Surgically correctable adrenal-dependent hypertension: a report of five cases

Although endocrine causes of secondary hypertension are relatively uncommon, medical practitioners must maintain a high index of suspicion for them in certain categories of patients. Such patientsinclude young individuals, those with difficult- to-treat hypertension and those presenting with symptoms, clinical signs and/or laboratoryparameters well-known to be associated with Cushing’s syndrome, Conn’s syndrome or phaeochromocytoma. This paper reports on 5 patients identified over a 2-year period with various hormonally-activeadrenal adenomas causing hypertension in an environment where, hitherto, the occurrence of these conditions was generally thought to be rare. Aspects of the patients’ histories, examination and laboratory findings that drew attention to the possibility of the diagnosis in each case are highlighted, as are the confirmatory investigationsand management methods used by a multidisciplinary team of medical practitioners. The clinical outcome with appropriate treatment of adrenalrelated hypertension is good and can result in significantcost savings in the long term

Current Challenges with their Evolving Solutions in Surgical Practice in West Africa : A Reader

Worldwide, there is a plethora of study materials in the form of authoritative review articles on disease entities afflicting the Western world but relatively few publications exploring similar problems confronting the developing countries, where resource limitation adds an extra dimension to the challenges facing the clinician. The contributions in this Reader address common surgical challenges and what measures have evolved to countenance these problems. This therefore addresses 'Current Surgical Practice', placing emphasis on the principles underlying the consensus opinions prevailing in surgical management. The approach is practical, avoiding the minutiae of procedures for which appropriate references detailing such information are provided. The contributions have come from a broad suave of critical management problems in the salient fi elds of surgery. Regrettably some urgent areas of public interest are not covered but it is clear that this volume represents the beginning of a process, yea, the initiation of an epoch of Recent Advances in Surgical Practice; we are confi dent that such yawning gaps in coverage would soon be made good by subsequent developments, stimulated by issuance of this publication