Intended for healthcare professionals



BMJ 1994; 309 doi: (Published 29 October 1994) Cite this as: BMJ 1994;309:1176

The most common reason for a boy to be referred to an endocrine clinic is constitutional delay of growth and puberty (Archives of Disease in Childhood 1994;71:285–7). In theory all that is needed is reassurance; in reality the boy's emotional wellbeing may benefit from treatment that will bring forward the adolescent growth spurt. Treatment with oxandrolene or testosterone will usually achieve this without any side effects.

Seven out of 57 Californian patients with AIDS died during or shortly after surgery for acute abdominal emergencies, mostly appendicitis, says a report in the “American Journal of Surgery” (1994;168:239–43). This mortality is substantially lower than in earlier series; surgeons should be willing to undertake what Americans now call emergent surgery in patients with AIDS.

In fetal magnetocardiography the magnetic field set up by the intracellular current density within the fetal heart is recorded with a superconducting quantum interference device (British Journal of Obstetrics and Gynaecology 1994;101:866–70). What this means is that the fetal heart can now be evaluated non-invasively in the second trimester of pregnancy, giving …

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