miscellaneous
“Brain dead but alive!” There are very few conditions when a person has no brainstem activity and is declared brain dead by the doctors. Physicians must take great caution in declaring patients with these diagnoses as they are actually alive. A true story of a patient in our ward … While conducting rounds in the medical...
September 24, 2018 · 6 min read
students corner
A 16 years old female, was referred to Pakistan Institute of medical sciences Islamabad, from a private setup in Gilgit Baltistan for management of acute abdominal pain. She developed severe abdominal pain while on her way to the school and was perfectly alright before that. There was no history of nausea, vomiting, dyspepsia or fever...
September 18, 2018 · 3 min read
News and updates
Fatty liver or Non-alcoholic fatty liver disease (NAFLD) refers to fatty accumulation within the liver. When fat accumulation progresses, an inflammatory process is initiated within the liver parenchyma. This is marked by an increase in liver enzymes and called nonalcoholic steatohepatitis. Nonalcoholic steatohepatitis (NASH) may progress to a stage of cirrhosis and Fibrosis in a...
September 12, 2018 · 4 min read
students corner
Congenital Adrenal Hyperplasia is an uncommon cause of hypertension in young patients. This 32-year-old patient, unmarried, and a watchman by profession was referred to the PIMS surgery department for resection of an abdominal mass. The abdominal mass was investigated during his previous admissions and a laparoscopic biopsy was done which was consistent with the diagnosis...
September 7, 2018 · 6 min read
students corner
A 40 years old male presented with uncontrolled hypertension of two years duration. Despite receiving beta blockers, calcium channel blockers, and an ACE inhibitor, his blood pressure remains elevated. He also complains of polyuria, polydipsia, and generalized muscle weakness. On examination, his BP is 180/110 mmHg. Funduscopy reveals grade III hypertensive retinopathy. Rest of the...
September 5, 2018 · 3 min read
News and updates
The incidence of a serious genital infection, the Fournier’s gangrene, has been noted to rise with the use of SGLT2 inhibitors. This has prompted the FDA to add an alert with its use. SGLT2 inhibitors include dapagliflozin, canagliflozin, empagliflozin, and ertugliflozin. These drugs have recently been marketed for the treatment of type 2 diabetes patients....
August 31, 2018 · 4 min read
students corner
A 30 years old female was evaluated 6 months back for rapid weight gain and amenorrhea and found to have diabetes, hypertension, and obstructive sleep apnea. She presented with acute onset of a severe headache and syncope. O/E She is afebrile, BP: 130/80 (80/60 mmHg on standing), signs of meningeal irritation are positive. She has...
August 30, 2018 · 3 min read
students corner
A 40 years old female was brought to the emergency with a history of sudden vision loss. Her previous history is significant for poly-arthralgias, Raynaud’s phenomena and syncopal episodes. On Examination she has stable vital signs with no postural drop in blood pressure. Fundus examination reveals retinal whitening. The cardiovascular examination is significant for a...
August 27, 2018 · 3 min read
miscellaneous
Snakebite accounts for more than 100000 deaths annually worldwide. In Pakistan, it is estimated that 40000 snake bites are inflicted every year, out of which about 10000 patients die. Most of these bites are inflicted during the monsoon season (July to September). Men aged 20 to 60 years are affected more probably because of the...
August 25, 2018 · 6 min read
Diet&Drugs
Protein is an essential component of the human diet, However, excessive intake of protein should be avoided especially in patients with kidney & liver diseases. Meat is a very rich source of proteins, iron, zinc, and vitamin B12. Compared to iron derived from plant sources, iron derived from animal proteins is readily absorbed. Apart from...
August 21, 2018 · 5 min read
