Case 1. Patient 1 is a 65-year-old plumber who presents with fatigue, headache, blurred vision, and intermittent nosebleeds for the past 3 months. Examination demonstrates mild generalized lymphadenopathy and a palpable spleen tip. The fundi show marked retinal vein engorgement with “sausaging.” Laboratory tests disclose mild anemia and a large monoclonal spike on serum protein electrophoresis....

Many investigators have considered that local vascular changes may be important in the etiology and pathogenesis of degenerative arthritis, but opinions differ as to the nature of these changes. Several authors have suggested that osteoarthritis is accompanied or preceded by a state of ischaemia of subchondral and juxtachondral bone (Wollenberg 1909; Goldhaft, Wright and Pemberton 1930; Phemist...

Case 1. Patient 1 is a 65-year-old plumber who presents with fatigue, headache, blurred vision, and intermittent nosebleeds for the past 3 months. Examination demonstrates mild generalized lymphadenopathy and a palpable spleen tip. The fundi show marked retinal vein engorgement with “sausaging.” Laboratory tests disclose mild anemia and a large monoclonal spike on serum protein electrophoresis....

Saccular aneurysm of the external jugular vein presenting as a neck mass is very rare. We report the surgical treatment of an external jugular venous aneurysm in a 48-year-old female patient due to the cosmetic problem of neck engorgement, concomitant with thyroidectomy for cancer.

The picture (Figure 1) showing a markedly virilized central figure with an infant at the breast was painted in 1631 by Jose Ribera, a Spaniard living in Naples. It was commissioned by Ribera's patron, the Duke of Alcala and in due course returned to Spain. It was exhibited in Paris and in the Royal Academy of San Fernando in the early 19th century and hung for many years in the Hospital Tavera ...

Picture 1. A chest radiography showing cardiomegaly and presence of pleural efusion. Picture 2. Contrast-enhanced computed tomography of the whole abdomen showing the hepatic vein and inferior vena cava are engorgement (black arrow) with early reflux of contrast medium into inferior vena cava and hepatic vein (white arrow). Delayed contrast enhancement and inhomogeneous patern of the liver pare...