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Dinicolantonio J.J.,Mid America Heart Institute | Bhutani J.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science | Lavie C.J.,University of New Orleans | Lavie C.J.,Pennington Biomedical Research Center | O'Keefe J.H.,Mid America Heart Institute
Future Cardiology | Year: 2015

Thiazide and thiazide-like diuretics are cornerstone treatments for hypertension. However, unlike chlorthalidone (CTD) and indapamide (IDP), hydrochlorothiazide (HCTZ) lacks evidence for reducing morbidity and mortality as monotherapy compared with placebo or control. Despite this fact, HCTZ is prescribed much more frequently than CTD or IDP. We believe that all hypertension guidelines should follow the National Institute for Health and Excellence (NICE) and make IDP and CTD first choice 'thiazide-like diuretics.' This article will focus on the available evidence pertaining to HCTZ versus CTD and IDP. We will review the pharmacological differences between these three diuretics, as well as the clinical trial data and important side effects. © 2015 Future Medicine Ltd. Source


Gupta V.,Fortis Healthcare | Kaur M.,Dayanand Medical College and Hospital | Kundu Z.S.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science | Kaplia A.,Fortis Healthcare | Singh D.,Maharishi Markandeshwar Medical College and Hospital
Chinese Journal of Traumatology - English Edition | Year: 2013

Hip dislocation in children can occur congenitally in isolation or in conjunction with other congenital abnormalities. Traumatic hip dislocations in children are relatively uncommon and anterior dislocation of hip joint is even rarer. We report such a case following unusual mode of injury in a 12-year-old child. The patient underwent successful emergent closed reduction of left hip. The clinical course and follow-up assessment of the patient was otherwise uneventful. At 2 years' follow-up there was no evidence of osteoarthritis, coxa magna, heterotrophic calcification, in congruency of the joints or avascular necrosis of the head of femur. Source


Goel A.K.,Saraswati Institute of Medical science | Yadav S.P.S.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science | Goel R.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science
Ear, Nose and Throat Journal | Year: 2010

Very few cases of hemangioma of the ethmoid sinuses have been reported in the literature. These lesions can be difficult to diagnose in the paranasal sinuses because obtaining an adequate biopsy specimen can be dangerous in view of the potential for profuse bleeding. We report a case of a cavernous hemangioma in the right posterior ethmoid sinus of a 45-year-old man. The mass was excised in its entirety. © 2010, Vendome Group, LLC. All rights reserved. Source


Basu A.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science | Kundu S.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science | Khurana H.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science
Indian Journal of Pharmacology | Year: 2014

Restless leg syndrome (RLS) is a common disorder causing sleep impairment. Antipsychotics particularly belonging to the first generation are a common cause of RLS. Whereas, RLS induced by olanzapine is rare, there are only a few cases reported earlier. We report a 38-year-old lady suffering from persistent delusional disorder who was prescribed olanzapine. She developed RLS after initiation of olanzapine which improved when switched over to risperidone. This report will caution clinicians about this side effect of a very commonly prescribed antipsychotic drug. Source


Dahiya P.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science | Dalal M.,Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical science
Journal of Gynecologic Surgery | Year: 2013

Background: The presence of intrauterine bone fragments is a rare condition. Abnormal uterine bleeding from retained fetal bone is an even more rare condition. Case: A 34-year-old para 3, abortus 1, married woman presented with abnormal uterine bleeding (AUB) in the form of polymenorrhea and hypomenorrhea. Bimanual examination revealed a normal size uterus and normal adnexae. Hysteroscopy revealed multiple tiny bony chips in the uterine cavity, which were evacuated. Correlating with the past history, it was concluded that the patient had retained fetal bony fragments during a second trimester dilation and evacuation (D&E), leading to AUB. Results: Removal of the fragments by curettage regularized her menstrual cycle. Conclusions: when D&E is used, pelvic ultrasonography (USG) must be performed to confirm uterine emptiness. The important role of routine pelvic USG, or, where facilities exist, routine hysteroscopy for AUB, especially for those patients with a history of mid-trimester D&E, is emphasized, as retained fetal bone can present with AUB. (J GYNECOL SURG 29:330) © Copyright 2013, Mary Ann Liebert, Inc. 2013. Source

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