Sir,?I trust that it is not too late for a short reply to the ideas set forth under this heading by MajorGeneral Ogilvie in your issue of March. Major-General Ogilvie asks "Has the medical soldier really ceased to be a doctor? " Surely the answer depends on the extent to which his medical work and function are subordinated to, or affected by, the requirements of the service to which he belongs....

BACKGROUND The primary aim of this study was to assess the long-term clinical and radiographic outcomes of arthroscopic debridement and bone marrow stimulation for talar osteochondral defects. The secondary aim was to identify prognostic factors that affect the long-term results. METHODS Fifty (88%) of fifty-seven eligible patients with a primary osteochondral defect treated with arthroscopic...

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CMAJ • FEBRUARY 22, 2011 • 183(3) © 2010 Canadian Medical Association or its licensors E162 A76-year-old man with a his tory of hepatitis C infection and newly diagnosed hepatocellular carcinoma was admitted for scheduled trans catheter arterial chemoembolization therapy. He developed abdominal discomfort and nausea one day after the procedure. On examination, he had a distended abdomen, diffus...

Ogilvie syndrome is defined as colonic pseudo-obstruction due to nonmechanical causes. Mortality of nearly 50% is associated with perforation of the distended, pseudo-obstructed colon. While conservative medical therapy has proven to be beneficial in a majority of cases, >3% of patients have significant distention or perforation of the colon that warrants surgical resection. The case of a 48-ye...

manifests clinically as a yellowish mass in the lateral corner of the eye, which becomes more evident with retropulsion of the globe. The imaging tests that can facilitate the diagnosis of subconjunctival fat prolapse are CT and magnetic resonance imaging (MRI) of the orbits, the most important radiological finding being that of a mass with fat density or fat-like signal intensity, respectively...