Image from page 25 of “The chemist and druggist [electronic resource]” (1859)

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Image from page 25 of “The chemist and druggist [electronic resource]” (1859)
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Identifier: b19974760M6981
Title: The chemist and druggist [electronic resource]
Year: 1859 (1850s)
Authors: UBM
Subjects: Pharmacy Drug Industry
Publisher: London : Morgan Brothers UBM

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ntfor a note confirming his decision,but decided it was not necessary inview of the steps he had taken andthat he had used his professionaljudgement in deciding to dispense. Correction The answer to question three for thePractical Approach article What hascaused a funny turn? (C+D, June 6,p19) contained a formatting error.The correct answer can be viewed athttp://tinyurl.com/pracapp0606.C+D apologises for the error. 21 20.06.09 Search C+Ds MUR Zone by drug or condition What foods contain gluten? • Any foods containing barley,rye, oats and wheat containgluten. These can includebread, biscuits, cereals,pasta and crisps (whichoften contain dough). • Patients should be advised toread the product ingredients:if they do not mention barley,rye, oats or wheat, theproduct is gluten-free. Hundreds of thousands of people in the UK havecoeliac disease and dont even know it. This presentsa huge opportunity for pharmacists to help patientsmanage their condition, finds Chris Chapman Gut instinct

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imagine if you couldnt eat cakes or biscuits,| that a packet of crisps was out of boundsand a piece of toast or a bowl of spaghetticaused abdominal pains. Now imagine that anestimated half a million people in the UK arecurrently living with this condition – and donteven realise it can be treated. According to Nice, one in 100 people in the UKare estimated to have coeliac disease. But thenumber of diagnosed patients is only the tip of theiceberg, a mere 10 to 15 per cent of patients withthe condition. According to PSNC only two PCTs -Northamptonshire and Cornwall & Isles of Sciily -offer a gluten-free foods local enhanced service.So what can pharmacists do to get involved? Patients with coeliac disease can present with avariety of symptoms, including diarrhoea,recurrent abdominal pain and prolonged fatigue.Other signs and symptoms include sudden orunexpected weight loss, unexplained anaemia andpersistent or unexplained nausea and vomiting. Dr Sohail Butt, a CP and member of charity

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Image from page 390 of “The New England journal of medicine” (1828)
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Identifier: newenglandjourna148mass
Title: The New England journal of medicine
Year: 1828 (1820s)
Authors: Massachusetts Medical Society New England Surgical Society
Subjects: Medicine Surgery Medicine (General) Periodicals
Publisher: Boston
Contributing Library: Gerstein – University of Toronto
Digitizing Sponsor: University of Toronto

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ence of fracture. Operation was doneby me Oct. 11. An effort was made to reducethe dislocation of the right shoulder, but outside ofgaining freer motion in the shoulder joint no im-provement in the position was effected. An incisionwas made in the anterior surface of the shoulderjoint, and a fracture of the surgical neck of thehumerus discovered. The head of the bone was taken out. Two weeks later reduction of the leftHJioulder was attempted under ether; but this wasalso unsuccessful. On cutting down in the samemanner as in the right, a fracture of the surgicalneck of the left iuimerus was found. The head ofthe bone was excised in tlie same manner as at the(irst operation. A week after the latter operationthe patient was discharged against advice. Bothwounds were healing by first intention. He re-turned in a month after his discharge with greatimprovement in the motion of both shoulders. Ishow him tonight two weeks after his last appear-ance. As von see, he can lift his right arm to a

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horizontal position, and is gaining fast the use ofhis left. CASE IV. HORSESHOE KIDNEY MISTAKEN FOR TUMOROF STOMACH. This woman is thirty-one years old and was recom-mended by Dr. H. F. Hewes for probable cancer ofthe pylorus. She has had a history of occasionalpyrosis after eating, associated with abdominalpains. Sometimes she vomited during these attacks.Examination of stomach contents showed no freehydrochloric, lactic or butryic acids. No cachexiaor loss of weight has been present. A tumor ismade out in the epigastrium in the median line, notmovable nor tender. The patient wished an opera-tion in order to decide whether or not cancer waspresent. A laparotomy was done by Dr. C A.Porter, when all the abdominal contents were foundnormal. There was, however, a connecting bandabout one inch in thickness, extending across thevertebral column and joining the inferior poles ofboth kidneys. It was this mass that had been pal-pated through the abdominal wall. 368 BOSTON MEDICAL AND SURGICAL

Head Like A Hole

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