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Medical Journal of Dr. D.Y. Patil University最新文献

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Waldenstrom's macroglobulinemia: An unusual cause of nonhealing leg ulcers 华登斯特罗姆大球蛋白血症:一种不寻常的原因不愈合的腿溃疡
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/0975-2870.206572
N. Kaur, Sanjeevan Sharma, A. Mohan, P. Puri
{"title":"Waldenstrom's macroglobulinemia: An unusual cause of nonhealing leg ulcers","authors":"N. Kaur, Sanjeevan Sharma, A. Mohan, P. Puri","doi":"10.4103/0975-2870.206572","DOIUrl":"https://doi.org/10.4103/0975-2870.206572","url":null,"abstract":"Waldenstrom's macroglobulinemia (WM) is one of the rare hematological malignancies and accounts for 1%–2% of all blood cancers. While fatigue is the most common presentation; hyperviscosity syndrome, symptomatic cryoglobulinemia, and cold agglutinin disease (CAD) are the characteristic symptoms. However, they occur only in 5%–15% of all patients of WM. We discuss a 63-year-old patient who presented with nonhealing ulcers on both lower limbs and severe anemia. His blood clotted in ethylenediaminetetraacetic acid sample tubes, and there was difficulty in getting blood cross matched for transfusing him. During evaluation, he was found to have high erythrocyte sedimentation rate, albumin globulin reversal with serum protein electrophoresis, and immunofixation suggestive of immunoglobulin M monoclonal gammopathy. There was evidence of autoimmune hemolytic anemia and skin biopsy from ulcers revealed hyaline thrombosis and deposition of cryoglobulins. He was diagnosed to have WM with cryoglobulinemia and CAD.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"293"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44308211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Clinicohistopathological correlation and Helicobacter pylori status in patients with functional dyspepsia 功能性消化不良患者的临床组织病理学相关性和幽门螺杆菌状态
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/0975-2870.206571
A. Basavaraj, Rahul Kulkarni, D. Kadam, V. Thorat
{"title":"Clinicohistopathological correlation and Helicobacter pylori status in patients with functional dyspepsia","authors":"A. Basavaraj, Rahul Kulkarni, D. Kadam, V. Thorat","doi":"10.4103/0975-2870.206571","DOIUrl":"https://doi.org/10.4103/0975-2870.206571","url":null,"abstract":"Background: Functional dyspepsia (FD) is a condition of immense clinical significance. Helicobacter pylori may be responsible for FD in a subset of patients. Materials and Methods: Upper gastrointestinal endoscopy was done in sixty patients of FD fulfilling ROME III criteria, and gastric and duodenal biopsies were taken. Duodenal histopathological findings and H. pylori status were correlated with the symptomatology. Standard treatment was given according to the H. pylori status, and the response was analyzed using 6-point Likert scale. Results: Sixty percent of cases were infected with H. pylori. 72.5% of cases with predominant epigastric pain were H. pylori-positive. 96.5% patients with early satiety had duodenal eosinophilia and duodenitis. Epigastric pain was significantly associated with H. pylori, and early satiety was associated with duodenal eosinophilia and duodenitis. Sixty-five percent of cases had increased duodenal intraepithelial lymphocyte count. 88.8% cases showing no response to treatment had duodenal eosinophilia. Conclusion: H. pylori infection constitutes an important subset of FD patients. H. pylori infection, duodenitis, and duodenal eosinophilia contribute to symptom generation. H. pylori eradication can provide symptomatic relief. A duodenal biopsy can identify an important subset of patients with duodenal eosinophilia and duodenitis which can be a contributor for poor treatment response and can be clinically amenable to new treatment avenues.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"257"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41628819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The knotted complication of a nasogastric tube 鼻胃导管打结并发症
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/0975-2870.206583
Ritu Aggarwal
{"title":"The knotted complication of a nasogastric tube","authors":"Ritu Aggarwal","doi":"10.4103/0975-2870.206583","DOIUrl":"https://doi.org/10.4103/0975-2870.206583","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"320"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49077190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prosthetic valve obstruction: Redo surgery or fibrinolysis? 人工瓣膜梗阻:重做手术还是纤溶?
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/0975-2870.206577
A. Inamdar, S. Shende, S. Inamdar
{"title":"Prosthetic valve obstruction: Redo surgery or fibrinolysis?","authors":"A. Inamdar, S. Shende, S. Inamdar","doi":"10.4103/0975-2870.206577","DOIUrl":"https://doi.org/10.4103/0975-2870.206577","url":null,"abstract":"Objective: The aim of this study was to compare the efficacy and safety of surgery versus fibrinolytic therapy in patients with prosthetic valve obstruction. Materials and Methods: We compared 15 patients of prosthetic valve thrombosis treated by surgical line of management and another 15 patients treated by thrombolysis. All patients were initially assessed by clinical evaluation and diagnosis confirmed by transthoracic and transesophageal two-dimensional echocardiography. Depending on hemodynamic stability, pannus, or thrombus on transesophageal echocardiography, the patients were assigned surgical or medical line of management. Results: Patients mortality rate was 40% in fibrinolytic group and 13.33% in surgical group. Recurrence was 40% in fibrinolytic group while there was no recurrence till date in surgery group. Complications were more in fibrinolytic group as opposed to surgery group patient. Conclusion: From our experience, we conclude that redo surgery is effective and definitive treatment, especially in patients with stable hemodynamic conditions.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"246"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Beall's list vanishes into the blue… what next? 比尔的名单突然消失了…下一步怎么办？
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/MJDRDYPU.MJDRDYPU_21_17
A. Banerjee
{"title":"Beall's list vanishes into the blue… what next?","authors":"A. Banerjee","doi":"10.4103/MJDRDYPU.MJDRDYPU_21_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_21_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"219-221"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44368746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Comparative study for the treatment of plantar fasciitis by corticosteroids versus platelet rich plasma 皮质类固醇与富含血小板血浆治疗足底筋膜炎的比较研究
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/MJDRDYPU.MJDRDYPU_109_16
T. Kukreja, T. Agarwal, Ashutosh Kumar Singh, Himanshu Bhugra
{"title":"Comparative study for the treatment of plantar fasciitis by corticosteroids versus platelet rich plasma","authors":"T. Kukreja, T. Agarwal, Ashutosh Kumar Singh, Himanshu Bhugra","doi":"10.4103/MJDRDYPU.MJDRDYPU_109_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_109_16","url":null,"abstract":"Purpose: The purpose of this study to compare the efficiency of corticosteroid and platelet rich plasma (PRP) for the treatment of chronic plantar fasciitis. Materials and Methods: The present study was conducted in Department of Orthopaedics at Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune from June 2013 to September 2015. In this series, forty patients having chronic plantar fasciitis were treated with PRP and corticosteroid injection. The results were evaluated prospectively to compare the efficacy of both the procedures. One group of twenty patients received an injection of corticosteroid and the second group of twenty patients received an injection of PRP. Patients were selected if they fit into the inclusion criteria of the study after random selection. Results: Both groups initially performed well. The patients were followed up at 3, 6, and 12 months interval and were analyzed with the scoring systems (American Orthopedic Foot and Ankle Society [AOFAS], visual analog scale and Roles and Maudsley system). The average pretreatment AOFAS score at 3 months after treatment in the steroid group was 45 and improved to 82 and in the PRP group was 44 and improved to 90. However, the steroid group scores degraded with a sharp drop in the AOFAS rating to 74 at 6 months and 62 at 12 months after treatment. In stark contrast, the PRP group scores remained high with AOFAS scores of 87 at 6 month and 85 at 12 months after treatment. Conclusion: This study confirms the long-term superiority of PRP over corticosteroid injection for chronic planter fasciitis.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"252-256"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46770964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgery or thrombolysis for prosthetic valve obstruction, the debate is going on 外科手术或溶栓治疗人工瓣膜阻塞，争论仍在继续
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/MJDRDYPU.MJDRDYPU_28_17
A. Islam
{"title":"Surgery or thrombolysis for prosthetic valve obstruction, the debate is going on","authors":"A. Islam","doi":"10.4103/MJDRDYPU.MJDRDYPU_28_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_28_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"250"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42684273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Klippel–Feil syndrome with inherited coagulopathy: A rare case report Klippel-Feil综合征合并遗传性凝血功能障碍1例报告
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/0975-2870.206570
S. Bansal, K. Utpat, J. Joshi
{"title":"Klippel–Feil syndrome with inherited coagulopathy: A rare case report","authors":"S. Bansal, K. Utpat, J. Joshi","doi":"10.4103/0975-2870.206570","DOIUrl":"https://doi.org/10.4103/0975-2870.206570","url":null,"abstract":"Klippel–Feil syndrome is a rare disease known to be associated with many musculoskeletal as well as somatic diseases. Thromboembolism is one of the complications, which although rarely described earlier with this syndrome, can be life-threatening. Earlier case reports have attributed it to structural abnormalities seen in this syndrome. We, however, report a rare instance of inherited coagulopathy seen with Klippel–Feil syndrome, leading to pulmonary thromboembolism.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"303"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48830571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revisiting the contrecoup extradural hematoma 再看脊膜外挫伤血肿
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/0975-2870.206581
S. Sahoo, C. Srivastava, S. Vankipuram
{"title":"Revisiting the contrecoup extradural hematoma","authors":"S. Sahoo, C. Srivastava, S. Vankipuram","doi":"10.4103/0975-2870.206581","DOIUrl":"https://doi.org/10.4103/0975-2870.206581","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"321"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Authors Response: Outcomes in multidrug resistant tuberculosis 作者回应：耐多药结核病的结果
Medical Journal of Dr. D.Y. Patil University Pub Date : 2017-05-01 DOI: 10.4103/MJDRDYPU.MJDRDYPU_12_17
M. Waghmare, K. Utpat, J. Joshi
{"title":"Authors Response: Outcomes in multidrug resistant tuberculosis","authors":"M. Waghmare, K. Utpat, J. Joshi","doi":"10.4103/MJDRDYPU.MJDRDYPU_12_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_12_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":" ","pages":"319"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48234470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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