The truth, the whole truth, and nothing but the truth: Therapeutic privilege
M Shalak, MA Shariff, V Doddapaneni, N SulemanJournal of Postgraduate Medicine 2022 68(3):152-155 The term therapeutic privilege is unfamiliar in the medical field and often sparks questions and discomfort about its ethical implications. Therapeutic privilege refers to the act of withholding information by a clinician, with the underlying notion that the disclosure of this information would inflict harm or suffering upon the patient. This is a case of a 56-year-old woman who presented to our facility under critical conditions. She developed sepsis with acute respiratory failure, requiring intubation and mechanical ventila...
Source: Journal of Postgraduate Medicine - August 25, 2022 Category: Internal Medicine Authors: M Shalak MA Shariff V Doddapaneni N Suleman Source Type: research

Impact of COVID-19 pandemic on eating styles: A population based-survey during the first lockdown in Italy
Conclusion: The present study showed that the COVID-19 lockdown caused high stress with a worsening in eating behaviors. The study participants had difficulty in adequately coping with some emotions and feelings, developing an 'addiction' to food. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - August 25, 2022 Category: Internal Medicine Authors: A Andaloro MG Maggio MC Stagnitti D Marchese RS Calabr & #242; Source Type: research

Effect of COVID-19 driven lockdown on social contact pattern in Puducherry, India: A longitudinal study
Conclusion: The study showed high compliance to the lockdown measures in Puducherry during the lockdown and immediate post-lockdown periods. However, as the lockdown measures were relaxed, the contact rate returned to the pre-lockdown state. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - August 25, 2022 Category: Internal Medicine Authors: SS Kar Y Krishnamoorthy P Sivanantham J Anandraj J Gnanadhas Source Type: research

An audit of safety reporting in randomized controlled trials over a five-year period in a high impact factor journal
Conclusions: Safety reporting in RCTs continues to take a back seat relative to efficacy reporting and is worse for pharmaceutical industry funded studies. Safety reporting should be emphasized in the CONSORT guidelines. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - August 25, 2022 Category: Internal Medicine Authors: M Konwar A Mamde P Patankar UM Thatte NJ Gogtay Source Type: research

Pulmonary complications of supracostal percutaneous nephrolithotomy & #8211; Must know facts for surgeons
MV SharmaJournal of Postgraduate Medicine 2022 68(3):131-132 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - August 25, 2022 Category: Internal Medicine Authors: MV Sharma Source Type: research

Under-reporting of safety data & #8211; cause for concern
S GajbhiyeJournal of Postgraduate Medicine 2022 68(3):129-130 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - August 25, 2022 Category: Internal Medicine Authors: S Gajbhiye Source Type: research

National Ethical Guidelines for biomedical and health research: Issues to ponder over
SB Bavdekar, S KarandeJournal of Postgraduate Medicine 2022 68(3):125-128 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - August 25, 2022 Category: Internal Medicine Authors: SB Bavdekar S Karande Source Type: research

Splenodiaphragmatic interposition of the splenic flexure of colon
VK S Nalamolu, A ChatterjeeJournal of Postgraduate Medicine 2022 68(2):122-123 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: VK S Nalamolu A Chatterjee Source Type: research

Aortic aneurysm causing compressive myelopathy
SV Bhoi, S NaikJournal of Postgraduate Medicine 2022 68(2):120-121 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: SV Bhoi S Naik Source Type: research

Ascending aortic dissecting aneurysm with rupture into the right atrium associated with COVID-19
D Kamanakeri, A Anoop, S Harikrishnan, A GopalakrishnanJournal of Postgraduate Medicine 2022 68(2):117-119 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: D Kamanakeri A Anoop S Harikrishnan A Gopalakrishnan Source Type: research

Long standing untreated multifocal cutaneous tuberculosis with development of breast carcinoma
S Srihari, PS S Ranugha, V Shastry, JB BetkerurJournal of Postgraduate Medicine 2022 68(2):115-116 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: S Srihari PS S Ranugha V Shastry JB Betkerur Source Type: research

Sialadenoma papilliferum of a minor salivary gland with transformation to mucoepidermoid carcinoma
We report a case of SP of a minor salivary gland in a middle-aged male where the exophytic component retained the histomorphological features of SP while the endophytic component displayed characteristics of a mucoepidermoid carcinoma. Malignant change in sialadenoma papilliferum is an extremely rare phenomenon that requires further research and documentation. Careful evaluation of morphologic features and reporting of more such cases is required to delineate the clinical behavior of this unusual tumor. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: N Sood B Arya R Gupta S Gupta Source Type: research

Hypoglycemic hemiparesis as stroke mimic with transient splenial lesion and internal capsule involvement: A reversible clinico-radiological concurrence
We report here the case of a 61-year-old woman with right hemiparesis presenting within the window period for stroke thrombolysis. MRI brain showed diffusion restriction in posterior limb of left internal capsule and splenium. Patient had documented hypoglycemia of 38 mg/dL. Patient's hemiparesis resolved after glucose correction, and radiological findings completely resolved after 10 days. We present this case to highlight the rare radiological finding of simultaneous internal capsule and splenium involvement in hypoglycemic hemiparesis and the importance to rule out stroke mimics to avoid unwanted thrombolysis...
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: M Sharma B Menon G Manam Source Type: research

Villous adenoma of the prostatic urethra
We present a rare case of villous adenoma arising from a prostatic urethra with no sign of malignant transformation. Villous adenoma should be considered as one of the differential diagnoses of urethral lesions, especially if it has similar magnetic resonance imaging features as its colonic counterpart. Due to its potential for malignant transformation, its complete resection is mandatory. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: SY Ho N Rosli LY Lim Source Type: research

Drug reaction with eosinophilia and systemic symptoms syndrome related to piperacillin-tazobactam use
In conclusion the possibility of antibiotics-induced DRESS should be considered and high index of vigilance is advised. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 25, 2022 Category: Internal Medicine Authors: M Bai V Govindaraj R Kottaisamy N Vijayarangam Source Type: research