Dirofilariasis of the Breast

Dr.Jacob (General Surgery, )

47 year old female with right breast lump of 1month duration which 2*2 cm, upper outer quadrant, firm, well defined, non tender, axilla normal. Eosinophil-3%, Usg-subcutanous lesion can be parasitic cyst. Breast lump excision showing an alive Dirofilaria repens. A rare filarial Zoonosis by Anopheles mosquito bite(intermediate host), dogs are reservoir host and humans are accidental dead end host with no human to human transmission. Eyes and face are the other common reported sites.

SAFEPAC Survey among anaesthesiologists

Dr.Girijanandan D (Critical Care, anaesthesia, )

SAFE PAC Survey Hi Kindly join this survey on airway assessment and recommend to anaesthetists by clicking on the google forms link given below. Thank you in advance. Dr.DGMenon https://forms.gle/hcCCUWYvNWgsmaXC8

SAFEPAC Survey among anaesthesiologists

Dr.Girijanandan D (Critical Care, anaesthesia, )

SAFE PAC Survey Hi Kindly join this survey on airway assessment and recommend to anaesthetists by clicking on the google forms link given below. Thank you in advance. Dr.DGMenon https://forms.gle/hcCCUWYvNWgsmaXC8

RT-PCR negative COVID19,A Cochin Experience

Dr.Fathahudeen (Pulmonary, )

In our experience at Government Medical College Ernakulam, we have come across patients with typical radiological features of COVID-19 but the RTPCR is negative. They have classical CT chest findings, clinical features and viral blood picture. Therefore, just as we make a diagnosis of Smear negative pulmonary Tuberculosis, we should be aware of the entity RTPCR negative COVID-19. RTPCR could be negative due to many reasons. If we fail to acknowledge this entity, we might miss the diagnosis on several cases of SARS-CoV-2 infection. Prof. A. Fathahudeen, Head of Pulmonology, GMC Ernakulam

Post Corona Recovery Syndrome

Dr.Fathahudeen (Pulmonary, )

The following protracted symptoms were observed in COVID19 patients after their RTPCR test became negative and after their so-called test-recovery. Anosmia, abdominal symptoms including diarrhoea for a couple of weeks, chronic fatigue and anxiety were reported. The recovery period, viral clearance and the time taken to convert to negative varied from person to person, averaging between 2 weeks to 50 days. It is proposed that all these symptoms constitute the post Corona recovery syndrome. Prof.A. Fathahudeen, Head of Pulmonology, GMC Ernakulam

Earnest hands tied by pessimism

Dr.Ravi (Paediatric, )

Twin preterm babies of 25 weeks gestational age weighing 680 gram and 740 grams, born out of unplanned pregnancy, were admitted in our NICU. Though they cried at birth, they developed Respiratory distress warranting intensive care. But parents declined any active intervention despite multiple counselling by doctors. While we recall managing many high risk premies earlier, survival of these babies is at geopardy as ethical neonatal care was denied by unrelenting parents. In this weird situation, what’s the best option for responsible Neonatologist keen to save these innocent babies ?

Earnest hands tied by pessimism

Dr.Ravi (Paediatric, )

Twin preterm babies of 25 weeks gestational age weighing 680 gram and 740 grams, born out of unplanned pregnancy, were admitted in our NICU. Though they cried at birth, they developed Respiratory distress warranting intensive care. But parents declined any active intervention despite multiple counselling by doctors. While we recall managing many high risk premies earlier, survival of these babies is at geopardy as ethical neonatal care was denied by unrelenting parents. In this weird situation, what’s the best option for responsible Neonatologist keen to save these innocent babies ?

CME summary Endocrinology Cochin IMA

Dr.Rajeev (Gastroenterology, General Practice / Family Medicine, )

As part of IMA Kochi's academic initiative, a summary of the monthly CME of Cochin IMA conducted at IMA House, Kochi on 29/01/2020 is being published. This CME was done by the Central Kerala Endocrine Society and covered 3 endocrine topics of great relevance to every day clinical practice. Chairperson: Dr Mini Pillai. Please click on the image to view the summary.