Management of HIV Infected Individual
Management of HIV infection is still evolving. Management should be multidisciplinary involving the internist, immunologist, psychiatrist, microbiology and pathology laboratories, social workers and experienced nurses. Once infection is confirmed the first step is a complete history and physical examination including route of infection, presence of concomitant genital infections, baseline mental status examination and patients knowledge about […]
Management of Anal Fissure
Introduction: The anal canal is a tube of about 3 cm in length, surrounded by internal and external sphincters, and collapsed by Levator ani muscle at the ano-rectal junction. The lining of the upper 2/3rd of the anal canal is derived from the ectoderm of the cloaca. It has a visceral innervation, and hence is […]
Malignant Otitis Externa
Malignant Otitis Externa With Skullbase Osteomyllitis Key Words: Otitis, Malignant, Osteomyelitis, skullbase. Abstract Skull base Osteomyelitis (SBO) is one of the devastating infection with potential morbidity which warrants a high degree of suspicion when formulating a differential diagnosis for Otological skull base lesions. Malignant external Otitis (MEO) is a more localised form of SBO which usually spreads to […]
Lungs in Pregnancy
Introduction Pregnancy induces a number of alterations in anatomy and Physiology which have got important pulmonary and cardiovascular consequences. Some of the changes that occur during pregnancy are briefly described below. Airways: There occurs hyperemia, edema and hypersecretion in the upper airways during pregnancy. These changes can induce or aggravate nasal obstruction and obstructive sleep […]
Laws applicable to Pediatric Practice
Legal responsibility in pediatric practice means the way in which you are bound to obey the laws of the land. Law is set of rules enforced by the administration from time to time through police, court and other law enforcing agencies. The Central Births and Deaths Registration act 1969: Every birth has to be registered within […]
Laparoscopic Appendectomy
Indications Indications for Laparoscopic appendicectomy in children are similar to those in adults. Laparoscopic appendicectomy is performed in various stages of acute and chronic appendicitis. In acute cases acutely suppurative, perforated gangrenous appendicitis In doubtful cases of appendicitis in young females. In obese children or over weight child minimally invasive surgery is more advantages than […]
Laboratory Evaluation of Connective Tissue Disease
Laboratory investigations are helpful in the management of patients with connective tissues diseases as they help in establishing the diagnosis, assessing disease activity, organ damage and evaluate progression of disease. Apart from routine haemogram, blood chemistry and urinalysis several immunological tests are employed. Some of the latter tests are not routinely available and require an […]
Juvenile Rheumatoid Arthritis
Juvenile rheumatoid arthritis (JRA) has become one of the most important and changing areas of research in rheumatology and treatment continues to get refined. It is one of the most common chronic illnesses of childhood and also a major cause of disability. Depending on the presentation there are three types of JRA: Oligoarthritis (60%) reflects the […]
ISO Certification – A Quality Improvement Initiative
Healthcare industry today faces many growing challenges viz mounting healthcare costs rising customer demands increasing competition between healthcare organizations etc. To overcome this, healthcare organizations can choose to strive towards providing quality health care to patient by establishing Quality Management System QMS in the organization. International Organization for Standardization ISO has formulated series of standards – ISO: 9001 2000 dealing […]
Ironies Of The Healthcare Industry
In the long term, only hospitals who have invested in ensuring patient loyalty, brand building and strategic marketing will survive, says Vivek Shukla Irony, incongruity, paradox, contrariness, quirk of fate are a few synonyms which can be used to state the present scenario in the hospital industry. I have no qualms in stating that this […]
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