Lesch nyhan syndrome
An X-linked inherited syndrome caused by mutations in the gene that encodes the enzyme hypoxanthine-guanine phosphoribosyltransferase, resulting in accumulation of uric acid in the body. It affects males and is characterized by neurologic defects, moderate mental retardation, muscle hypotonia, and a tendency for self-mutilation (self-biting of lips, tongue, and fingertips).
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GRH Madurai
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Madurai Medical College
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MH Mathura
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GMC Jammu. 7 Air Force Hospital Kanpur.
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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