Neuritis
Your peripheral nerves are the ones outside your brain and spinal cord. Like static on a telephone line, peripheral nerve disorders distort or interrupt the messages between the brain and the rest of the body. There are more than 100 kinds of peripheral nerve disorders. They can affect one nerve or many nerves. Some are the result of other diseases, like diabetic nerve problems. Others, like Guillain-Barre syndrome, happen after a virus infection. Still others are from nerve compression, like carpal tunnel syndrome or thoracic outlet syndrome. In some cases, like complex regional pain syndrome and brachial plexus injuries, the problem begins after an injury. Some people are born with peripheral nerve disorders.Symptoms often start gradually, and then get worse. They include Numbness Pain Burning or tingling Muscle weakness Sensitivity to touchTreatment aims to treat any underlying problem, reduce pain and control symptoms.NIH: National Institute of Neurological Disorders and Stroke
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LLeprosy with uncontrolled diabetes. both to be treated simultaneously. MDT & Insulin+ OHA. BI pre & post tt.
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G M C Amritsar
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Eye Care & Research Centre, Kolkata for About 25 Years
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MS, DO
PHC Bichpuri and ESI Dispensary Chippitola Agra & SN Medical College Agra & Fatehgarh
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Doc Insights5 Likes17 AnswersA 40 year male having multiple joint involvement, PIP ,wrist , right shoulder, knee joint He has presentation of migratory arthritis. On physical examination he has subcutaneous nodules (painless & non tender) on both forearm since 3 years. *On asking he said his R.A FACTOR was Negative* What should be the next line of investigations. & DDx ? *Chief Complaints* He is suffering from pain & tenderness in joints. Assymetric joint involvement. From last 3 years *History* No family history of arthritis *Physical Examination* Subcutaneous nodules painless non tender on forearms
Wahib Zaidi0 Like6 Answers- Login to View the image
12 year old boy c/o these lesions from past 3 months (appeared in winter 1st time) As per parents, these are not active lesions, earlier they were more erythematous and dry, when child scratches bleeding+ *History* On Elbow he has LICHEN NITIDIS I was suspecting him to be ATOPIC , on taking history, his brother's father (chacha) has ASTHAMA & his Maternal side also has ASTHAMA.
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Pedunculated subserous fibroid torsion *Chief Complaints* Abdominal pain with vomiting *History* 45 year old Para 2 previous 2 normal vaginal deliveries presented with sudden onset abdominal pain with two episodes of vomiting. Pain gradually increased in intensity. Patient had history of heaviness in lower abdomen for 3 months. No history of loss of weight or appetite. *Vitals* Pulse 100/ min. BP 116/90 mmHg. *Physical Examination* Per abdomen mass palpable around 16 weeks size of gravid uterus mobile from side to side. Tenderness present . Per vaginal examination uterus irregularly enlarged to 16 weeks. Tenderness present. *Investigations* Ultrasound done revealed fibroid 9*8 cm in uterus in fundal area. Free fluid in pelvis present. *Diagnosis* Fibroid uterus with acute abdomen. *Management* Patient taken for emergency laparotomy and proceed. OT findings :Fundal subserous pedunculated fibroid with torsion of two and half turns with intra fibroid hemorrhage and necrosis. Rest uterus normal. Bilateral ovaries and fallopian tubes normal. Peritoneal fluid hemorrhagic. Myomectomy done and peritoneal lavage given.
Dr. Viraj R. Naik0 Like3 Answers
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