Kuppam, India
Kuppam, India

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Reddy R.,PESIMSR | Shashi Kumar B.,Mandya Institute of Medical science | Harish M.,Mandya Institute of Medical science
Indian Journal of Dermatology | Year: 2011

It is a known fact that cutaneous sarcoidosis is a great imitator in dermatology. We report three cases of cutaneous sarcoidosis without systemic involvement and with varied dermatologic presentation with regard to age and morphology. Lesions mimicked various common dermatologic conditions, causing great confusion for the diagnosis and posing problems for management. Awareness of these varied morphologic presentations is essential for the early diagnosis and management of the master mimicker - cutaneous sarcoidosis.


Havaldar N.,PESIMSR | Ashok K.,ESI Hospital
Pan African Medical Journal | Year: 2014

Torsion of nongravid uterus is rare. Cases reported have occured during pregnancy. We report a case of a patient with acute abdominal pain. The patient showed a voluminous mass situated in the abdomen and noncontiguous to the uterus by ultrasound scan. Laparotomy confirmed the diagnosis of cystic ovarian mass with torsion of uterus. © Nusrat Havaldar et al.


Rajagopalakrishnan R.,SRM University | Soraganvi P.,PESIMSR | Douraiswami B.,SRM University | Velmurugesan P.,Ganga Hospital | Muthukumar S.,Parvathy Hospital
Journal of Arthroscopy and Joint Surgery | Year: 2016

Background Comminuted patellar fracture reduction and articular reconstruction is surgically demanding situation to deal with, as patellar articular surface is complex with two diverging facets separated by a median ridge. Purpose The objective of this study is to evaluate functional outcome of OTA-34 C2, C3 comminuted patellar fractures treated surgically by methodical reduction and fixation. Methods We prospectively analyzed 12 patients of OTA-34 C2, C3 patellar fracture operated by our technique in 2 female and 10 male patients. We obtained three dimensional patellar articular facet reconstruction, by direct observation and reduction of articular surface and fixation with mini fragment screws and cerclage wire. The knee outcome survey – Activity of Daily Living Scale (ADLS) was used to assess functional outcome and follow-up X-rays were taken to assess radiological outcome of the fracture fixation. Results In all cases fracture union was achieved at an average of 10.83 weeks (2.49 months). The mean age was 43.58 years, average follow-up was 27.83 months and mean knee outcome survey ADLS – 90.08%. Functional knee range of motion was achieved by the end of 12 weeks (mean ROM – 119.08°). None of the patients had any infection, avascular necrosis of patellar fragments; implant cut out or patellofemoral arthritis. Three patients with associated ipsilateral long bone fracture showed delayed return to work. Conclusion Three dimensional patellar articular reconstruction and restoration of extensor apparatus is possible in comminuted patellar fracture with good clinical outcome by accurate and meticulous surgical reduction and fixation. © 2016 International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty


PubMed | PESIMSR and ESI Hospital
Type: | Journal: The Pan African medical journal | Year: 2014

Torsion of nongravid uterus is rare. Cases reported have occured during pregnancy. We report a case of a patient with acute abdominal pain. The patient showed a voluminous mass situated in the abdomen and noncontiguous to the uterus by ultrasound scan. Laparotomy confirmed the diagnosis of cystic ovarian mass with torsion of uterus.


Kaparti L.,PESIMSR | Padmaja R.,PESIMSR
Journal of Clinical and Diagnostic Research | Year: 2013

Neonates who are born with CDH suffer from sub-stantial morbidity and mortality. Modalities of treatment are said to influence outcome, apart from pre-natal and post-natal factors. Reports from developed countries have described improved survival with High Frequency Oscillatory Ventilation (HFOV), Extra Corporeal Membrane Oxygenation (ECMO) and inhaled Nitric Oxide (NO). Many centres in developing countries lack these neonatal advanced care facilities and outcome is expected to be different. In this case, we have focused on anaesthetic management of RCDH in a 5-day-old neonate, by using conventional ventilation.


Mohan K.P.,PESIMS&R
Foot & ankle specialist | Year: 2011

Nonunion of the calcaneum is a rare clinical situation, and it has not been observed in the pediatric age group. The authors hereby report a case of 14-year-old boy with a 6-month history of fall, treated by native bone setters by a below knee splint who had radio-logic evidence of calcaneal nonunion. He was treated by open reduction and internal fixation during which soft tissue interposition was seen intraoperatively. The fracture united uneventfully in 8 weeks after the surgical treatment. Histological analysis of the soft tissue showed the interposition of a cartilaginous fragment.


Introduction: Regional anaesthesia (spinal anaesthesia) is widely used as a safe anaesthetic technique for both elective and emergency operations. Shivering is known to be a frequent complication, reported in 40 to 70% of patients undergoing surgery under regional anaesthesia. Various methods are available for the control of shivering during anaesthesia. Here we have compared Tramadol, a synthetic opioid with Pethidine, the gold standard drug for the treatment of shivering, in the quest for more safe and efficacious drug.Materials and Methods: 40 patients of ASA 1 and 2 status posted for elective surgical procedures under neuraxial block were selected. Group P (n=20) received Pethidine 0.5mg/kg IV and group T.(n=20) received tramadol 1.0 mg/kg IV.Results: Both the drugs were found to be effective in reducing shivering. 19 patients in the Group T.had control of shivering at end of 5 minutes but there were no patients who had control of shivering Group P (p < 0.0001) which is statistically significant.Conclusion: Tramadol reduced the occurrence of postanesthetic shivering more significantly than pethidine. © Journal of Clinical and Diagnostic Research. All Rights Reserved.


Veena C.N.,PESIMSR | Nandan T.M.,PESIMSR | Vastrad B.C.,PESIMSR
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2015

The maturing nervous system is remarkably plastic and, in the presence of a sensory impairment there occurs some degree of reorganization within one or multiple sensory modalities and thus a deficit in one sensory system, such as deafness, might detract from the function of another sensory system, such as vision. To compare the visual reaction time between congenitally deaf and normally hearing subjects. 30 congenitally deaf children aged between 10-14 yrs and 30 age matched normally hearing subjects were tested for visual reaction time using reaction time apparatus. There was no significant difference in the reaction time between deaf and normally hearing subjects for both red and the green light suggesting that not all aspects of vision are altered in deaf individuals.


Kumar A.S.P.,PESIMSR | Anupama M.P.,Madras Medical College
International Journal of Preventive Medicine | Year: 2014

Scrub typhus is an acute, febrile zoonosis caused by an obligate intracellular bacterium Orientia tsutsugamushi. The clinical manifestations of the disease range from subclinical to fatal organ failure. The common symptoms are fever, chills, headache, myalgia, dry cough, lymphadenopathy, and gastrointestinal disturbances. The presentation with complications is usually due to delay in diagnosis and treatment. We report three cases of scrub typhus that presented with features of meningo-encephalitis, which is very unusual, and all patients recovered with empirical doxycycline treatment.


PubMed | Madras Medical College and PESIMSR
Type: Journal Article | Journal: International journal of preventive medicine | Year: 2014

Scrub typhus is an acute, febrile zoonosis caused by an obligate intracellular bacterium Orientia tsutsugamushi. The clinical manifestations of the disease range from subclinical to fatal organ failure. The common symptoms are fever, chills, headache, myalgia, dry cough, lymphadenopathy, and gastrointestinal disturbances. The presentation with complications is usually due to delay in diagnosis and treatment. We report three cases of scrub typhus that presented with features of meningo-encephalitis, which is very unusual, and all patients recovered with empirical doxycycline treatment.

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