March 2018
From the Desk of Group Editor in Chief
Dr KK Aggarwal
Urinalysis consists of three components: Gross evaluation, dipstick analysis and microscopic examination of the urine sediment..... READ MORE

American Family Physician
Kenneth S. Yew, Eric M. Cheng
Cardiology
Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common pr.... READ MORE

American Family Physician
Bronchiolitis, which is the most common reason infants are hospitalized in the first year of life, is typically caused by viral lower respiratory tract infection (e.g., respiratory syncytial virus [RSV]) and often causes acute swelling, edema, epithe.... READ MORE

American Family Physician
A 17-year-old girl presented with a bruise-like rash on her legs. The rash had appeared three days prior, after she had eaten limes and rolled down a grassy hill with friends. The rash was initially brightly erythematous, and it was associated with .... READ MORE

ENT
Divya Prabhat, Gb Kulkarni, Pranav Kelkar
Vertigo is the most common presentation of dizziness encountered by a general physician. However, there is an ongoing debate regarding the diagnosis and management of vertigo, worldwide. Even though vertigo is common in India, there is still a paucit.... READ MORE

INTERNAL MEDICINE
Mohita Agarwal, Rachana Agarwal, Ruchika Garg, Saroj Singh, Nidhi Gupta, Shalini Jaiswal
Internal Medicine
Tuberculosis (TB), caused by bacteria of the Mycobacterium tuberculosis complex, is one of the oldest diseases known to affect humans and is a major cause of death worldwide. The diagnosis of genital TB is difficult due to lack of reliable confirmat.... READ MORE

OBSTETRICS AND GYNECOLOGY
Rekha Rani, Shikha Singh, Urvashi Verma, Ruchika Garg, Divya Yadav, Saroj Singh, Surendra Kumar, Shweta Chauhan, Ragini
The spontaneous rupture of the primigravid uterus before the onset of labor is an obstetric rarity. Invariably, there is a history of antecedent scarring. A case of uterine rupture or defect in uterine musculature, an unusual finding at cesarean sec.... READ MORE

OBSTETRICS AND GYNECOLOGY
Hn Rukshana, Sowbarnika, Jayanthi Mohan
Placenta accreta, a condition with high morbidity, is anticipated in women with risk factors for the same. Danger when anticipated is easier handled than when taken by surprise. Here we report a case of placenta increta with an unusual presentation..... READ MORE

ORTHOPEDICS
Amit Agrawal, Rajesh Dulani, Anil Agarwal
We report a case of extensive dorso-lumbar en-plaque meningioma that was mimicking ligamentum flavum hypertrophy and review the literature. A 65-year-old male presented with history of low back pain of 2-year duration with worsening of the pain sin.... READ MORE

PEDIATRICS
Dhan Raj Bagri, RK Gupta, Priyanshu Mathur
Celiac disease is an immune-mediated systemic disorder in genetically susceptible individuals triggered by consuming a protein called gluten, which is found in wheat, barley and rye in genetically susceptible individuals. Classic symptoms include g.... READ MORE

PSYCHIATRY
Sajjan Singh
Depression has high global prevalence and is associated with anxiety and chronic pain. Impairment of neurotransmitters such as serotonin and noradrenaline may lead to the triad (depression, anxiety and pain). Tricyclic antidepressants (TCAs) inhibit.... READ MORE

MEDICOLEGAL
KK Aggarwal, Ira Gupta
The Department of Personnel and Training of Ministry of Personnel, Public Grievances and Pensions, Government of India has vide office memorandum bearing No. 13018/6/2013 - Estt.(L) vide dated 29 January, 2018 has instructed all Ministries/Department.... READ MORE

Medifinance
KK Aggarwal, Ira Gupta
The life-saving machines and devices such as pacemaker, continuous positive airway pressure (CPAP), biphasic positive airway pressure (BiPAP), orthopaedic implants, intracardiac valve replacements, vascular stents, relevant laboratory diagnostic test.... READ MORE

Rules and Regulations
KK Aggarwal
Formulae to Determine the Quantum of compensation in the cases of clinical trial related injury or Death.... READ MORE

CONFERENCE PROCEEDINGS
A 52-year-old diabetic presents with chest pain with transient ST elevation on ECG; coronary angiography shows minor plaques.... READ MORE

AROUND THE GLOBE
The Delhi Medical Council Act, 1997 has been enacted to provide for the Constitution of the Delhi Medical Council, and the maintenance of a register of medical practitioners who are engaged in the practice of modern scientific system of medicine and .... READ MORE

Lighter reading
One night a teenage girl brought her new boyfriend home to meet her parents, and they were appalled by his appearance: leather jacket, motorcycle boots, tattoos and pierced nose..... READ MORE

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