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The design and organization of a unit for the postoperative care of a cardiac transplant patient is discussed, together with measures designed to minimize the acquisition of exogenous infection by the patient.
The syndrome of hypertrophic pulmonary osteoarthropathy is a rare concomitant of bronchial carcinoma, which is, however, the commonest cause of the syndrome, the essential feature of which is a vagus-dependent hypertrophy of vascular periosteal fibrous tissue which subsequently ossifies.
In a major operation such as a partial gastrectomy, a fluid loss of up to 4 litres may result. This is loss of extracellular fluid by translocation into the splanchnic bed, bowel lumen and tissues adjacent to the wound, besides the fluid lost through excessive fasting and sweating in the apprehensive patient.