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      Bleeding During Catheterization of Male Urethra I was called at 10.30 PM to attend a case of bleeding from urethra following urethral catheterization in a semiconscious male, admitted to the medicine ward. I went and saw a healthy male in sixties bleeding from urethra. The foley's catheter, a narrow silicon tube used for draining the retained urine was […]
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      A Common Blood Pressure Lowering Drug Verapamil may Slow Or Reverse Diabetes A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for secretion of insulin; according to a University of Alabama at Birmingham study publ […]
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      A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] […]
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Appendicular Lump

Posted by Dr.Prahallad Panda on 17th July 2009

Arteries of cecum and vermiform process.The slender ,hanging structure is appendix

Poor, most of the time bear the brunt of disease aggression.One of the serious complications of appendicitis is appendicular lump.After an acute attack if not treated adequately (without Surgery) body tries to contain the infection.In the process the near by intestine and omentum try to isolate the infected appendix by surrounding it from all the sides and in the process a mass or lump is formed in side the abdomen to be felt from lower abdomen.This may in turn progress to abscess (collection of pus) formation,perforation of apendix and even infection of blood called septicemia.

Acute Appendicitis An exemplary case of acute ...Infected appendix


These patients are usually treated conservatively as surgery at this stage is riskier. But still if the lump progresses the conservstive treatment is abandoned in favor of intervention (Surgery).Again here it may not be possible for the surgeon to treat for cure of disease .He has to amelorate the potentially grave situation and defer a definitive surgery to a later date.

All these carry risk for the patient.And in this part of India there are poor people who do not have any other option rather than to accept the situation.They come late because of various reasons.One important aspect being their financial status.Initially they they expect this pain in abdomen may not be severe and go away automatically,better to wait rather than to go to a doctor and spend money which is a wastage .That amount can be used to feed themselves.But in the long run when it aggravates they even sell all their property to get treated.
Treatment facilities in terms of man power and infrastructure is lacking in this part .Added to it is the high pricing of drugs and indifferent attitude of Govt. service providing agencies compels the poor to sit at home expecting auto cure , go to quack or indulge in folk remedies.

This grim situation should improve to claim that India is a welfare state.

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MUMPS, ORCHITIS AND INFERTILITY.

Posted by Dr.Prahallad Panda on 5th June 2009

None - This image is in the public domain and ...Image via Wikipedia

              A very painful reddish swelling in front and below the ear either unilateral or bilateral with fever and malaise ushers the disease called Mumps.Usually occurs in the childhood but no age is exempt.It is a viral (Mumps Virus) disease affecting the parotid salivary gland, commonly  subsides without much sequel.
               Complications do occur . Most importants being parotid abscess and next is mumps orchitis affecting the testes.The first one can be tackled with drainage and that will invariable cure.But mumps orchitis is to be dealt with urgently by a surgeon starting from support , analgesia to splitting of scrotal skin and outer layer of testes to relieve the tension in testicular tissue.Unless dealt with promptly, if bilateral disease patient may land up in infertility in the later life.
             Very good vaccines are available to prevent it if given at right time.

Outline of side of face, showing chief surface...Image via Wikipedia 


PRAVENTION IS ALWAYS BETTER THAN CURE.

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ANAL ABSCESS

Posted by Dr.Prahallad Panda on 30th March 2009

Abscesses are generally due to some sort of local infection .Diabetics get it more as a result of decreased immune status. Perianal abscess occur near about the anal region by the side of anal opening.It is a very painful condition and usually accompanied by fever.It occurs due to an anal gland bactarial infection.The patient in India as usual comes late to the doctor and that to the surgeon .The abscess must be drained first and this simple act relieves the patient a lot.The problem lies in it that it may lead to fistula formation later on . The patient must be informed about it before draining the abscess to avoid future blame game.http://www.myspace,com/461143721

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