Dr.Seenaj

Name: Dr.Seenaj Chandran

Hospital: SUNRISE HOSPITAL

Specialties: Medicine

Cases

UNUSUAL CAUSE FOR PERIANAL PAIN

Dr.Seenaj

49 years old lady known case of Idiopathic Thrombocytic purpura on regular follow up complained about vague pain and discomfort in the perianal area associated with constipation for the last 3 days. She also said about the feeling of something being present inside the anal region. Even though the examination was normal she was taken up for a lower GI scopy and a foreign body was removed. There was absolutely no history of trauma

Temporal arteritis as a cause of FUO

Dr.Seenaj

65 yrs old lady referred from elsewhere with history of 4 weeks pyrexia and headaches associated with pain in hips jaw shoulders and scalp tenderness O/e chest clear neurological exam unremarkable CVS-pan systolic murmur P/A Nad INV: Tc 15 k Crp 80 ESR 110 Multiple Blood & urine cultures negative CT chest abdomens & brain imaging did not yield any significant information Echo moderate MR no Vegetation’s. Rheumatology work up negative. Tumour markers negative. Thyroid screening normal. ATemporal artery biopsy done and diagnosis of Temporal Arteritis was made. Patient was managed with steroids

ADULT MEASLES NOT UNCOMMON

Dr.Seenaj

42 YRS OLD MAN PRESENTED TO OPD TODAY WITH FEVER MALAISE COUGH AND EXTENSIVE RASHES IN THE TORSO AND THE TYPICAL KOPLICKS SPOTS NO HISTORY OF VACCINATION

MALARIA PRESENTING WITH HYPOGLYCAEMIA

Dr.Seenaj

36 YR OLD PRESENTED TO MEDICAL OPD WITH H/O 2 DAYS FEVER MALAISE NAUSEA AND MILD SWEATING. INV REVEALED RBS OF 68 PLT 90 K TC OF 11000.O/E B/L COARSE CRACKLES ON CHEST AND TIP OF SPLEEN WAS PALPABLE. HE IS A ENGINEER BY PROFESSION IN BOTSWANA SINCE LAST 8 YEARS.& PAST HISTORY NOTHING SIGNIFICANT. HE TURNED OUT TO BE FALCIPARUM MALARIA POSITIVE AND DEVELOPED ARDS IN 3 RD DAY ASSOCIATED WITH SEVERE SEPSIS AND WAS SUCESSFULLY DISCHARGED AFTER 2 WEEKS OF STORMY HOSPITAL COURSE