Speculum - University of Melbourne

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62 SPECULUM In your future profession • • • . . . the many helpful services of The National Bank can be of great assistance. Among these, professional men and women find the safety and convenience of a cheque account indispensable. A National Bank cheque account builds confidence and respect, as well as enhancing personal reputation. It indicates at once that a person is well organised, and is on a firm financial footing. The National Bank, with 840 Branches and Offices throughout Australia, is well equipped to provide you with the complete and informed banking services you will need in your profession. )1 010 41 . , Take your first step towards a sound financial future by opening a NATIONAL BANK THE MODERN WAY TO PAY 070/A4/ FEB 1ME NAT: ON AL BANK OF AUSTRALASIA LIMITED (INC. IN VIC.)
SPECULUM 63 been a small bowel action soon after the onset. As far as we could ascertain she had always enjoyed good health apart from vague discomfort in the upper abdomen and flatulence. There was a little distension, no tenderness and occasional noisy bowel sounds. A straight X-ray showed the presence of a large stone in the gall bladder area. What had we here? 13. A bright young man came into Casualty with a clean cut on the dorsum of his left hand about 2 cm. long. His jacket was bloodstained. He spoke with an accent which was unmistakably Scottish and he was loud in the praises of the Demons. His wound was sutured and he was given an injection of tetanus toxoid. As he left, the pretty nurse on duty said: "Goodnight Officer". How did she know he was a policeman? MEDICINE Dr. Doyle 1. A man aged 40 had a pleural effusion 10 years ago. He now complains of moderate dyspnoea on exertion but has no dyspnoea at rest. His jugular venous pressure is 10 cms. above the sternal angle, his heart is normal in size and he has an enlarged liver and ascites. Diagnosis? 2. A woman aged 33 complains of being awakened at night by palpitation; she has noticed that on these occasions her pulse rate is slow. At the same time she trembles and sweats profusely and feels that her neck is swelling. Her B.P. is 155/100 and she has glycosuria. Diagnosis? 3. A man of 43 has chronic osteomyelitis of his right leg. He now complains of oedema of both legs, but no dyspnoea. Clinically he has gross oedema of both legs, a palpable spleen and his urine contains 8 G. of protein per litre. Diagnosis? 4. A woman aged 28 has been treated for 5 months for pulmonary tuberculosis. She now complains of numbness and tingling of both hands and feet. On examination she has absent knee and ankle jerks and tender calves. What is the diagnosis and what is it due to? 5. A girl aged 13 complains of dyspnoea on exertion. On examination she has an enlarged right ventricle, a systolic murmur in the 2 left space and cyanosis and clubbing of the toes of both feet, but has none in the fingers. Diagnosis? 6. A woman aged 36 states that for 17 years she has had recurrent episodes of frequency of micturition and that she frequently has haematuria. On examination she is pale and hyperpnoeic, and both kidneys are enlarged and readily palpable. Her B.P. is 250/150. Diagnosis? 7. What changes would you expect to find in the patient's plasma in (6) in i. Urea. ii. Na+ iii. K+ iv. HCO 3- v. C1.- 8. A single girl aged 31 consulted doctor complaining of difficulty in swallowing, trembles and feelings of anxiety since she was jilted seven years ago. Her doctor prescribed some white tablets, which she took. Three days later her skin began to itch, and on the following day she became jaundiced. What were the tablets? 9. A male medical student who claimed to be a teetotaller became nauseated and lost his appetite a week ago. Three days later he became jaundiced and noticed that his stools were pale and his urine dark. On examination his liver is easily palpable and his spleen can just be felt. What is the likely diagnosis? 10. A man aged 53 complains of diplopia for 3 days. He admits to a cough for 3 months and has lost a little weight. On examination he has clubbing of the fingers, a dull percussion note at the apex of the left lung, a left Homer's syndrome and a right external rectus palsy. Diagnosis? 11. A widower aged 66, who lives alone, presents with red spots on the arms and legs, and says that he has been bleeding from the mouth for one month. On examination his gums are swollen and bleed readily. Diagnosis? 12. A market gardener aged 37 is admitted with peripheral neuritis. He says that for three weeks he has had intermittent diarrhoea and vomiting. On examination he appears to have lost weight, has hyperkeratosis of the palms and soles and has peripheral neuritis. Diagnosis?
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2 SPECULUM WHAT IS LIFE ASSURANCE ?
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SPECULUMik Contents \NE ER ITy 0 LI
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Many medical men have given long an
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SPECULUM 9 Editorial:— Cancer : W
Page 13 and 14: SPECULUM 11 Meet PROFESSOR MAURICE
Page 15 and 16: SPECULUM 13 thoracic surgery which
Page 17 and 18: SPECULUM 15 E.C.G. DIAGNOSIS OF CON
Page 19 and 20: SPECULUM 17 Fig. 5—E.C.G. and pho
Page 21 and 22: SPECULUM 19 Fig. 11—Tracing from
Page 23 and 24: Demonstrator The human body has bee
Page 25 and 26: SPECULUM 2a is that of volvulus whi
Page 27 and 28: SPECULUM 25 PRE-ANAESTHETIC MEDICAT
Page 29 and 30: SPECULUM 27 b. Central Nervous Syst
Page 31 and 32: • SPECULUM 29 MEDICAL EDUCATION K
Page 33 and 34: SPECULUM 31 Medical Journal accused
Page 35 and 36: SPECULUM 33 MON his practice inspir
Page 37 and 38: SPECULUM 35 it seemed to the medica
Page 39 and 40: SPECULUM 37 pressed by the methods
Page 41 and 42: SPECULUM 39 INFAMOUS CONDUCT IN A P
Page 43 and 44: SPECULUM 41 in a professional respe
Page 45 and 46: SPECULUM 43 LIFE OF EUSTACE LOVELAC
Page 47 and 48: SPECULUM 45 volume, vessel impalpab
Page 49 and 50: SPECULUM 47 SOME CONTRACEPTIVE TECH
Page 51 and 52: SPECULUM 49 Post-coital douching ha
Page 53 and 54: SPECULUM 51 inserted as far as poss
Page 55 and 56: SPECULUM 53 BOOK REVIEWS RADIOLOGIC
Page 57 and 58: SPECULUM 55 who tries to conduct hi
Page 59 and 60: SPECULUM 57 kavg:61,4 &iv 9 r rtaao
Page 61 and 62: SPECULUM 59 FILM: "People who aren'
Page 63: SPECULUM 6t SURGERY Professor Ewing
Page 67 and 68: SPECULUM 65 MI-1,DICAL Alf,DLI -;rY
Page 69 and 70: SPECULUM 67 ANSWERS TO DIAGNOSTIC Q
Page 71 and 72: SPECULUM 69 Int.BYtant M. S. S. CHR
Page 73 and 74: SPECULUM 71 ANNUAL DINNER JUNE 13th
Page 75 and 76: SPECULUM 73 MEDLLY'S '57 Dear S. &
Page 77 and 78: SPECULUM 75 The Stately Homes of Ca
Page 79 and 80: SPECULUM 77 PRE-MEDICINE This year
Page 81 and 82: SPECULUM 79 play as they had to swo
Page 83 and 84: SPECULUM 81 ROYAL MELBOURNE HOSPITA
Page 85 and 86: SPECULUM 83 ALFRED HOSPITAL THIRD Y
Page 87 and 88: SPECULUM 85 THIRD YEAR ST. VINCENT'
Page 89 and 90: SPECULUM 87 PRINCE HENRY'S HOSPITAL
Page 91 and 92: SPECULUM 89 spicula Surgeon, to pat
Page 93 and 94: SPECULUM 91 Gallup pole clerk visit
Page 95 and 96: SPECULUM 93 After a man finds out t
Page 97 and 98: SPECULUM 95 e y Girl's voice heard
Page 99 and 100: SPECULUM 97 Is it true that storks
Page 101 and 102: SPECULUM 99 What would you do if a
Page 103 and 104: Elastoplast a waterproof yet non-oc
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