With Dr. Atul Goyal .........

   With Dr. Atul Goyal ......... the authority on CVJ.

With Dr. Cheol Woong Park ...

With Dr. Cheol Woong Park, pioneer, master and author of multiple articles and books on UB Endoscopic Spine Surgery, President of KOMISS(Korea Minimal Invasive Spine Surgery Society).

 

Hetrochromia Iridis

Here you see, what is striking in this picture? Hmmm, two iris of different colors! Yeah, I had read about this condition called hetrochromia iridis in Ophthalmology text but had never a chance to see myself. Few days back I was sitting in dermatology OPD and there this boy came, 12 years old, with his mother. His elder brother had some skin disease but this boy got more attention than the patient, and he should get, right? How many such people have you come across? Hardly few if you have been lucky.

Hetrochromia iridis was congenital (thought to be autosomal dominant) in this case. Though the condition in itself is harmless but it may present in association with few other diseases like-

• Congenital Horner's syndrome.
• Waardenburg's syndrome: Syndrome in which heterochromia presents as a bilateral iris hypochromia in some cases.
• Piebaldism: Similar to Waardenburg's syndrome, a rare disorder of melanocyte development characterized by a white forelock and multiple symmetrical hypopigmented or depigmented macules.
• Hirschsprung's disease.
• Incontinentia pigmenti.
• Parry-Romberg syndrome.

Luckily the boy was perfectly normal and was happy to have his photo clicked in a hospital where children are given injections mercilessly; as is the image of hospital in their innocent minds. 

Ainhum

Working in a government hospital has its own charm. Surprised to hear that? Well, I mean managing the cases with limited drugs and instruments. I remember how I struggled once disarticulating a gangrenous toe in minor OT. But here you see this typical picture showing a not so common condition called Ainhum which undergoes spontaneous amputation (autoamputation) in a span of few years.

Ainhum, also known as bankokerend, dactylolysis spontanea or sukhapakla is a painful fibrous constriction usually bilateral and involving base of the fifth toe. The disease is comparatively common among farmers who walk bare foot but the exact etiology is not known.

This patient presented to us with the complaints of pain on walking and wearing shoes. After a detailed interview and examination we found that left 5th toe had already undergone autoamputation 2 years back. Since radiograph showed involvement of bone, we opted for disarticulation of 5th metatarsophalangeal joint and patient was happy to have his symptoms relieved.

Ovarian Cyst

On table photographs from one of the surgeries I assisted during my internship at CG Hospital Davangere. This 45 years old female presented with C/O mass per abdomen for 1 year with associated h/o dysmenorrhea and menstrual irregularities. There was no h/o fever, bowel disturbances, loss of weight or appetite. USG examination showed a large anechoic cyst in peritoneal cavity. Based on USG and clinical findings diagnoses of  mesentric cyst, pancreatic pseudocyst and ovarian cyst were considered but on lapratomy it was found to be an ovarian cyst of 12*15 cm size. Subsequently right sided salpingoophorectomy was performed.

Our India, Our People

One afternoon, while returning after lunch, I saw this interesting sign. Though never had a craze about photography but this one was just irresistible. Later, the same photo was published in "A Day in the Life of India" a photo collection by Times Group to describe our incredible India in the most interesting way. 
Click here to see the upload, Past food or Fast food, people just love enjoying their life.

But here you see, the power of internet and facebook, within next few days it had been corrected. Can't say, some facebooked fast food lover reminded him or he himself stumbled upon my upload. Watch out guys, era of social networking and facebook, good to see that nobody is left behind.

And after few days . . .

Anemia in Pregnancy

Anemia in Pregnancy

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Understanding Ultrasound

Check out my presentation about use of ultrasound in medical practice:

Understanding ultrasound

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Struge Weber Syndrome

This child was brought to our hospital with the complaints of fever and convulsions. The mother also gave past history of 3 similar episodes. Now, here you see this port wine staining of the face, comprativly bigger head, open mouth and thickened upper lip, Any diagnisis? Yes, exactly right. The child suffered from Sturge-Weber syndrome, sometimes also referred to as encephalotrigeminal angiomatosis associated with port-wine stains of the face, glaucoma, seizures, mental retardation, andipsilateral leptomeningeal angioma. 

A Take on Viva Vove Examiners

Know all about Atrophic Rhinitis

Check out my presentation about clinical features, diagnosis and recent advances in treatment of atrophic rhinitis:

Atrophic Rhinitis

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You Think English is Easy

My article published in AURA- Students magazine(JJM Medical College) which was brutally censored by the editors. Enjoy it here uncensored.

You Think English is Easy

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Surgical Instruments

Check out this presentation about surgical instruments with photographs.

Surgical instruments

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The Incidence of Varicose Veins in Relation to Occupation and Working Hours

Check out my presentation about varicose veins based on the study conducted in Bapuji Hospital and CG Hospital Davangere. The presentation was selected for Eros Pharma Award for the best paper by AOHK.

Varicose Veins

View more presentations from Mohammad Amir.