Handgrip Strength Testing Instrument and Protocol: A Review of Literature
Background: Testing grip strength is a popular assessment used by Physiotherapists and Occupational therapists in wide range of clinical settings. There are numerous measures of grip strength evaluation involving a diverse range of assessment protocols, instruments and their testing positions. The instruments and testing protocols are essential parameters, which shall always be considered within the context […]
Guidelines for the Management of Hyperemesis Gravidarum
Hyperemesis gravidarum is persistent vomiting in pregnancy which causes weight loss (> 5% of body wt ) and ketosis. Untreated or inadequately treated it may lead on to Wernicke’s encephalopathy, central pontine myelinosis and maternal death. Clinical Features Though the common clinical presentation is in the 1st trimester of pregnancy a certain number of patients […]
Fournier’s Gangrene
This paper is dedicated to my mentor Dr. P. Rajan, Associate Professor of General Surgery at Calicut Medical College. An excellent teacher, a great surgeon, an astute clinician and above all a wonderful human being, he was instrumental in my taking up general surgery as my post graduation subject. This paper is a humble tribute […]
FNAC and Azoospermic Males
FNAC in Evaluation of Azoospermic Males FNAC has been used as a diagnostic modality for evaluation of male infertility. It is particularly helpful in differentiating obstructive azoospermia from spermatocytic arrest which is important since the treatment is entirely different. In our analysis of 60 cases of azoospermic males subjected of FNAC, we concluded that FNAC is a simple, non-traumatic alternative […]
Facial Palsy in Non-Palpable Parotid Tumour
Abstract: Adenoid cystic carcinoma is a malignant tumour which usually involves the minor salivary glands.When the parotid gland is involved, patients present with facial weakness even before a mass is palpable. We present one such case. Key Words: Adenoid cystic carcinoma, cylindroma, perineural invasion, neutron radiotherapy. Case: Mrs. V is a thirty two year old […]
Face your Phobia!!
DINESH is a 25-year-old software engineer. He won a gold medal upon graduation from his engineering college. He got a job and within a short span of time, impressed his superiors with his quality of work. In spite of his achievements, he faced social problems. He found it difficult to go to a restaurant during recess. […]
Erectile Dysfunction
Erectile dysfunction is a condition in which a man is unable to attain a sufficient erection of the penis. In such conditions, a man cannot execute satisfactory sexual intercourse. Erectile failure, impotence, sexual incompetence and sexual inadequacy are common alternative terms for erectile dysfunction. Ninety percent of men in the world are facing erection problems […]
Epilepsy and Pregnancy
Highlights: Plan the pregnancy. Discuss with the patient beforehand (Start before pregnancy and continue throughout) Do not stop/alter doses of anti-epileptic drugs unless absolutely essential. Remember, a seizure is more dangerous than the side effects of anti-epileptic drugs. There is only marginal increase in the risk of foetal malformation. Advise to avoid all addictions and bad […]
Endophthalmitis: Prevention and Treatment
The most feared complication of any intraocular surgery is the development of endophthalmitis. The reported incidence of post surgical endophthalmitis in various series is 0.04%-4%. The incidence of post operative endophthalmitis in India varies from 1 in 200 to 1 in 1000. The literature talks about isolated cases of postoperative endophthalmitis as well as cluster […]
Electrical Safety in Intensive Care Units (ICU’s)
Introduction: 1) Electricity presents a serious hazard in hospitals. 2) It is not possible to determine the incidence of fatal and non-fatal hospital electrical accidents. 3) Estimates vary from 1200-1500 per year. 4) Accidents generally unreported. 5) ICU’s presents serious hazard due to: Number of electrically powered machines. The number of conductors in, on, and […]
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