Disturbed by GAS in the bowel ?
The excessive flatulence can be embarrassing and make you feel uncomfortable around others. However, it can usually be controlled with changes to your diet and lifestyle. Flatulence is a normal biological process and is something everyone experiences regularly.
Some people pass wind only a few times a day, others a lot more, but the average is said to be about 5 to 15 times a day.
Category Archives: Yenepoya Medical College
Shortness of Breath in a young male
Clinical scenario: A 30-year-old male presented with a history of shortness of breath of one-day duration. He denied a history of fever, PND, orthopnea or palpitations.On examination, the patient was conscious, oriented hemodynamically stable.
Continue reading Shortness of Breath in a young male
A careful examination clinched the diagnosis
Clinical scenario:
A 45-year-old farmer, presented with complaints of fever, chills, generalized weakness associated with yellowish discoloration of sclera for 15 days.
Continue reading A careful examination clinched the diagnosis
OLD MAN WITH FEVER & ALTERED SENSORIUM
Clinical scenario :
A 60-year-old male presented with complaints of easy fatigability of 3 months duration .it was followed by a fever of 3 weeks duration Fever was not associated with Rigors and Chills more so in the evenings. The patient also complained of reduced appetite and weight loss-16kgs in 3 months. Before the current presentation, he developed progressive deterioration in his sensorium and vomiting. The vomiting was not bilious, not blood-tinged usually the food taken by him earlier. There was no history of cough with expectoration, no history of diarrhea, no dysphagia No history of diabetes, hypertension in the past or any other comorbidity
Continue reading OLD MAN WITH FEVER & ALTERED SENSORIUMUpper gi endoscopy indications
Upper endoscopy is currently one of the most frequently performed procedures. The most common indications for
Diagnostic EGD include
Dyspepsia unresponsive to medical therapy or associated with systemic signs, dysphagia or odynophagia, persistent gastroesophageal reflux symptoms, occult gastrointestinal bleeding, and surveillance for malignancy.
Continue reading Upper gi endoscopy indicationsIndications of colonoscopy
| Indications for colonoscopy: |
| 1.Lower GI bleeding |
| 2.Screening and surveillance of colorectal polyps and cancers: a. Colon cancer b. Surveillance after polypectomy c. Colorectal cancer post-resection surveillance d. Inflammatory bowel diseases |
| 3.Acute and chronic diarrhea |
| 4.Therapeutic indications for colonoscopy: a. Excision and ablation of lesions b. Treatment of lower GI bleeding c. Colonic decompressiond. Dilation of colonic stenosise. Foreign body removal |
| 5.Miscellaneous indications: a. Abnormal radiological examinations. b. Isolated unexplained abdominal pain c. Chronic constipation d. Preoperative and intraoperative localization of colonic lesions |
Use antibiotics wisely
Today about ANTIBIOTIC RESISTANCE;
It’s an emerging issue which will pose the most serious threat to all of us as many bacteria are rapidly becoming resistant to many antibiotics.
The main reason is frequent use of antibiotics without proper indication.
Low back ache & weight loss in an elderly lady
Clinical scenario: A 65-year-old lady presented with complaints of generalized body aches, arthralgia, loss of appetite and weight of 2 years duration.On examination, she was found to have pallor, severe malnutrition with BMI of 14kg/m2 , tenderness present over thoracic and lumbar vertebrae.
Continue reading Low back ache & weight loss in an elderly ladyKussmaul sign
Kussmaul’s sign : It is the paradoxical rise in jugular venous pressure with inspiration.
Decreased intrathoracic pressure during inspiration normally leads to an increase in venous return to the right side of the heart, with an associated decrease in jugular venous pressure. When there is impaired filling of the right ventricle, the jugular veins instead become engorged.
Causes of Kussmaul’s sign include right ventricular infarction, severe right ventricular failure, restrictive cardiomyopathy, constrictive pericarditis, and tricuspid stenosis .
He was wrongly diagnosed as celiac disease
Clinical scenario:
A 32 year old, male , building contractor by occupation presented with chief complaints of -Loose stools of 8 months duration .There was history of progressive weight loss generalised weakness and fatigue at work.
Continue reading He was wrongly diagnosed as celiac disease
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