The case for radiographer abnormality highlighting in the Accident and Emergency (A&E) department is well documented. Following evaluative feedback, 280 questionnaires were sent nationally to A&E radiology departments (excluding Northern Ireland). The intent of the survey was to ascertain the viability of constructing a short course in trauma plain film pattern recognition in the axial and appendicular skeleton. Following a highly positive response a course was designed and operated on a workshop basis, being lead primarily by reporting radiographers. The course was evaluated for effectiveness using three identical assessments of 42 films, including 12 positive for trauma. A sample of 22 radiographers who attended the pilot course and subsequent courses throughout 1998/99 undertook the assessment. The assessments themselves were performed at the start and end of the course and 6-10 weeks after completion. Results appear to indicate that a significant improvement in the specificity (p = 0.002) and accuracy (p = 0.005) was achieved following the course. In the light of continuing professional development, the course appears to address the needs of the majority of clinical radiographers working in A&E.

A case of tubo-ovarian abscess in a patient with term pregnancy is reported. Nineteen reports of ovarian or tubo-ovarian abscesses are collected from the literature and analyzed. The treatment is discussed.Acute and chronic pelvic inflammatory disease during pregnancy are seldom encountered. Differential diagnosis of pelvic pain with signs of inflammation during pregnancy includes: abortion, especially criminal abortion, appendicitis, bowel obstruction, ectopic pregnancy and twisted ovarian cyst. Because of its rarity tubo-ovarian inflammatory disease is not often considered. This diagnosis is usually made after laparotomy.Most reported cases of pelvic inflammatory dis-was 160/100 mmHg. pulse 881min. temperature 91(.4"F. Fetal heart tones were 142/min. Uterus was term size. Cervix was closed and vertex was 2 cm above the ischial spines. There was moderate pitting edema of the lower extremities.As the patient was not in labor and because of hypertension, it was decided to induce the labor. During the course 1-772861Aeta Obstet Gynecol Scand 56 (1977)

A case is reported in which passively acquired antibody (RhoGAM®) apparently prevented maternal immunization to Rh by a large volume of Rh‐positive blood. After a 1,000‐ml transfusion of Rh‐positive blood into an Rh‐negative mother, 59 ml of Rh‐immune globulin were administered in fractional doses at 12‐hour intervals for eight days. During this time, tests for evidence of mixed agglutination, direct and indirect antiglobulin tests, and the hematocrit value were used to monitor patient response. The dose of Rh‐immune globulin administered (17,700 μg), as well as the ratio of Rh antibody (μg) to volume (ml) of administered blood, was 18 to 1, the highest thus far reported, but adverse effects were not noted.

Six cases of pregnancy associated with sarcoma are presented. Among these six cases is one patient with vulvar sarcoma which was diagnosed during the 34th week of pregnancy. The literature was reviewed with reference to the effect which pregnancy may have on the growth of malignant tumors. Most authors believe that pregnancy has no deleterious effect on the course of cancer, however, this is not well supported through adequate data. Several reports to the contrary contain evidence that pregnancy may have a deleterious effect on the course of cancer. These discrepancies could be explained on the basis of differences in the natural history and biological behavior of different malignant tumors in relation to the pregnancy.