intermittent claudication von osler sir william (1 Ergebnisse)

Series: Montreal Medical Journal, Feb. 1902. Offprint. 25.2 cm 6 pp. Printed wrappers. Very good. 'The twentieth century saw the depersonalization of case reports and the standardization of their structure, with the rise of the now-familiar 'introduction/case report/discussion' format and the gradual disappearance of the author from the narrative. Osler's 1902 report of two cases of intermittent claudication is characteristic of this modern transition point in the case report. He begins with a recollection of a horse autopsy he had viewed with some members of the Montreal Veterinary College more than 20 years before. The horse had been afflicted with a 'peculiar form of intermittent lameness,' and the autopsy showed 'verminous aneurysms. . . of the iliac arteries.' He cites the case of another horse that had to stop and rest 'after being driven for fifteen or twenty minutes;' autopsy showed clots obstructing the arteries in both hind legs. He then gives a thorough review of the literature, including a case reported by Charcot in 1856 of a soldier with classic intermittent claudication, who was found at autopsy to have a bullet encysted near the iliac artery, which had caused an aneurysm with obliteration of the lower part of the artery. Collateral blood flow had allowed a modest level of activity, but more vigorous activity caused ischemic pain that was relieved only with rest. Osler then describes his own case of a young man with a syphilitic abdominal aortic aneurysm who developed leg claudication symptoms after the aneurysm was successfully treated with 'wiring and electrolysis' . . . In this terrifically interesting and entertaining interspecies case report, Osler writes in the first person, and brings in his odd (though very apt) experience in veterinary medicine. - Clifford D. Packer; Gabrielle N. Berger, Writing Case Reports: A Practical Guide from Conception through Publication. Golden & Roland 750. [HM].