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EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases

EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases. Dr. R.V.S.N.Sarma., M.D., M.Sc., (Canada) 5 Jayanagar, Tiruvallur 602 001 Mobile 93805 21221 Visit us at : www.drsarma.in. Case 11. Misery of a lady.

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EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases

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  1. EACH PATIENT - AN OPEN BOOKInteresting Clinical Cases Dr. R.V.S.N.Sarma., M.D., M.Sc., (Canada) 5 Jayanagar, Tiruvallur 602 001 Mobile 93805 21221 Visit us at : www.drsarma.in www.drsarma.in

  2. Case 11 Misery of a lady • 40 years lady suffered severe bilateral broncho-pneumonia in May 05 and was treated - recovered • Barely two months later she fell down from a scooter while her son was about ride her to market • First few hours no significant symptoms – routine work • By evening 5 she has excruciating pain left lower chest • USG revealed fluid in peritoneal cavity, spleen outline ? • CT by 10 p.m. revealed splenic rupture and liver LL tear • Emergency splenectomy, liver, mescentric tear repair • Is there any thing underlying her miseries ? • Is it the manifestation of some thing more serious ? www.drsarma.in

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