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Facial nerve communication with ansa cervicalis - An unusual anatomical variation. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-11-28 S Gulati,S Tripathy,T Gupta,S Gaba
Neural connections of the seventh cranial nerve with its neighboring nerves are common and well documented; however, communication with ansa cervicalis is as yet unknown. We present a case with such a connection found during cadaveric dissection, with hitherto unknown consequences. In this specimen, after giving the marginal mandibular and cervical branches, the cervicofacial division continued distally
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Placental pathology: Cracks in the feto-maternal bridge. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-11-27 P Vaideeswar,P A Sathe
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Status of oral anticoagulant use in a tertiary center in South India. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-11-27 S Gajbhiye
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Rete middle cerebral artery presenting with a ruptured aneurysm. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-09-29 D K Singh,D Shankar,K Yadav,M Kaif
The developmental anomaly of the middle cerebral artery (MCA) is a rare occurrence. Rete MCA, also known as "unfused," "twig-like," and aplastic MCA, is an even rarer anomaly. These immature rete vessels are prone to flow-related aneurysms which rupture themselves presenting with intraparenchymal hematoma. We here with present a case of rete MCA with a ruptured aneurysm and discuss its pathophysiology
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Study of placental histopathology in COVID-19 mothers at a dedicated COVID-19 hospital in India. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-09-05 S K Lad,K D Jashnani,M Pophalkar,B Jnanananda,N Mahajan
Introduction Maternal infections can affect the placenta, which acts as a fetomaternal barrier. This study aimed to determine the spectrum of morphologic alterations in the placentas of pregnancies complicated by SARS-CoV-2 infection and the impact on fetal or neonatal outcomes. Materials and Methods This is a prospective case-control study. One hundred SARS-CoV-2 positive pregnant women and an equal
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Ambulatory blood pressure monitoring in pheochromocytoma - paraganglioma: A single center experience. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-08-04 S S Memon,P Srivastava,M Karlekar,H Thakkar,T Bandgar,
Context/Aims Pheochromocytoma and paraganglioma (PPGL) are rare tumors, and data on ambulatory blood pressure monitoring (ABPM) in these patients and the effect of blocking on ABPM parameters is limited. We aimed to describe ABPM parameters in a cohort of PPGL at our center in western India. Methods Retrospective study of patients with PPGL whose ABPM data was available. Demographic details, secretory
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Trends in oral anticoagulant use - A 10-year retrospective analysis from a general medicine department of a tertiary care hospital in south India. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-07-19 V V Thomas,A Lenin,T K George,M Thenmozhi,R Iyadurai,T D Sudarsanam
Background The prescribing practice of newer oral anticoagulants (NOACs) has not been adequately studied in the Indian scenario. Aims We aimed to describe the prescribing practices of oral anticoagulants, the patient profile and medical comorbidities among patients admitted in a general medicine unit. Methods In this retrospective study of the 2742 patients prescribed vitamin- K antagonists (VKAs)
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Trends of surgical-care delivery during the COVID-19 pandemic: A multi-centre study in India (IndSurg Collaboration). J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S Jain,A Mahajan,P M Patil,P Bhandarkar,M Khajanchi,
Context The COVID-19 pandemic and subsequent lockdowns adversely affected global healthcare services to varying extents. To accommodate its added burden, emergency services were affected along-with elective surgeries. Aims To quantify and analyze the trends of essential surgeries and bellwether procedures during the waxing and waning of the pandemic, across various hospitals in India. Settings and
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Utilizing tables, figures, charts and graphs to enhance the readability of a research paper. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 C A Divecha,M S Tullu,S Karande
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Contribution of Indian publications to research in telemedicine. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 M S Tullu
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Lemierre syndrome complicated by bronchopleural fistula. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-06-27 N Kodaka,C Nakano,T Oshio,H Matsuse
We present a 19-year-old woman, a case of Lemierre syndrome, who presented with fever, sore throat, and left shoulder pain. Imaging revealed a thrombus in the right internal jugular vein, multiple nodular shadows below both pleura with some cavitations, right lung necrotizing pneumonia, pyothorax, abscess in the infraspinatus muscle, and multiloculated fluid collections in the left hip joint. After
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Delayed immune-mediated hepatitis after three cycles of pembrolizumab for the treatment of sinonasal melanoma. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S Kang,H J Lee,H J Lee
Immune checkpoint inhibitors (ICIs) are monoclonal antibodies that induce the anti-tumor effects of T cells by targeting co-inhibitory immune checkpoints. The development of ICIs has revolutionized the clinical practice of oncology, leading to significant improvements in outcomes; therefore, ICIs are now standard care for various types of solid cancers. Immune-related adverse events, the unique toxicity
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Behçet's disease-induced massive small intestinal bleeding successfully treated with adalimumab. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 P H Liu,T H Tsai,K J Yeo,J W Chou
We herein report a case of Behçet's disease in a 27-year-old female who suffered from generalized skin rashes for one week. After hospitalization, massive bloody stools accompanying hypovolemic shock occurred. Emergency abdominal computed tomography-angiography failed to detect the bleeding source. Esophagogastroduodenoscopy also demonstrated no definite bleeding points. Ileocolonoscopy showed multiple
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Single parent adoption in India: Mental health and legal perspectives and the way forward. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 R Ranjan,S Nath,S Jha,V L Narasimha
Single parent adoption (SPA) is a relatively new construct worldwide and in India. The Ministry of Women and Child Development, Government of India, has laid down criteria for adoption in general and SPA in particular, in conjunction with the Juvenile Justice Act (Care and Protection of Children), 2015. There is scant literature on this topic of SPA, more so in India, that looks into the various psychological
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Low degree of patient involvement in contemporary surgical research: A scoping review. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 Z M Mojadeddi,S Öberg,J Rosenberg
Background Patient and public involvement in research was introduced a few decades ago. However, there is still a lack of knowledge of the degree of patient involvement, particularly in surgical research. The aim of this review was to characterize the use of patient/public involvement in contemporary surgical research and to describe how patients were involved, if they gained authorships, and which
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Evaluation of antiglaucoma drug treatment awareness and patient-reported medication adherence: Determinants of glaucoma management. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 R K Tripathi,A Shah,S V Jalgaonkar,S Kerkar
Introduction Primary open angle glaucoma (POAG) treatment is characterized by long-duration therapy, prescription variability, and non-adherence. Patient awareness toward drug treatment is crucial to ensure adherence. The present study was planned to evaluate drug treatment awareness, patient-perceived drug adherence, and prescription patterns in POAG patients. Methodology This was a cross-sectional
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A case of abdominal angina treated by hybrid surgery. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S Dighe,R Shinde,S Shinde,P Raghuvanshi
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Reduced tissue creatine levels in patients with long COVID-19: A cross-sectional study. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 M Ranisavljev,N Todorovic,J Ostojic,S M Ostojic
Total creatine concentration in the skeletal muscle and brain of long COVID patients were significantly lower when compared to the reference values for the general population, as measured with proton magnetic resonance spectroscopy at 1.5-T in vastus medialis muscle, thalamus, and three bilateral cerebral locations across the white and gray matter.
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Neurosyphilis in a young man having HIV infection, blurring of vision and skin rash. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 J V Pagaddu,J C Valencia
We report a 22-year-old homosexual man, a known case of HIV-1 infection but non-compliant to medications, who presented with a 5-month history of progressive painless non-pruritic coin-shaped skin lesions and recent gradual bilateral blurring of vision. His history divulged a primary syphilitic event 1 year prior to the present clinical manifestations. Investigation led to the diagnosis of neurosyphilis
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Private medical autopsies - The road ahead! J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 A Aggrawal
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Current understanding of role of venous sinus stenosis in management of idiopathic intracranial hypertension. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 D Muzumdar
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Porphyrias: Uncommon disorders masquerading as common childhood diseases. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 A Chakraborty,M Muranjan,S Karande,V Kharkar
Porphyrias are a rare group of inborn errors of metabolism due to defects in the heme biosynthetic pathway. The biochemical hallmark is the overproduction of porphyrin precursors and porphyrin species. Afflicted patients present with a myriad of symptoms causing a diagnostic odyssey. Symptoms often overlap with those of common diseases and may be overlooked unless there is heightened clinical suspicion
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A 75-year-old man with transbronchial broncholithiasis followed up for 9 years! J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S Okauchi,H Satoh
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Reply to Letter to Editor regarding the article, "Competency-based medical education and the McNamara fallacy: Assessing the important or making the assessed important?" J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 T Singh,N Shah
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Self-perceived anxiety symptoms in school students with borderline intellectual functioning: A cross-sectional questionnaire-based study in Mumbai, Maharashtra, India. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S Karande,N J Gogtay,N Shaikh,R Sholapurwala,T More,P Meshram
Background and Objectives Students with borderline intellectual functioning ("slow learners") underperform in all school subjects. The primary objective of this study was to evaluate the self-perceived anxiety symptoms of slow learners. Its secondary objective was to analyze impact of sociodemographic variables on their symptoms. Settings and Design Cross-sectional single-arm questionnaire-based study
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Littoral cell neoplasm: A least understood splenic tumour. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 K Ghosh
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A rare presentation of acute transverse myelitis. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 K G Koshy,S S Nashi,G B Kulkarni,A Vr Taalapalli
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Primary diffuse leptomeningeal primitive neuroectodermal tumor presenting as chronic meningitis. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-03-09 K G Koshy,G B Kulkarni,B N Nandeesh,A V Taalapalli
Primary diffuse leptomeningeal primitive neuroectodermal tumor is a rare meningeal neoplasm which can masquerade as chronic meningitis. While the clinical presentation and radiological features may provide a clue to this condition, meningeal biopsy is essential to clinch the diagnosis. A high index of suspicion and a low threshold for re-evaluating cases of neuroinfection that do not respond to empirical
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Splenic surprise in a case of renal cell carcinoma: Unusual case or association? J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 T Agrawal,S Epari,G Prakash,S Menon
Littoral cell angioma (LCA) is a rare benign tumor originating exclusively from the venous sinus lining cells of the splenic red pulp. These cells are unique in having a distinctive hybrid endothelial/histiocytic phenotype. Also, there are reports of the association of LCA with internal malignancies. We present a case report highlighting an unusual association of LCA with conventional renal cell carcinoma
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Malignancy masquerading as chronic meningitis in children: A rare differential. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-02-23 V A Patil
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Unusual upper gastrointestinal bleeding following radiofrequency ablation and transarterial chemoembolization for hepatocellular carcinoma. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 C W Chang,H W Wang,W H Huang,P H Chuang
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Recurrent syncope in an 84-year-old man. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 C Jiang,W Tang,X Hou,H Li
An 84-year-old man with hypertension and type 2 diabetes presented with recurrent transient loss of consciousness within 2 hours after dinner at home. Physical examination, electrocardiogram, and laboratory studies were unremarkable except hypotension. Blood pressures were measured in different postures and within 2 hours after meal, but neither orthostatic hypotension nor postprandial hypotension
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Bullous hemorrhagic dermatosis: A rare cutaneous reaction of heparin. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 N Dhattarwal,R Gurjar
Bullous hemorrhagic dermatosis is a rare cutaneous reaction of heparin, a commonly used anticoagulant. Exact etiopathogenesis remains elusive but immune related mechanisms as well as dose dependent relationship have been proposed. Clinically, it is characterized by asymptomatic, tense hemorrhagic bullae on extremities or abdomen occurring 5-21 days after initiation of therapy. We report bilateral symmetrically
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Mapping and visualizing the research contribution of India on telemedicine: A scientometric study. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 P K Behera,P Kaur,S S Mishra,S K Mishra
Background The term "Telemedicine" is being used in the medical and health sector to treat patients and to provide medical guidance remotely. The intellectual output from India in terms of publications was harvested from Scopus® with the keyword "Telemedicine" and analyzed by using bibliometric techniques. Methods The source data was downloaded from the Scopus® database. All the publications on telemedicine
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Primary cutaneous neuroendocrine tumor with axillary lymph node metastasis: A clinical masquerade. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 P Manimaran,R Shah,P Trivedi,S Mehta
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Synchronous pancreatic and scrotal tuberculosis: Double jeopardy. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S T Patel,Q Q Contractor,C S Nayak,P M Rathi
We describe a patient who presented with scrotal swelling followed by non-healing and discharging scrotal sinuses, following local trauma and was initially suspected to have an infected scrotal hematoma. An evaluation revealed it to be scrotal tuberculosis. He also complained of upper abdominal pain and on transabdominal ultrasonography was detected to have a mass in the head of the pancreas. Evaluation
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Regions of homozygosity and a novel variant in Steel syndrome: An added dilemma to diagnosis. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S Thakur,P Paliwal,K K Saxena
Steel syndrome is an autosomal recessive disorder that is caused by mutations in COL27A1 gene. The majority of reported cases have been of Puerto Rican origin, with few reports from India. The present case adds to the repertoire of homozygous recessive disorders from non-consanguineous Indian families. With the present case, a 4-year-old girl, we wish to signify that although mutations in several genes
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Beaver tail variant of liver: A radiographic mimic of left lower lobe pneumonia in a neonate. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 P Parekh,P Shah,B Bhaisara
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Lessons learnt from therapeutic drug monitoring of levetiracetam. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 N N Rege
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The art of referencing: Well begun is half done! J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-12 C A Divecha,M S Tullu,S Karande
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The McNamara fallacy in medical education: Spot it, stop it. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-12 M A Hirkani
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Chronic thromboembolic pulmonary hypertension - Time is of the essence. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 V Taskar
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How often are heart diseases correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S Karande,P Vaideeswar,T More
This retrospective study analyzed the concordance level between clinical and autopsy diagnosis of heart diseases over six years. Utilizing the Goldmann classification, the concordance rate was found to be 38.1%. Major discrepancies (Class I and II) were found in 39% cases and minor (Class III and IV) in 22.9% cases.
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Surgical care delivery in India during the COVID pandemic. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 D Ghosh,M Thomas
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How early is too early? Diagnosis of tuberous sclerosis complex in a neonate. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 R R Prashanth,S Nair,A Haribalakrishna,H Thakkar
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Successful subclavian artery stenting in a patient with subclavian steal syndrome associated with contralateral vertebral artery hypoplasia. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 M H Ahn,B D Ku,M K Kim
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Tuberculosis: A masquerader and master of mirages! J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 A Gopan
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Diarrhea after kidney transplantation: A study of risk factors and outcomes. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 A D Patil,N G Saxena,S B Thakare,A E Pajai,D Bajpai,T E Jamale
Background Diarrhea in kidney transplant recipients (KTRs) can be associated with significant morbidity. Material and Methods We evaluated 198 KTRs for a history of diarrhea post-kidney transplant at a tertiary care center in western India over 1 year. A protocol-based evaluation of diarrhea was done with respect to clinical features, diagnostic evaluation, associated acute allograft dysfunction, and
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Introduction of psychological skills laboratory in medical education. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 Y Y Chen,C H Ting
Depression and anxiety are common psychological issues among university students, yet many of them hesitate to seek professional help due to stigma. Unfortunately, university curricula often lack self-help strategies to manage these challenges and provide timely support to those in need. To address this gap, we introduced the Psychological Skills Lab (PSL) component in the undergraduate medical curriculum
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An unusual case of facial cutaneous tuberculosis. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 X Liao,G Zhou,H Liu,F Zhang
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Post-transplant diarrhea and immunosuppressant withdrawal: Insights and limitations. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 M Kulkarni
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Celiac artery thrombosis presenting as acute abdomen. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 M Sharma,K Natarajan,A Mahesh Kumar,P Paramasivan
Mesenteric vascular thrombosis, typically of the superior mesenteric artery, is a frequent occurrence in patients with hypercoagulable conditions. Isolated involvement of the celiac artery is rare. Patients with celiac artery thrombosis can present with an acute abdomen or occasionally with acid peptic symptoms. A delay in diagnosis is associated with high rates of morbidity and mortality. We present
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Oxymorons in medical imaging flip-flops, longitudinally-transverse. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 S S Sankhe
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Tracheobronchial adenoid cystic carcinoma mimicking bronchial asthma. J. Postgrad. Med. (IF 1.6) Pub Date : 2022-12-27 H Ishikawa,H Satoh,N Hizawa
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A spectrum of viral diseases in Odisha state, eastern India: An evidence-based analysis from 2010-2017. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 J Sabat,S Subhadra,L M Ho,B Dwibedi
Introduction Emerging and re-emerging viral diseases are a major threat to public health. Odisha, being one of the coastal states in the country, reports many viral illnesses due to its typical geographical location. This study focuses on the prevalence of different viral diseases in the state of Odisha, India, from 2010-2017. Material and Methods A total of 43,397 patients with clinical suspicion
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An unusual presentation of seronegative Sjögren's syndrome. J. Postgrad. Med. (IF 1.6) Pub Date : 2022-12-27 M Chaudhari,N Agarwal
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Drug-induced hemolytic anemia due to cefoperazone-sulbactum: Challenges in reaching diagnosis. J. Postgrad. Med. (IF 1.6) Pub Date : 2022-12-27 S V Jalgaonkar,U I Parmar
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Pulsatile bleeding varicose veins due to tricuspid regurgitation successfully treated with foam sclerotherapy. J. Postgrad. Med. (IF 1.6) Pub Date : 2023-01-01 D Chandran,P M Abraham,P P Mufsil,S Rajendran
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Appendiceal actinomycosis presenting as acute appendicitis: A diagnostic and therapeutic challenge. J. Postgrad. Med. (IF 1.6) Pub Date : 2022-12-21 S P Tendulkar,P A Jain,M G Mehta,S George
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Progressive nodule-like lesions on bilateral lower limbs. J. Postgrad. Med. (IF 1.6) Pub Date : 2022-12-21 F A Yang,K S Cheng,J W Chou
Pancreatic panniculitis is a rare disease characterized by subcutaneous fat necrosis. It could be the result of an associated pancreatic tumor. Herein, we reported a 63-year-old man who presented with progressive bilateral lower limb edema accompanied with nodule-like lesions for 1 month. His serum lipase was 3,927 U/L (normal, 0-160 U/L). Histopathology of the skin specimen revealed lobular panniculitis