This is an elderly diabetic patient, with facial lesions and fever. The patient is a type 2 Diabetic patient for the last ten years on metformin and premixed insulin twice daily. His blood sugars are mostly in the range of 200 to 300 mg/dl and glycated haemoglobin of 9.8 %. Five days back he developed facial …
Gangrene is the death of a viable body part due to a lack of blood supply (dry gangrene) or secondary to an infection (wet gangrene). The cardinal signs of reduced blood supply to the limbs are pain pallor paraesthesias perishingly cold pulselessness and paralysis A short story of a baby with digital gangrene… Here is …
Gangrene of the fingers and toes in a young child … Read More »
Nausea is the unpleasant sensation of being about to throw up. Nausea may be secondary to a disorder of the GI tract, however, other causes are not uncommon. Nausea may or may not be followed by vomiting. Vomiting is the actual throwing out of gastric contents. Vomiting is a protective reflex in animals and humans …
Hereditary spherocytosis is a familial hemolytic disorder with variable clinical features. It is the most common congenital hemolytic disorder due to a defect in the red cell membrane. Hereditary spherocytosis Inheritance: Any of the Six genes that code for proteins responsible for maintaining the membrane skeleton may be defective. Spectrin deficiency leads to loss of …
Hereditary Spherocytosis – inheritance, symptoms and treatment Read More »
Lumbar puncture procedure is commonly performed in patients with neurological diseases. It is performed for both diagnostic and therapeutic purpose. Here we discuss how a lumbar puncture is performed and what are the indications and contraindications for a lumbar puncture. How to perform a Lumbar puncture Procedure? Before proceeding to the steps of a lumbar …
Lumbar Puncture Procedure – How and When to perform? Read More »
This is a case scenario of a young female with upper right abdominal pain and jaundice. History of the patient, examination, and investigations are presented here. Viewers should try to diagnose this patient. This will be followed by a discussion of the case after a few days. Case presentation of the patient with upper right …
Upper right abdominal pain and jaundice – Diagnosis? Read More »
How to lose weight fast, without medicines and surgeries, without a diet plan and without a dietition help? Here are simple but important steps to include in one’s dietary and daily schedule. Introduction: Obesity is the mother of all the diseases. Obese patients, apart from getting all the nasty diseases like diabetes, hypertension, cancers, joint …
How to lose weight fast without dieting? Without Medicines? Read More »
Testicular cancer affects the young adults when testosterone fluctuations are maximum. About 1% of all malignant tumors are testicular tumors. And 99% of the tumors are malignant. Testicular germ cell tumors comprise more than 90% of testicular cancers. These cancers are strongly associated with a psychological distress and infertility. However, among cancers, testicular cancer is …
Testicular cancer – It takes Balls to survive testicular cancer! Read More »
This is a case scenario of a young male patient with fever, flank pain, and swollen lymph nodes. This case scenario has a theme which will be discussed later. Case scenario of the patient with fever, and swollen lymph nodes… A 22 years old male patient, a laborer by profession, was admitted in our hospital …
Swollen lymph nodes, fever and flank pain. Diagnosis? Read More »
Nightmares and night terrors are two distinct but related sleep disorders. Both these conditions occur mostly in children but adults may be affected too. Nightmares are basically nothing more than bad dreams. It is an unpleasant dream that can cause a strong emotional response like fear, anxiety, and sadness. Where in the sleep cycle is …