Diabetes mellitus, a major lifestyle disease is undoubtedly the most challenging public health problem of 21st century with worldwide prevalence 387 million (8.3%) and predicted to be 592 by 2035. 77% people diabetes live in low- middle-income countries. India, once known as 'diabetes capital world' was home 61.3 patients T2DM 2011 predictions 101.2 diabetics 2030. India second only China which 92.3 diabetics. The International Federation estimated doubling diabetic population between 1995...

AimThe negative outcomes like an increased risk of falling, anemia, immune dysregulation, impaired cognitive status, reduced muscle function, morbidity and mortality associated with malnutrition are believed to affect the economy country in future years. In this backdrop, study aims evaluate nutritional status different factors among elderly patients at a tertiary care public teaching hospital.MethodsThis questionnaire-based utilized "Mini Nutritional Assessment-Short Form" tool inpatients...

Wasp stings are a common day occurrence in tropical countries. Their venom contains wide array of amines, peptides and enzymes, consisting low molecular weight compounds such as serotonin, histamine, acetylcholine several kinins that mediate direct toxic effects. Enzymes hyaluronidase phospholipases allow the to spread. Generally, these cause local reactions include immediate pain, wheal flare reaction, which resolve within few hours. Rarely, can systemic manifestations, organ dysfunction...

Liver abscess is a common pathology in the Indian subcontinent and usually results from amoebic or bacterial infection. Pyogenic abscesses occur those with underlying predisposing factors like intra-abdominal infections, biliary infections comorbidities malignancy, immunosuppression, diabetes mellitus previous surgery interventional endoscopy. Citrobacter an unusual cause of pyogenic liver may setting comorbidities. We report 56-year-old man (operated for periampullary carcinoma 20 years...

Thrombotic complications in liver abscess are less commonly identified the literature. In this prospective observational study, vascular thrombosis was detected 21.9% cases. However, there no significant difference outcome with or without thrombosis, properly treated.

Touraine-Solente-Gole' syndrome, also known as pachydermoperiostosis or primary hypertrophic osteoarthropathy is a rare familial disorder generally seen in males. Although it presents with characteristic morphological and radiological features, this an uncommon diagnosis entertained only once other causes of secondary are carefully excluded.

A 53-year-old man presented with gradually progressive difficulty in walking, excessive lethargy and forgetfulness of 3 months duration. There was a noticeable decrease verbal spontaneity, initiative occasional episodes urinary incontinence. Treatment records revealed that patient consulting three different specialists for his multiple comorbidities such as painful diabetic neuropathy, hypertension insomnia. His medication pills were retrieved it ascertained he consuming amitryptiline...

The diagnosis of echinococcosis is based on clinical, radiologic and serologic findings. Fine needle aspiration (FNA) useful in evaluating the lesion when presentation atypical. We report a case hydatid cyst at lung apex which was made FNA, with no adverse reaction to aspiration.A 30-year-old male, chronic smoker, presented pain radiating medial two fingers right hand for years. He also had miosis ptosis eye anhidrosis side theface. There wasting small muscles hand. Magnetic resonance...

Acute splenic infarction in otherwise asymptomatic individuals harbouring sickle cell trait (SCT) may occur when they are exposed to low oxygen tension at high altitudes.1 The first ever case report of SCT was published way back 1954 by Cooley et al .2 Since then many similar cases have been reported worldwide and discussed length.3 we highlighting here is that a young healthy 21-year-old man, born Punjab, India who went mountain climbing (for the time) Nanda devi, Garhwal Himalayas...

<p class="abstract">Cartap hydrochloride, an analogue of nereistoxin, belongs to a relatively new class insecticidal chemistry, and its poisoning is uncommon in India. We describe 50-year-old farmer who presented emergency department altered sensorium alleged history accidental inhalation cartap hydrochloride while working the fields. The patient improved with conservative management BAL (British anti-lewisite) without any residual complications. As per current medical literature; this...

Though hypoparathyroidism is not an uncommon diagnosis, it unusual cause of seizures in adults. The authors report a case late onset epilepsy due to idiopathic 50-year-old man. This reiterates the importance CT scan and serum calcium evaluation patients with recurrent seizures.

Here the authors describe case of a 23-year-old young woman with life-threatening focal suppurative intracranial collection brain compression secondary to long forgotten chronic otitis media. With development and availability broad-spectrum antibiotics their timely usage, cases media are rarity in current times.

ABSTRACT Background: ST elevation acute myocardial infarction (AMI) is usually associated with marked morbidity and mortality, affecting both young elderly populations. Aims: To compare the differences in clinical presentation, treatment, outcome, comorbidity patients of (STEMI). Methods: A prospective study was conducted on 60 divided equally into two groups – above years (Group A) or below B). The various parameters including time onset, type AMI, medication, complications, outcome were...

Oxidative stress (OS) may have a role in the pathogenesis and severity of coronavirus disease 2019 (COVID-19) disease. The present study was conducted to estimate association inflammatory markers, total antioxidant status (TAS), malondialdehyde (MDA) levels with identify their trends after recovery.