RESUMO
Dr James Barry, a surgeon in the British Army from 1813 until his retirement in 1859, became famous after his death following the revelation that he was in fact a woman who had masqueraded as a man for no less than 56 years. This paper reviews Margaret Bulkley's student years at the University of Edinburgh from the time of her adoption of the identity of the youth calling himself James Barry. The deception was perpetrated in order to obtain a medical degree and the three year MD curriculum was completed without discovery. Few facts are known about these years (1809-1812) and the work of Lisa Rosner has been invaluable as a source of prosopographical information to apply to our knowledge of James Barry's experiences during his time at Edinburgh. Contemporary letters and an Army document also assist in developing this unique and extraordinary story, revealing much that was previously unknown as well as some data, which in earlier work were incorrectly reported.
Assuntos
Identidade de Gênero , Medicina Militar/história , Militares/história , Feminino , História do Século XVIII , História do Século XIX , Humanos , Masculino , EscóciaRESUMO
Urinary retention is an unusual problem in females and may be psychogenic, especially in the young. However it is important to remember that there are also organic causes for retention. We present 2 cases of an uncommon cause of urinary retention in the young female, namely hematocolpos.
Assuntos
Hematocolpia/complicações , Retenção Urinária/etiologia , Dor Abdominal/etiologia , Doença Aguda , Adolescente , Criança , Diagnóstico Diferencial , Drenagem , Feminino , Hematocolpia/diagnóstico por imagem , Hematocolpia/cirurgia , Humanos , Hímen/cirurgia , Recidiva , UltrassonografiaRESUMO
The prognosis for patients with adult Wilms' tumor is poor in contrast to pediatric Wilms' tumor. A 23-year-old patient with Wilms' tumor is described who relapsed twice; initially after adjuvant treatment with abdominal irradiation, vincristine, and actinomycin and again after treatment with high dose doxorubicin. The patient was treated with cisplatin and etoposide and is clear of disease 75 months after presentation. She has given birth to a healthy baby.
Assuntos
Cisplatino/uso terapêutico , Etoposídeo/uso terapêutico , Neoplasias Renais/tratamento farmacológico , Neoplasias Pulmonares/secundário , Tumor de Wilms/tratamento farmacológico , Adulto , Dactinomicina/uso terapêutico , Feminino , Humanos , Neoplasias Renais/patologia , Prognóstico , Vincristina/uso terapêutico , Tumor de Wilms/patologiaRESUMO
Initial experience at two centres in Cape Town with a new technique for the removal of urinary calculi is described. The technical difficulties encountered and the methods used to overcome them are outlined. Percutaneous nephrolithotomy has rendered conventional open surgery largely obsolete for treatment of stone disease of the upper urinary tract.
Assuntos
Cálculos Renais/cirurgia , Nefrostomia Percutânea/métodos , Humanos , Complicações Pós-OperatóriasRESUMO
Ureteric duplication, whether complicated or not, is usually associated with an increased in renal length. Two cases of renal duplex with nonfunction of the upper moeity, exhibiting a reduction in renal size, are presented. The radiologic features and the cause of this reduction in size are discussed. The importance of the postmicturition radiographs in cases of urinary tract infection is stressed.
