Inflammation of the Appendix is one of the most common causes of Pain Abdomen presenting in the Emergency Room. Since its first description in the texts, there has been a lot of improvement in the quality of management due to the availability of resources and technology. Appendix, in the initial…
Author: Dr. Vinay Kumar Parepalli, MS General Surgery

Cesarean Section
Labour/Delivery– A Normal Physiological process which takes place in the body of a woman at the end of Pregnancy where the fetus is expelled out of the uterus through the Vaginal Canal. Cesarean Section/Delivery– A procedure conducted in a pregnant woman leading to Birth of a fetus through incisions given…

Heart Sounds – Abnormal
The basic clinical examination of the Cardiac System is by Auscultation (listening to the sounds made by the heart). As explained in the previous article physiological sounds made in each cardiac cycle viz. S1 and S2 due to the closure of the Atrio-Ventricular Valves and Outlet Valve in synchrony. Please…

Heart Sounds – Clinically Explained
Auscultation (to listen), a clinical procedure done on a daily basis as an aid in diagnosing many disorders, dates back centuries since the Egyptians. It was then an unaided auscultation (i.e. directly applying the ear to the body). In 1800’s Dr. Rene Laennec introduced the “Stethoscope” (Chest Scope), rolled paper…

Anatomy of Middle Ear with Clinical correlation
The ear, along the evolution has modified structurally and functionally. In lower animals, they functioned as alarm systems to detect any sounds of the prey or predator so as to fix their vision and also maintain the balance of the body to prevent fall. In the course of evolution, this…