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Diseases

Diseases

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

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

Rheumatology

Behcet’s disease or silk route disease – symptoms and treatment

Behçet’s disease is also called as the “silk route” disease. The name Behcet’s disease is named after the Turkish dermatologist Hulusi Behçet who published the characteristic findings of Behcet’s disease in 1937. It is also called as the “Silk route” disease because of the prevalence of this disease in the areas surrounding the ancient silk...

October 24, 2018 · 9 min read

Gastroenterology

Wilson disease – a rare disease and a unique presentation

This is a story of a young homeless man who was lying in a street, brought to our hospital by the rescue team and later diagnosed with a rare disease – Wilson disease. History and examination: A young man was brought to the emergency in an unconscious state with no identity available by the rescue...

October 20, 2018 · 5 min read

infectious disease

CDC Vaccination Schedule for Adults – Updated guidelines!

I have already published the WHO updated vaccination schedule for children. Since vaccination in adults is often neglected, this article focuses on the updated CDC vaccine schedule for adults. Vaccination should be an integral part of the health affairs of a country. The primary focus of all the vaccination campaigns is revolving around children. This...

October 20, 2018 · 4 min read

infectious disease

Vaccination Schedule for Children – WHO updates

Vaccination plays a pivotal role in the prevention of deadly infectious diseases. Parents, institutions, and governments should follow the WHO updated vaccination schedule for children and adults. What is a vaccine? A vaccine is an antigenic substance that induces immunity when given to a person as an injection or in oral form. The antigenic substance...

October 16, 2018 · 29 min read

psychiatry

chronic illnesses and depression – a worst combination!

Chronic illnesses and depression, when present together, lead to worst clinical outcomes. Because of the close interrelationship between depression and medical illnesses, it is very important to recognize and treat depressive symptoms in medically ill patients and vice versa. What is depression? The cardinal features of depression is a low mood. This is manifested by...

October 11, 2018 · 9 min read