Esophageal adenocarcinoma with metastatic skin nodules and Budd & #8211;Chiari syndrome
S Singh, P Bansal, A Arora, A GoelJournal of Postgraduate Medicine 2021 67(2):122-123 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: S Singh P Bansal A Arora A Goel Source Type: research
Toxic epidermal necrolysis-like presentation of paraneoplastic pemphigus due to underlying thymoma: A clinical conundrum
Journal of Postgraduate Medicine 2021 67(2):119-121 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Source Type: research
Eschar: An indispensable clue for the diagnosis of scrub typhus and COVID-19 co-infection during the ongoing pandemic
D Hazra, KP Abhilash, K Gunasekharan, JA PrakashJournal of Postgraduate Medicine 2021 67(2):117-118 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: D Hazra KP Abhilash K Gunasekharan JA Prakash Source Type: research
Acute esophageal necrosis: An uncommon entity
Journal of Postgraduate Medicine 2021 67(2):115-116 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Source Type: research
Strongyloides stercoralis hyperinfection in a patient with acute lymphoblastic leukemia
S Mishra, R Patnayak, SS Panda, A JenaJournal of Postgraduate Medicine 2021 67(2):113-114 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: S Mishra R Patnayak SS Panda A Jena Source Type: research
Neuropsychiatric manifestations in an adolescent male with Rowell syndrome
We report this case for the unusual occurrence of a rare entity like Rowell syndrome in an adolescent male with co-existence of neuropsychiatric systemic lupus erythematosus. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: RA Kadiru SP Hegde HK Mithun AC Rao Source Type: research
Multiple extubation failures following a rhino-enteroviral infection: A unique case report in a pediatric patient
MR Annamalai, U BhalalaJournal of Postgraduate Medicine 2021 67(2):106-108
This case report reviews the hospital course of a 15-month-old girl admitted to the PICU for acute respiratory failure due to enterovirus infection; who subsequently had multiple extubation failures secondary to acute transverse myelitis. This rare presentation highlights the importance of assessing the neurological status in a patient with rhino-enteroviral respiratory infection and of considering acute transverse myelitis as an etiology for difficulty with extubation. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: MR Annamalai U Bhalala Source Type: research
Swallowing-induced supraventricular arrhythmia: A different perspective to mechanism
S Ozturk, E YetkinJournal of Postgraduate Medicine 2021 67(2):103-105
Atypical presentations of supraventricular arrhythmias constitute a diagnostic challenge which are not frequently reported in literature. Swallowing-induced supraventricular arrhythmia (SI-SVA), which was first described in 1926, is an intriguing presentation of supraventricular tachycardia and occurs during a wet or solid swallow. A 67-year-old man presented to our outpatient clinic complaining from recurrent episodes of sensation of palpitations and short duration pressure on his chest while swallowing since the last 2 weeks. Ambulatory rhythm Holter ...
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: S Ozturk E Yetkin Source Type: research
Convalescent plasma, cytomegalovirus infection, and persistent leukopenia in COVID-19 recovery phase: What is the link ?
We report a 75-years-old male patient who had suffered from severe COVID-19 infection three weeks earlier and who had been treated with corticosteroids and convalescent plasma along with other supportive therapies. At time of discharge he had developed leukopenia which worsened at 1-week follow up visit. On 18th day post-discharge, he became very sick and was brought to our hospital with complaints of severe persistent dysphagia. During evaluation he was diagnosed to have an acute cytomegalovirus infection and severe oropharyngeal thrush. Both COVID-19 and cytomegalovirus are known to cause synergistic decrease in T cells ...
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: M Shah A Kakar A Gogia S Langer Source Type: research
Unraveling a cephalalgic quagmire from a cavern to a cave
We report a 48-year-old female with chronic slowly progressive left temporal headache for 1 year. She also had ipsilateral eye pain and facial numbness for 1 month, with restricted abduction in the left eye and diplopia. On neurological examination, she had isolated left abducent nerve palsy, with loss of corneal and conjunctival reflexes, localizing the pathology to the cavernous sinus or its adjacent structures. Anatomically, cranial nerves V and VI are in close proximity to each other in the region of Meckel's cave. In view of her age, insidious onset, progressive symptoms and clinical findings, the provision...
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: S Thenmozhi S Girija KN Viswanathan KV Karthikeyan Source Type: research
Could pure agraphia be the only sign of stroke ? Lessons from two case reports
L Billeri, A Naro, A Manuli, RS CalabroJournal of Postgraduate Medicine 2021 67(2):93-95
Agraphia is defined as the disruption of the previously intact writing skills due to an acquired brain damage. Stroke remains the most common cause of language impairment; however, writing disorders, including agraphia, are underestimated in patients with stroke. In this regard, we report two patients presenting with pure agraphia as an early symptom of stroke. Both patients complained of at least two difficulties in visualizing letter formation beforehand, the frequent need for verbal cues, misuse of lines and margins, poorly legible...
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: L Billeri A Naro A Manuli RS Calabro Source Type: research
Ranking list for scientists: From heightening the rat-race to fraying the scientific temper
A Rammohan, M RelaJournal of Postgraduate Medicine 2021 67(2):91-92
Citations and validation of work play a crucial and integral role in a researcher's career. Ranking systems of scientists, on the other hand, potentially scratch and expose the fallible egoistic human face of science, leading to an unhealthy milieu of competition rather than the uplifting one of motivation. We have attempted to highlight and bring to fore these factors in our brief viewpoint. We critically analyze the reasons why ranking systems of scientists, especially in the field of medicine, will shift the focus from advancement of science...
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: A Rammohan M Rela Source Type: research
Assessment toolbox for Indian medical graduate competencies
T Singh, S Saiyad, A Virk, J Kalra, R MahajanJournal of Postgraduate Medicine 2021 67(2):80-90
The new competency-based medical education curriculum for Bachelor of Medicine and Bachelor of Surgery is being implemented in a phased manner in medical colleges across India since the year 2019. The Graduate Medical Education Regulations enlist a total of 35 global competencies for the five roles expected of an Indian medical graduate, the roles being clinician, communicator, leader, professional, and life-long learner. Along with an effective implementation of the new curriculum, both in spirit and in action, it is imperative...
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: T Singh S Saiyad A Virk J Kalra R Mahajan Source Type: research
Evaluation of pharmacokinetics of single-dose primaquine in undernourished versus normally nourished children diagnosed with Plasmodium vivax malaria in Mumbai
This study adds to the limited body of evidence on the pharmacokinetics of PQ in children with malaria and indicates that the dosing of primaquine could potentially be independent of the nourishment status. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: NJ Gogtay S Karande PP Kadam S Momin UM Thatte Source Type: research
Effect of testosterone replacement therapy on insulin sensitivity and body composition in congenital hypogonadism: A prospective longitudinal follow-up study
Conclusion: In this study, 36 weeks of testosterone replacement resulted in significant decrease in waist circumference, IR, truncal fat, total body fat and improvement in lean body mass, and insulin sensitivity. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 30, 2021 Category: Internal Medicine Authors: K CO Reddy SB Yadav Source Type: research
