Ashish Bhalla

..Most of the reports are in the form of autopsy studies. Here we describe a young female with asymptomatic involvement of the heart, diagnosed by echocardiography...

..We used APACHE III scoring system or predicting in hospital outcome in patients with stroke. We found it to be sensitive (>90%) and resonably specific (73%) in predicting short term, in-hospital mortality, in our study group...

..This report aims to make physicians aware that not all cases of agrochemical poisoning are caused by anticholinesterase insecticides. Efforts must be made to correctly identify the offending compound for appropriate management...

..It is important to meticulously look for hepatic dysfunction in patients with severe malaria, distinguish it from fulminant hepatic failure and manage it aggressively...

..Motor vehicle exhaust contains a mixture of poisonous gases mainly the carbon monoxide. Exposure to this exhaust can be lethal in a closed space. One such case occurring in a young male is described...

..Circadian variation in cardiovascular events is well recognised in vascular events. This study aims to observe any significant difference in circadian variability in geriatric patients when compared to their younger counterparts...

..The study was conducted in the Medicine Department at Government Medical College, Chandigarh, a teaching institute for MBBS students...

..They are mainly in the form of encephalopathy, retinopathy and rarely polyneuropathy. Cerebral infarction following an acute attack of pancreatitis is very rare...

..CASE REPORT: Here we describe a young male who developed this complication after acute alcoholic pancreatitis...

..The aim of this study was to evaluate the effects of long term administration of midodrine on systemic hemodynamics, renal function, and control of ascites in patients with cirrhosis and refractory or recurrent ascites...

..Toxicity due to AlP appears to result as a consequence of both-energy insufficiency and oxidative stress, with a possible and preferential interaction with the tissue cytochromes...

..Single photon emission computed tomography (SPECT) has been used to determine changes in the regional cerebral blood flow and attempts have been made to correlate these changes with long-term neurological sequelae...

..Acute pesticide poisoning is an important cause of morbidity and mortality in developing countries. Better preventive and management strategies can be developed if the incidence and pattern of acute poisoning are known...

..Setting and design: This was a single-center, prospective, randomized, open-label with blinded endpoint assessment study of antioxidant therapy, conducted in the emergency department attached to our hospital...

..Potentially lethal cardiac complications can occur in patients with acute organophosphate poisoning (OPP) and may be overlooked...

..Mild elevation of serum amylase is common in patients with anticholinesterase poisoning. However, acute pancreatitis is rare...

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..Terlipressin is the drug of choice; however, it is expensive. In this study, we evaluated safety and efficacy of terlipressin and noradrenaline in the treatment of HRS...

..The aim of this study was to evaluate the effects of midodrine, clonidine, and their combination on systemic hemodynamics, renal function, and control of ascites in patients with cirrhosis and refractory or recurrent ascites...

..He underwent emergent pericardiocentesis and frank pus was drained. Pus culture grew Methicillin resistant Staphylococcous aureus. With drainage and the appropriate antibiotics, he improved...

..Their utility requires judicious use of the available resources. In this study, we have compared the efficacy of cranial imaging techniques in adult patients with acute febrile encephalopathy...

..Here, we are discussing a young female who presented with alteration of sensorium and right-sided hemiparesis, and MRI of the brain showed extensive involvement of brainstem in the form of possible demyelination...

..Seventy survived and two died. Neostigmine is ineffective in reversing or improving neuroparalytic features in patients with B. caeruleus bite even at higher dose than normally recommended...

..Central nervous system (CNS) infections are the most common cause resulting in fever with altered mentation in children...

..However, the role of other drugs could not be ruled out definitely. The patient was managed with antibiotics, corticosteroids, and parenteral fluids and recovered well...

..We hereby report these cases with the review of literature on primary hepatic ALCLwith their possible etio-pathogenesis & diagnostic clues which may help in timely diagnosis & management in such cases...

..Splanchnic arterial vasodilatation is primarily responsible for PICD. There are no reports of use of midodrine in the prevention of PICD. In this pilot study, we evaluated midodrine and albumin in the prevention of PICD...

..We aimed to study whether sedation reduces discomfort during endoscopy and a comparison of longer-acting diazepam with shorter-acting midazolam...

..To document the clinical outcome and prognosis of acalculous cholecystitis in dengue fever...

..Its indolent course and vague symptomatology along with non-specific laboratory and radiological findings call for greater vigilance...

..The practice of prescribing supplements and antibiotics needs to be reviewed. Potential DDI are not an important problem. Prescription policies need significant revision...

..Systemic embolization into the cerebral, pulmonary, and coronary circulations can be catastrophic. We present a case of intracardiac air embolism after placement of a central venous catheter managed conservatively...

..The mechanism of action of phosphine is not known though experimental studies show that it inhibits cytochrome-c oxidase leading to inhibition of mitochondrial oxidative phosphorylation...

..045, CPI vs. KCH criteria 0.019, and MELD vs. KCH criteria 0.472). In conclusion, MELD and KCH criteria are not as useful as a combination of other early CPI in predicting adverse outcome in patients with FHF due to acute viral hepatitis...

..Jaundice in patients with amoebic liver abscess is caused by biliovascular fistula resulting from hepatic necrosis leading to damage to bile ducts and hepatic veins...