ABSTRACT
Abstract Symmetrical peripheral gangrene is an ischemic necrosis simultaneously involving the distal portions of two or more extremities without any proximal arterial obstruction or vasculitis. It may occur as a result of a large number of infectious and non-infectious causes. A few cases of symmetrical peripheral gangrene associated with cardiac disease have been described in the literature. We describe a case of symmetrical peripheral gangrene complicating ventricular pseudoaneurysm, probably a hitherto unreported occurrence. In this report, we sought to emphasize the importance of cardiac evaluation while dealing with a case of symmetrical peripheral gangrene.
Subject(s)
Humans , Female , Middle Aged , Aneurysm, False/complications , Foot Dermatoses/etiology , Gangrene/etiology , Heart Aneurysm/complications , Skin/pathology , Echocardiography , Aneurysm, False/diagnostic imaging , Ventricular Dysfunction, Left/complications , Ventricular Dysfunction, Left/diagnostic imaging , Foot Dermatoses/pathology , Gangrene/pathology , Heart Aneurysm/diagnostic imaging , Myocardial Infarction/complicationsABSTRACT
Proper use of medicines can be ensured in the society through various ways. Scientific and rational prescription is one of them, but at the same time judicious use of medicines by the patients is also equally important. Compliance of therapy can determine fate of any medicine. This study was planned to explore some important aspects of use of medicines in pregnant women in remote villages of India. This was an observational, cross sectional study using face to face interview of the pregnant ladies and also auditing the prescriptions available from them. Present study revealed that the average age of the study population was 23.6 years and primi-gravida (51.4%) constituted slight majority over multi-gravida. Most commonly prescribed medicine during pregnancy was iron, folic acid (79%) and injection tetanus toxoid (91%). A large number of pregnant women (37.5%) were non compliant with the medicine prescribed for them. In modern therapeutics, drugs or medicines play an important role in the health of any individual. But at the same time its proper use should be ensured. This study showed the importance of use of medicines by the patient. Judicious use of scarce resources on medicines not only improves the quality of therapy but also the quality of life.