Background: Excessive exposure to airborne crystalline Silica can result in irreversible lung inflammation, and fibrosis. Case Report: A 22-year man presented with shortness of breath persistent cough for 3 days. He was taking oral anti-tuberculous therapy tuberculous lymphadenitis diagnosed by cervical lymph node biopsy the last 9 months. had right sided spontaneous pneumothorax months ago, chest tube thoracostomy pleurodesis doxycycline were done. For 1 year, he been working a cement...

Introduction Adolescents with acne vulgaris, a prevalent dermatological condition, have significant prevalence of anxiety and depression, which can negative effects on their quality life. Objectives The purpose this study was to find out the depression in Pakistani patients vulgaris. Methods This six-month cohort conducted at Chaudhry Muhammad Akram Teaching Research Hospital Lahore, Pakistan, involving 250 vulgaris (aged 16-40) 200 age- sex-matched controls. Exclusion criteria included...

Background: Migraine is a prevalent condition that results in significant morbidity and associated with various systemic diseases, making it critical public health concern. Early recognition of migraines can facilitate prompt medical treatment the implementation personalized therapy, helping to prevent from becoming debilitating for individuals. Objectives: To determine frequency migraine patients presenting headaches at neurology department tertiary care hospital Bahawalpur, Pakistan....

Introduction: Silicosis is an occupational lung condition that can lead to permanent physical disability, primarily due inflammation, scarring of tissue, and breathing difficulties. In regions with high rates tuberculosis (TB), such as South Asia, the presence TB accelerates development pulmonary fibrosis. Additionally, smoking significantly increases likelihood further damage. Case Presentation: This case report presents a 65-year-old gentleman who presented Department Pulmonology, Bahawal...

Objective To determine the frequency of restless legs syndrome (RLS) among Pakistani patients with type 2 diabetes mellitus. Methods This observational cross-sectional study was carried out in Department Medicine at Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Bahawalpur, Pakistan, from January 2024 to May 2024. The National Institute Health (NIH) diagnostic criteria were used diagnose RLS. Type mellitus defined as an HbA1c greater than 7.0%, two random blood glucose readings...

To compare the efficacy of lactulose plus rifaximin with alone in treatment hepatic encephalopathy.A randomized controlled trial.Department Medicine, Jinnah Hospital, Lahore, from December 2014 to June 2015.All patients who presented encephalopathy due decompensated chronic liver disease were randomly divided into two groups 65 each. One group was given 30 ml thrice daily and other 550 mg twice for 10 days. Informed consents taken participants' attendants. Grades II-IV noted according...

Proteus syndrome is a rare disease manifested by progressive segmental overgrowth involving the skeletal, Cutaneous, subcutaneous, and nervous systems. We report case of 24-year-old female who was born with no obvious abnormality at birth. From age 1 year, she developed asymmetric enlargement her left upper limb bilateral lower limbs leading to right-hand phalanges radial deviation, right big toe, lateral deviation foot, discrepancy in length extremities kyphoscoliosis. She had become...

Mixed Connective Tissue Disease (MCTD) is an overlap syndrome of mild severity and good outcome.This disease consists clinical features overlapping between Systemic Lupus erythematosus (SLE), scleroderma, rheumatoid arthritis, polymyositis, in the presence specific anti-RNP antibodies.We report a case 20-year girl who presented with 3-month history joint pains involving small joints her hands along morning stiffness, skin thickening hands, Raynaud's phenomena, recurrent photosensitive...

Objective: Acanthosis Nigricans is characterized by skin thickening with hyperpigmentation dermatosis predominantly seen on flexural aspects & nape of neck. The objective present study was to determine frequency among patients type II diabetes mellitus. Study Design and Setting: This observational cross-sectional undertaken at Department Medicine Azra Naheed Medical College, Superior University Lahore from August 2021 April 2022. Methodology: Type mellitus defined as HbA1c 7.0%, or two...

Introduction: In human societies, teachers play a fundamental role; teacher is more than just an educator. The present research aims to analyze the perceptions of medical (MBBS) students towards personality traits and qualities excellent so that standards can be set for teaching philosophy.
 Methodology: This observational cross-sectional study was conducted at Azra Naheed Medical College, Superior University Lahore. After informed consent, 200 both genders participated in study. Each...

Abstract: A chronic disease of CNS, Multiple sclerosis is characterized by inflammation and demyelination with axonal injury affecting upper motor neurons brain or spinal cord. Tumefactive multiple a rare form MS which mimics intracranial tumor-like space-occupying lesions on radiography. 25-year old gentleman presented 2-month history gradual onset difficulty in walking, slurring speech double vision. The patient had an ataxic gait accentuated tandem walking tendency to fall towards right...

Hepatic Encephalopathy is a potentially reversible life-threatening neuro-psychiatric complication of liver cirrhosis. It generally presents with sleep disturbances, drowsiness and personality changes. Focal neurological loss in form hemiplegia very rare presentation hepatic encephalopathy. A 55-year old gentleman presented irritability, drowsiness, right sided body weakness constipation for last 3 days. He was diagnosed patient Hepatitis C positive Chronic disease years having completed...

Juvenile idiopathic arthritis (JIA) is a chronic rheumatologic childhood disorder of unknown etiology usually presenting with peripheral arthritis. Usually involving the small joints symmetrically, polyarticular JIA characterized by involvement 5 or more and further categorized depending on RA Factor positivity. We aim to report case seronegative increase awareness regarding this disease. A 15-year-old boy presented 3-month history bilateral symmetrical joint pains, swelling morning...

Background. Polymyalgia rheumatica (PMR) is a rheumatic disorder characterized by musculoskeletal stiffness and pain, primarily affecting the shoulder, neck, hip areas. It more common in females, with peak incidence usually after age of 70. Case Report. A 74-year-old man presented two-month history low-grade nocturnal fever up to 100oF (37.7oC) which did not respond multiple courses antibiotics. There was unintentional weight loss 5 kg mild shoulder stiffness. The patient had Type 2 diabetes...

Systemic Lupus Erythematosus (SLE) is an autoimmune disease that has multisystem manifestations. However, axonal polyneuropathy rare in SLE. We report the case of a 41-years old lady who presented with gradual onset, progressively worsening bilateral lower limb weakness for 1 month along tingling, prickling and burning sensation. There was history dry eyes, oral ulcers, mouth, dental caries, lethargy fatigue. On examination, poor hygiene, coarse tongue, caries conjunctival pallor were noted....

Background: The accurate and timely completion of patient admission notes is crucial for high-quality care effective communication among healthcare providers. In the Pulmonology ward, where patients with respiratory conditions receive specialized treatment, comprehensive prompt documentation information paramount. complexity these potential acute exacerbations make even more critical guiding appropriate interventions ensuring safety. Methodology: This uni-disciplinary audit reviewed...

Background An inflammatory condition leading to stiffness and pain in the shoulder joint, adhesive capsulitis is associated with conditions such as diabetes mellitus, cervical spondylosis, thyroid dysfunction, autoimmune rheumatic diseases, injury due trauma, fracture, rotator cuff tear, surgery, or immobilization. Adhesive may affect a notable proportion of diabetic population. There are numerous studies that show patients type 2 mellitus not only at higher risk developing but also suffer...

Infective Endocarditis (IE) is associated with severe complications including cardiac failure, septic embolisation to distant organs, and significant mortality, if not promptly diagnosed treated. It therefore pertinent perform diagnostic echocardiography in patients who have clinical suspicion of IE as it can reveal size location vegetations along the extent infection surrounding tissue aid confirming a therapeutic response. Vegetations usually involve valves but rarely may be located...

Objective: To analyze efficacy of laparoscopic administered Transversus Abdominis Plane (TAP) block on pain scores and opioid consumption in the first 24 hours patients undergoing cholecystectomy. Study design setting: The randomized, double-blinded trial was conducted surgical unit, Shalamar Medical & Dental College Lahore from September 2019 to March 2020. Methodology: 100 either gender scheduled for elective cholecystectomy were included using consecutive probability sampling method....

Objective This study aims to determine whether disease activity was associated with health-related quality of life (HRQoL) in the Pakistani population systemic lupus erythematosus (SLE). Methods cross-sectional conducted Rheumatology Department National Hospital & Medical Centre, Lahore, Pakistan, from April 2021 June 2022. A sample 60 patients, both male and female, diagnosed a case SLE collected through purposive sampling technique. The data were questionnaire which Systemic Lupus...

Background and objective This study aims to investigate thrombocytosis thrombocytopenia in treatment-naïve rheumatoid arthritis (RA) patients, addressing the lack of data on their prevalence clinical significance. By focusing untreated this seeks clarify disease's natural course without confounding factors from prior therapies. The research is particularly important Pakistani context, where regional variations RA presentation are underexplored. Findings expected enhance understanding these...

Prevotella species are usually seen in the intestinal tract including oral cavity as commensal bacteria and can lead to periodontal infections immunocompetent patients. However, patients who immunocompromised, cause at other sites. A 35-year-old gentleman presented with 1-month history of high-grade fever right sided pleuritic chest pain. On examination, he was discomfort due pain, temperature 103 oF, pulse 104 beats per minute, blood pressure 130/90 mmHg, respiratory rate 22 breaths minute...

Introduction: Hyperuricemia is linked to increased morbidity and diabetes complications, making early identification treatment crucial for reducing the disease burden. Studies in Pakistan indicate variations prevalence of hyperuricemia among patients with type 2 mellitus (T2DM).Objective: To determine T2DM at a tertiary care hospital Bahawalpur, Pakistan.Material & Methods: This retrospective study was conducted Bahawal Victoria Hospital. defined as HbA1c level 6.5% or higher, fasting...