Indian Journal Of Clinical Practice
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31st Annual Scientific Meeting of Indian National Association for Study of the Liver (INASL 2023)
Get PDF31st Annual Scientific Meeting of Indian NationalAssociation for Study of the Liver (INASL 2023
Meaningful Clinical Conversation: Guidance from the Gita
Get PDFChronic disease care is a challenging vocation. One of the reasons for this is the need to inform and share decision making with patients. Communication and conversational skills are the pillars of chronic care delivery. In this editorial, we take guidance from the Srimad Bhagavad Gita in order to improve the quality of clinical conversations, and make them meaningful. The Gita encourages us to be ‘saatvik’ or balanced in thought, words and deeds, to perform ‘penance’ of mind, speech and body, and to accept equanimity. This introspective opinion piece should help us polish our communication skills, and improve interaction with our patients
Menstruation: The First Conversation
Get PDFThe lively outgoing girl becomes withdrawn and diffident when ‘the day’ arrives. This is the day when a girl’s body finallydecides to prepare itself for future, ironically though, without her own consent. This is that moment in her life which every girlendures silently. Though she might have been already taught this in school, but she fails to acknowledge the real gravity of thisphenomenon until she gets to experience it herself! “Why me?” is her first reaction. Now she likes to stay confined to her owndomains most of the times, cursing the Almighty for sending her to this planet as female. Unfortunately, similar is the plight ofthose girls who are rendered ignorant about the biological significance and the truth of menstruation. Had they been told thetruth in time, it would have been easier for them to come to grips with it. A healthy, warm, one to one conversation is all that isneeded. This piece is going to be helpful for parents, teachers, health care professionals and guardians of all such adolescent girl
A Rare Case of an Intratonsillar Abscess
Get PDFThe case describes the anatomy and pathophysiology of the palatine tonsils and the development of intratonsillar abscess. The abscess can be caused by a suppurative focus that arises in acute tonsillitis when outward drainage is prevented, leading to pus accumulation in the tonsillar tissue. Dehydration or a history of peritonsillar abscess can also lead to intratonsillar abscess. The condition can be mistaken for tonsillolith or malignancy, such as lymphoma. A computed tomography (CT) scan is recommended for diagnosis, showing a low-density and ring enhancement. Aspiration using a large bore needle is the preferred mode of treatment, but if repeated aspirations fail, tonsillectomy may be necessary. Intratonsillar abscess is rare and so far only 29 cases have been reported.1 The differential diagnoses include lymphoma, which usually presents as unilateral enlargement of the tonsil, tonsillolith due to its appearance and peritonsillar abscess again due to the unilateral enlargement of the tonsil. This case is different as compared to other reported cases we did not do a CT scan as recommended by most of the studies (cost being a concern). Also, in this case, we resorted to surgery as the main modality unlike other cases wherein the surgeons opted to do an aspiration of the pus mainly keeping the intraoperative complications in mind
