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Mahajan, S. N.
- Catastrophic Presentation of Lupus Vasculitis in a Young Female
Authors
1 Department of Medicine, JNMC, DMIMSU, Sawangi (M), Wardha, IN
2 Deparment of Medicine, LNMC, Bhopal, IN
3 Department of Pathology, JNMC, DMIMSU, Sawangi (M), Wardha, IN
Source
Indian Journal of Medicine and Healthcare, Vol 1, No 9 (2012), Pagination: 211-213Abstract
Among the myriads of presentations of Systemic lupus erythematosus (SLE), vasculitis is one phenomenon which unanimously involves any organ. We present a rare case of catastrophic lupus vasculitis involving brain, lungs and digit in a young female.Keywords
SLE, Vasculitis, LupusReferences
- Adelman DC, Saltiel E and Klinenberg JR (1986) The neuropsychiatric manifestations of systemic lupus erythematosus: an overview. Semin. Arthritis Rheum. 15,185-199
- Kitagawa Y, Gotoh F, Koto A et al. (1990) Stroke in systemic lupus erythematosus. Stroke. 2, 1533-1539
- Dubios EL and Arterberry J D (1962) Gangrene as a manifestation of systemic lupus erythematosus. JAMA. 181, 366-374.
- Gladstein GS, Rynes RI and Parhami N et al. (1979) Gangrene of a foot secondary to systemic lupus erythematosus with large vessel vasculitis. J. Rheumatol. 6, 549-553
- Yesenia Santiago-Casas and Luis M. Vila (2009) Pulmonary hemorrhage in patients with systemic lupus erythematosus. Curr. Respiratory Med. Rev.5, 49-54.
- Barile LA, Jara LJ, Medina-Rodríguez JF, García-Figueroa JL and Miranda-Limón JM (1997) Pulmonary hemorrhage in systemic lupus erythematosus. Lupus. 6, 445-448
- ARDS in Dengue Infection-a Case Series
Authors
1 Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, IN
Source
Indian Journal of Medicine and Healthcare, Vol 2, No 2 (2013), Pagination: 235-237Abstract
No AbstractReferences
- WHO (1997) Dengue haemorrhagic fever: diagnosis, treatment, prevention and control. 2nd edition. Geneva: World health organisation.
- Sen MK, Ojha UC, Chakrabarti S, Suri JC (1999) Dengue hemorrhagic fever (DHF) presenting with ARDS. Indian J. Chest Dis. Allied Sci. 41,115-119
- Wang CC, Liu SF, Liao SC, Lee IK, Liu JW and Lin AS et al. (2007) Acute respiratory failure in adult patients with dengue virus infection. Am. J. Trop. Med. Hyg. 77, 151-158
- Devarajan TV, Prashant PS, Mani AK, Victor SM and Khan PS (2008) Dengue with ARDS. J. Ind. Acad. Clin. Med. 9,146-149
- Harrison’s Principals of Internal Medicine 18th edition
- Comparative Cost Analysis of Patient and Hospital Expenditure on Medical Management of Chronic Renal Failure
Authors
1 Dept. of Medicine, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, IN
2 Dept. of Medicine, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra-442004, IN
Source
The Indian Practitioner, Vol 66, No 9 (2013), Pagination: 548-552Abstract
Context: Chronic renal failure (CRF) is a debilitating condition responsible for high financial burden on government and society. The vast majority of patients starting haemodialysis die or stop treatment not only because of cost constraints but also proper care is not available to all patients.Aims and objectives: To determine the cost of pharmaceutical treatment during haemodialysis and to find out the ratio of cost incurred by hospital versus cost incurred by patient.
Settings and Design: A hospital based longitudinal study was conducted for one year.
Methods and Material: The patients who visited out patient clinic of Department of Medicine having CRF undergoing haemodialysis were included as participants. Data was collected by interview schedule using the pre designed questionnaire.
Statistical analysis used: Data was analysed and tabulated using frequency distribution tables, proportions and ratio. Mean and Standard Deviation were calculated.
Results: The mean age was 45.2 years, 75.8% were males and the comorbidity were: Hypertension 67.7% and diabetes 19.3%. The per patient per year expenditure for haemodialysis incurred by patients were Rs.213824 while by hospital was Rs.15272. The erythropoietin cost was 43.1% of the total cost incurred by patient. The ratio of expenditure incurred by private hospital to the patients was 6.7% : 93.3%.
Conclusion: The high pharmaceutical cost for treatment of CKD and less hospital's share in expenditure emphasise a need of the better health insurance scheme in rural setting.
Keywords
Chronic Renal Failure (CRF), Chronic Kidney Diseases (CKD), Haemodialysis, Cost Analysis.- Foreign Body Bronchiectasis in an Adult
Authors
1 Dept. of Medicine, JNMC, DMIMS Univ. Sawangi (Meghe), Wardha, Maharashtra-442004, IN
2 Dept. of Medicine, JNMC, DMIMS Univ. Sawangi (Meghe), Wardha, Maharashtra, IN