Isolated truncal contrapulsion as a rare presentation of acute thalamic infarct
S Sheetal, SA Kumar, R ThomasJournal of Postgraduate Medicine 2020 66(4):212-214
Infarcts involving the thalamus can yield many deficits, including sensory syndromes, altered consciousness, and cognitive disturbances, depending on the thalamic vascular territory involved. Isolated truncal contrapulsion due to pure thalamic infarct has been rarely reported. Truncal lateropulsion is a compelling sensation of being pulled toward one side that cannot be explained by weakness or limb ataxia. It is commonly reported in lateral medullary infarcts. It may occur with lesions that involve the peripheral vestibular system, brainstem...
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: S Sheetal SA Kumar R Thomas Source Type: research
Bile duct wall calcification: A rare entity in portal cavernoma cholangiopathy
We report a 59-year-old male, a known case of EHPVO, who had undergone laparoscopic cholecystectomy, splenectomy, and splenorenal shunt in the past. The patient had now presented to us in view of recurrent episodes of cholangitis for which a bilioenteric bypass was planned. Intraoperatively, dilated and densely thickened bile ducts with multiple pericholedochal collaterals were noted. Incision of common hepatic duct and left hepatic duct showed completely calcified ductal wall with no visible healthy mucosa. Calcifications were removed partially from the bile duct walls near choledochotomy site. With the anticipation of fu...
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: P N B Nitesh B Pottakkat Source Type: research
Endoscopic management of pleural effusion caused by a pancreatic pleural fistula
SV Sasturkar, S Gupta, S Thapar, SM ShasthryJournal of Postgraduate Medicine 2020 66(4):206-208
Pancreatic-pleural fistula (PPF) is a rare sequela of pancreatitis. High degree of clinical suspicion is required to diagnose a PPF. Confirmation is done by high amylase content in pleural fluid analysis. Here, we present two cases with varied presentation of PPF. A 43-year-old man presented with acute on chronic pancreatitis with bilateral (predominantly right) pleural effusion. Another 57-year-old man, previously diagnosed with chronic calcific pancreatitis, presented with left pleural effusion. Both cases were effectively ma...
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: SV Sasturkar S Gupta S Thapar SM Shasthry Source Type: research
The power of subjectivity in competency-based assessment
A Virk, A Joshi, R Mahajan, T SinghJournal of Postgraduate Medicine 2020 66(4):200-205
With the introduction of competency-based undergraduate curriculum in India, a paradigm shift in the assessment methods and tools will be the need of the hour. Competencies are complex combinations of various attributes, many of which being not assessable by objective methods. Assessment of affective and communication domains has always been neglected for want of objective methods. Areas like professionalism, ethics, altruism, and communication—so vital for being an Indian Medical Graduate, can be assessed longitudinally ap...
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: A Virk A Joshi R Mahajan T Singh Source Type: research
Vitamin D assessment and precision of clinical referrals: Insights gained from a teaching hospital in southern India
Conclusion: To ensure a rational approach to vitamin D testing, clinicians ought to use their discretion to screen those truly at risk for vitamin D deficiency on a case to case basis and avoid indiscriminate testing of the same. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: A Jose AJ Binu KE Cherian N Kapoor HS Asha TV Paul Source Type: research
Modifiable factors related to 7-year renal outcomes in subjects with type 2 diabetes and chronic kidney disease stage 3
Conclusions: Our results demonstrated that fluctuations in HbA1c and SBP, and changes in eGFR during the first 2 years of treatment were associated with the long-term renal outcomes in type 2 diabetic patients with CKD stage 3. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: CH Huang CP Chen YY Huang B R S Hsu Source Type: research
Assessment in competency-based medical education : A paradigm shift
NN RegeJournal of Postgraduate Medicine 2020 66(4):184-186 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: NN Rege Source Type: research
Progression of diabetic kidney disease: Who is at risk ?
T JamaleJournal of Postgraduate Medicine 2020 66(4):182-183 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: T Jamale Source Type: research
Type 2 diabetic Asian Indians and COVID-19: Lessons learnt so far from the ongoing pandemic
VK Shivane, AR Lila, TR BandgarJournal of Postgraduate Medicine 2020 66(4):179-181 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 27, 2020 Category: Internal Medicine Authors: VK Shivane AR Lila TR Bandgar Source Type: research
Synovial chondromatosis of ankle in a child: A rare presentation
MD Al-MendalawiJournal of Postgraduate Medicine 2020 66(3):178-178 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: MD Al-Mendalawi Source Type: research
Isolated intracardiac recurrence of diffuse large B-cell lymphoma successfully treated with rituximab and bendamustine chemotherapy regimen
CH Chang, CS Lin, CL HoJournal of Postgraduate Medicine 2020 66(3):176-177 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: CH Chang CS Lin CL Ho Source Type: research
Uterine artery pseudoaneurysm: A rare complication of cesarean section
S Naik, S Singh, S Mohakud, S JenaJournal of Postgraduate Medicine 2020 66(3):174-175 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: S Naik S Singh S Mohakud S Jena Source Type: research
Transient focal cerebral arteriopathy of childhood following dengue fever
S Sasidharan, KS KrishnasreeJournal of Postgraduate Medicine 2020 66(3):172-173 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: S Sasidharan KS Krishnasree Source Type: research
How often is coarctation of aorta correctly diagnosed antemortem in children with fatal illnesses ? A retrospective review of medical and autopsy records
S Karande, S Kumar, P VaideeswarJournal of Postgraduate Medicine 2020 66(3):169-171
This retrospective study analyzed the level of concordance between clinical and autopsy diagnosis of coarctation of aorta over 10 years. Utilizing the Goldmann classification, the concordance rate was found to be 16%. Major discrepancies (Class I and II) were found in 56% cases and minor discrepancies (Class III and IV) in 28% cases. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: S Karande S Kumar P Vaideeswar Source Type: research
Saphenous vein graft aneurysm & #8211; Unusual cause of hemoptysis: A case report and review of literature
BJ Khan, U Khanolkar, V Raj, KG AshokJournal of Postgraduate Medicine 2020 66(3):165-168
Hemoptysis due to saphenous venous graft (SVG) aneurysm is an extremely rare condition and published literature has described the role of conservative management, surgical resection, and covered stent. Here, we report a successful placement of a covered stent for SVG aneurysm in a 56-year-old male who presented with hemoptysis. He was a known diabetic and had undergone a coronary artery bypass grafting 5 years ago. Computed tomography (CT) chest and fiberoptic bronchoscopy performed in another local hospital had revealed blood in the ...
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: BJ Khan U Khanolkar V Raj KG Ashok Source Type: research
