000 postmortem examinations. He describes the acquisition of numerous prosector's warts and their evolution and treatment. It is postulated that Osler was a tuberculin-sensitive individual at the time he acquired his anatomical tubercles. His contributions to dermatology are discussed.

Autopsy

Medallic tributes to Sir William Osler and their historical associations.

The life of William Osler, MD, spanned three nations and two continents and left an enduring and universal impact on medicine. Osler held professorships during his career in Montreal, Philadelphia, Baltimore, and Oxford. His achievements great and small during these periods have been medallically commemorated both in his lifetime and posthumuously. The most famous of these portrayals is the Vernon plaque created in Paris at the turn of the century, of which many replicas and variants have been produced. The historical associations of these medallic tributes are relevant to better understanding of certain aspects of Osler's life and elucidating those unusual qualities of mind and character that made him unique.

Canada

Duodenal stump tumor.

A rare case of duodenal stump tumor is described. The patient was an 84-year-old woman who had undergone a subtotal gastrectomy nine years previously. The polypoid tumor of the duodenal stump may have been a factor in the production of extrahepatic biliary obstruction, for which surgical treatment was required. The aged patient withstood the operation well.

Aged