Malhotra V.,PGIMS RohtakHaryana |
Malhotra P.,PGIMS RohtakHaryana |
Nanda S.,PGIMS RohtakHaryana |
Chauhan M.,PGIMS RohtakHaryana |
Malhotra N.,PGIMS RohtakHaryana
Journal of SAFOG | Year: 2015
Introduction: Takayasu’s arteritis (TA) is a rare clinical entity characterized by the progressive obliteration of the aortic arch and the main vessels arising from it and, in some cases of the thoracic and abdominal aorta and its main branches. Case: We report a case in which diagnosis of TA was made 6 years ago and present pregnancy was successfully managed. Conclusion: Multidisciplinary management is essential for satisfactory clinical outcome during pregnancy and their blood pressure should be strictly controlled for a favorable maternal and fetal outcome and mode of delievery should be planned. © 2015, Jaypee Brothers Medical Publishers (P) Ltd. All rights reserved.
Bhutani N.,PGIMS RohtakHaryana |
Kajal P.,PGIMS RohtakHaryana |
Singla S.,PGIMS RohtakHaryana |
Sangwan V.,Nirvana Diagnostic Center
International Journal of Surgery Case Reports | Year: 2017
Introduction Solid pseudopapillary tumor (SPT) of the pancreas is rare, accounting for 0.13–2.7% of all pancreatic tumors. It is unique, has low malignant potential and predominantly affects young women. Radiological and pathological studies have revealed that the tumor is quite different from other pancreatic tumors. But the cell origin of SPT and tumorigenesis are still enigmatic. Abdominal mass is the most common presenting symptom. Due to the paucity of the number of cases, the natural history of the disease is not fully understood. This study was undertaken to examine the clinico-pathological characteristics of the disease and to evaluate the outcome of surgical intervention in a tertiary referral care centre. Materials and methods A retrospective analysis of all patients diagnosed and treated for SPN in our hospital over a period of 10 years (2005–2015) was carried out. A database of the characteristics of these patients was developed. In all, 11 patients were identified. A CT scan of the abdomen was performed in all the patients and the findings revealed a mass in the pancreas. The investigations performed included routine blood investigations, chest X-ray, CA-19-9 level and either an ultrasound or a CT Scan of the abdomen. Results During the time period of 10 years, of 349 patients with pancreatic malignancy admitted to our department, only 11 were diagnosed as having SPN (3.15%). Ten patients were women (90%) and one patient was a man (10%). The patients had a median age of 27.6 years (range 17–41). The most common symptoms were abdominal pain and dullness. Eight patients (72.7%) presented with abdominal pain or abdominal dullness and three patient (27%) were asymptomatic. All the 11 patients were taken up for surgery. Three patients underwent distal pancreatectomy with splenectomy, three patients underwent the total mass excision and one patient underwent total pancreatic resection. Three required extended distal pancreatectomy with splenectomy. One underwent spleen-preserving distal pancreatectomy. Conclusion SPT is rare, but treatable pancreatic tumor. While clinical signs and symptoms are relatively nonspecific, characteristic findings on imaging and histology separate these tumors from the more malignant pancreatic tumors. The prognosis is favorable even in the presence of distant metastasis. Although surgical resection is generally curative, a close follow-up is advised in order to diagnose a local recurrence or distant metastasis. © 2017
Verma R.,PGIMS RohtakHaryana |
Bhalla K.,PGIMS RohtakHaryana |
Chawla S.,SHKM Government Medical College
Indian Journal of Public Health Research and Development | Year: 2016
Background: India in 1951 became the first country in the world to launch a state sponsored family planning programme with the goal of lowering fertility and lowering growth rate. The Programme lays utmost emphasis on quality of services. The quality of services in turn is dependent upon the training of the medical and para-medical man power. Objective: To analyze the deficiencies in the working of Health workers and the areas requiring training. Study design: The study design was cross-sectional. Participants: 34 Health Workers (15 male&19 female) Material & Method: Block Beri is a field practice area attached to Pt. B.D.S. PGIMS Rohtak. All the 24 sub centers of Block Beri were personally visited by the investigator. The workers employed at the time of the study were interviewed using a pre tested semi-structured Proforma. The activities of the workers were observed, both at the sub center as well as the field. Results: the investigator observed that 93.33% male worker check red blood pressure correctly and 88.66% prepared correctly annual action plan while 89.7% female worker correctly measured Hb and 73.68% female worker conducting deliveries. Conclusion: Updating of knowledge and improvement in skills is associated with the development of favorable attitudes, motivation and feeling of commitment in work. © 2016, Indian Journal of Public Health Research and Development. All rights reserved.
Chhabra S.,PGIMS RohtakHaryana |
Bhutani N.,PGIMS RohtakHaryana |
Singh S.,PGIMS RohtakHaryana |
Sangwan M.,PGIMS RohtakHaryana |
Sen R.,PGIMS RohtakHaryana
Human Pathology: Case Reports | Year: 2017
Endometrial stromal sarcoma (ESS) is a rare malignant tumor of the endometrium, usually seen in perimenopausal females. We report a case of ESS in a 24 year old woman, presenting as rapid enlargement of a uterine fibroid associated with irregular and excessive vaginal bleeding along with a lung nodule. Hysterectomy was performed. Histopathological examination and immunohistochemistry confirmed ESS. A proper preoperative diagnosis is difficult and in most cases the diagnosis is confirmed after hysterectomy for a presumed benign disease. Simultaneous pulmonary metastasis of ESS is an extremely rare event. As the tumor is rarely encountered, management protocols are still questionable. Although rare, ESS should be considered in the differential diagnosis of all women who present with a rapid enlargement of a uterine leiomyoma. This report is aimed to present a case of endometrial stromal tumor in a young female with simultaneous lung metastasis because of its rare existence and difficulties in establishing histological diagnosis. © 2017
Sharma R.,BPS Government Medical College for Women |
Sethi P.D.,Gian Sagar Medical College |
Garg A.,BPS Government Medical College for Women |
Dhattarwal S.K.,PGIMS RohtakHaryana |
Chawla R.,BPS Government Medical College for Women
Journal of Punjab Academy of Forensic Medicine and Toxicology | Year: 2016
Physical identity of an individual is one of the most important parameter required to solve a medico legal case. In this stature is one of the most important and useful anthropometric parameter that determines person’s identity. In tertiary medical college at Rohtak, Haryana, the present study was conducted comprises of 145 individuals (80 males and 65 females) to find the relation between percutaneous thumb length and stature along with multiplication factor to reconstruct the stature. The correlation coefficient between height and thumb length was found to be positive. It has been observed that stature can be estimated from the thumb length to be used as predictive values by medicolegal experts. © 2016 JPAFMAT. All rights reserved.
Singh H.,PGIMS RohtakHaryana |
Tanwar V.S.,PGIMS RohtakHaryana |
Sukhija G.,PGIMS RohtakHaryana |
Kaur P.,PGIMS RohtakHaryana |
Govil N.,PGIMS RohtakHaryana
Journal of Clinical and Diagnostic Research | Year: 2016
Hepatitis B virus is responsible for causing hepatic complications like acute and chronic hepatitis, cirrhosis and hepatocellular carcinoma along with some uncommon immune mediated extrahepatic manifestations. Vasculitis remains an uncommon extrahepatic complication of hepatitis B virus infection. Herein we report a case of hepatitis B infection that presented with leucocytoclastic vasculitis as an initial manifestation and managed successfully with entacavir therapy. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.
Yadav H.,PGIMS RohtakHaryana |
Gill M.,PGIMS RohtakHaryana |
Srivastava D.,PGIMS RohtakHaryana |
Gupta V.,PGIMS RohtakHaryana |
And 2 more authors.
Turk Patoloji Dergisi | Year: 2015
Objective: The aim of this study was to assess the utility of the morphometric parameters in cytological aspirates in the categorization of breast lesions. Material and Method: The study was carried out on 50 females presenting with a breast lump for fine needle aspiration cytology. Air-dried smears from the aspirate were stained with Leishman and Giemsa stains while alcohol-fixed preparations were stained with the PAP stain. They were subsequently categorized into benign, borderline and malignant categories on light microscopy. Morphometry was performed on the stained smears. The morphometric parameters studied were mean nuclear area, mean cytoplasmic area, perimeter and nuclear/cytoplasm ratio. Results: Morphometric parameters revealed a progressive and statistically significant increase in values from benign to borderline to malignant cases. On comparing benign with borderline and malignant, all the four parameters were found to be statistically significant with a p-value of less than 0.05 while on comparing borderline with malignant, two of the parameters, i.e. mean nuclear area and mean cytoplasmic area, were statistically significant. Conclusion: This study introduces morphometry as a highly objective tool to supplement the entirely subjective fine needle aspiration cytology in the crucial differentiation of benign from malignant lesions and especially the borderline cases in the gray zone comprising of atypical ductal hyperplasia and ductal carcinoma in situ. © 2015, Federation of Turkish Pathology Societies. All rights reserved.