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…
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Category: Grand Rounds
Medical case reviews and peer comments, discussions and hot debates, Spot medical case diagnosis and interesting case pictures and videos.
Diagnosis of Enteric Fever In the Absence of Microbiological Confirmation
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…
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Acyclovir Post-exposure Prophylaxis for Varicella: Is it helpful?
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…
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Catastropic Intraventricular Hemorrhage in Preterm IUGR newborn
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…
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Is Nitrofurantoin effective for Skin infections?
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…
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Extensive Small Cell Lung Cancer : Case Review
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…
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Postpartum Eclampsia : Case Discussion
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…
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Craniopharyngioma – 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…
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