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Interesting Case Studies

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hello doctors, every day we see alot of cases ,,some r different n interesting to us ..so lets share

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Latest Activity: Jan 8, 2015

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(gunshot injury) 2 Replies

CASE SCENARIOA 30 year old police man sustained a gunshot injury to right thigh in an encounter with dacoits. On examination in emergency room (ER) he was conscious but restless. His pulse was 100 /min and his blood pressure was 100/60 mm Hg. There was a 3cm X 2cm wound on antero-lateral aspect of thigh at the junction to upper and middle third. He was unable to extend the knee. The thigh was swollen. Distal pulses were palpable but weak. X-Ray showed no bony injury.Continue

Started by AMSA KHAN. Last reply by Nandhini Reddy Jan 5, 2015.

CASE SCENARIO 9 Replies

Parents of a six year old boy have noticed that the child has gradually started walking on toes, falls frequently and has difficulty in getting up from the ground when he falls. His parents are afraid that as two of his maternal uncles had similar onset of illness, became bed bound by ages around ten years and died as teenagers, the child will suffer the same problem. On examination of lower limbs, unexpectedly, the child has bulkier and stronger looking calves than the rest of his body built. However, his thigh muscles are weak, that he can raise his legs against gravity but not against resistance. His CPK (Creatinine Phosphokinase) is 7900 IU / ml. His electromyography shows short polyphasic action potentials with normal nerve conduction studies. Continue

Started by AMSA KHAN. Last reply by Nandhini Reddy Jan 5, 2015.

CASE OF UPPERLIMB INJURY 4 Replies

CASE SCENARIO A 30 years old laborer, who has a history of knife injury to his right elbow four weeks back, came to OPD (out patient department) with complaints of weakness and deformity of his right hand. On examination he has wasting of hypothenar muscles, guttering of dorsum of the hand, flexed interphalangeal and hyperextended metacarpophalangeal joints of medial two fingers. There is also loss of sensation of the medial third of the palm and medial one and a half fingers. Continue

Started by AMSA KHAN. Last reply by Nandhini Reddy Jan 5, 2015.

A person was brought to casualty with a chief complaint of pain in epigastic region 5 Replies

a person was brought to casualty with a chief complaint of pain in epigastic region ,his abdomen was rigid and hard,there was pain in his backand his mother complaint that he was feeling breathless.he was a chronic alcoholic patient.doctors in the casualty instilled a ryle"s tube and found coffy ground colour fluid of about 500ml.doctor said that it is a serious condition .suddenly the pts heart stopped following this doctor did CPR and he came back to life.i dont know what this case is about and what was the reason to stop his heart.plzzzzzzzz replyContinue

Started by Priydarshni Pandharinath Gadekar. Last reply by Zara Nov 12, 2012.

CASE

Started by Priydarshni Pandharinath Gadekar Dec 18, 2011.

CLINICAL CASE: 2 Replies

Mr. A, 45 year old wholesale cloth merchant was working at his shop when he felt pain in his chest. At first he ignored the pain, but it became severe and crushing in the retrosternal area radiating down to his left arm. It was associated with sweating. The pain continued even after he sat down, so his younger brother called an ambulance to take him to hospital, where he was admitted in the Coronary Care Unit. He gives history of smoking one pack of cigarettes per day for 20 years. He is a known Hypertensive and takes medicine irregularly. His father died of heart attack at the age of 51years. He leads a sedentary life style and very fond of eating fast food.On admission to the hospital, his physical examination reveals middle aged adult of average height but overweight, his blood pressure was 100/70 and pulse of 110 /min. His peripheral pulses were palpable but weak. He has crackling sounds at the bases of both lungs. A 12 lead ECG shows S-T segment elevation of 3 small squares in…Continue

Started by AMSA KHAN. Last reply by mohan Sep 29, 2011.

Keloid scars

Hello!everyone,what are the treatment options which really work for keloid treatment?I have a patient with ugly keloid scars on the chest for 40 years ,these scars use to suppurate frequently,they are always itchy .Silicone is the only option for it?Do it really work?The patient's brother has taken surgical treatment with silicone and it failed ,is there other options for keloid treatment?

Started by Yhunlaiaung May 16, 2011.

Hemifacial goldenhar syndrome 2 Replies

I read in a newspaper that a team of docs at royal free hospital in London has performed six hr long operation in a patient born with this rare congenital condition...what z HEMIFACIAL GOLDENHAR SYNDROME???

Started by Muskan. Last reply by Kesave SJ May 11, 2011.

Clicking/popping sound on opening the mouth

Is it TM joint subluxation??wts the treatment,conservative/surgical??

Started by Muskan Feb 27, 2011.

Bullous Lesion Of fingers and toes 4 Replies

This patient presented with the lesions as shown below...He started with itching and burning sensation..histiory of started having this small vesicles which has started crusting with those polymorphic lesions..he is having similar lesions in the toes.No mucosal and genital lesions..History of similar lesions one year back...have started him with injectable antibiotics to cover the impetigo component and topical steroid (mometasone) and anti histaminics and KMNO4 compress...what is the possibilities...Continue

Started by Sandeep Lal V. Last reply by Sandeep Lal V Feb 18, 2011.

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Comment by Nandhini Reddy on January 5, 2015 at 2:31pm: i feel consult a dentist

Comment by Muskan on February 27, 2011 at 9:59am: I have a doubt...clicking/popping sound on opening mouth; it might b TM joint subluxation,who would deal with it-dentist/ENT surgeon/sum1 else???