Medicine and Health Sciences Commons^™

Alopecia As An Early Clinical Marker For Azathioprine Induced Myelosuppression: A Case Report, Nilanjana Dutta , Final Year Mbbs, Dr. M Suresh Babu , Professor, Dr. Subramanian Ramaswamy , Professor, Dr. Mahabaleshwar Mamadapur , Assistant Professor

Digital Journal of Clinical Medicine

Azathioprine is a pro-drug and is metabolized by the TPMT enzyme in the body. In South Asians, Azathioprine is known to cause alopecia and bone marrow suppression in patients with TPMT enzyme deficiency. In India, the prevalence of TPMT mutation varies from 1.2- 10%. A new mutation was detected in 2014, NUDT15 whose incidence varies from 8.5-16%. Patients with mutation in both TPMT and NUDT15 develop myelosuppression faster. In our case, alopecia manifested as the first clinical feature of Azathioprine myelosuppression. Physicians need to recognize early clinical clues (alopecia) to avoid the impending development of myelosuppression and to look for …

The Therapeutic Potential Of Nelumbo Nucifera: A Comprehensive Review Of Its Phytochemistry And Medicinal Properties, Sparsh Bhat, Suresh Joghee, Meenakshi S. Iyer

International Journal of Health and Allied Sciences

Nelumbo nucifera generally known as ‘sacred lotus’ is a plant with high medicinal value in traditional medicine system especially in Chinese medicine system which is having a wide distribution worldwide in Asian, Western European, American and Australian continent. All the parts of the plant have different medicinal value, as their extract contains various valuable chemical constituents which yield desired remedial effects against many diseases. The plant is used traditionally more compared to its commercial usage. It has also been used for dental and skin care products in many herbal formulations. In this review, data about its general description, its distribution, …

Juvenile Nasopharyngeal Angiofibroma - A Case Report, Dr Godha Keesara Reddy Dr, Dr Anupama Chandrappa Dr, Dr Deepak K S

Radiology Teaching Files

15 year old male who presented with a 6 month history of nasal obstruction and recurrent nasal bleeding. He had had about ten episodes of epistaxis in the 3 months. Examination revealed that vital signs were essentially within normal limits.The nasal cavity revealed fresh blood in the right nasal cavity but the bleeding site could not be visualized. An impression of epistaxis secondary rhinosinusitis was made.

The Herlyn-Werner-Wunderlich (Hww) Syndrome– A Rare Case Report, Dr Harisha H L Dr, Dr Vishal Natarajan Dr, Dr Rudresh Hiremath Dr

Radiology Teaching Files

A 20-year-old unmarried female, student by occupation, well built and nourished presented with intermenstrual spotting from past 1 month. No h/o pelvic pain/ mass/ fever. No h/o of similar complaints in the past. Attained menarche at 14 years. Menstrual history otherwise normal.Known case of right renal agenesis (diagnosed incidentally at the age of 8 years).

Pelvic examination by gynecologist revealed a cystic bulge to the anterior wall of vagina. On MRI, our case is right sided renal agenesis; uterus didelphys with obstructed hemi vagina and to infected collection along the vaginal wall.

Impact Of Virtual Patient Education On Medication Adherence Among Geriatric Patients, Thomas Anmaria, Steby Mol Stephen, Sandy Crasta D, Mohamed Dharvees T, Pereira Prathibha, Madhan Ramesh, Sri Harsha Chalasani, Syed Jehath

International Journal of Health and Allied Sciences

Context: Virtual patient education for medication adherence can improve the health outcomes and reduce the hospital readmission. Aims: The study aim was to at assess the impact of virtual patient education on medication adherence. Settings and Design: A longitudinal interventional study was conducted in tertiary care hospital over a period of 6 months to assess the medication adherence amongst elderly using the medication adherence rating scale questionnaire.

Methods and Material: The impact of pharmacist-assisted patient counseling on medication adherence was assessed by reassessing the medication adherence with medication adherence rating scale questionnaire after educational intervention performed at selected time-intervals. Data …

Congenital Lobar Overinflation, Dr Sudha Kiran Das Dr, Vikram Patil Dr

Radiology Teaching Files

1 year old girl with history of recurrent respiratory infections associated with wheeze.

Mucocele Of The Appendix With Perforation., Sudha Kiran Das Dr., Vikram Patil Dr

Radiology Teaching Files

45 year old gentleman, presented to the Emergency Department with right iliac fossa pain & fever.

Hutch Diverticulum: A Rare Congenital Urinary Bladder Diverticulum In An Elderly Male Patient., Dr Rudresh Hiremath, Dr Shwetha Poojari

Radiology Teaching Files

54 year old male patient presented with burning micturition and increased frequency of urination for the last two months. He also gives history of intermittent episodes of high grade fever with chills and rigors.

Lady Windermere Syndrome; Rare Pulmonary Infection Secondary To Voluntary Suppression Of Cough., Dr Rudresh Hiremath Dr

Radiology Teaching Files

65-year-old lady suffering from cough for the last one month with white colored scanty sputum. Past three weeks she has developed wheeze with shortness of breath. She also complains of on and off mid fever for last two weeks with evening raise of temperature. No evidence of chest pain or hemoptysis. No past history of pulmonary tuberculosis or allergic airway disease. Non diabetic and non-hypertensive.

General physical examination was normal. On auscultation there was reduced air entry with crackles in the right mid and lower zones. Rest of the systems was normal.

Post Covid-19 Avascular Necrosis Of Hip – A Rare Case Report., Dr Rudresh Hiremath Dr, Dr Gurumurthy B Dr, Dr Abhijith Roy Dr

Radiology Teaching Files

27 year old male diagnosed with COVID 19 got admitted in our hospital, and was treated on antibiotics, antivirals and short course of steroids. He was discharged after an uneventful course and resolution of symptoms. Three months later, patient presented with acute hip pain and was screened plain radiograph of Hip.

Esophageal Web: Unusual Cause Of Dysphagia In Middle Aged Male., Dr Rudresh Hiremath Dr, Dr Anupama C Dr

Radiology Teaching Files

45 year old male patient presents with dysphagia for solid foods and oral medications since 4 months. Dysphagia is gradual in onset and slowly progressive. Subject is recently diagnosed type II diabetes mellitus on oral medication. No significant history of weight loss. General physical examination and systemic examination were normal.

Inverted Papilloma: A Case Report, Dr. Abhigna S. Moudgalya Dr, Dr Vikram Patil Dr, Dr Gurumurthy B Dr

Radiology Teaching Files

A 41 year old male came with the complaints of nasal obstruction and on and off headache since 1 year. No history of epistaxis.

Post Total Hip Arthroplasty Pseudo- Tumour – A Rare Case Report., Dr Harisha H L, Dr Vikram Patil, Dr Gurumurthy B

Radiology Teaching Files

A 62-year-old female came with complaints of slow growing mass in the left hip region for 4-5 months, associated with dull aching pain. Range of movements were restricted due to pain and mass. She underwent Total Hip arthroplasty (THA) 11 months ago.

Caffey Disease – A Rare Case Report., Dr Sudha Kiran Das, Vikram Patil Dr

Radiology Teaching Files

8 month old male infant with localized swelling of the thigh, fever and irritability.

Personality Disorder Predisposing To Alcohol Dependence, Samarchitha S Ms., Venkatesh Babu Dr., Megha Sadashiv Dr., Sudeep Pk Mr.

Digital Journal of Clinical Medicine

No abstract provided.

Development Of Tlc Fingerprinting Profile Of Shadanga Paniya – An Ayurvedic Formulation To Treat Symptoms Of Covid-19, Mehta D. Mehul, Kunal M. Gohil, Krunal A. Doshi

International Journal of Health and Allied Sciences

BACKGROUND: Shadanga Paniya is a compound Ayurvedic formulation that contains six ingredients. Ayurvedic Physicians have been using Shadanga Paniya to treat fever for ages. Symptoms of COVID-19 are also being treated by Shadanga Paniya. However, the Shadanga Paniya has not reported standardisation.

AIMS: To prepare Shadanga Paniya as per the standard classical protocol. To carry out qualitative tests, standardisation and TLC profile development for Shadanga Paniya.

MATERIALS AND METHODS: All the ingredients of Shadanga Paniya wiz. Nagarmotha, Pittapapada, Khasa, Lal Chandana, Sugandhbala and Sunthi were taken in equal amounts. All these ingredients are heated over mild heat with water. The …

Radiological Appearance Of Appendicular Osteosarcoma: A Case Report, Dr. Bathreenathh B, Dr. Vikram Patil, Dr. Anupama C

Radiology Teaching Files

A 42yr old male patient with complaints of on and off pain of right shoulder and arm since 3months. No e/o weight loss and loss of appetite. No e/o fever. No e/o discharging sinus/ superficial swelling over the right arm.

Pericallosal Lipoma With Corpus Callosal Dysgenesis In An Elderly Patient: A Rare Case Report, Dr Theertha K C, Dr Sudha Kiran Das, Dr Gurumurthy B

Radiology Teaching Files

A 55 year old female patient came to the neurology OPD with complaints of giddiness since 1month and vomiting since 15 days. There was no history of focal neurological deficit/ fever/ seizures/ headache/visual disturbances. No history of any co-morbidities. Neurological examination was normal.

Multi-Modality Typical Imaging Features In Superior Pulmonary Sulcus (Pancoast) Tumour: A Case Report, Dr Chakka Sneha, Dr Rudresh Hiremath, Dr Gurumurthy B

Radiology Teaching Files

A 53 years old male patient came with complaints of pain and tingling sensation of left shoulder joint & left upper limb since 3 months. Patient is a chronic smoker with past history pulmonary tuberculosis. The patient had completed ATT 15 years back

Radiological Review Of Dumbbell-Shaped Spinal Schwannoma With Extradural And Intradural-Extramedullary Components, Dr Sai Siddartha Kosinepalli, Dr. Sudha Kiran Das, Dr Gurumurthy B

Radiology Teaching Files

Complains of paresthesia in the bilateral lower limbs. No e/o pain. CBC, RFT, LFT, ESR, CRP are within normal limits.

Type 2 Autoimmune Pancreatitis, Dr. Aniketh Hiremat, Dr Vikram Patil

Radiology Teaching Files

A 23-year-old female patient with no previous co-morbidities came to our hospital with a history of back pain for 4 days. No history of nausea/ vomiting/ loose stools/ fever/ melena/ hematemesis/ jaundice/ethanol abuse. The patient was not on any alternative medication. Physical examination was within normal limits. Serum amylase and lipase were elevated , measured 152U/L and 780 U/L respectively. AST/ ALT/ ALP were elevated , measured 88/139/308 respectively. Rest of the liver parameters and blood investigations were within normal limits.

Meconium Pseudocyst: A Case Report, Dr. Thasmai B R Gowda, Dr.Sushravya A S, Dr.Vikram Patil, Dr. Gurumurthy B

Radiology Teaching Files

No abstract provided.

Orbital Cellulitis, Aparajitha A, Rajendra R, Anitha T. Girish

Digital Journal of Clinical Medicine

No abstract provided.

Duchenne Muscular Dystrophy, Rishabh Jain, Deepa Bhat, Nemichandra S.C

Digital Journal of Clinical Medicine

No abstract provided.

Pulmonary Alveolar Microlithiasis, Shreyans Darla, Mahesh P.A, Vishwa Vijeth

Digital Journal of Clinical Medicine

No abstract provided.

Dna Methylation Pattern Of Cpg Site In The Promoter Region Of Calca-Alpha Gene As A Putative Epigenetic Biomarker In Neonatal Sepsis- A Prospective Observational Study In South India, Rudra Rupesh Reddy Narsapurapu, Deepti Thandaveshwara, Anshu Kumar Yadav, Akila Prashant

Digital Journal of Clinical Medicine

Background: Recently, several studies have been reported on epigenetic modifications of DNA as a predisposing factor for several diseases among neonates and adults. Here we aimed to study the changes in the DNA methylation pattern in the promoter region of the CALCA gene among the neonates suspected to have sepsis in a tertiary care hospital.

Methodology: All the neonates suspected to have sepsis based on the inclusion criteria during the study period were included in the study as cases. Normal healthy neonates were included in the study as controls. Positive cases were isolated from suspected cases based on …

A Case Of Atypical Presentation Of Radial Nerve Injury, Nikita Tripathi, Dr Adarsh Thammaiah

Digital Journal of Clinical Medicine

No abstract provided.

Splenic Artery Pseudo-Aneurysm Secondary To Necrotizing Pancreatitis – A Rare Lethal Complication., Vinay Raj Dr, Divya Vishwanatha Kini Dr

Radiology Teaching Files

CLINICAL HISTORY:

A 35-year-old male patient presented with history of massive hemoptysis associated with pain abdomen and breathlessness since the past 3 days. Patient had no prior co-morbidities; however was a chronic alcoholic and smoker since the past 15 years. No hospital admissions in the past

Oligodendroglioma, Bala Seshank Akshit Reddy Mettu Dr, Rudresh Hiremath Dr, Vinay Raj Dr

Radiology Teaching Files

CLINICAL HISTORY:

A 39 year old male patient presented to our institute with one episode of GTCS and post-ictal headache. No other relevant history was present, no similar complaints were present in the past and no comorbidities. On examination, neurological examination was within normal limits. Blood-work up was also within normal limits.

Post Primary Pulmonary Tuberculosis: A Case Report, Abhigna S. Moudgalya Dr, Vikram Patil Dr

Radiology Teaching Files

No abstract provided.