1,203 results match your criteria: "Lokmanya Tilak Municipal Medical College & Lokmanya Tilak Municipal General Hospital[Affiliation]"

The perinatal period is a high risk for ischemic events to occur leading to lifelong morbidity. Various patterns of ischemic injury to the fetal and neonatal brain have been studied depending on gestational age as well as the degree of hypoxia/ischemia. We present a case of presumed perinatal ischemic left middle cerebral artery stroke diagnosed by magnetic resonance imaging (MRI) in a child with global developmental delay, cerebral palsy, and epilepsy.

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Case: An 18-year-old immunocompetent man presented with symptomatic lumbar canal stenosis, discharging sinuses, and cold abscess for 3 years treated with multiple incision drainage procedures with cottonoid packing antibiotic therapy. Radiographic imaging showed a soft tissue mass in the canal causing bony destruction. Postoperative histopathological examination showed an Aspergillus fungal ball.

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Article Synopsis
  • A case study details a patient with this condition presenting as a subacute intestinal obstruction, linked to partial midgut malrotation, which was confirmed using a CT scan.
  • The patient successfully underwent surgery to remove the cocoon and adhesions, resulting in a smooth recovery, highlighting the rarity of this condition in medical literature. *
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  • * Anticoagulants, particularly novel oral anticoagulants (NOACs), are essential in reducing stroke risk, with studies showing NOACs as safer and more effective than traditional vitamin K antagonists.
  • * The review emphasizes the importance of individualized care, discusses new interventions like left atrial appendage occlusion, and highlights the positive impact of anticoagulation on AF patient outcomes.
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Introduction: Adverse drug reactions (ADRs), including cutaneous adverse drug reactions (CADRs), are significant global health concerns with India among the top affected countries. CADRs represent a significant concern in healthcare, impacting the skin, its appendages and mucous membranes ranging from mild rashes to severe, life-threatening conditions like Stevens-Johnson syndrome and toxic epidermal necrolysis. Self-medication with over-the-counter drugs is a notable public health issue linked to CADRs.

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Objective: In this study, we tried to analyze the utility of the HACOR score in the acute exacerbation of post-tuberculosis obstructive airway disease (post-TB-OAD).

Materials And Methods: The HACOR score for patients in acute exacerbation of post-TB-OAD who needed noninvasive ventilation (NIV) support was calculated at 1, 12, 24, and 48 hours. The history of NIV success or failure was noted.

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  • - The text discusses a type of tachycardia characterized by a regularly irregular rhythm, which includes various potential causes.
  • - It presents a specific case involving a patient with Ebstein's anomaly who experienced cycle length alternans tachycardia.
  • - The diagnosis was confirmed through a detailed examination of the patient's electrocardiogram (ECG) and electrogram (EGM) data.
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Introduction And Importance: Foreign body aspiration is a common occurrence, with severe outcomes seen in all age groups. It can present like any chronic respiratory disease with a wide spectrum of misleading symptoms, resulting in misdiagnosis and delays in appropriate treatment.

Case Presentation: Here we present a case of a 11 year boy diagnosed with occult foreign body aspiration, chronically impacted in the left secondary bronchus, presented with bronchiectasis and multiple failed attempts at bronchoscopic retrieval.

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A 40-year-old woman presented with dull, boring periumbilical region pain radiating to the back and vomiting for 1 year. Magnetic resonance cholangiopancreatography detected a polypoid growth in the ampullary region. The patient underwent Whipple's procedure.

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Paratesticular tumours are rare malignancies that are frequently misdiagnosed on presentation. We present a case of an elderly male with a six-month history of painless, progressively increasing left inguinal swelling. On preliminary examination and investigation, the swelling was misdiagnosed as a lymph nodal mass.

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Background And Objectives: Indian ethnic and educational diversities necessitate obtaining normative cognitive data in different populations. We aimed to evaluate cognitive scores using a Marathi translation of the Kolkata cognitive battery (KCB) and to study the association of KCB components with depression and sociodemographic variables.

Materials And Methods: We studied 2,651 individuals aged ≥40 years without preexisting neuropsychiatric conditions from urban (Mumbai) and rural districts of Maharashtra.

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Drug-induced systemic lupus erythematosus in a child living with HIV.

Indian J Sex Transm Dis AIDS

June 2024

Programme Director of Pediatric Centre of Excellence for HIV Care, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.

Article Synopsis
  • Pediatric systemic lupus erythematosus (SLE) accounts for about 10% of all SLE cases and poses diagnostic and management challenges for children.
  • In children, SLE tends to show a less pronounced male-to-female ratio, increased organ damage, and heightened disease activity compared to adults.
  • The article discusses a rare case of drug-induced SLE in a child undergoing antiretroviral therapy.
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A woman in her mid-20s, a known case of congenital afibrinogenaemia, presented with abdominal pain and distension. She was diagnosed with decompensated liver cirrhosis due to Budd-Chiari syndrome. She underwent deceased donor liver transplantation.

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Introduction: The coexistence of insomnia and obstructive sleep apnea (OSA) poses a complex and challenging clinical scenario, commonly referred to as comorbid insomnia and OSA (COMISA). The bidirectional relationship between these two sleep disorders is explored, illuminating how the presence of one can exacerbate the severity and manifestations of the other. We under took this study to understand the prevalence of COMISA in Indians which is never studied.

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Congenital toxoplasmosis is caused by transplacental infection of during pregnancy. We present a case of a congenital toxoplasma with intracranial calcifications, microcephaly, growth restriction, a unilateral cataract that developed in the third trimester, and a coincidental post-axial-polydactyly. Antenatal imaging findings are important to guide further testing and confirmation of diagnosis, it is important to know all possible associations and prognoses for timely counseling, testing, and intervention.

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 Glenoid version refers to the angle subtended by the glenoid with the scapula. On average, it is 0 ± 10 degrees with a slight propensity toward retroversion. Numerous factors such the dominance(handedness), gender, ethnicity, and pathology are known to affect version.

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