Abstract

The natural history of intermittent claudication is generally benign. Clear indications for revascularization in patients with intermittent claudication are rest pain and necrotic tissue. Disabling claudication in patients who are at low operative risk is another acceptable indication for surgical treatment. Young patients with intermittent claudication from aortoiliac occlusion constitute a subset of patients in whom a more aggressive approach is justified. Nevertheless, in most patients, the management of intermittent claudication should be conservative.

Highlights

  • That the Defence Ministry has been functioning smoothly for some years, would it not be worthwhile to extend the Queen Alexandra on its existing site to serve as the main hospital for the Navy and Air plastic surgery unit on 23 June, having been comatose from an overdose of Sonalgin tablets (butobarbitone; phenacetin; and codeine phosphate) a week before (blood barbiturate on admission was 2-1 mg/100 ml)

  • That the Defence Ministry has been functioning smoothly for some years, would it not be worthwhile to extend the Queen Alexandra on its existing site to serve as the main hospital for the Navy and Air plastic surgery unit on 23 June, having been comatose from an overdose of Sonalgin tablets a week before

  • There was much induration surrounding the lesio-is below the left knee and on the right thigh, which was grossly

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Summary

Introduction

That the Defence Ministry has been functioning smoothly for some years, would it not be worthwhile to extend the Queen Alexandra on its existing site to serve as the main hospital for the Navy and Air plastic surgery unit on 23 June, having been comatose from an overdose of Sonalgin tablets (butobarbitone; phenacetin; and codeine phosphate) a week before (blood barbiturate on admission was 2-1 mg/100 ml). On examination she had patches of skin necrosis at the point of the right elbow, on the medial surface of the right lower thigh, over the right internal malleolus, on the medial burn injuries.

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