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Author: Farhan

infectious disease

MDR TB (Drug Resistant Tuberculosis) – Important definitions!

MDR TB or Drug-resistant tuberculosis is an emerging problem because of the non-adherence to drugs, long treatment courses, intolerance to and adverse effects of anti-tuberculous medications, HIV epidemics and naturally developing mutants and resistant strains. This article will focus on some important definitions commonly used in drug-resistant tuberculosis. For the sake of simplicity, the following...

November 11, 2018 · 4 min read

News and updates

Recall of Losartan potassium left few choices with us!

Recall of Losartan Potassium, another antihypertensive drug, after Valsartan and Irbesartan because of potential carcinogenic impurities, left few choices for the patient to manage their hypertension. Losartan potassium is a time-tested drug used to treat hypertension, heart failure, and proteinuria. It is currently marketed alone or in combination with hydrochlorothiazide. It is marketed by a...

November 10, 2018 · 4 min read

endocrinology

Facial Hair in women – Causes and Treatment options

Facial hair in women can be mild and be unnoticed but in the majority of young females is very embarrassing. Facial hair in women can be an isolated problem or part of a systemic problem of hyperandrogenism. When it is part of a systemic disease, it is called hirsutism. Hirsutism is defined by the presence...

November 9, 2018 · 7 min read

endocrinology

Subacute Thyroiditis – a non-infectious cause of fever

Thyroiditis is inflammation of the thyroid gland. Subacute thyroiditis (or subacute granulomatous thyroiditis) and infectious thyroiditis (or suppurative thyroiditis)  can manifest as an acute or subacute illness. On the other hand, painless ( or silent thyroiditis) and fibrous (Reidels thyroiditis) can present only with thyroid dysfunction. How Subacute Thyroiditis can present? Subacute thyroiditis is manifested...

November 7, 2018 · 5 min read

News and updates

Recall of another anti-hypertensive drug, Irbesartan!

Irbesartan recall after valsartan has created a panic in hypertensive patients. Irbesartan is an antihypertensive drug and very effective in the reduction of proteinuria especially in diabetic patients with nephropathy. The recent detection of “N-nitrosodiethylamine (NDEA)”, a carcinogenic impurity in certain batches of the Irbesartan has prompted the manufacturers and suppliers to recall all the contaminated...

November 6, 2018 · 3 min read

students corner

Fever and Sore Throat – common symptoms, difficult diagnosis!!

This is a case scenario of a middle-aged female, who presented to our OPD with Fever and Sore throat for the last two months. This patient was extensively investigated before she was diagnosed with a relatively common disease. Healthy comments and criticism will be appreciated. Case presentation – Fever and Sore Throat A middle-aged female presented...

November 5, 2018 · 3 min read

Cardiology

Broken Heart Syndrome or Stress-induced cardiomyopathy

Stress-induced cardiomyopathy or Takotsubo cardiomyopathy also called apical ballooning syndrome and broken heart syndrome is increasingly being reported in the literature. This condition sometimes mimics myocardial infarction but angiography is characteristically normal. There is apical and sometimes septal ballooning and transient systolic dysfunction. The condition may be seen in patients in continuous stress and anxiety, hence the...

November 3, 2018 · 5 min read

Nephrology

Renal Tubular Acidosis (RTA) – key points to remember!

Renal tubular acidosis is a disorder of the renal tubules characterized by metabolic acidosis with a preserved renal function. Similarly, the hormonal and other metabolic effects of the kidneys on the distant organs are also not affected. We will briefly discuss the main types of Renal Tubular Acidosis, their clinical presentation and the differences between...

November 1, 2018 · 6 min read

endocrinology

Target Blood Sugars in Diabetic Patients

Diabetic patients need to know their target blood sugars. When the target blood sugars are known, modifications in diet, exercise routine and changes in medications become easy. Normalization of plasma glucose is difficult and maintaining a euglycemic state for a longer period of time is extremely difficult. Regardless of the level of hyperglycemia, improvement in the...

October 28, 2018 · 7 min read

endocrinology

Serious Complications of Diabetes Mellitus

Diabetes Mellitus, an incurable disease, is known to be a silent killer. Most of the complications of diabetes and deaths result from advancing disease status and progressing target end-organ damage. Diabetes is not just about numbers but preventing one’s self from acquiring the dreadful Complications of diabetes mellitus. People who are compliant to the diabetic...

October 26, 2018 · 13 min read