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Jain, M. K.
- Hiatus Hernia : An Uncommon Presentation of Chest Discomfort
Authors
1 Dept. of Medicine, Shyam Shah Medical College and associated Sanjay Gandhi Memorial Hospital, Rewa MP, IN
Source
The Indian Practitioner, Vol 67, No 10 (2014), Pagination: 636-638Abstract
Chest discomfort is a worrisome symptom for both patients and physicians and presents a diagnostic challenge with a long list of differential diagnosis. Chest discomfort due to gastrointestinal causes includes oesophagitis, GORD, gastritis, oesophageal spasms, and rarely pancreatitis, cholecystitis and peptic ulcer disease. Here we present an uncommon cause of chest pain: hiatus hernia (HH). HH can be life threatening, if not diagnosed and treated early.Keywords
Chest Discomfort, CT Scan, Barium Swallow, Hiatus Hernia
- Medi Quiz
Authors
1 Department of Medicine, Shyam Shah Medical College and associated Sanjay Gandhi Memorial Hospital, Rewa, MP, IN
Source
The Indian Practitioner, Vol 67, No 9 (2014), Pagination: 564-565Abstract
No Abstract.- Chorea: A Rare Presentation of Vivax Malaria
Authors
1 HOD Dept. of Medicine, SSMC, Rewa M.P, IN
Source
The Indian Practitioner, Vol 68, No 4 (2015), Pagination: 43-44Abstract
Malaria is now being reported with unusual manifestations because of increasing resistance, indiscriminate use of antimalarial drugs and development of immunity. Chorea is one of the rare complication of falciparum malaria. In this case, a 28 year old male presented with fever, splenomegaly and with choreiform movement. Peripheral smear was positive for vivax malaria.- Cardiac Toxicity in Yellow Oleander (Kaner) Poisoning
Authors
1 Department of Medicine, Shyam Shah Medical College and associated Sanjay Gandhi Memorial Hospital, Rewa, M.P., IN
Source
The Indian Practitioner, Vol 66, No 9 (2013), Pagination: 553-557Abstract
Background: Yellow oleander is an ornamental plant that is common throughout tropics. Ingestion of its seeds results in a clinical picture similar to that of digoxin overdose.Objective: To study the clinical profile of patients ingesting yellow oleander seeds and to evaluate cardiac toxicity in them.
Material and Methods: 50 patients with history of yellow oleander ingestion who were admitted in Department of Medicine, Shyam Shah Medical College and associated Sanjay Gandhi Memorial Hospital, Rewa were studied prospectively in the duration May 2009 to September 2011. Cardiac toxicity was determined by electrocardiography and echocardiography.
Results: Majority (76%) patients were females and from low socioeconomic strata. Most of patients (52%) were young in the age group 21-30 years. Vomiting was most common symptom. We observed mortality rate of 2%. The number of seeds swallowed varied from 1 to 10 and there was no simple correlation between number of seeds ingested and clinical outcome. Sinus bradycardia was most common (56%) ECG abnormality. SA block and AV block were observed in 12% and 28% cases respectively. ST-T changes were present in 60% of cases. Most of these ECG changes were reversible. Echocardiography revealed diastolic dysfunction in 20% cases.
Conclusion: The cardiac toxicity of yellow oleander poisoning was usually in the form of conduction defects affecting the sinus or AV node and ST-T changes. Most of these ECG abnormalities were reversible. Arrhythmias typical of digitalis toxicity were rare while arrhythmias rare with digitalis toxicity (Mobitz type 2 AV block) were common. Diastolic dysfunction was most common echocardiographic abnormality.
Keywords
Yellow Oleander Poisoning, Cardiac Toxicity, Electrocardiogam, Echocardiogram.- Clinical Profile and Prevalence of Complications in Newly Detected Type 2 Diabetics
Authors
1 Department of Medicine, SSMC & SGMH Rewa (MP), IN
Source
The Indian Practitioner, Vol 66, No 10 (2013), Pagination: 617-623Abstract
Background: Prevalence of diabetes is rapidly rising all over globe at an alarming rate. It proceeds un-noticed silently ravaging the body. Although complications of diabetes do not occur at the onset of disease but due to delay in diagnosis, they are commonly present at the time of diagnosis.Objective: We sought to determine the clinical profile and prevalence of complications in newly detected type 2 diabetics.
Methods: The study was conducted in the wards and patients admitted from medicine OPD at SGM hospital Rewa between January 2010 and September 2011. Patients were diagnosed as type 2 diabetic if they fulfilled ADA 2010 Criteria and were thoroughly evaluated for detection of various complications.
Results: We diagnosed 150 patients as type 2 diabetic, 60% were male, 40% were females, 56.67% were in the age group 31 - 50 years with mean age of 48.25 ± 13.08 years. 58.66% had normal BMI, 43.33% had family history, classical symptoms of diabetes were present in 42% of cases. Mean HbA1C was 9.9 ± 2.7%. Complications were neuropathy (25.33%), nephropathy (17.34%), coronary artery disease (13.33%), retinopathy (12.67%), peripheral arterial disease (10%), cataract (7.33%), diabetic ketoacidosis (7.33%), diabetic foot (6%), stroke (3.33%). The prevalence of other conditions, e.g. infections (50.67%), hypercholesterolaemia (18.67%), low serum HDL (41.11% males&60% females), hypertension (40.67%), hypertriglyceridaemia (36.67%), diastolic dysfunction (28.67%), high serum LDL (27.33%) was also high.
Conclusion: A large number of patients with newly detected diabetes had already had serious complications like nephropathy, coronary artery disease, diabetic ketoacidosis, diabetic foot and stroke. Asymptomatic diabetes mellitus constituted very small percentage i.e. 4.67%. Thus efforts should be made to increase awareness about symptoms and likelihood of diabetes in high risk groups. A thorough screening programme at National level for early detection of diabetes is needed so that complications can be avoided or postponed.
- A Study of Cutaneous Drug Reactions
Authors
1 Department of Dermatology, S.S. Medical College Rewa (M.P.), IN
2 Department of Medicine S.S. Medical College Rewa (M.P.), IN