The Journal of the Association of Physicians of India
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J Assoc Physicians India · Nov 2010
Case ReportsVertebral sarcoid mimicking ankylosing spondylitis or just a co-incidence?
To illustrate that among the protean musculoskeletal manifestations of sarcoidosis back pain that could mimic inflammatory back pain of ankylosing spondylitis (AS), should also be considered. ⋯ The question remains whether he is a patient with vertebral sarcoidosis or it is a simple coincidence of two unrelated diseases appearing togeth r in this person.
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Tuberculosis of the pancreas is a rarity, reported in a handful of literature. We enumerate the case of a young girl with high fever, jaundice, and right hypochondrial pain, whose investigations revealed a mass at the head of the pancreas. FNAC from the mass astoundingly proclaimed tuberculosis.
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J Assoc Physicians India · Nov 2010
Hospital-based descriptive study of symptomatic hyponatremia in elderly patients.
Hyponatremia is a common electrolyte disturbance in the hospitalized elderly sick patients. There is no existing record for profiling of symptomatic hyponatremia in elderly Indian subjects. ⋯ Hyponatremia was more common in females and they seemed to better tolerate it than their male counterparts. Diuretics should be used with caution in elderly.
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Scimitar Syndrome is a relatively rare variety of partial anomalous pulmonary venous connection in which the right pulmonary veins form an anomalous confluence which drains into the infra-diaphragmatic inferior vena cava. The X-ray chest in these patients shows the typical Scimitar Sign. ⋯ scimitar syndrome is a type of partial anomalous venous connection. It consists of sinus venosus type of atrial septal defect, anomalous confluence of right upper and lower pulmonary veins draining into the infra-diaphragmatic inferior vena cava and right lung lower lobe hypoplasia. The X-ray chest shows the characteristic Scimitar Sign. Precise anatomical characterization in required for operative correction and cannot usually be achieved by echocardiography and requires invasive angiocardiography, multi-detector CT angiocardiography or cardiac MRI. We used CT angiocardiography for diagnosis and post-operative confirmation of adequacy of correction.