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Durg, India

Dewangan M.,Hospital and Research Center | Khare M.K.,CM Medical College | Mishra S.,Hospital and Research Center | Marhual J.C.,Hospital and Research Center
Journal of Clinical and Diagnostic Research | Year: 2016

Acute gastric dilatation is a rarely encountered clinical scenario in our day to day practice. This is very rapidly progressing condition and can lead to ischemic necrosis and perforation/rupture of the stomach. It could be fatal if not timely intervened. We report such a case of a 17-year-old, otherwise healthy boy, who presented with pain and distension of abdomen following binge eating episode after 24 hours of prolonged fasting. On exploration, stomach was dilated with necrosis and perforation at fundus near greater curvature. He was managed with excision of all the devitalized area and primary repair with feeding jejunostomy. The case is presented due to its rarity. Acute gastric dilatation (AGD) leading to ischemic necrosis and perforation because of binge eating episode in an otherwise healthy person is an exceptional occurrence with only few cases reported in literature. The clinician should be aware of this condition for prompt and appropriate management. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved. Source


Tirpude B.,MGIMS Sevagram | Patond S.,Datta Meghe Institute of Medical Sciences | Murkey P.,MGIMS Sevagram | Nagrale N.,CM Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2015

There is no statistical data to establish variation in epiphyseal fusion in population in population of central India. This significant oversight can lead to exclusion of persons of interest in a forensic investigation. Epiphyseal fusion of the distal femur in 150 individuals was analyzed on radiological basis to assess the range of variation of epiphyseal fusion at each age. In the study the X-ray films of the subjects were divided into three groups on the basis of degree of fusion. Firstly, those which were showing No Epiphyseal Fusion (N), secondly those showing Partial Union (PC), and thirdly those showing Complete Fusion (C). Observations made were compared with the previous radiological studies.The ossification at distal end of femur at the Knee joint in Males and Females is completed in all instances (100%) at the age groups of 18-20 years and 16-20 year respectively.From this study, range of 1-2 years of margin of error can be concluded. Source


Dewangan M.,Hospital and Research Center | Khare M.K.,CM Medical College | Mishra S.,Hospital and Research Center | Marhual J.C.,Hospital and Research Center
Journal of Clinical and Diagnostic Research | Year: 2016

Acute exercise induced compartment syndrome of leg is a very rare and very oftenly missed entity which leads to delay in its management. We are presenting such case in which diagnosis was established two days after the onset of symptoms. Urgent decompressive fasciotomy was done. After 3 months of follow up, patient has got full functional recovery of his affected limb. This case highlights the importance of keeping high index of clinical suspicion to diagnose the problem and manage promptly. We have reviewed the English literature and found only about 40 cases since 1945. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved. Source


Giri R.R.,CM Medical College | Giri K.R.,CM Medical College | Palandurkar M.,CM Medical College
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2015

Plant extracts are attractive sources of new drugs. Except few studies, no extensive investigations have been made for improving this inherent biological phenomenon of bone healing. It has been mentioned in Sarangdhar samhita & by Vagbhata that Arjuna terminalia belongs to nyagrodadhi group possessing fracture healing property. No scientific studies have been conducted so far to confirm or refute these long standing claims. The research question was formulated as "whether Arjuna terminalia induces favorable response in bone healing as judged through a systemic effect upon biochemical parameters [alkaline phosphatase, phosphate,calcium] & to compare its relative efficacy with Normal saline treated group assisted with closed reduction. In our study ethanolic extract of Arjuna terminalia Linn is evaluated for its fracture healing property in experimentally fractured tibia(3-point bending method) of rats. Arjuna terminalia treated animals revealed faster initiation of healing process than the control group (Normal saline)on biochemical examination. Healing was almost complete within 4 weeks of fracture in the Arjuna terminalia treated animals & remained incomplete in the control group. The results indicate that the ethanolic extract of Arjuna terminalia produce beneficial effect in fracture healing & support the claims of its traditional wages as traditional bone healer. Source

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