ABSTRACT
Five ASIM members relate their experiences with using continuous quality improvement (CQI) theory in their practices. Although critics grumble about paperwork and data collection, supporters claim that CQI is a lifesaver for private practice.
Subject(s)
Internal Medicine/standards , Quality Assurance, Health Care/organization & administration , Internal Medicine/organization & administration , Private Practice/standards , United StatesABSTRACT
A review of a small series of cases with idiopathic retroperitoneal fibrosis revealed that two of the patients had been under treatment for gout prior to developing retroperitoneal fibrosis. Investigation showed that other patients in the series had hyperuricaemia. Examination of the retroperitoneal fibrotic tissue demonstrated the presence of urate crystals in unusually high numbers. It is suggested that the pathological process of retroperitoneal fibrosis in these cases may have been initiated by the deposition of urate crystals in the retroperitoneal connective tissue and that the same process may be related to the causation of idiopathic hydrocoele.
Subject(s)
Retroperitoneal Fibrosis/blood , Uric Acid/blood , Adult , Connective Tissue/analysis , Humans , Male , Middle Aged , Retroperitoneal Fibrosis/metabolism , Retroperitoneal Space/analysis , Uric Acid/analysisSubject(s)
Urethra/abnormalities , Adult , Child, Preschool , Humans , Male , Penis/abnormalities , Urinary Catheterization , UrographyABSTRACT
This is a report of a small series of cases of primary carcinoma of the renal pelvis and ureter, with particular reference to diagnosis of these conditions by cytological examination of the urine. The causes of failure of detection and the advantages of using this method are discussed, and the cytological and histological diagnoses are compared.