South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
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Comparative Study
The interscalene approach to block of the brachial plexus.
One hundred consecutive cases of interscalene brachial plexus block are presented. The technique is reliable, safe and easy to perform. ⋯ Multiple injections are not necessary. The technique is also highly acceptable to the patient.
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Secondary drowning is a respiratory distress syndrome which develops after a latent period following apparently successful resuscitation from near-drowning. Eighteen cases of near-drowning have been reviewed and one case history is presented in detail to illustrate the importance of anticipating the development of this syndrome. Successful management of these patients involves ventilatory support and careful monitoring of the neurological and cardiovascular status. Because many doctors are unaware of the syndrome and because it has a good prognosis if recognized and treated early, a review of the clinical features and treatment is warranted.
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A patient with a bizarre fungating tumour of the anterior abdominal wall is described. The lesion had the histological features of Bowen's disease and also had the appearance of a basal cell carcinoma with sebaceous differentiation. ⋯ As far as we know, Bowen's disease has once previously been reported in a Black patient in South Africa. We have not encountered any other description in the literature of Bowen's disease presenting as a fungating tumour.