WEMJ Volume 113 No. 3 - September 2014
Introduction
In this issue we have four articles. We kick off with a short case report from the editor followed by three excellent articles from Professor Dunn, Emeritus Professor of Perinatal Medicine and Child Health, University of Bristol. All three of Peter Dunn's articles cover important points that may be missed in a general medical education but could be significant for the GP as well as for the more specialised obstetric or paediatric practice. (Please note that this is a medical journal. Do not download the articles if medical images are offensive to you)
P Goddard, Editor WEMJ
Volume 113 No. 3 Article 1 September 2014. Case Report: Brawny discharging swelling of the finger
Paul Goddard MD, FRCR paulrgoddard@me.com
This patient presented with a very painful swollen finger. Antibiotic therapy was ineffectual. What else should be considered?
WEMJ Volume 113 No. 3 Article 2 September 2014 Charles White (1728-1813) of Manchester and fetal adaptation at birth
Peter M. Dunn, MA, MD, FRCP, FRCOG, FRCPCH.Emeritus Professor of Perinatal Medicine and Child Health, University of Bristol (P.M.Dunn@bristol.ac.uk)
"For the present I intend to focus on White's observations on the importance of not interrupting the feto- placental circulation by prematurely clamping a still-pulsating umbilical cord at birth"
WEMJ Volume 113 No. 3 Article 3 An Unusual Fracture of the Femur at Birth
Peter M. Dunn, MA, MD, FRCP, FRCOG, FRCPCH‚
Swelling around the baby's left knee was noticed at one week. An X-ray revealed a fracture at the lower end of the femur with posterior displacement of the epiphysis.
WEMJ Volume 113 No. 3 Article 4 Imperforate hymen at birth
Peter M. Dunn, MA, MD, FRCP, FRCOG, FRCPCH On rare occasions the hymen is imperforate at birth obstructing the flow of secretions from the genital tract, including later the menstrual flow after puberty. The latter gives rise to an haematocolpos first mentioned by Aristotle but given its classic description by Ambroise Pare´.