iosr-JDMS   Volume-22 ~ Issue-11 ~ November 2023

Abstract: A case of a 48 yr old gentleman, who presented with corneal infiltrate infront of a bleb 2 month following manual small incision cataract surgery. The patient did not give any history or trauma or any dust entry. It was diagnosed to be post cataract filtering bleb with associated corneal infiltrate. This case highlights the need for delayed resuturing of inadvertent bleb following cataract surgery to reduce the risk for intraocular complication..

Key words: bleb following cataract surgery , corneal infiltrate associated with bleb, sutureless cataract surgery, manual small incision cataract surgery

[ Swan KC, Cambell L. Unintentional Filtration Following Cataract Surgery. Arch Ophthalmol 1964;71:43. [ Kraff MC, Sanders DR, Lieberman HL. Total Cataract Extraction Through A 3-Mm Incision: A Report Of 650cases. Ophthalmic Surg . 1979;10:46-54. [ Krishnacharya PS. Tenon's Cyst Presenting As A Long-Term Complication Following Incision Cataract Surgery. Case Reports In Medicine. 2013 Jan 1;2013. [ Hawkins AS, Hamming NA. Thermal Cautery As A Treatment For Conjunctival Inclusion Cyst After Strabismus Surgery. Journal Of American Association For Pediatric Ophthalmology And Strabismus. 2001 Feb 1;5(1):48-9.

Abstract: Background: One of the leading causes of sudden abdominal pain is acute appendicitis, which also happens to be the most common surgical illness in emergency departments. Acute appendicitis continues to be a significant
cause of morbidity in the population and can also manifest as diffuse peritonitis in an advanced stage if diagnosis
is delayed. Various scoring systems are used in diagnosing it such as Alvarado, Tzanaki, RIPASA, AIR and AAS.
Effectiveness of one scoring system over the other is a potential field of rese arch.
Materials and Methods: A prospective observational cohort study was conducted to include 100 patients with
acute appendicitis who presented to the emergency room of VMMC and Safdarjung Hospital, New Delhi, between.....

Key Word: appendix, mc burney's point, tzanaki score, alvarado score, DeLong test test.

[1].
Shashikala , Hegde , H , Victor AJ : Comparative Study Of Tzanakis Score Vs Alvarado Score In The Effective Diagnosis Of Acute
Appendicitis. International Journal Of Biomedical And Advance Research , 7, 418 420. 10.7439/ IJBAR V7I9 .3590
[2].
Tzanakis NE , Efstathiou SP , Danulidis K , Et Al.: A New Approach To Accurate Diagnosis Of Acute Appendicitis. J Surg . 2005,
29:1151 6. 10.1007/S00268 005 7853 6
[3].
Anupriya R , Babu C , Rajan K : A Comparison Of Tzanakis And Alvarado Scoring System In The Diagnosis Of Acute Appendicitis.
International Surgery Journal . 6:2080. 10.18203/2349 2902.Isj20192370
[4].
Babu K , Savitha S : A Study On Acute Appendicitis In A Tertiary C are Hospital In Tamil Nadu , India . International Surgery Journal .
10.18203/2349 2902.Isj20170530. 10.18203/2349 2902.Isj20170530
[5].
Sigdel GS , Lakhey PJ , Mishra PR : Tzanakis Score Vs. Alvarado Score In Acute Appendicitis. JNMA J Nepal Med Assoc . 2010,
49:96 9.

Abstract: Hemangioma, benign proliferation of blood vessels commonly appears throughout childhood. Hemangiomas can be classified as either capillary or cavernous. Capillary hemangiomas are developmental hamartomatous lesions of the vascular tissue. After a particular amount of time, some of the hemangiomas cease growing and may involute. This case report presents a 47-year-old female a swelling in the inner aspect of lip. Surgical excision of the lesion with a diode laser followed by histopathologic confirmation with emphasis on the clinical aspect...

Key words: Capillary Hemangioma

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Abstract: Lateral bulbar syndrome occurs in patients with vertebrobasilar vascular lesions and can be associated with ipsilateral hemiparesis on rare occasions, in which it is known as Opalski syndrome. Stroke is a medical emergency characterized by a sudden decrease in neurological function due to a lack of blood supply to brain tissue. Opalski syndrome is considered a specific type of Wallenberg syndrome, being a relatively rare type of stroke. Signs and symptoms ipsilateral to the lesion occur due to damage to the corticospinal tract after the crossing of most of its fibers in the decussation of the pyramids. Neuroimaging with computed tomography or magnetic resonance is essential.......

Key words: Opalski syndrome; Wallenberg syndrome; cerebral infarction

[1]. Gil Polo, C. Et Al. Opalski Syndrome: A Variant Of Lateral-Medullary Syndrome. Neurología (English Edition), V. 28, N. 6, P. 382–384, Jul. 2013.
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[3]. Hara D, Akamatsu M, Mizukami H, Kato B, Suzuki T, Oshima J, Akasu Y, Hasegawa Y. Opalski Syndrome Treated With Intravenous Recombinant Tissue Type Plasminogen Activator-Case Report And Review Of Literature. J Stroke Cerebrovasc Dis. 2020 Aug;29(8):104806.
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[5]. Kk P, R K, P C, Aiyappan Sk, N D.A Rare Variant Of Wallenberg's Syndrome: Opalski Syndrome.J Clin Of Diagn Res.2014; 8(7):Md05-Md06..

Abstract: A choroidal tuberculoma is a feature of ocular tuberculosis (TB). Tuberculoma can arise with or without systemic presentation of active pulmonary tuberculosis. It is responsive to treatment with anti-tuberculosis therapy, and prompt treatment helps resolve the lesion completely. We report a case of a solitary large active choroidal tuberculoma in one eye with subretinal fluid in fovea misdiagnosed as central serous retinopathy and healed tubercle in the other. The patient was asymptomatic clinically for other systemic signs of tuberculosis. Based on clinical history and investigations, treatment with four-drug regimen of anti-tubercular treatment with concomitant corticosteroids was started, and total healing of the lesion occurred in 3 months.

Key words: Mycobacterium tuberculosis, Quantiferon Gold, Optical coherence tomography

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Abstract: Neonatal sepsis is a syndrome caused by a systemic infection in a newborn and is a significant cause of morbidity and mortality. The most common causative agents are bacteria, which vary according to the source of infection. There are two presentations of this pathology: Early Onset Sepsis (EOS) within the first 72 hours of life, or Late Onset Sepsis (LOS) after 4 to 7 days within the first 1 to 3 months of life1,2. The bacteria causing this syndrome are not exempt from the severe global problem currently being faced: Antibiotic Resistance (AMR). The presence of multi-drug resistant.....

Key words: neonatal sepsis, multidrug-resistant organisms, antibiotics, treatment, colistin, fosfomycin

.....

Abstract: Background: Forensic science finds immense contribution in crime investigation, mass disasters, age estimation and so on. Cheiloscopy is such a method which is based on the characteristic arrangement of lines and grooves on the vermilion border of lips. Cheiloscopy serves as a reliable source for identification when sufficient evidences are not found, as lip imprints are unique for every individual like fingerprints. In our study, we aimed at analysing the differences in lip patterns between smokers and non-smokers. Materials and Methods......

Key words: Cheiloscopy, Lip imprints, Personal identification, Forensic Science

[1]. Borase PA, Shaikh S, Mohatta A. A Study Of Lip Prints Among North Maharashtrian Population. J Adv Oral Res 2018.
[2]. Sonia Bai JK, Sreenath S, Rajnikanth M, Ravi PA. Correlative Study On Lip Prints, Fingerprints, And Mandibular Intercanine Distance For Gender Determination. J Forensic Dent Sci 2018;10:3:146-9.
[3]. Gupta A, Sharma N, Jain KS, Khatun SS. Cheiloscopy: A Tool For Sexual Dimorphism In India. Int J Of Anatomy And Res 2016;4(3):2577-83.
[4]. Badiye A, Kapoor N. Morphologic Variations Of Lip-Print Patterns In A Central Indian Population: A Preliminary Study. Med Sci Law 2015.
[5]. Sivapathasundharam B. Lip Prints (Cheiloscopy). IDJR Vol 12:4, Oct-Dec 2001; 234-237..

Abstract: Acute colonic pseudo-obstruction also termed as Ogilvie syndrome is rare, with an estimated incidence of 100/100,000 hospital admissions. We report the case of a 45 year old gentleman patient presented with Obstipation features with distension of abdomen and blisters over lower part of abdomen on right side. Plain X-ray and CT scan showed a dilated large bowel. Diagnosis of Acute colonic Pseudo-Obstruction secondary to viral etiology. Conservative management was successful and the patient was discharged uneventfully. Early recognition of this condition may help to avoid unnecessary surgery.

Key words: Pseudo-obstruction, Varicella-zoster, Colon

[1]. Susan Galandiuk, Uri Netz, Emilio Morpurgo, Sara Maria Tosato, Naim Abu-Freha, C. Tyler Ellis. Colon and Rectum. In: Courtney M. Townsend, B. MARK EVERS, R. DANIEL BEAUCHAMP, KENNETH L. MATTOX (Eds). Textbook of Surgery The Biological Basis of Modern Surgical Practice. 21st ed. Missouri. Elsevier - Health Sciences Division: 2021. p1320- 1400.
[2]. Anaya-Prado R, Pérez-Navarro JV, Corona-Nakamura A, Anaya-Fernández MM, Anaya-Fernández R, Izaguirre-Pérez ME. Intestinal pseudo-obstruction caused by herpes zoster: Case report and pathophysiology. World J Clin Cases. 2018 Jun 16;6(6):132-138. doi: 10.12998/wjcc.v6.i6.132. PMID: 29988868; PMCID: PMC6033747.
[3]. Wells CI, O'Grady G, Bissett IP. Acute colonic pseudo-obstruction: A systematic review of aetiology and mechanisms. World J Gastroenterol. 2017 Aug 14;23(30):5634-5644. doi: 10.3748/wjg.v23.i30.5634. PMID: 28852322; PMCID: PMC5558126.
[4]. Adil E. Bharucha, Michael Camilleri. Physiology of the Colon and Its Measurement. In: Steven R. DeMeester, Jeffrey B. Matthews, David W. McFadden, James W. Fleshman (Eds). Shackelford's Surgery of the Alimentary tract. 8th ed. Philadelphia. Elsevier - Health Sciences Division: 2018. p1675-1688.

Abstract: Aims and objectives: To identify morphologic patterns on High Resolution Sonography (HRS) those are predictive of benign and malignant nodules and to evaluate the efficacy of histopathology and HRS in differentiating benign and malignant nodules. Materials and methods: Over a period of 15months, 50 patients referred for USG neck to Alluri Sitaramaraju Academy of Medical Sciences, Eluru. who were diagnosed clinically with solitary thyroid nodule. Thyroid sonographic findings relevant to benign or malignant nodules were recorded and these findings were compared with histopathological reports...

Key words: Solitary thyroid nodule; High resolution sonography; Histopathology; Sensitivity; Specificity

[1]. Baier ND, Hahn PF, Gervais DA, Samir A, Halpern EF, Et Al. (2009) Fine Needle Aspiration Biopsy Of Thyroid Nodules: Experience In A Cohort Of 944 Pts. AJR Am J Roentgenol 193: 1175-1179.
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[3]. Bonavita JA, Mayo J, Babby J, Bennett G, Oweity T, Et Al. (2009) Pattern Recognition Of Benign Nodules At Ultrasound Of The Thyroid: Which Nodules Can Be Left Alone. AJR Am J Roentgenol 193: 207-213.
[4]. Ahn SS, Kim EK, Kang DR, Lim SK, Kwak JY, Et Al. (2010) Biopsy Of Thyroid Nodules: Comparison Of Three Sets Of Guidelines. AJR Am J Roentgenol 194: 31-37.
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Abstract: Varicocele is a condition of abnormal tortuous and dilated veins in pampiniform venous plexus of scrotal sac. Severe oligozoospermia is the percentage of spermatozoa below 5 x 106 per ml. Necrozoospermia is low percent of live and high percent of immotile sperm in ejaculate. Treatment options available for these patients in assisted reproductive technique are: In vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI)1.The prevalence of varicocele is between 15 to 20 % out of which about 35% are male patients with infertility2. Management approach includes mainly surgical repair3 amongst which various techniques include open surgical ligation of spermatic....

[1]. Majzoub A, Elbardisi H, Covarrubias S, Mak N, Agarwal A, Henkel R, Elsaid S, Al-Malki AH, Arafa M. Effect Of Microsurgical Varicocelectomy On Fertility Outcome And Treatment Plans Of Patients With Severe Oligozoospermia: An Original Report And Meta-Analysis. Andrologia. 2021 Jul;53(6):E14059.
[2]. Gorelick JI, Goldstein M (1993) Loss Of Fertility In Men With Varicocele.Fertilsteril 59(3):613–616
[3]. Schlesinger MH, Wilets IF, Nagler HM (1994) Treatment Outcome Aftervaricocelectomy. A Critical Analysis. Urol Clin North Am 21(3):517–529
[4]. Al-Kandari AM, Shabaan H, Ibrahim HM, Elshebiny YH, Shokeir AA (2007)Comparison Of Outcomes Of Different Varicocelectomy Techniques: Openinguinal, Laparoscopic, And Subinguinal Microscopic Varicocelectomy: Arandomized Clinical Trial. Urology 69(3):417–420
[5]. Cayan S, Kadioglu TC, Tefekli A, Kadioglu A, Tellaloglu S (2000) Comparisonof Results And Complications Of High Ligation Surgery And Microsurgicalhigh Inguinal Varicocelectomy In The Treatment Of Varicocele. Urology55(5):750–754

Abstract: The development of the palatal processes in children with congenital cleft lip and palate occurs spontaneously, at unpredictable times and at an unpredictable rate. The process of growth in the sky area is characterized by a natural potential to increase tissue mass, but it is impossible to artificially stimulate these processes to a greater extent than genetically determined. Therefore, the argument in favor of late uranoplasty, growth retardation due to surgical trauma to the osteogenic zone can be refuted by counterarguments of the unpredictability of the timing and rate of growth, as well as a possible genetically determined deficiency of osteogenic tissue.........

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Abstract: Usually, children with congenital cleft lip and palate (CCLP) are born viable and, if optimal conditions are created for them, they develop almost the same as their healthy peers, but, compared to them, these children are more susceptible to various environmental factors. For example, they are 3-4 times more likely to have a lesion of tooth enamel. Changes in the factors of general local and nonspecific protection of the oral cavity serve as pathogenetic prerequisites for an increase in the number of dental diseases in children. It was found that among the concomitant pathology that occurs after birth, the incidence of dental caries is especially high in carriers of CCLP.
Keywords: congenital cleft lip and palate, dental caries, dental diseases.

[1]. Balandina E.A., Simanovskaya ELO, Zaitseva N.V. Voprosı Medicinskogo I Social'nogo Zdorov'ya Detey Permskogo Regiona. (Issues Of Medical And Social Health Of Children In The Perm Region). // In: Congenital And Hereditary Pathology Of The Face And Neck Of Children. Moscow, 2002. Pp. 19-23.
[2]. Benkovskaya S.G. Vliyanie Nes'emnıx Metallicheskix Protezov I Ortodonticheskix Apparatov Na Sostoyanie Organov I Tkani Polosti Rta. (Influence Of Fixed Metal Prosthesis And Orthodontic Appliance On The State Of Oral Cavity Organs And Tissues)// Main Scientific Works Of Department Of Pediatric Dentistry.-Omsk, 2000.-P.289-301.
[3]. Sovremennıe Metodı Profilaktiki I Lecheniya Zabolevaniy Parodonta» (Modern Methods Of Prevention And Treatment Of Periodontal Diseases"), 2004.-P.251-252.
[4]. Borodulina I.I., Ermoliev S.N. Osobennosti Gemodinamiki Tkaney Parodonta U Lic S Melkim Preddveriem Polosti Rta. (Peculiarities Of Hemodynamics Of Periodontal Tissues In Persons With A Shallow Vestibule Of The Mouth).// Russian Journal Of Dentistry. №1.-2004.-С. 19-21.

Abstract: In recent decades, there has been a tendency towards an increase in the frequency of this defect, as well as in general congenital malformations, which is associated with an increased effect of toxic substances on the body, due to the intensive development of industry, in particular chemical. In the Republic of Karakalpakstan, in regions with a chemical industry, today the birth rate of children with congenital cleft lip and palate is higher than the national average. In the etiological aspect, congenital cleft lip and palate belong to a multifactorial pathology, in which various endogenous, exogenous, and genetically determined factors may play a role.

Keywords:- birth statistics, congenital malformations of the face, congenital cleft lip and palate

[1]. Amanullaev R.A. The birth rate of children with congenital cleft lip and palate in large regions of Uzbekistan /P.A. Amanullaev // Proceedings of the 2nd scientific-practical conference: Congenital and hereditary pathology of the head, neck and face in children: topical issues of complex treatment. - M. MGMSU, 2006: - S. 14-15.
[2]. Anurova A.E., Elizarova V.M., Shchegoleva V.D. Clinical parallels of the dental health of a child with cleft lip and palate and his mother // Congenital and hereditary pathology of the head, face and neck in children: Topical issues of complex treatment. - M. MGMSU, 2009. - S.22-24.
[3]. Blokhina S.I., Leonov A.G., Ershova O.Yu. Specialized medical examination of children with congenital pathology of the maxillofacial region, models and effects. // Congenital and hereditary pathology of the head, face and neck in children: Topical issues of complex treatment. - M. MGMSU, 2009. - S. 50-53.
[4]. Gunko V.I. Achievements and problems of medical rehabilitation of patients with congenital and acquired dentoalveolar deformities /V.I. Gunko// Pediatric Dentistry. age and prevention, 2003. - No. 1-2. S. 28-30

Abstract: Back ground: To undertake qualitative cataract surgery, it is universally accepted that Extra Capsular Cataract Extraction surgery is superior to Intra Capsular Cataract Extraction. The main and common drawback of the E.C.C.E surgery is development of posterior capsular opacification.It has been reportedly that visually significant Posterior Capsular Opacification occurs in 7.5 % -15.5% of eyes Rates as high as 50% has been reported with 3-5yrs of following surgery. The main objective of the study is to measure the incidence of PCO, its management to provide qualitative eye care after cataract surgery.........

Keyword: QualitativeSurgery, Posterior Capsular Opacification, Nd YAG capsulotomy, Surgical Capsulotomy

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