De lange syndrome
A rare syndrome characterized by low birth weight, delayed growth, mental retardation, behavioral problems, and a distinctive facial appearance (thin, arched eyebrows, low set ears, small teeth, and small nose). The majority of cases are caused by mutations in the NIPBL gene. Less severe forms of the syndrome are caused by mutations in the SMC1A and SMC3 genes.
Disease Alternative Name
Gandhi Medical College.
M.B.B.S.

BHASKARA HOSPITAL
OBSTETRICIAN &GYNECOLOGIST
Kakatiya Medical College
M.D ( OB&GY )




Bhagwan Ram Charitable Hospital
Emergency Medical Officer .
ADI CHUN CHUN GIRI INSTITUTE OF MEDICAL SCIENCES. KARNATAKA.
MB.BS.

BMCRI
MD Pediatrics

Institute of Medical Sciences
MD

Pp
Mbbs Dch Kgmu Lko
Kgmu Lucknow
dch

JLNM RAINAWARI
Consultant Pediatrics
GMC SRINAGAR
MD Pediatrics

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In your opinion which patient populations shown the most therapeutic response to structured meditation programs?
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A 50 yrs old patient (history given below) kindly suggest further management *Chief Complaints* Unresponsive/vomiting/headache/fever/seizure 2/left side weakness /episode/history of epitaxis 2 days back *History* K/c/o HTN with irregular medicine *Vitals* BP 210/120 Temp 103.f Pulse -122 Spo2 86% *Physical Examination* Left side weakness Patient is semiconscious but drowsy, moderately built, appears uncomfortable. In mild respiratory distress. Left-sided weakness noted. Vitals monitored. *Investigations* Attached *Diagnosis* Acute ischemic stroke with rt mca acute thrombosis *Management* Medical management Monocef/pantop/strocit/manitol/lobet infusion/nimodepin/Ecosprin gold/pcm/emeset/levera/deriphyllin/dexa/nebulizer/o2 inhaler
Dr. Manoj Kumar1 Like4 Answers