ABSTRACT
A 17-year-old male reported to us in the Department of Medicine, Maharishi Markandeshwar Institute of Medical Sciences & Research, Mullana, Ambala, Haryana, India, in July 2019 with a complaint of left sided facial asymmetry since one and half years which was insidious in onset. The patient was himself unaware of the facial asymmetry and it was initially noticed by his mother. Gradually, the asymmetry of face became more prominent and was noticed by the patient and other relatives as well. There was no history of pain, numbness, difficulty in chewing or mouth opening, swallowing of food. He had no preceding febrile illness or local trauma. On local examination, there was no tenderness on left side of face
ABSTRACT
Postoperative malignant hyperthermia (MH) is a very rare phenomena. It is generally observed within less than an hour after discontinuation of the anesthetic trigger. Present case describes rare delayed postoperative presentation of MH after off‑pump coronary bypass surgery. Prompt recognition and immediate treatment with dantrolene can effectively treat the fatal syndrome. Family education and genetic counseling should be encouraged.
ABSTRACT
Hemoglobin A1C is used to screen and diagnose diabetes but measurement of glucose in the blood is subject to several limitations, many of which are not widely appreciated. Blood glucose testing should be taken into consideration before taking the patient to be diabetic on the basis of abnormal HbA1c values.