Os vesalianum – A confounding diagnosis
Publication date: Available online 23 October 2015 Source:Apollo Medicine Author(s): Mukesh Tiwari, Vikram Khanna, Umamaheshwar Kodide, Raju Vaishya A 42-year-old, diabetic patient presented with history of pain in right little toe and swelling of right foot following trivial trauma the day before. X-ray right foot revealed what was thought to be base of the fifth metatarsal fracture. There was no tenderness, hence it was thought that it might be an accessory ossicle. To confirm the diagnosis, an X-ray of left foot was done, which also showed a small smooth edged bone lying adjacent to base of the fifth metatar...
Source: Apollo Medicine - November 17, 2015 Category: Journals (General) Source Type: research
Bipartite hallucal sesamoid bone – A case report
Publication date: Available online 23 October 2015 Source:Apollo Medicine Author(s): Vikram Khanna, Umamaheshwar Kodide, Nilesh Virani, Raju Vaishya A 34-year-old male patient came with complaints of a twisting injury to the left foot. There was a diffused swelling present in the left foot. The patient had tenderness at the base of the second metatarsal. On X-ray of the left foot, no obvious bony injury was seen, but there was a transverse split seen in the medial hallucal sesamoid bone. The patient was managed symptomatically, and he recovered completely. (Source: Apollo Medicine)
Source: Apollo Medicine - November 17, 2015 Category: Journals (General) Source Type: research
Arthroscopic-assisted ankle arthrodesis: A surgery simplified
We describe our experience of special surgical technique of arthrodesis of ankle using arthroscopy and also discuss technical tips and pearls for the procedure. (Source: Apollo Medicine)
Source: Apollo Medicine - November 17, 2015 Category: Journals (General) Source Type: research
An unusual cause of dysphagia
Publication date: Available online 9 October 2015 Source:Apollo Medicine Author(s): Raju Vaishya, Vipul Vijay, Amit Kumar Agarwal (Source: Apollo Medicine)
Source: Apollo Medicine - October 10, 2015 Category: Journals (General) Source Type: research
Efficacy and safety of dexamethasone cyclophosphamide pulse therapy in the treatment of pemphigus – An open randomized controlled study
Conclusion This study shows that DCP therapy can put pemphigus into prolonged/permanent remission as compared to corticosteroid-cyclophosphamide group where relapses are frequent. Lately, some dermatologists have questioned the efficacy of DCP in treating pemphigus. However, this could be due to usage of wrong combination of drugs or short study duration. (Source: Apollo Medicine)
Source: Apollo Medicine - October 9, 2015 Category: Journals (General) Source Type: research
Gallstone ILeus in today's Era of Laparoscopic Cholecystectomy
We present a case of 87-year-old overweight male who presented to us with intestinal obstruction. He was found to have the classical sings of gall stone ileus (pneumobilia, intestinal obstruction & gall stones in the distal ileum). He was managed with a single stage procedure. Here we also describe the available literature and the various treatment options available for the same. (Source: Apollo Medicine)
Source: Apollo Medicine - October 1, 2015 Category: Journals (General) Source Type: research
Hematocele of the spermatic cord – A case report
Publication date: Available online 26 September 2015 Source:Apollo Medicine Author(s): Gite Vandana, Dhakane Maruti Hematocele of the spermatic cord is seen rarely. Recently, we have encountered a case of a 71-year-old male, who suddenly had a painful swelling in the left inguinal region and it was diagnosed as hematocele of the spermatic cord. Preoperative diagnosis is not common; it mimics a tumor and is usually present as operative or histological surprises. (Source: Apollo Medicine)
Source: Apollo Medicine - September 27, 2015 Category: Journals (General) Source Type: research
Colorectal surgery – The emerging new surgical speciality in India
Publication date: Available online 8 September 2015 Source:Apollo Medicine Author(s): Deepak Govil (Source: Apollo Medicine)
Source: Apollo Medicine - September 9, 2015 Category: Journals (General) Source Type: research
Daycare thyroidectomy surgery – Our experience
Conclusion Daycare thyroidectomies are safe and associated with low complication rate provided a strict inclusion and exclusion criteria is followed along with meticulous surgery. (Source: Apollo Medicine)
Source: Apollo Medicine - September 9, 2015 Category: Journals (General) Source Type: research
Potential role of uric acid in correlation with epidemics of hypertension and albumin creatinine ratio in diabetic nephropathy
Conclusion UA induces endothelial dysfunction, leading to renal injury in DN. In our study, UA, blood pressure, and ACR did not show significant correlation. Future studies with huge sample size are necessary to evaluate UA and ACR as the genuine markers, which help clinicians to assess the kidney failure in diabetes with these routine biochemical markers. (Source: Apollo Medicine)
Source: Apollo Medicine - September 8, 2015 Category: Journals (General) Source Type: research
Obesity context of type 2 diabetes and medication perspectives
Publication date: Available online 4 September 2015 Source:Apollo Medicine Author(s): Abha Pandit, Abhay Kumar Pandey Drug therapy of obesity has harsh antecedent that many earlier introduced drugs are withdrawn from market. The drugs in present use lack sufficient long-term efficacy and safety data. The difficulty of reversing changing dietary habits and decline in physical activity, however, offers major scope for anti-obesity therapeutics, implied in managing the epidemic chronic inflammatory maladies and cardiovascular sequel. Metabolic syndrome, pre-diabetes and type 2 diabetes mellitus, commonly associate wit...
Source: Apollo Medicine - September 5, 2015 Category: Journals (General) Source Type: research
Incidence rate of multidrug-resistant organisms in a tertiary care hospital, North Delhi
Conclusion There is an urgent need to employ strategies that will slow the development of resistance to the current armamentarium. (Source: Apollo Medicine)
Source: Apollo Medicine - August 30, 2015 Category: Journals (General) Source Type: research
Pilonidal sinus disease with especial reference to Limberg flap
This article lays an emphasis on “Pilonidal Sinus disease” along with the historical background, materials, and methods used. The term ‘Pilonidal’ was coined by Hodge in 1880. The disease commonly affects middle-aged working population and most often arises in the hair follicles of the natal cleft of the sacrococcygeal area. This disease affects males thrice as much as females because of their hirsute nature. Pilonidal sinus is associated with obesity, sedentary occupation, and local irritation or trauma. The management of pilonidal disease is complex and a big burden on hospital and community resource because of t...
Source: Apollo Medicine - August 25, 2015 Category: Journals (General) Source Type: research
Current status of various treatment modalities in the management of Fissure-in-ano
Publication date: Available online 24 August 2015 Source:Apollo Medicine Author(s): Niranjan Agarwal Fissure-in-ano is a tear in the skin around the distal anal canal below the level of the dentate line, overlying the lower half of the internal sphincter. It is characterized by pain at defecation, burning, itching, and streaks of fresh red blood over a hard stool. It is mainly managed by relaxing the anal sphincter in addition to the use of stool softeners, local anesthetic, and intake of high dietary fibers. Chemical sphincterotomy agents act as pain relievers by relaxing the internal sphincter and are available mai...
Source: Apollo Medicine - August 25, 2015 Category: Journals (General) Source Type: research
Minimizing locoregional recurrences in colorectal cancer surgery
Publication date: Available online 25 August 2015 Source:Apollo Medicine Author(s): Vachan S. Hukkeri, Subhash Mishra, Md. Qaleem, Satyaprakash Jindal, Ramesh Aggarwal, Vivek Choudhary, Deepak Govil Colorectal cancer is a major cause of morbidity and mortality worldwide. The Indian scenario also shows a similar trend, and this has been attributed to the changing dietary patterns. Recurrence in colorectal cancer is associated with many factors, some related to the tumor itself and some to the surgical principles applied. Understanding these factors and application of sound surgical principles can go a long...
Source: Apollo Medicine - August 25, 2015 Category: Journals (General) Source Type: research
