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Karthik R.,Vydehi Institute of Medical science and Research Center and 82 | Veerendranath H.P.K.,Vydehi Institute of Medical science and Research Center and 82 | Wali S.,Vydehi Institute of Medical science and Research Center and 82 | Mohan M.,Vydehi Institute of Medical science and Research Center and 82 | And 2 more authors.
Toxicology International | Year: 2014

Potassium permanganate poisoning is not common. Although Symptoms of potassium permanganate ingestion are gastrointestinal and Complications due to ingestion of potassium permanganate include cardiovascular depression, hepatic and renal damage, upper airway obstruction, bleeding tendency and methemoglobinemia. Gastric damage due to potassium permanganate has rarely been reported previously. We are reporting a 34-year old female patient who presented to our Emergency Department after suicidal ingestion of potassium permanganate crystals. After treatment, the patient was discharged home on the 8 th day after admission. So we conclude that Emergency endoscopy has a significant role in diagnosis and management of potassium permanganate ingestion. Source

Shetty V.H.,Vydehi Institute of Medical science and Research Center and 82 | Gowda S.,Bangalore Medical College and Research Institute | Muralidhar L.,Vydehi Institute of Medical science and Research Center and 82
Journal of Obstetrics and Gynecology of India | Year: 2014

Purpose of the Study: This study is undertaken to emphasize the role of ultrasonography in the diagnosis of ectopic pregnancy and clinical analysis of the same in a tertiary care referral hospital.Methodology: One hundred patients with provisional diagnosis of ectopic pregnancy were studied. Physical examination, urine pregnancy test, transabdominal scan using 5 MHz transducer or transvaginal ultrasonography of 7 MHz was done. The diagnosis of ectopic pregnancy was confirmed by direct observation by laparotomy or laparoscopy (which was taken as gold standard).Results: The study showed ectopic pregnancy was most common in gravida 2 and in age group 26–30 years with most of them having married life <10 years. One or more risk factors were found in 66 % of cases. 54 % of cases presented with acute symptoms, 14 % of cases in shock. Among clinical presentation pain abdomen, history of amenorrhea, bleeding per vaginum, abdominal tenderness, and cervical motion tenderness was most common. In ultrasonography, complex mass in adnexa was present in 60 % of cases and hemoperitoneum in 50 %. 96 % of cases were tubal pregnancy with most of them tubal rupture. In 98 % of cases, radical surgery was done. Salpingectomy was the most common surgery done (90 %). There was no negative laparotomy in this study. There was no maternal mortality in this series.Conclusions: In all the 100 cases of ectopic pregnancy studied, the ultrasonography provided definitive diagnosis resulting in 100 % sensitivity and 100 % specificity, predictive value of positive test being 100 %. Ultrasonography done in earlier weeks of gestation had sensitivity of 96 % and false negative 4 %. © 2014, Federation of Obstetric & Gynecological Societies of India. Source

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