[Detection and prevention of foot at risk in diabetic patient]

The foot of the diabetic patient is exposed to develop potentially serious trophic disorders that can lead to amputation. This risk is favoured by the conjunction of neurological, arterial and infectious complications. The frequency of these complications is very high. This makes the early detection of patients with podological risk, of crucial importance. Prevention in these particularly exposed patients should be carried on through education and a specialized follow-up

[Sheehan syndrom [of 40 cases]]

We proposed to undertake a study on the epidemiology, clinical, hormonal and evaluative profiles of 40 observations of antehypophysary failure of Sheehan postpotrum-syndrom assessed between 1980 and 1994. The occurance of hemorrhagic delivery is relatively early [29 years average], but the diagnosis was done 7years and half later [ranges going from 2 to 20 years]. Child delivery took place at home in 92% cases. The abondant hemorrhagy was found in 38 patients. The absence of this hemorrhagy in 2 of our patients leads to the hypothesis of lymphocytary hypophysite of poetpaetum. In case of the immediate post-partum the agalactia and the absence of recouvering are constant signs. In the mouths following the child-delivery, the clinical report of SHEEHAN syndrome did not show any particularities, compared to the classic form. In the absence of a dynamic hormonal explorations, we can not discuss neither the importance of hormonal deficiency, norther their repartition. The short term development under substitutive treatment, in good with ponderal advantage and with resumption of normal physical activities. At long term, an adherence failure to treatment was noticed in 6 patients

Management of differentiated thyroid carcinoma. About 43 cases

This study is about 43 differentiated thyroid carcinoma. This form of cancer affects principaly women and young people between 20 and 40 years. Diagnosis is essentially based on the histological findings. Main treatment is surgery associated with hormonotherapy. We have practiced 43 operations: 9 unilateral thyroidectomies, 18 total thyroidectomies on one time, 8 total thyroidectomies on two times, 6 subtotal thyroidectomies, 2 tumors reductions, 6 neck dissections. The protocol that should be followed is the one that will give the best chances of survival with the lowest sequelae. Surveillance should last during all life