Onychoscopy as a diagnostic tool in dermatology – Observational study

2020 ◽  
Vol 13 (2) ◽  
pp. 77-80
Author(s):  
G Sumalatha ◽  
◽  
V Haritha ◽  
Madhavilatha Midde ◽  
◽  
...  
2020 ◽  
Vol 3 (1) ◽  
pp. 52-55
Author(s):  
Mohak Mankad ◽  
Pranjal Sangole ◽  
Gyaneshwar Rao

Background: Elevation in serum bilirubin was reported recently, but the importance of the raised total bilirubin has not been stressed in acute appendicitis and appendicular perforation. The aim of the study was to establish the role of hyperbilirubinemia as a new diagnostic tool to predict gangrenous/perforated appendicitis. Subjects and Methods: This was a prospective observational study, which was conducted at the Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India. A total of 100 patients clinically diagnosed as appendicitis from August 2018 to August 2019 at Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India. Patients were clinically evaluated by detailed history, routine examination on initial contact with patients and the routine investigations as per surgery and anesthesia requirements with inclusion of serum total bilirubin. Based on histopathological examination patients will be categorized as positive (acute appendicitis with perforation and/or gangrene) and negative (acute appendicitis without perforation or gangrene). Results: Out of 100 patients, 20 were managed conservatively (mass formation) and was called for interval appendectomy after 6 weeks. In acute catarrhal appendicitis group 47 patients showed normal total bilirubin levels, whereas 8 patients showed increase in levels of total bilirubin.  In gangrenous appendicitis group all 10 patients showed elevated serum total bilirubin levels  In perforated appendicitis group consisted of 15, 11 patients showed elevated serum bilirubin levels and 4 patients showed normal total bilirubin levels. Conclusion: Serum bilirubin is easily available test and cheap and can be estimated from the sample of blood drawn for routine blood investigations.


2020 ◽  
Vol 23 (4) ◽  
pp. 324-328
Author(s):  
Esha Arora ◽  
Hrishikesh Korada ◽  
Tom Devasia ◽  
Rama Bhat ◽  
Ganesh Kamath ◽  
...  

Introduction: Ankle Brachial Index (ABI) is one of the common non-invasive diagnostic tools available for diagnosing Peripheral Arterial Disease (PAD). However, it has been observed that for an individual diagnosed with both PAD and Type 2 Diabetes Mellitus (T2DM), ABI tends to give false diagnostic value because of the calcification of the major lower limb arteries. Therefore, the health care professionals are at times misled for the diagnosis of PAD. To overcome this another diagnostic tool Toe Brachial Index (TBI) was suggested to perform. However, there is limited literature on performing both ABI and TBI in the given population in a single study.Aim: The main focus of this study is to report the profile of ABI and TBI along with classical symptoms like claudication pain, palpation of pulse and history of T2DM for the screening and diagnosis of PAD in T2DM.Materials And Methods: In this cross-sectional observational study, a total of 121 participants diagnosed with T2DM were recruited for the study as per the inclusion criteria. Detailed demographic details of the participants were noted. Diagnostic tool including both ABI and TBI were performed for all the participants and the data was analysed.Results: Among 121 participants, only 3 participants had both ABI and TBI positive indicating positive diagnostic test for PAD and 106 participants had both ABI and TBI negative. However, in the remaining 12 participants, 10 showed TBI positive but ABI negative and 2 had ABI positive but TBI negative.Conclusions: Based on our study we have reported the profile of PAD in T2DM individuals, which is found to be 10.75.%. Therefore, it can be concluded that ABI and TBI both should be performed to rule out any complication. This will be beneficial in early screening and detection of neuro ischemic changes in foot and subsequently to prevent amputation.


2021 ◽  
Vol 9 (11) ◽  
pp. 2652-2658
Author(s):  
Devi S Nair ◽  
Nisha Kumari

Objectives: Menstrual problems and infertility are the major problems affecting society nowadays. It can occur due to many reasons namely pathology of Garbhashaya, Artavavaha Dhamani, Dushta Artava etc. For the evalu- ation of structural abnormalities, various technologies like USG, HSG, Hormonal assay etc. are available. But no methods were developed yet to check the purity of Artava. In this background, the Vastraranjana concept men- tioned in the context of Shudha Rakta Lakshana can be considered as a useful tool for diagnosing Artava Dushti. The practicality of this Pareeksha if proved it envisages a new and simple diagnostic tool in Ayurveda. Methods- Menstrual blood samples-stained cotton clothes were washed, and changes were noted. Results- Dushita Artava was found to be causing a stain on the cloth. Conclusion- Changes in the character of Dosha produces Soshana Vidaha Ghanatha etc. of Artava which involve a change in pH, viscosity like elements creating a stain on the cloth. Keywords: Artava Pareeksha, Vastra Ranjana, Menstrual Cycle


2020 ◽  
Vol 12 (2) ◽  
pp. 68
Author(s):  
Deepika Pandhi ◽  
Pradeep Kumar ◽  
SambitNath Bhattacharya ◽  
Shukla Das

2021 ◽  
Vol 51 (1) ◽  
Author(s):  
Virginia del Carmen Reynoso López ◽  
Florencia Ursino ◽  
Judith Cohen Sabban ◽  
Marina Orsi

Infants with events of apparent threat to life should be hospitalized for evaluation. Gastroesophageal reflux is one of the possible etiologies. Multichannel intraluminal impedanciometry – 24-hour pHmetry is a diagnostic tool that assesses the behavior of pH-independent reflux. Objectives. To describe the parameters of the gastroesophageal reflux measured by multichannel intraluminal impedanciometry – 24-hour pHmetry in infants with events of apparent threat to life. Identify if there are differences between those with positive symptomatic correlation with drowning compared to those without symptomatic correlation. Method. Descriptive, comparative, retrospective and observational study realized between 2005 and 2015. The population were infants under seven months hospitalized by events of apparent threat to life in thepediatrics sector of the Hospital Italiano who underwent multichannel intraluminal impedanciometry – 24-hour pHmetry due to suspected gastroesophageal reflux. Results. 125 patients were evaluated. The median age was 55,7 days of life (range 6-209 days). It was divided into two groups: GI: infants with symptomatic correlation with choking: (32,8% N = 41) and GII: without symptomatic correlation (67,2%, N = 84). Significant statistical differences were observed in: total number of gastroesophageal reflux episodes, episodes that reached proximal channels; clearance time, but not with number of acidic, non-acidic episodes and pHmetry score. Conclusion. Infants with episodes of events of apparent threat to life represent a diagnostic challenge. Gastroesophageal reflux is a potential trigger. The information obtained with the multichannel intraluminal impedanciometry – 24-hour pHmetry in this cohort was useful to better understand the mechanisms involved in this clinical association and thus choose the most appropriate therapy.


2019 ◽  
Vol 85 (6) ◽  
pp. 641
Author(s):  
Shital Poojary ◽  
Saurabh Jaiswal ◽  
Akshat Wahi ◽  
Aparajita Sahoo ◽  
Forum Shah ◽  
...  

1982 ◽  
Vol 13 (1) ◽  
pp. 37-41
Author(s):  
Larry J. Mattes

Elicited imitation tasks are frequently used as a diagnostic tool in evaluating children with communication handicaps. This article presents a scoring procedure that can be used to obtain an in-depth descriptive analysis of responses produced on elicited imitation tasks. The Elicited Language Analysis Procedure makes it possible to systematically evaluate responses in terms of both their syntactic and semantic relationships to the stimulus sentences presented by the examiner. Response quality measures are also included in the analysis procedure.


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