IATROGENIC ENDOMETRIAL PATTERNS

The histological patterns exhibited in the endometrium due to the newer progestational agents cannot be correlated with the patient's menstrual cycle or the physiological endometrium which follows ovulation. The oral progestational agents which have been produced during the past few years have had wide clinical application. Although the 19-nor-steroids and the derivatives of 17 alphahydroxyprogesterone differ in chemical structure, they produce similar histological appearances in the endometrium. Prolonged use of these compounds produces atrophy of the endometrial glands and a cellular stroma which might be mistaken for endometrial sarcoma. In view of the fact that such compounds are widely used in clinical practice and as contraceptive agents, it is essential that the pathologist should be aware of the bizarre endometrial patterns which they may produce; the more important of these changes are illustrated and discussed.

BACTERIOLOGICAL COMPLICATIONS FROM THE USE OF URETHRAL INSTRUMENTS: PRINCIPLES OF PREVENTION

Guidance by bacteriologists and changes in theatre and ward disciplines have greatly improved the results of urological surgery in recent years. The most noteworthy successes have been in treatment of chronic retention with renal failure, and in prevention of the bacteraemia which may occur following removal of the post-operative catheter or the passage of an instrument to dilate a stricture. It is hoped that safer urethral instrumentation may also reduce the incidence of chronic pyelonephritis.

IATROGENIC LESIONS IN BABIES FOLLOWING UMBILICAL VEIN CATHETERIZATION

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IATROGENIC VITAMIN B DEFICIENCY

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