10 research outputs found
Rebleeding in aneurysm after rectal enema: Re‐emphasis on careful subarachnoid hemorrhage management
No full textAbstract Rebleeding in an aneurysmal subarachnoid hemorrhage (SAH) is catastrophic with high mortality and grave outcome. Meticulous management of SAH patients and the prevention of activities that might increase the chances of rebleeding are life‐saving
A Diagnostic Quandary of Calvarial Tuberculosis: A Case Report
No full textPrimary Calvarial Tuberculosis, a rare entity of skull is even rarer after second decade of life in a healthy person without evidence of tuberculosis elsewhere in the body. Most of the cases are often misdiagnosed as osteomyelitis/syphilis/bony metastasis.
We report a case of primary skull tuberculosis in 26-year-old male with complains of headache and swelling in the right frontal region with no history of previous tuberculosis. The patient was operated and the histopathological examination of excised tissue was suggestive of tubercular pathology. The patient is doing well after anti-tubercular therapy.
Being a rare disease, tubercular osteomyelitis of skull bones is often missed and misdiagnosed due to lack of clinical suspicion and slow growth of mycobacterium cultures. Histopathological examination of biopsy material and demonstration of acid-fast bacilli in the pus are helpful for diagnosis and early management of the disease
Delayed Detection of Coarctation of the Aorta Causing Resistant Hypertension in Elderly With Bilateral Parvus et Tardus Renal Doppler Flow Pattern Serving as a Gateway to Diagnosis—A Case Report
No full textGiant cell glioblastoma in 6‐year‐old kid: Report of an unusual case
No full textAbstract Pediatric giant cell glioblastoma, a highly malignant and lethal tumor, can only be distinguished from glioblastoma multiforme histologically. Though it is said to have a better prognosis, adequate evidence in favor is lacking. Early diagnosis with gross total resection and adjuvant chemotherapy might increase the survival period
Glycogen storage disease in two sisters: A case report
No full textKey Clinical Message Glycogen storage diseases (GSDs) are rare autosomal disorders that result from defects in glycogen metabolism. There are more than 12 types, each with distinct clinical features. Clinical scenario, biochemical abnormalities are useful for suspicion whereas liver biopsy and enzyme assay provides definite diagnosis. We report a case of two sisters with similar clinical symptoms suggestive of the disease
Vitamin D supplementation leading to hypervitaminosis D in a breastfed infant: A case report
No full textKey Clinical Message Breast milk alone is a poor and inadequate source of vitamin D. Many guidelines suggest supplementation of vitamin D to the newborns to prevent vitamin D deficiency. However, due to practices of outdoor breastfeeding and sunbathing, vitamin D supplementation may not be routinely required in our settings. Overzealous use of vitamin D supplementation and over‐the‐counter prescription may result in hypervitaminosis D
Clinical spectrum and management of dystonia in patients with Japanese encephalitis: A systematic review
No full textAbstract Background Japanese encephalitis (JE) is a potentially fatal viral infection with a wide range of manifestations and can also present with a variety of movement disorders (MD) including dystonia. Dystonic features in JE are uncommon. Here, we have tried to summarize the clinical features and management of dystonia among JE patients with a comprehensive literature search. Methods Various databases, including PubMed, Embase, and Google Scholar, were searched against the predefined criteria using suitable keywords combination and boolean operations. Relevant information from observational and case studies was extracted according to the author, dystonic features, radiological changes in the brain scans, treatment options, and outcome wherever provided. Result We identified 19 studies with a total of 1547 JE patients, the diagnosis of which was confirmed by IgM detection in serum and/or cerebrospinal fluid in the majority of the patients (88.62%). 234 (15.13%) of JE patients had dystonia with several types of focal dystonia being present in 131 (55.98%) either alone or in combination. Neuroimaging showed predominant involvement of thalami, basal ganglia, and brainstem. Oral medications including anticholinergics, GABA agonists, and benzodiazepines followed by botulinum toxin were the most common treatment modalities. Conclusion Dystonia can be a disabling consequence of JE, and various available medical therapies can significantly improve the quality of life. Owing to insufficient studies on the assessment of dystonia associated with JE, longitudinal studies with a larger number of patients are warranted to further clarify the clinical course, treatment, and outcome of dystonia
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Biochar Banquet & Demonstrations
No full textIn the Student Union Ballroom of the Campus Center at UMass Amherst, the Pioneer Valley Biochar Initiative will host a Biochar Banquet & Demonstration – tickets available here. Various food stations will feature locally grown produce grown in biochar conditioned soil, as well as a variety of meats, beverages and desserts enhanced by biochar. Come learn about this fascinating material and how it is benefiting agriculture and our climate. Monday October 14th beginning at 5pm with live biochar making demonstrations, poster presentations, book signings and more. Another very exciting feature of this Biochar Banquet is the Keynote Presentation by Frances Moore Lappe. Affectionately known as "Frankie", Moore Lappe is the renown author of Diet for a Small Planet, EcoMind and co-author of Hope's Edge with her daughter Anna Lappe. We will be regaled with tales of gastronomic excursions, forays into food and more! • • • Enjoy a variety of food stations featuring local items items grown in biochar conditioned soil. Sample meats and beverages that have been prepared with or enhanced by biochar and observe a variety of farm to plate many demonstrations and examples. Anyone interested in soil and healthy local food will be enriched by the Biochar Banquet. And anyone who wants to grow nutritious food, sink carbon in the soil, or utilize the filtration and remineralization properties of biochar will benefit from this tasty, yet educational event. I am a local farmer interested in participating or learning more. Who do I contact for details? Karen Ribeiro can be reached at [email protected]
