Monday, 16 July 2012

What is this?

Any guessess????

This is the xray of young boy who sustained injury over elbow region. So what it could be.


Saturday, 7 July 2012

Sequalae

Gallbladder wall thickening + Pleural effusion + ascites =post viral Sequalae or may its a fresh dengue.
Those are the ultrasound findings, to kindle the suspicion of dengue.

Dog bite

There are many confusing terms and methods in treating dog bite.
But the treatment is of course very simple.
Whatever be the age..
Start rabipur antirabies vaccine with inj. TT.
Dosage is 0,3,7,14,21 days.
Also u can stop the vaccine if the dog is healthy after 5days.
Its better to start antibiotic like phexin after cleaning the bite area with betadine solution.
This is for superficial bites. But treating with iv immunoglobulins should be considered when the bite is so deep.
That's all. Matter over.

Ulcerative colitis

Cardionice greetings folks....
This is a colonoscopic view of a pt who presented with thirty times loose stools per day for three days, passing mucoid stools occasionally, he s having lower abdominal pain, with bleeding PR.
Provisional diagnosis of ulcerative colitis was made. To confirm that colonoscopy was done. And it showed white ulcerative areas in transverse colon and descending colon.. So no other go, it is ulcerative colitis and he was started with steroids and antibiotics.
Point differentiated the diagnosis from crohns is bleeding PR and ulcers i. Transverse and descending colon.
Nice huh....
Thats what NICE ventures is about to.

Saturday, 30 June 2012

Brain or git


75yr old male admitted with complaints of cough with expectoration and right iliac fossa pain and tenderness for one month. He was admitted under surgical care. On admission he was normotensive. After Admission his bp raised to grade 2 hypertension. On detailed examination, the history of slurring of speech, nasal regurgitation, mild limb weakness were present for four days along with that hypertension. This patient was not a known diabetic or hypertensive. Ultrasound abdomen came clean. Upper gastrointestinal scopy showed some stricture in cricopharynx with gastritis but no mass. X ray chest showed nothing significant. Bronchoscopy showed Right vocal cord palsy.
CT brain showed some age relatd changes and white matter ischaemia.
His blood works were clean
what causes nasal regurgitation., speech disturbance, limb weaknesses... was it due to local cricopharynx stricture, vocal cord palsy, white ischaemia respectively or something else.