Clinico-pathological conferences. 7, Seronegative arthropathies (boxed set).

1978-84.

5 videocassettes (76 min. total) VHS) : sound, colour.

Geigy Pharmaceuticals.

Master.

Submaster.

Access copy.

The Clinico-Pathological Conference (CPC) series of programmes started in 1975 and was designed to provide the pharmaceutical industry who sponsored their production with educational material to promote discussion with the medical profession. The programmes are rich in clinical interest and provide an insight into medical practice in the 1980s and 90s. Much greater emphasis was placed upon case history and a physical examination before the prevalance of CT scans and ultrasound. Originally there were eight sets of five programmes supplied as a boxed set (both set one made for Merck Sharpe & Dohme and set four are missing). The series was originally shot on film and then subsequently transferred to video whereupon some programmes and film elements have been lost or not retained as it was not cost effective to store them when no longer in circulation.

This series was distributed on VHS and this format allowed for a much less rigid form of presentation. Following the clinical presentation the audience was provided with the opportunity to choose one of four alternative diagnoses. For each diagnosis chosen, whether or not correct, a patient was featured who had that diagnostic label and the similarities and differences between that patient and the one shown in the presentation were highlighted. This added to the educational value of the programme.

This is the boxed presentation of the series in five parts as it was intended to be distributed. VHS 4/5 has some image drop out.

1/5 Part 1 is entitled 'Liz Goes to the Doctor'. Liz Hudson is a keen competitive runner; after training she complains of pains and swelling in her knees. After a visit to her GP she is told to rest. She is refered to the hospital. She contracts glandular fever and once she feels better, her parents argue about whether she should resume training. She complains of painful swelling and returns to the hospital. She has some tests. Part 3 is entitited 'Further Investigations'. Liz has some splints which support her knees but render her imboile. She doesn't want to wear them and exercises regardless. The consultant in the hospital suspects she has rheumatic arthritis. The differential diagnosis is offered as 1. Rheumatoid Arthritis, 2. Reiter's Syndrome, 3. Psoriatic Arthropathy, 4. Ankylosing Spondylitis. Time start: 00:00:00:00 Time end: 00:00:13:00 Length: 00:00:13:00

2/5 Part 4 is entitled 'The Diagnosis' presented by Andrei Calin, Consultant Rheumatologist, Royal National Hospital for Rheumatic Diseases. One of several possibilities is that Liz Hudson has rheumatoid arthritis. Calin explains the symptomology of ttesting positive for seronegative meeting a patient with this condition with the unusual possibility that this case has a heredital factor. Time start: 00:00:00:00 Time end: 00:08:00:00 Length: 00:08:00:00

3/5 Part 4 is entitled 'The Diagnosis' presented by Andrei Calin, Consultant Rheumatologist, Royal National Hospital for Rheumatic Diseases. An alternative diagnosis is that Liz Hudson has Reiter's Syndrome which has some unusual presentations. A patient with Reiter's describes his experience. Time start: 00:00:00:00 Time end: 00:06:20:00 Length: 00:06:20:00

4/5 Part 4 is entitled 'The Diagnosis' presented by Andrei Calin, Consultant Rheumatologist, Royal National Hospital for Rheumatic Diseases. An alternative diagnosis is that Liz Hudson has Psoriatic Arthropathy. It is not the correct diagnosis for Liz Hudson but a patient with Psoriatic Arthropathy his experience. Time start: 00:00:00:00 Time end: 00:05:00:00 Length: 00:05:00:00

5/5 Part 4 is entitled 'The Diagnosis' presented by Andrei Calin and reviews Liz Hudson's history. The clue to the correct diagnosis was an x-ray which reveals that the patient has Ankylosing Spondylitis. A patient with the condition talks about the disease when it started when she was fifteen years old. An infomercial for Voltoral Retard, an anti-inflamatory treatment, ends the programme. Time start: 00:00:00:00 Time end: 00:13:20:00 Length: 00:13:20:00

Directed by Simon Nicholas. Geigy Pharmaceuticals presents.