Clinico-pathological conferences. 2, The case of Joe Bates.

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About this work

Also known as

Clinico-pathological discussion programme : 2.


Part 1 is entitled 'Clinical History: a diagnostic problem' (13 mins). John A. Mathews MRCP talks about the problem with accurately diagnosing patients with rheumatoid arthritis. The patient, a middle-aged man, Joe Bates has joint pain in his hands and suffers from the sentation of walking on stones. Despite treatment, his condition worsens. He becomes severly anaemic; his haemoglobin levels fall. In hospital, the consultant tests his grip, strength and they carry out pin prick tests and test the sensitivity of the soles of his feet. Part 2 is entitled 'Clinical History: cause of death'. It is explained that the patient's neurology and anaemia is examined as well as a discussion on iron deficiency. X-rays of the cervical region are seen; there is a notable compression which is considered to be responsible for some of the patient's mobility problems. He is offered surgery or a less conservative option of wearing a cervical collar (neck brace). He opts for the latter and seems to do well until a sudden admission to hospital with paraplegia. He subsequently contracts pneumonia and then dies of a cardiac arrest. Part 3 is entitled 'The Pathology' and is presented by Dr. J. Trevor Hughes. He studies the pathology of the knee joint typical in rheumatoid arthritis; the compression of the spinal cord; the lungs and kidneys are investigated. There is a large tear in the stomach and an ulcer causing peritonitis. Peptic ulcers during steroid treatment can occur.



Physical description

1 videocassette (26 min.) (VHS) : sound, colour.

Copyright note

Merck Sharp Dohme.
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.

Creator/production credits

Directed by Simon Nicholas. The staff of St. Thomas' Hospital, London and the Radcliffe Infirmary, Oxford. Little King Productions Ltd.



Where to find it

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