Retroperitoneal hematoma is caused by blunt abdominal injuries in a small percentage of the popul... more Retroperitoneal hematoma is caused by blunt abdominal injuries in a small percentage of the population. Obstruction of the duodenum by intramural haematoma has often been described, however, duodenal obstruction due to retroperitoneal hematoma is uncommon. Signs and symptoms are sometimes ambiguous and deceiving. In diagnosing this, a thorough history and clinical examination, as well as supplementary assistance with investigations, are all benecial. A strong index of suspicion and a multidisciplinary approach are required for timely care. With a review of the literature, we provide an interesting case that demonstrates the rarity and severity of this illness.
Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary ... more Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary spaces. It arises most frequently from periapical and periodontal infection of the mandibular molars. Two major complications of LA are life-threatening upper airway obstruction and infectious seeding of the mediastinum, which are responsible for a high mortality rate. Other complications of LA include thrombophlebitis of the internal jugular vein, rupture of the carotid artery, metastatic abscesses and necrosis of the tongue. We have encountered two such cases, with a rapid spread of the inflammation resulting in various local and systemic complications. Awareness of such complications and early clinical as well as radiological diagnosis can lead to prompt surgical drainage, proper antibiotic therapy, and better survival chance. Recognised less often today, this rapidly progressive submaxillary cellulitis may still be fatal.
INTRODUCTIONPuerperium is defined as the period of about six weeks after childbirth during which ... more INTRODUCTIONPuerperium is defined as the period of about six weeks after childbirth during which the mother's reproductive organs return to their original non-pregnant condition. Perianal problems, including Constipation, Hemorrhoids and Fissure, are among the most common digestive complications among women in puerperium, observed in about 30 to 50 percent of women. Considering this great prevalence and the paucity of similar research in this aspect in an Indian population, this study was done to assess the prevalence of perianal problems seen in puerperium and the risk factors associated with it.METHODSThis was a prospective observational cohort study done over the span of 3 years on 902 puerperal ladies. A self structured questionnaire covered detailed history and per-rectal and proctoscopy examination. Patients were followed up telephonically for regression of perianal problems post management. RESULTSThe Total prevalence of all the perianal problems in puerperium encountered...
Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary ... more Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary spaces. It arises most frequently from periapical and periodontal infection of the mandibular molars. Two major complications of LA are life-threatening upper airway obstruction and infectious seeding of the mediastinum, which are responsible for a high mortality rate. Other complications of LA include thrombophlebitis of the internal jugular vein, rupture of the carotid artery, metastatic abscesses and necrosis of the tongue. We have encountered two such cases, with a rapid spread of the inflammation resulting in various local and systemic complications. Awareness of such complications and early clinical as well as radiological diagnosis can lead to prompt surgical drainage, proper antibiotic therapy, and better survival chance. Recognised less often today, this rapidly progressive submaxillary cellulitis may still be fatal.
Mesenteric and retroperitoneal cysts are usually rare asymptomatic lesions. Mature cystic teratom... more Mesenteric and retroperitoneal cysts are usually rare asymptomatic lesions. Mature cystic teratomas, also known as dermoid cysts, are neoplasms composed of tissues from at least two of the three germ layers. Epidermoid cysts that develop in the retroperitoneal space are quite rare. They are usually discovered incidentally during investigation of irrelevant illnesses or during routine abdominal ultrasonography. Retroperitoneal cysts are mostly asymptomatic but may present with unspecific symptoms depending on the size, location and complications such as hemorrhage, infection, or rupture. They are asymptomatic in one-third of patients. Contrast-Enhanced Computed Tomography (CECT) of the abdomen and pelvis is used to confirm the diagnosis. Surgical excision of the whole cystic mass is the choice of treatment. In this case report we present a benign cystic retroperitoneal dermoid cyst in the right lumbar region in a 55-year-old healthy female patient who presented with a 2-month history...
Objective:To determine the awareness and practice of female college students in Mangalore in rela... more Objective:To determine the awareness and practice of female college students in Mangalore in relation to cervical cancer. Methods:A cross-sectional study was carried out among 270 female students from various pre-university and degree colleges in Mangalore. A semi-structured, self-administered questionnaire was used to collect data. Convenient sampling was done. Data was entered and analyzed using SPSS v. 11. Ethical approval was obtained from the Institutional Ethics Committee of Kasturba Medical College, Mangalore. Results: Very few of the participants 43 (16.5%) were aware that cervical cancer is the most common gynecological cancers in India. Awareness levels regarding various risk factors were as follows: poor genital hygiene (n=154, 59.2%), multiple sex partners (n=85, 32.7%), multiple pregnancies (n=54, 20.8%) and early initiation of sexual activities (n=52, 20.0%). Regarding the preventive measures of cervical cancer, 21 (8.1%) of the study participants had heard about the P...
Rickettsial diseases are arthropod borne zoonotic infections that are being increasingly recogniz... more Rickettsial diseases are arthropod borne zoonotic infections that are being increasingly recognized as one of the causes of pyrexia of unknown origin (PUO). These pathogens are gram-negative bacteria causing fever and rash, usually transmitted to humans by tick or flea bite. These infections must be differentiated from other febrile illnesses such as enteric fever, malaria, dengue, leptospirosis, and infectious mononucleosis. The common clinical presentation includes fever with chills and rigor, headache, vomiting, cough, conjunctival congestion and eschar. Presenting with varied and non-specific symptoms, ignorance, and low index of suspicion, they are often under-diagnosed due to the unavailability of the reliable diagnostic test. Weil- Felix test (WFT) is a non-specific heterophile tube agglutination test in which antibodies against rickettsiae are detected. If timely treatment with doxycycline is instituted the adverse consequences can be well averted.
Retroperitoneal hematoma is caused by blunt abdominal injuries in a small percentage of the popul... more Retroperitoneal hematoma is caused by blunt abdominal injuries in a small percentage of the population. Obstruction of the duodenum by intramural haematoma has often been described, however, duodenal obstruction due to retroperitoneal hematoma is uncommon. Signs and symptoms are sometimes ambiguous and deceiving. In diagnosing this, a thorough history and clinical examination, as well as supplementary assistance with investigations, are all benecial. A strong index of suspicion and a multidisciplinary approach are required for timely care. With a review of the literature, we provide an interesting case that demonstrates the rarity and severity of this illness.
Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary ... more Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary spaces. It arises most frequently from periapical and periodontal infection of the mandibular molars. Two major complications of LA are life-threatening upper airway obstruction and infectious seeding of the mediastinum, which are responsible for a high mortality rate. Other complications of LA include thrombophlebitis of the internal jugular vein, rupture of the carotid artery, metastatic abscesses and necrosis of the tongue. We have encountered two such cases, with a rapid spread of the inflammation resulting in various local and systemic complications. Awareness of such complications and early clinical as well as radiological diagnosis can lead to prompt surgical drainage, proper antibiotic therapy, and better survival chance. Recognised less often today, this rapidly progressive submaxillary cellulitis may still be fatal.
INTRODUCTIONPuerperium is defined as the period of about six weeks after childbirth during which ... more INTRODUCTIONPuerperium is defined as the period of about six weeks after childbirth during which the mother's reproductive organs return to their original non-pregnant condition. Perianal problems, including Constipation, Hemorrhoids and Fissure, are among the most common digestive complications among women in puerperium, observed in about 30 to 50 percent of women. Considering this great prevalence and the paucity of similar research in this aspect in an Indian population, this study was done to assess the prevalence of perianal problems seen in puerperium and the risk factors associated with it.METHODSThis was a prospective observational cohort study done over the span of 3 years on 902 puerperal ladies. A self structured questionnaire covered detailed history and per-rectal and proctoscopy examination. Patients were followed up telephonically for regression of perianal problems post management. RESULTSThe Total prevalence of all the perianal problems in puerperium encountered...
Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary ... more Ludwig's angina (LA) is a rapidly spreading cellulitis involving sublingual and submaxillary spaces. It arises most frequently from periapical and periodontal infection of the mandibular molars. Two major complications of LA are life-threatening upper airway obstruction and infectious seeding of the mediastinum, which are responsible for a high mortality rate. Other complications of LA include thrombophlebitis of the internal jugular vein, rupture of the carotid artery, metastatic abscesses and necrosis of the tongue. We have encountered two such cases, with a rapid spread of the inflammation resulting in various local and systemic complications. Awareness of such complications and early clinical as well as radiological diagnosis can lead to prompt surgical drainage, proper antibiotic therapy, and better survival chance. Recognised less often today, this rapidly progressive submaxillary cellulitis may still be fatal.
Mesenteric and retroperitoneal cysts are usually rare asymptomatic lesions. Mature cystic teratom... more Mesenteric and retroperitoneal cysts are usually rare asymptomatic lesions. Mature cystic teratomas, also known as dermoid cysts, are neoplasms composed of tissues from at least two of the three germ layers. Epidermoid cysts that develop in the retroperitoneal space are quite rare. They are usually discovered incidentally during investigation of irrelevant illnesses or during routine abdominal ultrasonography. Retroperitoneal cysts are mostly asymptomatic but may present with unspecific symptoms depending on the size, location and complications such as hemorrhage, infection, or rupture. They are asymptomatic in one-third of patients. Contrast-Enhanced Computed Tomography (CECT) of the abdomen and pelvis is used to confirm the diagnosis. Surgical excision of the whole cystic mass is the choice of treatment. In this case report we present a benign cystic retroperitoneal dermoid cyst in the right lumbar region in a 55-year-old healthy female patient who presented with a 2-month history...
Objective:To determine the awareness and practice of female college students in Mangalore in rela... more Objective:To determine the awareness and practice of female college students in Mangalore in relation to cervical cancer. Methods:A cross-sectional study was carried out among 270 female students from various pre-university and degree colleges in Mangalore. A semi-structured, self-administered questionnaire was used to collect data. Convenient sampling was done. Data was entered and analyzed using SPSS v. 11. Ethical approval was obtained from the Institutional Ethics Committee of Kasturba Medical College, Mangalore. Results: Very few of the participants 43 (16.5%) were aware that cervical cancer is the most common gynecological cancers in India. Awareness levels regarding various risk factors were as follows: poor genital hygiene (n=154, 59.2%), multiple sex partners (n=85, 32.7%), multiple pregnancies (n=54, 20.8%) and early initiation of sexual activities (n=52, 20.0%). Regarding the preventive measures of cervical cancer, 21 (8.1%) of the study participants had heard about the P...
Rickettsial diseases are arthropod borne zoonotic infections that are being increasingly recogniz... more Rickettsial diseases are arthropod borne zoonotic infections that are being increasingly recognized as one of the causes of pyrexia of unknown origin (PUO). These pathogens are gram-negative bacteria causing fever and rash, usually transmitted to humans by tick or flea bite. These infections must be differentiated from other febrile illnesses such as enteric fever, malaria, dengue, leptospirosis, and infectious mononucleosis. The common clinical presentation includes fever with chills and rigor, headache, vomiting, cough, conjunctival congestion and eschar. Presenting with varied and non-specific symptoms, ignorance, and low index of suspicion, they are often under-diagnosed due to the unavailability of the reliable diagnostic test. Weil- Felix test (WFT) is a non-specific heterophile tube agglutination test in which antibodies against rickettsiae are detected. If timely treatment with doxycycline is instituted the adverse consequences can be well averted.
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