A fatal case of complicated HELLP syndrome and antepartum eclamptic fit with ruptured subcapsular liver hematoma
Conclusion(s) Ruptured subcapsular liver hematoma is a life-threatening condition that should be considered in pregnant women with HELLP syndrome and severe preeclampsia presenting with symptoms and signs of hemorrhagic shock, hemoperitoneum and the liver should be evaluated with ultrasound before delivery. In these patients delivery of the fetus is the first step and the best approach is a midline abdominal incision. Also, regular antenatal care is very important through all trimesters. (Source: Apollo Medicine)
Source: Apollo Medicine - December 16, 2016 Category: Journals (General) Source Type: research
Central pontine and extrapontine myelinolysis
Publication date: December 2016 Source:Apollo Medicine, Volume 13, Issue 4 Author(s): Pushpendra N. Renjen, Dinesh Chaudhari, Vasanthi Namala Central pontine myelinolysis (CPM) was described by Adams and colleagues in 1959 as a disease affecting alcoholics and the malnourished. Also known as osmotic demyelination syndrome (ODS), PM (Pontine Myelinosis) is subdivided into central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM). Each is identified at the level of demyelination, either centered within the pons or outside the pons, respectively. Despite its relatively ambiguous pathogenesis, it is believed ...
Source: Apollo Medicine - December 16, 2016 Category: Journals (General) Source Type: research
Visual inspection after acetic acid (VIA) as an alternative screening tool for cancer cervix
Conclusion VIA has the advantage of easy learning, inexpensiveness, high sensitivity in comparison to Pap smear, and immediate availability to assess results. Thus, VIA represents a good method of cervical cancer screening in many parts of the world, especially in poorly resourced locations. (Source: Apollo Medicine)
Source: Apollo Medicine - December 16, 2016 Category: Journals (General) Source Type: research
Systemic to pulmonary venous collaterals in lung malignancy: Rare acquired right-to-left shunt
We present a case of a 90-year-old female with lung malignancy, who developed such an acquired shunt. A robust knowledge of such an event is critical from the perspective of understanding potential complications and taking timely steps to mitigate them. (Source: Apollo Medicine)
Source: Apollo Medicine - December 14, 2016 Category: Journals (General) Source Type: research
Giant epithelioid hemangioma of the external auditory canal: Role of imaging in clinical management
Publication date: Available online 14 December 2016 Source:Apollo Medicine Author(s): Neha Kharkwal, Yatish Agarwal, N.N. Mathur, Rajni Being uncommon neoplasms of elusive origin, epithelioid hemangiomas are benign vascular tumors found in young adults. 1 These epithelioid hemangiomas are mostly found in the head and neck region, presenting as solitary or multiple lesions, and they vary between 2 and 3cm in diameter, and morphologically manifest as intradermal papules or subcutaneous nodules. 2 More eloquently termed as angiolymphoid hyperplasia with eosinophilia on pathological basis, these tumors are amenable to su...
Source: Apollo Medicine - December 14, 2016 Category: Journals (General) Source Type: research
Congenital peritoneo-pericardial hernia in an adult
Publication date: Available online 5 December 2016 Source:Apollo Medicine Author(s): Milind Shah, Abhaysingh Walia Peritoneo-pericardial diaphragmatic hernias are rare congenital defects. Usual presentation is at birth and only few cases have been reported in literature. Adult presentation is varied depending on herniated organ and size of defect. It can be managed successfully by surgical intervention. (Source: Apollo Medicine)
Source: Apollo Medicine - December 5, 2016 Category: Journals (General) Source Type: research
Customer relationship management (CRM) towards service orientation in hospitals: A review
Publication date: Available online 2 December 2016 Source:Apollo Medicine Author(s): Aditya Vaish, Abhishek Vaish, Raju Vaishya, Sarika Bhawal Customer relationship management (CRM) is significant for hospital services as it has been for any other businesses. A hospital helps in restoring and maintaining the health of the people. In healthcare facilities, CRM practices are mainly patient focused strategies which involve a combination of patient interaction and management of hospital interface which is effective. A CRM system is an innovative technology which makes the process of acquiring, developing and maintaining ...
Source: Apollo Medicine - December 2, 2016 Category: Journals (General) Source Type: research
Robotic repair of a parahiatal hernia with gastric volvulus
We report a case of parahiatal hernia with gastric volvulus, which was repaired successfully by robotic surgery along with gastropexy. We present the case of a 50-year-old male who presented with vomiting and epigastric pain. His CT scan showed a giant parahiatal hernia with intrathoracic gastric volvulus. Intraoperatively, a diaphragmatic muscular defect was found lateral to an attenuated left crus of the diaphragm, distinct from the normal esophageal hiatus. The defect ring was fibrotic and large, making a tension-free primary repair difficult. A prolene mesh repair was done and two point gastropexy to the anterior abdom...
Source: Apollo Medicine - November 21, 2016 Category: Journals (General) Source Type: research
Lumbar Scheuermann disease – Disease without the deformity!
Publication date: Available online 1 November 2016 Source:Apollo Medicine Author(s): Vikram Khanna, Raju Vaishya An 18-year-old male patient presented with complaints of diffused dull aching type of backache. X-ray showed L3 and L4 limbus vertebra and MRI showed multiple Schmorl nodes with limbus vertebras. The patient was advised physiotherapy and stretching, as well as regular follow-up. It was a confounding diagnosis, as the Sorensen criteria for the diagnosis of Scheuermann disease were not fulfilled; but on confirming with X-ray and MRI, proper diagnosis and treatment were advised. (Source: Apollo Medicine)
Source: Apollo Medicine - November 1, 2016 Category: Journals (General) Source Type: research
Cystatin levels in a rural South Indian population
Conclusions Cystatin C in a rural South Indian population correlates well with creatinine and cardiovascular markers. Long-term follow-up of this cohort stratified on the basis of Cystatin C will be extremely helpful in augmenting the utility of Cystatin C as an atherosclerotic risk marker in an Indian population. (Source: Apollo Medicine)
Source: Apollo Medicine - October 12, 2016 Category: Journals (General) Source Type: research
A case report of cervical ectopic pregnancy misdiagnosed as cervical miscarriage
We present the case of a patient found to have a cervical ectopic pregnancy. (Source: Apollo Medicine)
Source: Apollo Medicine - October 10, 2016 Category: Journals (General) Source Type: research
Adhesive capsulitis: Current practice guidelines
Publication date: Available online 15 September 2016 Source:Apollo Medicine Author(s): Raju Vaishya, Amit Kumar Agarwal, Vipul Vijay (Source: Apollo Medicine)
Source: Apollo Medicine - September 15, 2016 Category: Journals (General) Source Type: research
MSK radiology 4U – Premiere MSK radiology teaching resource
Publication date: Available online 28 August 2016 Source:Apollo Medicine Author(s): Christine Azzopardi, Cass Chisholm, Steve James, Rajesh Botchu, A. Mark Davies (Source: Apollo Medicine)
Source: Apollo Medicine - August 27, 2016 Category: Journals (General) Source Type: research
Herlyn –Werner–Wunderlich (HWW) syndrome
Conclusion HWW is a rare condition. The most urgent concern is retrograde menstruation due to the obstructed hemivagina. It is parallel to the patent vaginal canal, less pliable and closer to cervix. These anatomical differences contribute to diagnostic delay and surgical challenges. (Source: Apollo Medicine)
Source: Apollo Medicine - August 20, 2016 Category: Journals (General) Source Type: research
Rhinogenic contact point headache – Frequently missed clinical entity
Publication date: Available online 21 August 2016 Source:Apollo Medicine Author(s): Santosh Kumar Swain, Ishwar Chandra Behera, Sidharth Mohanty, Mahesh Chandra Sahu Background There are different anatomical situations inside the nasal cavity leading to rhinogenic contact point headache (RCPH), where each contact point has its own characteristics. The precise excision of contact points by endoscopic approach in patients with RCPH is very effective and could be done carefully in selected patients. This review presents an overview of the current aspects in pathophysiology, clinical profile, and management of RCPH. Met...
Source: Apollo Medicine - August 20, 2016 Category: Journals (General) Source Type: research
