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The Effective Doctor Patient Interface 有效的医患界面
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.40
S. Khadilkar
{"title":"The Effective Doctor Patient Interface","authors":"S. Khadilkar","doi":"10.15713/ins.bhj.40","DOIUrl":"https://doi.org/10.15713/ins.bhj.40","url":null,"abstract":"","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78800929","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
Conservative Management of Borderline Ovarian Malignancy through Minimal Invasive Surgery: A Case Report and Review of Literature 微创手术保守治疗交界性卵巢恶性肿瘤1例报告及文献复习
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.62
A. Chakraborty, Nitin P. PaiDhungat
{"title":"Conservative Management of Borderline Ovarian Malignancy through Minimal Invasive Surgery: A Case Report and Review of Literature","authors":"A. Chakraborty, Nitin P. PaiDhungat","doi":"10.15713/ins.bhj.62","DOIUrl":"https://doi.org/10.15713/ins.bhj.62","url":null,"abstract":"If portions of one both ovaries preserved performing only cystectomy. frozen histological 95% Fertility preservation is always a consideration in the management of patients with BOTs, as the incidence of these ABSTRACT We present the case of a 27-year-old nulliparous woman with a history of missed abortion and desirous of pregnancy diagnosed with rare borderline mucinous tumor in the left ovary intraoperatively. Considering the borderline tumor status, we made an attempt to preserve the right ovary and thus preserve her fertility using minimal invasive surgical procedure (laparoscopic unilateral salpingo-oophorectomy). The patient subsequently became pregnant spontaneously within 2 months and had a full-term delivery. Therefore, we recommend that carefully and skillfully planned and performed, minimal invasive surgery, if combined with vigilant and regular follow-up, can be an excellent treatment option in the management of patients with borderline ovarian tumors who are desirous of pregnancy and childbearing.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74420624","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
Our Observations about the General Surgery Services Provided by Bombay Hospital General Surgery Department during the Peak of the COVID-19 Pandemic: A Series of 30 Cases Bombay医院普外科在2019冠状病毒病(COVID-19)流行高峰期提供普外科服务的观察——附30例
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.55
N. Sheth, anjay Chatterjee, R. Yadav
{"title":"Our Observations about the General Surgery Services Provided by Bombay Hospital General Surgery Department during the Peak of the COVID-19 Pandemic: A Series of 30 Cases","authors":"N. Sheth, anjay Chatterjee, R. Yadav","doi":"10.15713/ins.bhj.55","DOIUrl":"https://doi.org/10.15713/ins.bhj.55","url":null,"abstract":"The COVID-19 pandemic is considered as the most crucial global health calamity of the century and the greatest challenge faced by humankind since the Second World War. The pandemic has had a major impact on our health care and functioning of hospitals of which the most widely affected subspecialty is that of general surgery. This study is to put forth some unusual observations encountered during the peak of the pandemic by the general surgery department in Bombay Hospital.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72938881","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
Chronic Progressive Disseminated Histoplasmosis in an Immunocompetent Host - A Case Report 免疫正常宿主的慢性进行性播散性组织浆菌病1例报告
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.45
A. Sakle
{"title":"Chronic Progressive Disseminated Histoplasmosis in an Immunocompetent Host - A Case Report","authors":"A. Sakle","doi":"10.15713/ins.bhj.45","DOIUrl":"https://doi.org/10.15713/ins.bhj.45","url":null,"abstract":"Histoplasmosis, a disease caused by a dimorphic fungus Histoplasma capsulatum, occurs worldwide. This disease is till now, sporadic in India.[1] Histoplasmosis has three main types of clinical presentations-acute primary, chronic cavitatory, and progressive disseminated.[1] Immunocompetent middle aged to older adults typically present with chronic progressive course of disseminated histoplasmosis. This form of histoplasmosis is more common in males than females. Usual presentation is low-grade fever, malaise, and oropharyngeal ulcers. Chest X-ray may show patchy infiltration in one or more lobes along with lymphadenopathy.[2] This is a case report of a non-immunocompromised patient who presented with the chronic progressive disease, probably because of prolonged exposure and late diagnosis.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90341729","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
A Case of Aberrant Regeneration of Oculomotor Nerve Following Vasculitic Infarct in A Case of Tubercular Meningitis in A Young Female 一例年轻女性结核性脑膜炎血管梗死后动眼神经异常再生
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.46
H. Pagad, Akash Jain, Nita Shanbhag
{"title":"A Case of Aberrant Regeneration of Oculomotor Nerve Following Vasculitic Infarct in A Case of Tubercular Meningitis in A Young Female","authors":"H. Pagad, Akash Jain, Nita Shanbhag","doi":"10.15713/ins.bhj.46","DOIUrl":"https://doi.org/10.15713/ins.bhj.46","url":null,"abstract":"A 15-year-old girl presented to ophthalmology OPD with a history of the left eye remaining open when looking down for the past 8 months. She also complained of binocular horizontal diplopia in up and down gaze. She was diagnosed with tubercular meningitis (for her symptoms of fever, headache, vomiting, backache, lower limb paresthesia with a history of inability to walk, and seizures) with cerebellar involvement with the left eye pupil involving complete third nerve palsy 8 months ago. She was receiving antitubercular therapy (Category 2) planned for 1 year. Contrast-enhanced CT scan at that time showed few disc and ring T2 hypointense enhancing lesions with surrounding vasculogenic edema in the right parietal post central cortex, bilateral cerebellar hemisphere, and inferior vermis with subtle blooming on GRE seen in inferior vermis lesion possibly calcification suggestive of infective etiology and an acute non-hemorrhagic infarct most likely vasculitis in pontine region, Figure 1. On examination, her unaided visual acuity recorded 20/20, N6 in both eyes. Ocular motility examination was normal in the right eye whereas evaluation revealed –3 limitation of elevation and –2 limitation of depression in the left eye Figure 2. Color vision testing with Ishihara chart was normal in both eyes. Signs of aberrant regeneration such as pseudo von Graefe’s signs (adduction due to contraction of levator palpebrae muscle) and pseudo Duane’s sign (adduction of the eye on attempted upward or downward gaze) were present. Pupil in the left eye was mid-dilated sluggish reaction to light. Pupillary constriction was noted and measured with a pupil scale when eye adducted and converged, that is, pseudo Argyll Robertson sign present, Figure 3. Fundus examination was unremarkable in both eyes.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84598322","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
Intra-articular Gap Non-union of Tibial Condyle Treated with Osteochondral Allograft: A Case Report 同种异体骨软骨移植治疗胫骨髁关节内间隙不愈合1例
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.60
Aditya Rao, Shradha A Kulkarni, Hemant B. Bhandari
{"title":"Intra-articular Gap Non-union of Tibial Condyle Treated with Osteochondral Allograft: A Case Report","authors":"Aditya Rao, Shradha A Kulkarni, Hemant B. Bhandari","doi":"10.15713/ins.bhj.60","DOIUrl":"https://doi.org/10.15713/ins.bhj.60","url":null,"abstract":"Proximal tibial plateau fractures constitute 1% of all fractures and 8% of the fractures in the elderly.[1] Isolated injuries to the lateral tibial condyle constitute 55–70% of tibial plateau fractures. Of the total number of proximal tibial plateau fractures, 1–3% are open injuries, resulting in a loss of osteoarticular fragment with a possibility of consequent development of an intra-articular gap nonunion. Loss of osteochondral articular surface along with metaphyseal bone loss results in a severe defect with further reduction of the joint function compounded due to infection. This will require surgical intervention in order to correct the deformity, prevent future development of osteoarthritis of the knee joint as well as to ensure pain-free mobilization for the patient.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"140 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80595854","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
Unusual Causes of Hemoperitoneum: A Case Series of Fundal and Uterine Horn Rupture 腹膜出血的不寻常原因:一系列底角和子宫角破裂病例
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.63
Theertha S. Shetty, Prashansa Raut, Vandana Chavan, Vibhutee Joshi, Manitha Madar, Aditi Yadav, R. Khade, A. Mulchandani, S. Nanda
{"title":"Unusual Causes of Hemoperitoneum: A Case Series of Fundal and Uterine Horn Rupture","authors":"Theertha S. Shetty, Prashansa Raut, Vandana Chavan, Vibhutee Joshi, Manitha Madar, Aditi Yadav, R. Khade, A. Mulchandani, S. Nanda","doi":"10.15713/ins.bhj.63","DOIUrl":"https://doi.org/10.15713/ins.bhj.63","url":null,"abstract":"Introduction: Uterine rupture, being an uncommon and severe obstetrical event, is associated with high perinatal and maternal morbidity and mortality. For an unscarred uterus, incidence of rupture is approximately 1 in 17,000–20,000 deliveries or, as reported by the World Health Organization, 0.006%. Pregnancy in the presence of uterine anomalies is unusual and rare in clinical practice, and very few cases have been reported. Most of the uterine anomalies are asymptomatic and hence never noticed. An increase in the incidence of rupture in Mullerian anomalies has been noted. We present a case series of uterine rupture seen in two cases at our center. Materials and Methods: The first case was of a primigravida with a unicornuate uterus and rupture involving the lateral wall and right rudimentary horn. She underwent an obstetric hysterectomy. The second case was of a multiparous woman with failed attempt at medical termination of pregnancy with fundal uterine rupture which was repaired. Conclusion: Uterine rupture involving the lateral wall and the rudimentary horn of a unicornuate uterus is a rare clinical condition and very few cases of rupture of uterine anomalies have been reported. Injudicious use of pills for medical termination of pregnancy can lead to uterine ruptu re and put the mother’s life in jeopardy Prompt diagnosis, regular antenatal checkups, creating awareness regarding antenatal care, and hazards of unwanted pregnancy terminations and expedited management will go a long way in improving the maternal outcomes of our country.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75580650","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
Migraine: What is New? 偏头痛:有什么新发现?
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.44
S. Khadilkar, Hiral Halani, H. Oza
{"title":"Migraine: What is New?","authors":"S. Khadilkar, Hiral Halani, H. Oza","doi":"10.15713/ins.bhj.44","DOIUrl":"https://doi.org/10.15713/ins.bhj.44","url":null,"abstract":"","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73045317","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
To Web or Not to Web 上网还是不上网
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.50
N. Nerurkar, A. Sarkar, Sameer Yermalkar
{"title":"To Web or Not to Web","authors":"N. Nerurkar, A. Sarkar, Sameer Yermalkar","doi":"10.15713/ins.bhj.50","DOIUrl":"https://doi.org/10.15713/ins.bhj.50","url":null,"abstract":"","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86001024","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
Laparoscopic Management of Heterotopic Interstitial Pregnancy (after Spontaneous Conception) with Hemoperitonium with Preservation of the Intrauterine Pregnancy: A Case 腹腔镜治疗自然受孕后异位间质妊娠伴腹水积血并保留宫内妊娠一例
The Bombay Hospital journal Pub Date : 2021-01-01 DOI: 10.15713/ins.bhj.61
Urvashi Vats, Sangeeta Atri
{"title":"Laparoscopic Management of Heterotopic Interstitial Pregnancy (after Spontaneous Conception) with Hemoperitonium with Preservation of the Intrauterine Pregnancy: A Case","authors":"Urvashi Vats, Sangeeta Atri","doi":"10.15713/ins.bhj.61","DOIUrl":"https://doi.org/10.15713/ins.bhj.61","url":null,"abstract":"Spontaneous heterotopic pregnancy is a rare clinical condition defined as multiple gestations in which one gestational sac is intrauterine, whereas the other is extrauterine. It is rare and fatal haemorrhagic condition and usually missed if not properly investigated. It is a case of 37-year-old woman with a gestational age of 6 weeks heterotopic pregnancy with hypovolumic shock managed laparoscopically with preservation of intrauterine pregnancy.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"194 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75549770","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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