Dupuytren's contracture.
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Biomedical subjects
Publications and source records attributed to R L Pearce.
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We report observations on infestations with the tick, Amblyomma triguttatum, in soldiers who were bivouacked in two areas near Perth; 34% of 175 persons were infested with varying stages of the ectoparasite. Most persons were infested with only one tick but some troops had multiple infestations. Local skin reactions to tick-bites were frequent; they usually developed 24-48 h after removal of the tick and may indicate delayed hypersensitivity reactions. A small number of persons developed secondary bacterial infections. Management and prevention of these infestations is reviewed briefly.
Born in Scotland in 1807 of a well to do family, Farquhar McCrae received his medical training in Edinburgh and Paris. He was commissioned as Assistant Surgeon in the British Army and in 1839 migrated with his family to become a pioneer grazier, businessman and doctor in the settlement at Port Phillip. He later transferred to Sydney where he was one of the first surgeons elected to the staff of Sydney Infirmary in 1845. Farquhar McCrae died in 1850 after a short but eventful career.
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The Kasabach-Merritt syndrome comprises consumption coagulation associated with giant haemangioma. A case is reported of disseminated intravascular coagulation complicating dental extraction in a 36-year-old male with this syndrome. The pre-operative management with anticoagulant therapy is discussed and the relevant literature reviewed.
Condylar fractures with or without disruption of the temporo-mandibular joint occur commonly with other facial injuries. The subsequent development of ankylosis presents surgical and anaesthetic problems in management and results in severe physical disability to the patient. Oro-nasal fistula is a rare complication of fractures involving the middle third of the facial skeleton, and two cases are reported.
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