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Diagnosing Abdominal Tuberculosis: Current recommendations

March 23, 2017

  Abdominal tuberculosis (TB) is a collective term that includes TB of the gastrointestinal tract, peritoneum, omentum, mesentery and its lymph nodes and other abdominal organs such as liver, spleen and pancreas. Its presentation has dramatically changed with increasing incidence of HIV coexistence, making the diagnosis in HIV infected persons quite challenging. Also, abdominal tuberculosis […]

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Viral hepatitis genotyping: a tool for therapeutic management

July 27, 2015

Viral hepatitis – a group of infectious diseases known as hepatitis A, B, C, D, and E – affects millions of people worldwide, causing acute and chronic liver disease and killing close to 1.4 million people every year. The WHO assembly meeting held on 28th July, 2014 reaffirmed viral hepatitis as a global epidemic and […]

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HIV-TB Co-infection : A ticking Time bomb

March 26, 2015

The Association: What we know Tuberculosis (TB) is strongly associated with HIV infection and vice versa. HIV increases the risk of disease reactivation in people with latent TB. HIV is the most powerful risk factor for progression of TB infection to TB disease. The risk of developing tuberculosis in people living with HIV/AIDS (PLWHA) is […]

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Cancer medicine in the era of Next Generation Sequencing: Solving the Puzzle

February 4, 2015

Cancer as a disease still remains one of the most complex human illness with high degree of morbidity and mortality across the globe. The involvement of multiple risk factors (genetics, hereditary, environmental etc) further adds a huge challenge in understanding the cancer puzzle even with numerous intensive research on this deadly disease. This year marks […]

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Sickle Cell Disease: A Primer

June 19, 2014

Background: Sickle cell disease (SCD) or sickle cell anemia (SCA) is a hemoglobinopathy wherein abnormal hemoglobin is produced. It was first noted by James Herrick a medical student of African descent in 1911, when he discovered sickle-shaped erythrocytes while examining a student’s blood. Linus Pauling further categorized the disorder by noting that when the haemoglobin […]

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Thalassemia: Understanding the Disease

May 7, 2014

Thalassemia refers to a group of inherited disorders caused due to abnormal or inadequate production of the hemoglobin molecule, present in our red blood cells. Thalassemia is derived from two words – Thalassa means ‘the sea’ in Greek, which refers to the Mediterranean Sea; Haema is ‘blood’ in Greek, indicating the obvious prevalence of the […]

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Management of Patient with Acute Coronary Syndrome

August 31, 2013

A) Initial management: Person with prolonged cardiac pain: Deep, visceral, heavy, squeezing, crushing, typically radiating to arms, lower jaw, abdomen, back but above umbilicus Call 102, come to nearby hospital Duty doctor: suspect ACS Do 12 lead ECG (1st investigation to be done) B) Further management is based on ECG results: 1. No ST Elevation […]

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A Review Of Acute Pancreatitis

October 15, 2012

Definition: Inflammation of the pancreas due to parenchymal autodigestion by proteolytic enzymes The clinical definition of acute pancreatitis, whether in the presence or absence of underlying chronic pancreatitis, requires atleast 2 of the following 3 features: Clinical assessment: Abdominal pain suggestive strongly of acute pancreatitis. Enzymes: Serum amylase and/or lipase activity at least 3 times greater than […]

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A Short Summary on Blood Pressure

October 5, 2012

Definition: Lateral pressure exerted by the flowing blood on the wall of the vessels Blood Pressure Measurement: A) Methods: Direct: Cardiac catheter Indirect: Sphygmomanometer Factors influencing BP measurement: Increase BP: Caffeine, Tobacco smoking, Exercise, Emotional responses, Medications Decrease: Changes in posture, Medications B) Sphygmomanometer parts: Aneroid barometer or Mercury manometer Riva-rocci cuff: width must be atleast 40% […]

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