scholarly journals MANAGEMENT OF INFERTILITY DUE TO HYDROSALPINX WITH BOH BY AYURVEDIC REGIME: A CASE STUDY

2021 ◽  
Vol 9 (2) ◽  
pp. 491-497
Author(s):  
Poonam Kumari ◽  
Hetal H. Dave ◽  
Poonam Choudhary ◽  
Sonu 4
Keyword(s):  
Ectopic Pregnancy ◽  
Female Child ◽  
Corrective Surgery ◽  
X Ray ◽  
Preg Nancy ◽  
Healthy Female ◽  
History Of ◽  
Diagnostic Investigations ◽  
Rule Out

We report a case of a 33 years old female patient anxious for issues since 2 years. Patient was having Bad Obstetric History (BOH) in her previous 2 pregnancies with history of Ectopic pregnancy in her last preg-nancy for which linear salpingostomy was done. Patient underwent diagnostic investigations and proce-dures to rule out the cause. She was found to have Bilateral Hydrosalpinx in her HSG findings. So, the treatment was planned accordingly, and she was treated with Ayurvedic regimen consisting of Shodhana and Shamana therapy. HSG was repeated 6 months after treatment which was found to be normal with Bi-lateral patent tubes and she was managed to conceive successfully after treatment. Though she was a K/C/O BOH also, so she was provided all the necessary advice and examinations in her Antenatal period including Masanumasika Garbhini Paricharya and she delivered healthy female child of 2.8 kgs on 21.11.2020. So, implementation of Ayurvedic approach with X ray HSG resulted in successfully treating this case without tubal corrective surgery.

X-ray Advances in Support of Advanced Packaging – Today and Tomorrow

2018 ◽  
Vol 2018 (1) ◽  
pp. 000409-000414
Author(s):  
David Bernard
Keyword(s):  
Heat Dissipation ◽  
X Ray ◽  
Destructive Test ◽  
Heat Transfer Efficiency ◽  
Advanced Packaging ◽  
History Of ◽  
Production Output ◽  
2D And 3D ◽  
Non Destructive

Abstract As advanced packaging continues to develop to support novel and emerging technologies, the need for, ideally non-destructive, test and inspection continues to be vital to ensure the quality and assurance of functionality, wherever the package may go. This is made ever more difficult as the package complexity increases, whilst the feature sizes within continue to decrease. X-ray technology has long been an important part of the non-destructive inspection protocol over the history of advanced packaging and will continue to need to play a more important part in the future. This paper will review the advances made in both 2D and 3D X-ray inspection over recent years and the new opportunities that are now starting to be available, especially in 3D, or CT, inspection, that will enable this 120-year-old technology to remain relevant to and supportive of the needs of advanced packaging. To highlight the above, a case study will be presented on the faults that 2D and CT X-ray analysis can find in LEDs during their manufacture. LEDs are a good example of the remarkable developments in packaging and technology over the last 20 years, where the use of higher powers, smaller sized features and increased reliability requirements intensify the need for higher quality, more consistent production output. Flaws cannot be accepted, especially as higher usage powers mean higher operating temperatures which, in turn, then requires very good thermal conductivity in the package to move heat away from key areas. Without good heat dissipation then heat stresses at the interfaces can cause delamination or die fractures, so reducing LED lifetimes. The presence of voids, particularly at the die to package interface, creates air gaps that reduces heat transfer efficiency. As many LEDs are potted, or encapsulated, the only non-destructive test option to check for voiding and other faults is by using 2D and CT X-ray analysis.

scholarly journals A fatal case of acute encephalopathy in a child due to coxsackievirus A2 infection: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tomonori Nagai ◽  
Nozomu Hanaoka ◽  
Harutaka Katano ◽  
Masami Konagaya ◽  
Keiko Tanaka-Taya ◽  
...  
Keyword(s):  
Pathogen Detection ◽  
Medical Condition ◽  
Fatal Case ◽  
Female Child ◽  
Neurological Complications ◽  
Acute Encephalopathy ◽  
Case Presentation ◽  
Healthy Female ◽  
History Of ◽  
Underlying Medical Condition

Abstract Background Certain types of enteroviruses, including coxsackieviruses, cause encephalitis, and other neurological complications. However, these pathogens rarely cause fatal infections, especially in immunocompetent infants. In this study, we present a rare case of acute encephalopathy caused by coxsackievirus A2 (CV-A2), which progressed rapidly in a previously healthy female child. Case presentation In June 2013, a 26-month-old female child from Kanagawa, Japan, was found unresponsive during sleep. She was healthy until that morning. Her temperature was 37 °C at 08:00. She was feeling fine and went to the nursery that same morning. However, her condition worsened around noon. Therefore, she went home and slept at around 13:00. Surprisingly, after 2 h, her parents checked on her and found that she was lying on her back and was not breathing. Hence, she was immediately taken to a hospital by ambulance, but she was declared dead on arrival at the hospital. Subsequently, pathological autopsy and pathogenetic analysis, including multiple pathogen detection real-time PCR, were conducted to investigate the cause of death. The examination results revealed that she had an infectious respiratory disease and acute encephalopathy due to a CV-A2 infection. Conclusions Based on our findings, we concluded that a previously healthy girl who had no immediate history of underlying medical condition were susceptible to death by acute encephalopathy due to CV-A2 infections. We proposed this conclusion because the patient’s condition progressed rapidly in less than 2 h and eventually led to her death. This is the first report on an acute encephalitis-dependent death in a child due to CV-A2 infection.

A Case Study of a Child With Agenesis of the Corpus Callosum

1997 ◽  
Vol 6 (3) ◽  
pp. 36-44 ◽  
Author(s):  
David N. Sorensen
Keyword(s):  
Corpus Callosum ◽  
Language Impairment ◽  
Developmental Delays ◽  
Language Skills ◽  
Female Child ◽  
Ct Scans ◽  
Congenital Agenesis ◽  
Over Time ◽  
Rule Out

This report presents the results of 10 years of observation and testing of a female child with a congenital agenesis of the corpus callosum. The agenesis was diagnosed from CT scans completed to rule out neurological causes for developmental delays. Results of this longitudinal observation and testing revealed that language and speech evolved over time. Despite extensive speech and language treatment, a persistent language impairment continued to exist. Each year there was a widening gap between the child's language skills and those expected for her age. A prominent feature of the language impairment was a pragmatic deficit. A moderate oral apraxia was also present throughout the 10-year period during which this child was observed.

scholarly journals Elevated Hemidiaphragm and Shortness of Breath: Challenges in Clinicoradiologic Integration

2018 ◽  
Vol 4 (3-4) ◽  
pp. 223-229
Author(s):  
Vivek Podder ◽  
Rakesh Biswas ◽  
Nidhi Sehgal
Keyword(s):  
Chest Radiography ◽  
Systolic Function ◽  
High Sensitivity ◽  
Diaphragmatic Paralysis ◽  
Peak Exercise ◽  
X Ray ◽  
St Segment ◽  
History Of ◽  
Chest X Ray ◽  
Rule Out

Unilateral diaphragmatic paralysis is often suspected when a hemidiaphragm is found abnormally elevated on chest radiography. Chest radiography has a high sensitivity for diaphragmatic palsy. A 67-year-old male presented to the hospital with a history of 4 months of exertional breathlessness that improved after taking a rest. The patient had normal cardiac and respiratory physical function. He also had a normal electrocardiogram and good systolic function on echocardiography. A treadmill test revealed ST-segment changes during peak exercise and recovery phases. On chest X-ray, his right hemidiaphragm was shown to be significantly elevated. Further investigation was conducted to rule out diaphragmatic paralysis, and the findings took a surprising turn to an entirely different diagnosis.

Cecal Vitamin Bezoar Formation Inducing Abdominal Discomfort

1992 ◽  
Vol 26 (4) ◽  
pp. 485-487 ◽  
Author(s):  
Ann K. Hunt-Fugate ◽  
Harry J. Schmidt
Keyword(s):  
Treatment Options ◽  
Chief Complaint ◽  
Abdominal Discomfort ◽  
Vitamin B ◽  
Magnesium Citrate ◽  
X Ray ◽  
History Of ◽  
Community Teaching

OBJECTIVE: To document a case of cecal lecithin-vitamin B12 bezoar formation inducing abdominal discomfort. DESIGN: Case study. SETTING: 500-bed, community teaching hospital PATIENT: 81-year-old man with a history of multiple abdominal surgeries who presented with a chief complaint of abdominal pain. Flat plate X-ray of the abdomen revealed multiple capsule-shaped objects lodged in the cecum. INTERVENTIONS: Catharsis with bisacodyl, magnesium citrate, NaCl 0.9%; dissolution with heated, dilute barium administered rectally in conjunction with external manipulation; laparotomy. MAIN OUTCOME MEASURES: None planned; dissolution or transit of bezoar through gastrointestinal tract desired outcome. RESULTS/DISCUSSION: Classification of bezoars and treatment discussed in relation to this case report. CONCLUSIONS: Medicinal agents have been implicated in bezoar formation. Treatment options have included: cathartics, heated solvent enemas, and external manipulation and surgery.

scholarly journals ILEO-COLIC INTUSSUSCEPTION;

2018 ◽  
Vol 21 (05) ◽  
pp. 864-868
Author(s):  
Muhammad Ali Zul Hasnain ◽  
Malik Muhammad Khalid ◽  
Irfan-Ul- Haq
Keyword(s):  
Plain Film ◽  
Armed Forces ◽  
Lead Point ◽  
Hydrostatic Reduction ◽  
Military Hospitals ◽  
X Ray ◽  
Patient Morbidity ◽  
History Of ◽  
Rule Out

Objective: To evaluate the success rate of hydrostatic reduction of intussusceptionand incidence of complications in late presenting cases. Study Design: prospective study.Place and duration of study: Study was carried out in Armed Forces Institute of Radiologyand Imaging Rawalpindi and different Combine Military Hospitals during last 5 years. Materialsand Methods: All the children up to 2 years age with diagnosis of ileo-colic intussusceptionand 3 days or less history of onset of symptoms were included in the study. Patients with signsof perforation, suspicion of lead point or long intussusceptum protruding through rectum wereexcluded. After plain film evaluation, thin barium was instilled through Foleys catheter underfluoroscopic guidance. Rule of 3 was followed and reduction was considered successful whencontrast refluxed into terminal ileal segment. Follow up plain x-ray and ultrasound was doneafter 48 hours to rule out recurrence. Results: Hydrostatic reduction was successful in 18 outof 21 patients collected during last five years. Reduction was incomplete in one case whileperforation was observed in 2 cases. These complications were observed in the largest group(52%) of patients reporting on 3rd day of onset of symptoms. A significant number (38%) ofpatients reached the hospital within 48 hours. Only 2 (10%) patients presented in first 24 hrsbut uneventful reduction was possible in later two groups. Conclusions: Careful hydrostaticreduction in cases of ileo-colic intussusception reporting within 72 hrs will reduce hospital stayand patient morbidity in most of the cases.

scholarly journals Trichobezoar: a rare clinical rendezvous with twin sisters

2020 ◽  
Vol 8 (1) ◽  
pp. 371
Author(s):  
Abdulrahman Almuawi ◽  
Omar Alsamahy ◽  
Mir Fahiem-Ul-Hassan ◽  
Brahemi Abdelhamid
Keyword(s):  
Gastrointestinal Symptoms ◽  
Female Child ◽  
Endoscopic Examination ◽  
Abdominal Incision ◽  
Familial Predisposition ◽  
X Ray ◽  
Compulsive Disorder ◽  
Gastric Trichobezoar ◽  
Recurrent Vomiting ◽  
History Of

Trichobezoar is very uncommon in the pediatric age group. Till now no familial predisposition has been reported. We hereby report our clinical experience with eight years old twin sisters one of whom had a huge gastric trichobezoar and other one had a history of trichotillomania with recurrent vomiting and weight loss. An eight years old female child, one of the twin, presented with history of recurrent vomiting. Abdominal examination revealed firm mass in epigastric region. X-ray abdomen showed the transverse colon pushed down. Ultrasonography revealed echogenic mass in the stomach. Preoperative diagnosis of trichobezoar was achieved by a computed tomography (CT) scan. Laparotomy was done through the midline abdominal incision after initial session of resuscitation. A huge mass of hair was retrieved from the stomach part of which was passing into the duodenum. Patient was found to have underlying trichotillomania and obsessive compulsive disorder. As the patient was one of the twins, other sibling was called and evaluated for the mental health. Interestingly, she was found to have trichotillomania and trichophagia. Examination revealed sparse scalp hair. X-ray and the sonography of the abdomen were normal. Patient was advised endoscopic examination which the guardian of the patient refused. Patient was put on outpatient department (OPD) follow up after psychiatric counselling. Trichobezoar should be suspected in a pediatric patient of gastrointestinal symptoms, epigastric mass and anemia with history of trichophagia. Open surgery gives optimum results. Sibling of an affected twin must be evaluated on the similar lines and managed accordingly.

scholarly journals Mixed Cutaneous Infection Caused by Leishmania and Dermatophytes: A Rare Coincidence or Immunological Fact

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Amresh Kumar Singh ◽  
Ankur Kumar ◽  
Jayesh Pandey ◽  
Vivek Gaur ◽  
Pratima Tripathi ◽  
...  
Keyword(s):  
Cellular Immunity ◽  
Uttar Pradesh ◽  
Skin Lesions ◽  
The Body ◽  
Cell Mediated Immunity ◽  
Kala Azar ◽  
Healthy Female ◽  
History Of ◽  
Loss Of Appetite

Leishmaniasis was first described in 1824, in the Jessore district of Bengal (now Bangladesh) and more prevalent in Bihar, Uttar Pradesh, Jharkhand, and West Bengal. The disease is associated with depressed cellular immunity. Tinea is a fungal infection of the skin, which can become more extensively pathogenic particularly in patients with depressed cell-mediated immunity. Regulatory T cells and Th17 cells have been shown to be responsible for post-kala-azar dermal leishmaniasis (PKDL). We present a rare case of a 52-year-old house wife with a history of recurrent itching, depigmentation of the skin of extremities, and loss of appetite for 2-3 months followed by progressive spread of such lesion all over the body in an apparently healthy female. On examination, there were many hypopigmented scaly lesions mainly over the extensor aspect of the body. Skin lesions were characteristics of tinea infection with or without PKDL. A diagnosis of PKDL with tinea was made based on the history of kala-azar and on the skin slit smear for amastigote forms, rK39 test, and KOH mount. Routine blood investigations showed negative serology for HIV and lower normal CD4+T counts. The patient was advised for treatment on systemic antifungal therapy with antihistaminics and later with miltefosine. We have highlighted that PKDL, although uncommon, is a distinct manifestation of VL. In our case study, we also tried to find the reason of coinfection; this was probably due to the depressed cellular immunity, skin abruptions, and acquired dermatophytic infection which is prevalent and associated with lower CD4+ T cell count.

Case Exercise: Toxic Exposure-Related Illness: Causation, Diagnosis, and Permanent Impairment

2007 ◽  
Vol 12 (2) ◽  
pp. 4-8
Author(s):  
Frederick Fung
Keyword(s):  
Concentration Level ◽  
Treatment Plan ◽  
Toxic Exposure ◽  
Dose Response Relationship ◽  
Specialty Board ◽  
History Of ◽  
Subjective Complaints ◽  
Based Medicine ◽  
Illness Causation ◽  
Rule Out

Abstract A diagnosis of toxic-related injury/illness requires a consideration of the illness related to the toxic exposure, including diagnosis, causation, and permanent impairment; these are best performed by a physician who is certified by a specialty board certified by the American Board of Preventive Medicine. The patient must have a history of symptoms consistent with the exposure and disease at issue. In order to diagnose the presence of a specific disease, the examiner must find subjective complaints that are consistent with the objective findings, and both the subjective complaints and objective findings must be consistent with the disease that is postulated. Exposure to a specific potentially causative agent at a defined concentration level must be documented and must be sufficient to induce a particular pathology in order to establish a diagnosis. Differential diagnoses must be entertained in order to rule out other potential causes, including psychological etiology. Furthermore, the identified exposure at the defined concentration level must be capable of causing the diagnosis being postulated before the examiner can conclude that there has been a cause-and-effect relationship between the exposure and the disease (dose-response relationship). The evaluator's opinion should make biological and epidemiological sense. The treatment plan and prognosis should be consistent with evidence-based medicine, and the rating of impairment must be based on objective findings in involved systems.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

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