Retrospective audit of the value of the pancreolauryl test in a district general hospital.

Objectives: To audit the specificity and value of the pancreolauryl test (PLT) for the diagnosis of pancreatic insufficiency.

Design: A retrospective case note review of 47 patients who had a PLT during three consecutive years.

Setting: A 650 bedded district general hospital.

Modified rhombic flap for closure of circular or irregular defects.

Background: Rhombic flaps include the Limberg and the Quaba/Sommerlad flaps. The latter was described as successful placement of "a square peg in a round hole" but reported a 22% incidence of dog-ear formation complicating the postoperative course of surgery.

Objective: To demonstrate the clinical use and compare and contrast the rationale of a modified rhombic flap for closure of wounds of circular or irregular shape that aims to minimize dog-ear formation.

Rapid cytokeratin stains enhance the sensitivity of Mohs micrographic surgery for squamous cell carcinoma.

Background: Recurrence of squamous cell carcinoma (SCC) following Mohs micrographic surgery is uncommon. However, such cases do exist, presumably because of incomplete excision. Identification of single cells or small clumps of SCC tumor may be extremely difficult and can be compromised by inflammatory reaction.