iosr-JDMS   Volume-5 ~ Issue-4

Abstract: Background: According to the World Health Organization(WHO) the "Promotion of oral health is a cost-effective strategy to reduce the burden of oral disease and maintain oral health and quality of life. It is also an integral part of health promotion in general, as oral health is a determinant of general health and quality of life . Objectives: To find out proportion of different types of common dental problems identified during the study period in dental OPD, to identify socio demographic factors related to dental problems and to assess the relationship between oral hygiene practices and common dental problems, if any. Study settings: Dental out patient department of Calcutta National Medical College & Hospital, Kolkata,India. Study design: Hospital based cross sectional observational study. Study population: Patients aged 10 years and above, attending dental OPD. Methodology: By systematic random sampling 366 patients were selected for interview . Socio-demographic information, type of dental problems, practices regarding maintenance of oral hygiene were recorded and analysed. Results: Maximum number of study subjects presenting with dental problems were in the age group of 30-39 and 40-49 years(24.6% and 20.2% respectively), 56.3% were females, and 35.8% were illiterate and just literate. 53.6% of patients used to brush their teeth twice or more, in 39.0% of subjects technique of brushing was horizontal, it was circular in 24.6% , Oral rinsing after every meal was done by 61.2% patients, and after major meals in 19.1%. 68.9% of total study subjects had dental caries, 50.8% had gingivitis and 32.2% had abrasion of teeth. Tobacco chewing was positively related to dental caries whereas increasing age positively influenced teeth abrasion. Brushing in circular direction and frequent oral rinsing were found to be protective against dental problems.

key words: Dental caries, gingivitis, teeth abrasion.

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Abstract: OBJECTIVE: Sub clinical hypothyroidism is an elevation in serum thyroid stimulating hormone (TSH) with normal serum free thyroxine (FT4) and tri iodo thyronine (FT3 levels). The purpose of this prospective observational study was to relate subclinical hypothyroidism to obesity. Method: This study took place at the Department of Medicine, DR. PSIMS & RF foundation Chinaoutpalli, A.P.India between July 2011 to Dec 2012. 200 patients (100 females, 100 males) between 30 to 60 years of age were included in the study. The normal TSH reference range was 0.4-4.5 g/ml. Results: TSH levels were significantly higher in morbidly obese patients and in females than in male patients

Key words: Subclinical hypothyroidism, obesity, BMI.

[1]. Col NF. Surks ML Daniels GH. Subclinical thyroid disease: clinical applications. JAMA 2004 : 291:239-243.
[2]. Cooper DS. Clinical practice: subclinical hypothyroidism. N Engl J Med 2001; 345: 260-265.
[3]. Ross DS. Subclinical Hypothyroidism. In : Braverman LE., Utiger RU, editors. Wermer and Ingbar's Thy thyroid. 8th ed. New York: Lippincott, Williams and Wilkins; 200.p.1001-2006.
[4]. LANCET, 2012
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[6]. Relation of thyroid function to body height: Arch. Int. Med. 2008 165:587-592.
[7]. Reineer T. Obesity and thyroid function. Molcell endocrinology 316:165-171,2010 WHO 200 p.g.
[8]. Roel Fsema F, Pereira AM, veldluis JD, Adriaaunse R Endert E, Filers E, Romiji JA. Thyrotropin secretion profiles are not different in men and woman. J Clinic Endocrinol Met ab 94: 3964-3967, 2009.
[9]. Dall's asta C, Paganelli M, Morabito A, Vedani P, Barbieri M, Paolisso G, folli F, Pontiroli AE. Weight Loss Through Gastric Banding: Effects on TSH and Thyroid Hormones in obese subjects with normal thyroid function. Obesity doi : 10.1038,2009.
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Abstract: Purpose: The present study was aimed to compare the bacterial isolates and their antibiotic susceptibility pattern over a period of time. Materials and Methods: Pus swabs were collected from burns, Gram stained and cultured aerobically. Bacterial isolates were identified and antibiotic susceptibility tests were performed. Results: Staphylococcus aureus was the predominant organism isolated with Gentamicin and Methicillin resistance. Pseudomonas aeruginosa showed Meropenem resistance, Enterobacteriaceae family showed 32% ESBL(Extended Spectrum Beta Lactamase]) and 16% MBL(Metallo Beta Lactamases). Conclusion:High resistance to Methicillin and high prevalence of ESBL & MBL producing strains.

Keywords: Antibiotic resistance , Burn, ESBL, MBL.

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Abstract: The incidence of congenital uterine malformation is estimated to be 3-5% in general population. Abnormal fusion of Mullerian duct in embryonic life results in variety of malformations. Here, we report a case of successful pregnancy outcome in a Bicornuate bicollis uterus with communicating cavities that was initially diagnosed by USG. Clinically we found double cervix and by USG two horns. PPROM with non reassuring foetal heart rate later in pregnancy necessitated an emergency LSCS at 34Wks of gestation. The diagnosis was confirmed intra operatively by exteriorizing the uterus and noting the communicating cavities.

Key words- Bicornuate bicollis, Communicating cavities, Mullerian anomaly, Asymmetric IUGR

[1]. Ernst S: Uterus bicornis bicollis, vagina duplex unilateralis atretica, haematokolpos dexter, aplasia renis dextri (case contribution) Zentralbl Gynakol.1961; 83 :1726-30.
[2]. Martínez-Frías ML, Bermejo Sánchez E, Rodríguez- Pinilla E, Martínez Santana S, Paisán Grisolía L, Egüés Jimeno J, Arroyo Carrera I, Blanco García M, López Soler JA, Martín Bermejo M, Gairi Tahull JM, Moral García A, Galán Gómez E, Frías JL. 1998: Epidemiological aspects of children of women with bicornuate uterus. An Esp Pediatr. 1998; 48 (2): 159- 62.
[3]. Hua M, Odibo A, Longman R,et al. Congenital uterine anomalies and adverse pregnancy outcome. American Journal of Obstetrics and Gynaecology, 2011; 204(1): 334-335.
[4]. Simon C, Martinex I, Pardo F, Tartajada M, Iellicor A. Mullerian defects in women with normal reproductive outcome. Fertil Steril1991; 561192-3.
[5]. María Luisa, Martínez-Frías*, Eva Bermejo, Elvira Rodríguez-Pinilla, and Jaime Luis Frías. 1998: Congenital Anomalies in the Offspring of Mothers With a Bicornuate Uterus. Pediatr 2002; 101 (4): p10
[6]. Salim R, Jurkoric D. Assessing congential uterine anomalies: the role of three dimensioned ultrasonography. Best Pract Res Clin Obstet Gynaecol, 2004; 1829-36

Abstract: Purpose:To determine the morphology and morphometric distance of supraorbital foramen/ notch(SOF/N) and infrorbital foramen(IOF) from different important anatomical landmark. Method:Sixty-five dry adult Dravidian skulls(130 sides) of Southern India were investigated to analyze the frequency of occurrence of SOF/N and shape of IOF. Fourty skulls (80 sides) were assessed to measure the width and positioning of SOF/N and IOF. Results: Mean width of S0N/F and IOF was 2.86mm and 3.85 respectively. The average distance of SOF/N was 25.9mm lateral to nasion, 28.5mm medial to temporal crest of the frontal bone, 0.92mm superior to supraorbital rim. The distance between right and left SOF/N was 49.6mm.The IOF was at an average of 44.08mm lateral to nasion,41.36mm lateral to maxillary midline, 6.82mm below infraorbital rim, 2.8mm medial to zygomaticomaxillary suture,34.8mm lateral to anterior nasal spine and 27.45mm from the alveolar crest. SOF/N was located at an average of 8.3 degree from IOF. IOF was in line with maxillary second premolar and the direction of opening was pointed inferomedially. The mean value of all the measurements was made between the right and left sides using independent t-test showed no statistical significance (where p>0.05).Conclusion: These morphometric measurements facilitate the professionals to locate the neurovascular bundles passing through the foramen and also assist in non-invasive as well as invasive surgical procedures.

Key-Words: Anatomical Variation; Dravidian , Foramen, Location, Skull ..

[1] Cutright B, Quillopa N, Schubert W: An anthropometric analysis of the key foramina for maxillofacial surgery. J Oral Maxillofac Surg 61:354-357, 2003.
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[9] Keskil S, Gozil R, Calguner E: Common surgical pitfalls skull. Surg Neural 59: 288, 2003.
[10] Chung MS, Kim HJ, Kang HS, Chung IH: Locational relationship of the supraorbital notch, infraorbital foramen and mental foramina in Koreans. Acta Anat 154:162-166, 1995.

Abstract: Background:Ocular toxoplasmosis is the commonest cause of infectious posterior uveitis the world over.. Ocular symptoms may present years after the systemic infection and the outcome depends on the interaction of many factors. The objective of this study was to assess the prevalence of presumed ocular toxoplasmosis amongst patients attending the eye clinic of a tertiary hospital. Materials and Methods:This was a retrospective study of 30 patients seen in the eye clinic of University of Uyo Teaching Hospital between January 2009 and December 2011. Demographic information, presenting and final visual acuity, presenting complaints, ocular findings and drug treatment were extracted from the clinical notes, and the data obtained was analyzed. Results: A total of 30 (0.28%) patients out of 10,595consecutive patients seen in the UUTH eye clinic. More women were affected (56.7%) than men (43.3%). The most affected age group was (41-50) years. The commonest complaint was diminution of vision. Final visual acuity was closely related to the site of the lesion on the retina. Conclusion: The prevalence of ocular toxoplasmosis (0.28%) was lower than that observed in other parts of the country. There is need to investigate the seroprevalence of toxoplasmosis in the general population, particularly in those at risk.

Key words: infections ocular, prevalence, toxoplasmosis,

[1] Bahia-oliveira LM, Jones JL, Azevedo-Silva J etal. Highly endemic waterborne toxoplasmosis in north Rio de Janeiro state, Brasil
Emerg Infect Dis 9,55-62(2003)
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study. Br Med J 2000; 321:142-147
[3] Soheilian M, Ramezani A, Soheilan R. How to diagnose and treat ocular Toxoplasmosis. Rev of ophthalmol12 (32) 2012
[4] Kameni J, Mani AU, Egwu GO et al. Seroprevalence of human infection with Toxoplasm gondii and the associated risk factors in
Maiduguri, Borno State, Nigeria. Ann Trop Med Parasitol. 2009;103:317-321
[5] Uneke CJ,Duhlinska DD, Njoku MO, Ngwu BA: Seroprevalence of acquired toxolasmosis in HIV-infected and apparently healthy
individuals in Jos, Nigeria. Parssitilogia 2005,47:233-236
[6] Kianersi F, Naderi Beni A, Naderi Beni Z. Clinical manifestation and prognosis of active ocular toxoplasmosis in Iran. Int.
ophthalmol 2012 June 26
[7] Korac`evic`-Pavic`evic` D, Redosavljevic` A, Ilic` Korac`evic`I and Djurkovic-Djakovic`: Clinical pattern of ocular toxoplasmosis
treated in a referral centrenin Serbia. Eye(Lord) 2012 May;20(5): 723-8:doi:10.1038
[8] Alvarez G, Ray A, Ade`n A.Clinical features of ocular toxoplasmosis in immigrant population in the Barcelona area: study of 22
patients. Arch Soc Esp ofthalmol 2010;85(6):202-8
[9] Peterson E, Kiljstr A, Stanford M: Epidemiology of ocular Toxoplasmosis Ocul of Immunol Inflamm 2012;20(2):68-75
[10] Smith JR, Cunningham ETJr. Atypical presentation of ocular toxoplasmosis. Curr OpinOphthalmol 2002 ;13(6):387-92

Abstract: We report a patient because of rarity of presentation who developed hypoxaemia, interstitial pneumonitis both bases & atelectasis, after mitral valve replacement surgery developed as a result of bronchiolitis obliterans organizing pneumonia ( BOOP ).To the best of our knowledge such complication post cardiac surgery on mitral valve disease is unheard in the literature.

Key words : Cardiac valve replacement , BOOP

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[10]. Heffner JE . What caused respiratory failure in this 42 year old man with a persistent cough and mild dyspnea.J Crit illness . 2001 ; 16 : 487 – 492

Abstract: Carbaryl, a synthetic 1-napthyl-N-methyl carbamate, a broad-spectrum insecticide is being used commonly and extensively in commercial and agriculture land. It is sprayed on crops, fruits, vegetables, poultry and livestock. Therefore, it is a matter of great concern that food products consumed daily may be contaminated with the residue of this pesticide, resulting in serious toxic effects. Since the kidney excretes the primary metabolites of this drug, therefore the present work was conducted to study the histomorphological changes it may produce in the kidneys. In the experimental rats, a statistically significant decrease in the body weight was observed. Grossly the kidneys appeared normal in the experimental rats but on histological studies, the renal tubules appeared dilated with eosinophilic material in their lumen in most of the sites. There was a loss of normal architecture of the tubular epithelium. The cells appeared flattened with a loss of nuclei. There was a loss of brush border with apical blebbing towards the lumen in the proximal convoluted tubules. Inflammatory infiltrate was present in the mesangium. The interstitial tissue was infiltrated with inflammatory cells mostly polymorphonucleocytes.

Key words: Carbaryl, pesticides, kidney, renal tubules

[1]. Best, E. M., Jr. and Murray, B. L. 1962 Observations on workers exposed to Sevin insecticide: a preliminary report. J Occup Med. Oct; 4: 507–517.
[2]. Knaak JB, Sullivan LJ, Wills JH. 1967. Metabolism of carbaryl in man. Toxicol Appl Pharmacol 10: 390.
[3]. Carpenter CP, Weil CS, Palm PE, Woodside MH, Nair JH, Smyth HF. 1961. Mammalian toxicity of 1-napthyl-N-methylcarbamate (Sevin Insecticide). J Agr Food Chem 9: 30-39
[4]. Toś-Luty S, Prezbirowska D, Latuszynska J, Tokarska-Rodak M. 2001.Histological and ultrastructural studies of rats exposed to carbaryl. Ann Agric Environ Med. 8: 137-144.
[5]. Wyrobeck AJ, Watchmaker G, Gordon L, Wang K, Moore D II, Whorton D. 1981. Sperm shape abnormalities in carbaryl-exposed employees. Environ Health Perspectives 40: 255-265.
[6]. Meeker J. D; Ryan L; Bar D. B; Herrick R. F; Bernett D. H; Bravo R; Hauser R. 2004. The relationship of urinary metabolites of carbaryl/naphthalene and chlorpyrifos with human semen quality. Environ. Health Persp.112: 1665- 1670.
[7]. Branch R.A and Jacoz E. 1986. Subacute neurotoxicity following long-term exposure to carbaryl. Am J Med; 80: 741-745.

Abstract: We present a case of Elephantiasis Nostras Verrucosa in a patient of leprosy with peripheral neuropathy.

Key Words: ENV, Leprosy, peripheral neuropathy

[1]. Tiwari A, Cheng K, Button M, Myint F, Hamilton G. Differential diagnosis, investigation, and current treatment of lower limb lymphedema. Arch Surg 2003; 138: 152.
[2]. Schissel DJ, Hivnor C, Elston DM. Elephantiasis nostras verrucosa. Cutis 1998; 62: 77–80.
[3]. Sisto K, Khachemoune A. Elephantiasis nostras verrucosa: a review. Am J Clin Dermatol 2008; 9: 141–6.
[4]. Turhan E, Ege A, Keser S, Bayar A. Elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis. Arch Orthop Trauma Surg 2007; 128: 1183–6.
[5]. Iwao F, Sato-Matsumura KC, Sawamura D, Shimizu H. Elephantiasis nostras verrucosa successfully treated by surgical debridement. Dermatol Surg 2004; 30: 939–41.

Abstract: Background and Objective: Over the last decade, the incidence of fungal infections has increased dramatically. This study was undertaken to study the various epidemiological and clinical risk factors associated with fungal rhino-sinusitis and to determine the best possible method for accurate diagnosis of a case Materials and Methods: 44 cases of suspected fungal rhinosinusitis were evaluated with detailed history taking, clinical examination, haematological, histopathological and radiological investigations. Management by surgical or medical modalities were evaluated. Results: Fungal rhinosinustis is more common in the middle aged population- particularly the 4th and 5th decade of life. It is also twice as common in men as in women. Patients presented with clinical features which were indistinguishable from bacterial chronic rhinosinusitis. Diabetes mellitus was found to be a major predisposing factor for the infection. CT scan had a sensitivity of 45.5% in detecting cases, while histopathology and KOH mount had a sensitivity of 90.9%. Interpretation and Conclusion: Fungal rhinosinusitis is an important clinical entity which must be considered in all patients presenting with unresolving rhinosinusitis. Early diagnosis with diagnostic nasal endoscopy and biopsy with CT scan of nose and paranasal sinuses can facilitate timely intervention in the form of surgical debridement and anti-fungal therapy in order to improve the clinical outcome.

Key word: Biopsy, CT, Diabetes mellitus, FRS, KOH mount

[1]. Jean Michel Klossek. Fungal Rhinosinusitis. Scott-Brown's Otorhinolaryngology, Head and Neck Surgery 7th edition. Great Britain: Edward Arnold Ltd; 2008 vol 2.p 1449-1457.
[2]. Shiv Sekhar Chatterjee, Arunaloke Chakrabarti. Epidemiology and medical mycology of fungal rhinosinusitis. Otorhinolaryngology Clinics: An international Journal; sept- dec 2009; 1 (1): 1-13
[3]. B. Naghibzadeh, E. Razmpa, Sh. Alavi, M. Emami, M. Shidfar, Gh. Naghibzadeh, A. Morteza. Prevalence of fungal infection among Iranian patients with chronic sinusitis. Acta Otorhinolaryngol Ital. 2011 February; 31(1): 35–38.
[4]. Fikret Kasapoglu, Hakan Coskun, Omer Afsin Ozmen, Halis Akalin, and Beyza Ener. Acute invasive fungal rhinosinusitis: Evaluation of 26 patients treated with endonasal or open surgical procedures. Otolaryngology–Head and Neck Surgery (2010) 143, 614-620
[5]. Ragini Tillak, Vikas Kumar, Chaitanya Nigam, Munesh kumar Gupta, Rajesh Kumar, R.K Jain. Clinicomycological Spectrum of Fungal Rhino-Sinusitis from University Hospital, North India, Journal of Clinical and Diagnostic Research. 2012 May (Suppl-2), Vol-6(4): 656-659,
[6]. Fabiana C.P. Valera, Tassiana do Lago, Edwin Tamashiro, Camila Carrara Yassuda, Fla´ via Silveira, Wilma T. Anselmo-Lima Valera FCP, et al. Prognosis of acute invasive fungal rhinosinusitis related to underlying disease. Int J Infect Dis (2011); 08-05
[7]. Groppo ER, El-Sayed IH, Aiken AH, Glastonbury CM Computed tomography and magnetic resonance imaging characteristics of acute invasive fungal sinusitis. Arch Otolaryngol Head Neck Surg. 2011 Oct; 137(10):1005-10.
[8]. Daniel L. Hamilos. Allergic Fungal Rhinitis and Rhinosinusitis. Proceedings of the american thoracic society VOL 7 2010; 245-252

Abstract: Aim: To evaluate pleural fluid Adenosine deaminase as the diagnostic marker for tubercular pleural disease. Patients and Methods:New patients (n=160) with pleural effusion were divided into tubercular (n=92) and non-tubercular (n=68) groups. Non-tubercular group was further divided into patients having exudative effusion (n=46) and patients having transudative effusion (n=22). Patients with exudative effusion included those with adenocarcinoma (n=21), non-tuberculous empyema (n=11), parapneumonic effusion: (n=9) and lymphomas (n=5) while patients having transudative effusion included those with congestive heart failure (n=13), cirrhosis of liver (n=6) and with nephrotic syndrome (n=3). Pleural fluid was aspirated from all patients and tested for ADA.

Key word: Tuberculosis, Pleural effusion, Adenosine deaminase, Diagnostic, Biomarker,

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[9]. Bibbo M. Pleural, Peritoneal and Pericardial Fluids. In Comprehensive Cytopathology, 2nd ed. Philadelphia: W B Saunders Company. p. 590-91.
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Abstract: The incidence of postmenopausal ovarian tumours range to 3- 18% *1 .Most of the ovarian tumours in postmenopausal age group are taken as malignant unless proved otherwise, more so when they are bilateral*2. We are reporting a case of benign bilateral ovarian tumour in a postmenopausal lady. Incidentally the woman also had a bicornuate uterus with a rudimentary horn. The incidence of mullerian anomalies range to 2- 3%*3. They are known to cause pregnancy losses, preterm labour, labour dystocia*4 & gynaecological symptoms like dysmenorrhoea and AUB. The above mentioned patient had uneventful obstetric history therefore emphasizing that mullerain anamolies do not need intervention when they are asymptomatic*5.

Key words: Bilateral ovarian tumours, Bicornuate uterus, postmenopausal.

[1]. Ovarian tumour in postmenopausal woman, The Canadian journal of CME/Dec2007.
[2]. Hoskins WJ. Principles and practice of gynecologic oncology, 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2005:xix, 1419
[3]. Mullerian duct anomalies : Clinical concepts Elyan A, MD and Saced M, MD. ASJOG VOl 1, Jan 2004.
[4]. Rackow BW, Arici A (2007) " Reproductive performance of women with mullerian anomalies" curr. Opin. Obset. Gynecol.19 (3):229 – 37.
[5]. Junqueira BL, Allen LM, Spitzer RF et-al. Müllerian duct anomalies and mimics in children and adolescents: correlative intraoperative assessment with clinical imaging. Radiographics. 29 (4): 1085-103.

Abstract: Patients' interpretation of symptoms as a sign of cancer could also influence health seeking behaviour. This study was undertaken to evaluate the effect of literacy on breast cancer diagnosis and treatment with the hope that the study may enable a more holistic approach to the management, prevention and control of breast cancer. This is a descriptive cross sectional study conducted among breast cancer patients of Lagos State University Teaching Hospital. A total of 190 histologically diagnosed breast cancer patients were recruited based on a breast cancer prevalence of 13.9% in a study conducted at Maiduguri, Nigeria (12), using the statistical formula Z2PQ/d2. Out of one hundred and ninety patients studied, mean age calculated was 32years. The peak age range was 51-60yrs (22.1%). There was a statistically significant association between level of education and awareness and practice of the breast cancer screening methods. Clear communication tailored to patient culture and literacy is essential in improving the awareness and positive attitudes towards the benefits of early breast cancer screening so as to have better outcome.

Keywords: Literacy, Breast Cancer Screening, Mammography, Breast self-examination, Knowledge, Practice

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Abstract: Ormiloxifene is a non steroidal selective estrogen receptor modulator belonging to benzopyran group. Its use as a contraceptive, post coital pill, and as a drug of choice in management of menorrhagia, Dysfunctional Uterine Bleeding is well documented. Duration of treatment and its long term effects have to be evaluated further. We are reporting a rare case of endometrial hyperplasia following unsupervised use of ormiloxifene for prolonged duration, thereby emphasizing follow up of patients on ormiloxifene therapy.

Key words: Ormiloxifene, Endometrial hyperplasia, follow up.

[1]. steven R.Goldstein,suresh siddhanthi,et al human reproduction update 2000,volume.6 no.3pp.212-224
[2]. Kriplami A, Kulshrestha V, Agarwal N. Efficacy and safety of ormeloxifene in the management of menorrhagia: A pilot study. The journal of obstetrics and gynecol research 2009; 35 (4): 746 – 52
[3]. Biswas SC, Saha SK, Bag TS, Ghosh Roy SC, Roy AC, Kabiraj SP. Ormeloxifene: A selective estrogen receptor modulator for treatment of dysfunctional menorrhagia. J Obstet Gynecol Ind 2004;54(1):56-59.
[4]. steven R.Goldstein,suresh siddhanthi,et al human reproduction update 2000,volume.6 no.3pp.212-224
[5]. Eurj contracept reprod health care. 2011 oct;16 (5): 403 – 6. Doi:10.3109/13625187.2011.595851. Epub 2011 Jul 21. Malhotra KP, Sherpa M, Bhatia A.

Abstract: Fibrous hamartoma of infancy is an extremely rare benign proliferation of soft tissue of unknown histiogenesis, with less than 200 cases reported in medical literature, and commonly presenting as a rapidly growing solitary subcutaneous mass in an infant. More than 90% of the lesions occur during the 1st year of life and approximately 25% being congenital. The lesion is twice as common in males and the common sites include axillae, chest wall, back, thigh, and the inguinoscrotal region. We report the case of a 9 month old male child, born out of a non- consanguineous marriage and attaining normal developmental milestones, who presented with a rapidly growing right axillary mass of 5 months duration. The tumor was excised with wide surgical margins and the wound approximated with skin flap. The histopathological examination confirmed the diagnosis of Fibrous hamartoma of infancy. We report this case because of its extreme rarity, uncanny appearance; a common mimicker of capricious childhood soft tissue neoplasms.

Keywords- Fibrous hamartoma of infancy, Childhood soft tissue neoplasms.

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Abstract: Reports on quadriparesis in pregnancy secondary to gastrointestinal losses are rare. We describe a previously healthy 22 year old primi at approximately 20 weeks gestation who presented to us with weakness in all the four limbs since 3 days and vomiting off and on since 6 weeks. This report is unusual but important as it is a rapidly treatable or reversible paresis. Herein this report. Keywords—Hypokalemic, hyperemesis gravidarum, pregnancy, quadriparesis, reversible.

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