Granuloma giant cell
An inflammatory lesion comprising large numbers of multinucleated cells that occurs in two forms: one, a central giant cell granuloma that occurs in the jaw, and that is characterised by large lesions that can both expand the cortical plate and resorb roots and move teeth; and, two, a peripheral giant cell granuloma that is found in soft tissue, usually the gingiva, is small, usually less than two centimeters, and often ulcerated. Treatment for both forms is most often surgical removal.
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Ex.central Hospital Dhanbad.1985 ..1993..ex.pathologist .drs Tribedy and Roy Dianostic Lab.kolkata.ex Pathologist.inst of Child Health Kolkata.
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School of Tropical Medicine. Kolkata
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Pbm Hospital, Bikaner
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Toxin Taxation
Tobacco treatment specialist
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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
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