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Shadangi P.,Okay Diagnostic Research Center | Saggar V.,SK Soni Hospital | Mittal S.R.,SMS Medical College | Singla R.,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital
Journal of Clinical and Diagnostic Research

Intraocular infections by Cysticercus Cellulosae larvae are often found as part of a generalized systemic infestation. Reports of orbital adnexal cysticercosis are uncommon, despite the high incidence of brain and ocular involvement, with isolated infestation of extraocular muscle being exceedingly rare. We at our institute report a rare case of isolated right inferior rectus muscle cysticercosis which presented with unilateral eccentric proptosis and restriction of upward gaze. Source

Singla R.,Adesh Medical College and Hospital | Goyal V.,Adesh Medical College and Hospital | Singla G.,Adesh Medical College and Hospital | Gupta P.,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital Bhatinda
Journal of Clinical and Diagnostic Research

Purpose: To evaluate the acute ocular side effects of Topiramate in patients of migraine. Design: Retrospective study. Materials and Methods: 296 patients of migraine of all ages and of either sex, who were being treated with Topiramate from January 2010 to January 2011 by the neurologist, were retrospectively studied for severe ocular side effects. Results: Four patients of different ages and of either sex reported with signs of shallow anterior chamber, bilateral acute myopia and angle closure glaucoma of varying severity. All four patients responded well to conservative treatment and immediate cessation of Topiramate therapy. Conclusions: Topiramate which is recently being used quite frequently and effectively in the treatment of migraine has rare but potential side effects in the form of bilateral acute angle closure glaucoma which can be effectively managed with prompt stoppage of Topiramate therapy and conservative management. Source

Sidhu T.K.,Adesh Institute of Medical science and Research Bathinda | Kaushal R.,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital
Journal of Clinical and Diagnostic Research

Objective: To find out patient satisfaction with the Surgical Outpatient Department in Adesh Institute of Medical Sciences and Research, Bathinda which is a tertiary care teaching hospital using Concise OPD User Satisfaction Scale. Methodology: From August 2009 to January 2010, only new patients attending the surgical OPD of Adesh Institute of Medical Sciences and Research, Bathinda were included in this observational study after taking informed consent. The Concise Outpatient Department User Satisfaction Scale was used to measure patient satisfaction. The items in this score were (i) physical environment, (ii) equipment and facilities, (iii) appointment arrangement, (iv) waiting time, (v) service of the dispensary, (vi) support staff (vii) physician's professionalism, (viii) explanation given by the case physician, (ix) consultation time. Results: A total of 510 patients, 308 (60.39%) males and 202 (39.61%) females attending the Surgical Outpatient Department were included in this cross-sectional study from August 2009 to January 2010. Physician's professionalism scored maximum with a mean ± SD score of 7.71 ± 1.68 and service of dispensary scored minimum with a mean ± SD of 3.67 ± 1.57. Significant difference was found between gender, with males satisfied more in terms of support staff, physician's professionalism, explanation and consultation time given by physicians. Conclusion: Patient satisfaction level was overall good with the Surgical Outpatient Department. The patients were most satisfied with physician's professionalism and least satisfied with service of dispensary. Source

Alka,Adesh Medical College and Hospital | Preeti,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital
Journal of Clinical and Diagnostic Research

Aim: The aim of this study is to illustrate and discuss the pathological spectrum of radiologically diagnosed "possibility of cystic hygroma" as there is severe paucity of literature regarding this. Our purpose is to differentiate cystic hygromas from other cystic lesions like branchial cysts especially when cystic hygromas present at an unusual site and unusual age. Materials and Methods: Total of 20 cases of radiologically diagnosed as "possibility of cystic hygroma" were aspirated using 23 guage needle. Appearance and amount of fluid aspirated was recorded and then centrifuged. Wet fixed & air dried smears were made from the sediment and were stained with Papanicolaou (Pap) stain, Haematoxylin & Eosin (H&E) stain and Giemsa stain. Results: Cytological analysis was rendered on all the 20 cases, out of which 15 cases were diagnosed as cystic hygroma. Rest of the 5 cases were diagnosed as branchial cleft cyst (2 cases), laryngocele (2 cases) and non-conclusive (1case). Out of 20 aspirates, 10 aspirates (50.0%) were from the posterior triangle of the neck, 4 aspirates (20.0%) were from the middle triangle of the neck and 4 aspirates (20.0%) were from the anterior triangle of the neck. One (5.0%) of the aspirate was from the mediastinum and one (5.0%) aspirate was from the axilla. Histopathological correlation was available for 2 of these patients and both of these were diagnosed as cystic hygroma. Conclusion: Fine Needle Aspiration Cytology (FNAC) along with radiological correlation serves as a highly effective and efficient modality for the confident diagnosis of cystic hygroma especially in patients with atypical presentation, age and location. It provides a safe alternative to more cumbersome and time consuming surgical modalities of diagnosis. Source

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