JPMA. The Journal of the Pakistan Medical Association
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De Quervain's tenosynovitis is defined as stenosing tenosynovitis of the synovial sheath of tendons of abductor polices longus and extensor pollicis brevis in the first compartment of wrist due to repetitive use. ⋯ We conclude that two or three local steroid injections in the first dorsal compartment lead to significant improvement in patients with de Quervain's tenosynovitis.
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A case of accidental administration of high dose intrathecal diamorphine is reported in a patient who underwent total knee replacement. Initially a regional technique was planned for this patient, but due to inadvertent administration of three milligrams of diamorphine intrathecally, it was decided to convert the patient to have a general anaesthetic. Postoperatively, she was monitored in high dependency unit for 48 hours. Apart from two episodes of nausea and mild drowsiness, she did not develop any serious side effects and did not require naloxone.
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To identify the strengths and weaknesses of the current selection process for admissions to public medical colleges being followed in the province of Punjab and to suggest changes. ⋯ Entrance and aptitude tests in Punjab were found to be valid and reliable with incremental predictive validity at least for performance in the pre-clinical years. It is suggested that Higher Secondary School Certificate-marks should have little, if any, weightage in the selection process.