PROBLEMATIC SYMPTOMS IN GENERAL PRACTICE – an appraisal Dr.P.CHITRAMBALAM.M.D .,. “MEDICINE IS AN EVER CHANGING SCIENCE.AS NEW RESEARCH AND CLINICAL EXPERIENCE BROADEN OUR KNOWLEDGE,CHANGES IN TREATMENT AND DRUG THERAPHY ARE REQUIRED.” -HARRISSON -1950.
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PROBLEMATIC SYMPTOMS IN GENERAL PRACTICE – an appraisalDr.P.CHITRAMBALAM.M.D.,
“MEDICINE IS AN EVER CHANGING SCIENCE.AS NEW RESEARCH AND CLINICAL EXPERIENCE BROADEN OUR KNOWLEDGE,CHANGES IN TREATMENT AND DRUG THERAPHY ARE REQUIRED.”-HARRISSON -1950
(learning / research / teaching)
FEVER FOR EVALUATION
COMPLETE BLOOD COUNT
RFT / LFT
ESCHAR - RICKETTSIAL INFECTION
BRONCHOGENIC CARCINOMA WITH LYMPHNODE METASTASES.
Mrs.Pounthai, Age 40 Years was admitted with....
Hepato Cellular failure
Could not be
Faeculent Fluid Drained.
Yellow in Colour,
Fluid aspiration – Yellow in colour.
Occassional Pus cells
with lots Cholesterol
Majority of them are Lymphocytes.
Total Protein : 6.2 gms %
Sugar : 32 mgs %
Cl- : 600 mgs %
Globulin : Positive
Total Cholestrol : 568 mgs %
Triglycerides : 216 mgs %
Culture - No growth in Culture.
Adviced tube Drainage
No Adnexal Mass.
Tube Drainage done
about 8 Litres of
Yellow colour Fluid Drained.
? Palpable Transverse Colon
USG – abd. – after drainage
granulation tissue with inflammatory cells.
cysts seen clogged in the tube
PERITONEAL HYDATIDOSIS – Probably ‘ PRIMARY’
She was started on albendazolethen.
FIRST VISIT-----ALGORHYTHMIC APPROACH.
WISH THAT NO SYMPTOM BE PROBLAMATIC IN YOUR PRACTICE