Niacin deficiency
A water-soluble vitamin belonging to the vitamin B family, which occurs in many animal and plant tissues, with antihyperlipidemic activity. Niacin is converted to its active form niacinamide, which is a component of the coenzymes nicotinamide adenine dinucleotide (NAD) and its phosphate form, NADP. These coenzymes play an important role in tissue respiration and in glycogen, lipid, amino acid, protein, and purine metabolism. Although the exact mechanism of action by which niacin lowers cholesterol is not fully understood, it may act by inhibiting the synthesis of very low density lipoproteins (VLDL), inhibiting the release of free fatty acids from adipose tissue, increasing lipoprotein lipase activity, and reducing the hepatic synthesis of VLDL-C and LDL-C.
Disease Alternative Name
West Bengl Health Service Transferable Serviceì In Different Hospitals
Physician
PGI,Chandigarh
M D MEDICINE)
Phansidewa BPHC
Additional Medical Officer
Darjeeling ICMS, Calcutta National Medical College
Dip CMS, Condensed Medical Course
Distt. Red Cross Society Bhawan
Honorary Medical Officer
SPMC, Bikaner
MBBS
Apollo Institute of Medical Sciences and Research
Professor & HOD DDVL
Sri Venkateswara Medical College
MBBS,MD,DDVL,DLep,CSEPI, MSc.,PhD(Psy),
Prince Mohammed Bin Nasser Specialist Hospital
Pathologist, Medical Lab Director
Rangaraya Medical College, NTR UHS
MD (Pathology)
New Phc
Ayush Pharmashist
Kanpur Para Medical Institute
d.pharma
Esic Superspeciality Hospital Sanathnagar
IMO.insurance Medical Officer
Ntr Health Institute of Medical Sciences
MBBS
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A case of Abdominal epilepsy *Chief Complaints* Loss of consciousness one episode Pain abdomen and loose stools *History* A female patient 25 year old came to the OPD with complaints of loss of consciousness after an episode pf loose stools prior to which she had severe crampy abdominal pain. Symptoms lasted for about 3-4 min witnessed by her mother.No h/o tonic clonic movements. No h/o fever headache giddiness, visual disturbance or ENT symptoms No post episode headache limb weakness Known case of IBS on diet.Hypothyroid on 25 mcg Thyronorm OD.. *Vitals* Normal *Investigations* EEG normal.MRI brain small nodular subependymal heterotopia adjacent to the atrium of right lateral ventricle. *Physical Examination* Nothing significant *Diagnosis* Abdominal Epilepsy *Management* Started on Tab Carbamazepine 300 mg incremental dosage
Dr. Naga Tanooj0 Like2 Answers - Login to View the image
CHOICE OF MECHANICAL VENTILATION
Dr. Prashant Vedwan1 Like1 Answer