Multiple studies have shown that metformin reduces serum B12 levels in 10–30% of patients. The effect increases with the duration of the therapy. Decrease in…Explore more How Metformin Causes Vitamin B12 deficiency?
Case definitions of Typhoid Fever a. Confirmed enteric fever: A patient with persistent fever (38 °C or more) lasting 3 or more days, with laboratory-confirmed…Explore more Diagnosis of Enteric Fever In the Absence of Microbiological Confirmation
Dose: 80 mg/kg/day in 4 divided doses for 7 days; maximum 800 mg 4 times a day Time to start prophylaxis: 7-10 days after exposure…Explore more Acyclovir Post-exposure Prophylaxis for Varicella: Is it helpful?
A 31 weeks of gestation baby was born through emergency LSCS for Severe maternal hypertension. At birth baby required resuscitation and baby was intubated and…Explore more Catastropic Intraventricular Hemorrhage in Preterm IUGR newborn
Recently, a wound swab culture and sensitivity reported an E.coli sensitive to Nitrofurantoin. But will it really be helpful in the wound infection? Without a…Explore more Is Nitrofurantoin effective for Skin infections?
Short Case Summary 74 years old smoker, male patient presented with significant weight loss, productive cough and abdominal discomfort of short duration. Patient was icteric…Explore more Extensive Small Cell Lung Cancer : Case Review
History 23yrs/F non-diabetic, non-hypertensive, non-smoker, non-alcoholic primigravida was admitted to Obstetric ward on with the chief complaints of: Cessation of menstruation X 9 months Decreased…Explore more Postpartum Eclampsia : Case Discussion
Case Summary A 38 year old female came with: Headache for 6 months Diminution of peripheral vision bilatetrally Irregular menstrual cycle for the last 1…Explore more Craniopharyngioma – Case Discussion