Journal of Postgraduate Medicine最新文献

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Bilateral asymmetrical choroidal vitiligo. 双侧不对称脉络膜白癜风。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-10-01 DOI: 10.4103/jpgm.jpgm_25_22
G J Manayath, S Verghese, P Chandrakanth, H V Gosalia
{"title":"Bilateral asymmetrical choroidal vitiligo.","authors":"G J Manayath, S Verghese, P Chandrakanth, H V Gosalia","doi":"10.4103/jpgm.jpgm_25_22","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_25_22","url":null,"abstract":"","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 4","pages":"245-246"},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9841547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10536956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peripheral gangrene secondary to vasculitis: A rare extra-articular manifestation of rheumatoid arthritis. 继发于血管炎的外周坏疽:类风湿性关节炎罕见的关节外表现。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.jpgm_1126_21
M B Indu, D S Meena, P Jain, B Sharma
{"title":"Peripheral gangrene secondary to vasculitis: A rare extra-articular manifestation of rheumatoid arthritis.","authors":"M B Indu, D S Meena, P Jain, B Sharma","doi":"10.4103/jpgm.jpgm_1126_21","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_1126_21","url":null,"abstract":"","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"182-183"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The truth, the whole truth, and nothing but the truth: Therapeutic privilege. 真相,全部真相,只有真相:治疗特权。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.jpgm_1146_21
M Shalak, M A Shariff, V Doddapaneni, N Suleman
{"title":"The truth, the whole truth, and nothing but the truth: Therapeutic privilege.","authors":"M Shalak,&nbsp;M A Shariff,&nbsp;V Doddapaneni,&nbsp;N Suleman","doi":"10.4103/jpgm.jpgm_1146_21","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_1146_21","url":null,"abstract":"<p><p>The term therapeutic privilege is unfamiliar in the medical field and often sparks questions and discomfort about its ethical implications. Therapeutic privilege refers to the act of withholding information by a clinician, with the underlying notion that the disclosure of this information would inflict harm or suffering upon the patient. This is a case of a 56-year-old woman who presented to our facility under critical conditions. She developed sepsis with acute respiratory failure, requiring intubation and mechanical ventilation. Prior to her admission, her husband had been admitted at our facility's intensive care unit. On the same day when our patient was extubated, her husband had died. The palliative care team was consulted to assist with disclosing this information to the patient in light of her emotional fragility, her anxiety, and concerns for her ability to receive such news given her own active illnesses.</p>","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"152-155"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Pulmonary complications of supracostal percutaneous nephrolithotomy - Must know facts for surgeons. 肋上经皮肾镜取石术的肺部并发症——外科医生必须了解的事实。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.JPGM_341_21
M V Sharma
{"title":"Pulmonary complications of supracostal percutaneous nephrolithotomy - Must know facts for surgeons.","authors":"M V Sharma","doi":"10.4103/jpgm.JPGM_341_21","DOIUrl":"https://doi.org/10.4103/jpgm.JPGM_341_21","url":null,"abstract":"","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"131-132"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10434951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinally extensive transverse myelitis following ChAdOx1 nCoV-19 vaccine. ChAdOx1 nCoV-19疫苗后的纵向广泛横断面脊髓炎。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.jpgm_1047_21
A J Shetty, A Rastogi, V Jha, A Sudhayakumar
{"title":"Longitudinally extensive transverse myelitis following ChAdOx1 nCoV-19 vaccine.","authors":"A J Shetty,&nbsp;A Rastogi,&nbsp;V Jha,&nbsp;A Sudhayakumar","doi":"10.4103/jpgm.jpgm_1047_21","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_1047_21","url":null,"abstract":"<p><p>Transverse myelitis (TM) has been reported in association with various vaccinations. Herein we describe a case of longitudinally extensive transverse myelitis (LETM) associated with vaccination with ChAdOx1 nCoV-19 (COVISHIELD) vaccine. A 59-year-old woman with no prior co-morbidities presented with lower extremity numbness, weakness, acute urinary retention, and constipation. Numbness gradually extended up to the lower costal margin with band like sensation. She had received the vaccine 5 days prior to the onset of the symptoms. Extensive diagnostic evaluation effectively ruled out causes other than vaccination-associated transverse myelitis. Following treatment with intravenous methylprednisolone, the patient made a significant recovery. TM may be associated with vaccination against the novel ChAdOx1 nCoV-19 vaccine and we believe this to be the first report from India of LETM associated with this vaccine.</p>","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"179-181"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Anatomage - the virtual dissection tool and its uses: A narrative review. 解剖-虚拟解剖工具及其用途:叙述性回顾。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.jpgm_1210_21
B S Raja, A Chandra, M Q Azam, S Das, A Agarwal
{"title":"Anatomage - the virtual dissection tool and its uses: A narrative review.","authors":"B S Raja,&nbsp;A Chandra,&nbsp;M Q Azam,&nbsp;S Das,&nbsp;A Agarwal","doi":"10.4103/jpgm.jpgm_1210_21","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_1210_21","url":null,"abstract":"<p><p>Advancement in technology has given students and institutes an educational, interactive, and diagnostic aid with virtual reality functionality known as the Anatomage table. This review analyses the various spheres of the medical field where the 3D virtual tool is being used and assesses its acceptability, convenience, and practical application. A search for relevant studies in various databases namely Pubmed, Embase, Wiley Library, and Google Scholar was performed, and the data was compiled to understand the use of the Anatomage table. The search yielded a total of 24 studies that focused on the use of the Anatomage table. Eleven articles focused on using Anatomage as a learning tool and 13 described the perception of the Table. Anatomage table offers an excellent tool for learning anatomy by virtual dissection. The tool is not only used as a teaching aid, but also as a diagnostic and planning tool in residency programs. Adding the tool as an educational aid boosts the existing curriculum and helps to counter the challenges with cadaveric dissection. The equipment cost and its maintenance charges may be a deciding factor for the underutilization of the tool in developing countries.</p>","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"156-161"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10382546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Unilateral diaphragmatic paresis following supracostal post-percutaneous nephrolithotomy. 经皮肾镜取石术后单侧膈肌轻瘫。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.JPGM_13_21
A Bhat, J E Katz, N A Smith, H N Shah
{"title":"Unilateral diaphragmatic paresis following supracostal post-percutaneous nephrolithotomy.","authors":"A Bhat,&nbsp;J E Katz,&nbsp;N A Smith,&nbsp;H N Shah","doi":"10.4103/jpgm.JPGM_13_21","DOIUrl":"https://doi.org/10.4103/jpgm.JPGM_13_21","url":null,"abstract":"<p><p>Unilateral acquired diaphragmatic paresis is a known complication of thoracic surgeries. Direct mechanical injury to the phrenic nerve during surgery results in this complication. However its occurrence post-percutaneous nephrolithotomy (PCNL) has not been described. We report a 43-year-old man who underwent prone PCNL for endourological management of left complete staghorn calculus. Access via the 10<sup>th</sup> left intercostal space, under fluoroscopy, was carried out to remove the calculus. Post-operative, the routine chest radiograph revealed left hemidiaphragmatic blunting. Computerized tomography of the chest confirmed left hemidiaphragmatic elevation, suggesting unilateral diaphragmatic paresis. He did not have any respiratory symptoms, was managed conservatively with chest physiotherapy and incentive spirometry and responded extremely well. The absence of reported cases of diaphragmatic paresis post PCNL lends to a dearth in knowledge regarding recognition and management. This case report aims to acquaint urologists with this rare complication associated with supracostal PCNL and provide a rational management plan.</p>","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"176-178"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10380262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypercalcemia with methotrexate pneumonitis: A rare, important and intriguing adverse event. 高钙血症伴甲氨蝶呤肺炎:罕见、重要和有趣的不良事件。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.jpgm_1180_21
R Samant, S Yadav, A Khune, R Shah
{"title":"Hypercalcemia with methotrexate pneumonitis: A rare, important and intriguing adverse event.","authors":"R Samant,&nbsp;S Yadav,&nbsp;A Khune,&nbsp;R Shah","doi":"10.4103/jpgm.jpgm_1180_21","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_1180_21","url":null,"abstract":"<p><p>Methotrexate leading to hypercalcaemia is a rarely reported adverse event. We present three elderly patients with inflammatory arthritis who developed hypercalcemia probably due to methotrexate-induced granulomatous pneumonitis. All patients presented with worsening non-productive cough with dyspnea, nausea, loss of appetite, and confusion. Their clinical and radiologic features were consistent with methotrexate-induced pneumonitis. On evaluation, all patients concurrently had hypercalcemia with normal 25OH D3, and low PTH with markedly elevated levels of 1,25OH D3 seen in two patients. In all three patients, hypercalcemia and pneumonia responded to hydration, corticosteroids, and methotrexate withdrawal. There was no relapse of symptoms on long term follow-up. In these three patients with inflammatory arthritis, methotrexate-induced pneumonitis led to symptomatic hypercalcemia. Unless hypercalcemia is looked for and treated in this setting, the morbidity can be high.</p>","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"170-175"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lane-Hamilton syndrome - Is it really a needle in a haystack? 莱恩-汉密尔顿综合征--真的是大海捞针吗?
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.JPGM_1163_20
S A Mondkar, M S Tullu, P Sathe, M Agrawal
{"title":"Lane-Hamilton syndrome - Is it really a needle in a haystack?","authors":"S A Mondkar, M S Tullu, P Sathe, M Agrawal","doi":"10.4103/jpgm.JPGM_1163_20","DOIUrl":"10.4103/jpgm.JPGM_1163_20","url":null,"abstract":"<p><strong>Introduction: </strong>The association of pulmonary hemosiderosis with celiac disease (Lane-Hamilton syndrome) is extremely rare.</p><p><strong>Case details: </strong>A five-year-old female child presented with fever, cough, breathlessness, and pallor for 20 days, without any previous history of recurrent lower respiratory tract infections, tuberculosis, or cardiac disease. There was no history of pica, chronic diarrhea, bleeding, or personal or family history of repeated blood transfusions. She had tachycardia, tachypnea, severe pallor, stunting, rickets, and bilateral fine lung crepitations. Peripheral smear and blood indices revealed dimorphic anemia. Anti-tissue transglutaminase IgA antibody levels were high (>200 U/mL) and the upper gastrointestinal endoscopy with duodenal biopsy confirmed the diagnosis of celiac disease. The child was discharged on a gluten-free diet (GFD) and oral hematinic, but her dietary compliance was poor. Interestingly, the child had persistent bilateral pulmonary infiltrates, which was initially attributed to congestive cardiac failure (CCF), which persisted even despite treatment. HRCT chest revealed interstitial thickening and bilateral alveolar shadows and bronchoalveolar lavage showed a few inflammatory cells. The child was readmitted four times with similar complaints and was given packed red cell transfusions. In the fourth admission, a lung biopsy was done, which revealed extensive pulmonary hemosiderosis. The patient was given a course of oral steroids for 6 weeks, with a gluten-free diet, following which both the anemia and the pulmonary infiltrates resolved.</p><p><strong>Conclusion: </strong>Pulmonary hemosiderosis is an important cause of anemia in cases of celiac disease and may be misdiagnosed as CCF due to severe anemia. A strict GFD, with or without corticosteroids, can reverse the clinical and radiological picture.</p>","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"162-167"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10374134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cutaneous nodular exophytic angiosarcoma with involvement of tibia. 累及胫骨的皮肤结节性外生性血管肉瘤。
IF 1.6 4区 医学
Journal of Postgraduate Medicine Pub Date : 2022-07-01 DOI: 10.4103/jpgm.jpgm_1092_21
K Manoharan, S Sivaramakrishnan, D Manoharan, D I Reddy
{"title":"Cutaneous nodular exophytic angiosarcoma with involvement of tibia.","authors":"K Manoharan,&nbsp;S Sivaramakrishnan,&nbsp;D Manoharan,&nbsp;D I Reddy","doi":"10.4103/jpgm.jpgm_1092_21","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_1092_21","url":null,"abstract":"","PeriodicalId":16860,"journal":{"name":"Journal of Postgraduate Medicine","volume":"68 3","pages":"184-185"},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10382545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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