Indian Journal Of Clinical Practice
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An Unusual Presentation of Splenic Rupture in a Hemodialysis Patient
Get PDFSplenic rupture, although rare in dialysis patients, can be life-threatening. In this case, a 45-year-old man with kidney failureon hemodialysis experienced sudden and severe abdominal pain in the left flank, without any history of trauma. He displayedsymptoms of hypovolemic shock, characterized by pallor, hypotension, and tachycardia. Additionally, he had abdominaldistension and tenderness. An abdominal CT scan revealed a splenic hematoma and intra-abdominal hemorrhage. Thepatient required a splenectomy to address the ongoing bleeding, but unfortunately, he succumbed to post-splenectomy sepsis2 weeks later
31st Annual Scientific Meeting of Indian National Association for Study of the Liver (INASL 2023)
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Hydroxychloroquine - An Antimalarial and Anti-inflammatory Drug
Get PDFHydroxychloroquine – a quinoline antimalarial, has hypoglycemic effects that manifest due toits action on the intracellular insulin metabolism in peripheral tissues. Recent studies confirmthat the use of Hydroxychloroquine can aid in preventing new onset diabetes and complicationsof diabetes, systemic lupus erythematosus and rheumatoid arthritis, as well as in improvingthe mortality rate of these patient
One-Step versus Two-Step Diagnostic Test for Gestational Diabetes Mellitus
Get PDFComparison between one-step Diabetes in Pregnancy Study Group India (DIPSI) andAmerican Diabetes Association (ADA) recommended two-step oral glucose tolerance test(OGTT). Material and methods: This study has a sample size of 200; 100 participants eachwere subjected to either of the two tests. Gestational diabetes mellitus (GDM) and non-GDMdiagnosed by one-step test versus two-step test, respectively, were compared to one anotherand results were compared on the basis of various antenatal complications and fetomaternaloutcomes. Results: No statistical difference was found between both the groups on the basis ofvarious antenatal and fetomaternal outcomes. Conclusion: In Indian subcontinent with poorresources and lack of follow-up, single-step DIPSI can be preferred to ADA recommendedtwo-step OGTT; however, large database studies are still required
