Clinical presentation of tubal ectopic pregnancy

Background: When the fertilized ovum gets implanted at site other than normal position of uterine cavity, it is known as ectopic pregnancy. Incidence of ectopic pregnancy is 1-2% of all reported pregnancies. It is an unmitigated disaster of human production and the most important cause of morbidity and mortality in first trimester with major cause of reduced child bearing potential. It is notorious in its clinical presentation, challenging the attending physician.Methods: women with risk factors, signs and symptoms and with confirmed diagnosis. Women discharged against medical advice. Study population is 50. Retrospective analysis for 3 years (2016-2019). Objectives of this study were to study the incidence, risk factors, clinical presentation, diagnosis and changing trends of modern management. Results analysed after entering the information in the excel sheets using descriptive analysisResults: Out of 4940 deliveries, 50 were tubal ectopic pregnancies 1.012%. Women aged 20-25 years were 52%. In our study, multiparous were 68%. Common symptoms were abdominal pain 80.2%, amenorrhea 72%, urine gravindex test positive 92.8%. Etiology was PID 20%, previous ectopic pregnancy 4%, IUCD 4%, LSCS with tubectomy 16%, most common site is ampulla 82%. About 78% were ruptured. Tubal abortions 4%, salpingectomy done in 82%. Laparotomy in 2.43% in hemodynamically unstable. Medical management 8%. Salpingostomy in 4% and expectant management 2%. Morbidity in the form of blood transfusion 23.48%, DIC with ICU admission 2%. No mortality.Conclusions: A high index of clinical suspicion with underlying risk factors may get us early diagnosis for timely intervention.

Green tea- A Healthy sip.

After water, tea is the most consumed popular drink in the world. Green tea which is a leading beverage in the Far East for thousands of years is regarded as a health product. It is nothing but a non-fermented tea which contains more catechins, than black tea or oolong tea. Catechins are strong antioxidants with its additional content of certain minerals and vitamins increasing its antioxidant potential. High-molecular-weight polyphenols isolated from green tea which includesepigallocatechin 3 gallate (EGCG) constitute the most interesting components in green tea leaves. Th e aqueous extract or the major polyphenols of green tea possess cariostatic, antimutagenic, antidiabetic, antioxidant, antibacterial, anti infl ammatory, antitumor, hypocholesterolemic, as well as cancer-preventive activities in a variety of experimental animal models system and have been demonstrated in various studies.

Liposarcoma: A Rare Case Report with Review of Literature.

Liposarcoma is one of the most common malignant mesenchymal neoplasms, comprising approximately 15% of all soft-tissue sarcomas. First described by “Virchow” in 1857, it has been extensively reported in the literature, although its incidence remains exceedingly rare in the head and neck region with an annual incidence estimated to be 2.5/1 million inhabitants in population-based studies. It is one of the most common malignant mesenchymal neoplasms, comprising approximately 15% of all soft-tissue sarcomas. It is a heterogeneous disease with distinct sub-entities presenting with differential clinical behavior. The purpose of this article is to report an additional case of liposarcoma of the buccal vestibule and to review the literature.

Skin Carvings: Predictive Diagnosis in Modern Era.

The science and art of markings of the skin especially hands and feet’s is known as dermatoglyphics, where derma means skin and glyph mean carving. For centuries, the features of the hands have fascinated scholars, sages, theologians, doctors, and layman alike. In 1926 Cummins introduced the term “dermatoglyphics.” “Samudra Shastra” was known as ridge pattern study in ancient India. The epidermal ridge patterns were classified into “Chakra, Shankya, and Padma” which corresponds with the whorl, loop, and arch system of modern classification. All individuals have unique fingerprints which remain unchanged over the lifetime. Multiple genes determine fingerprint configurations and the study of fingerprints reveal vital genetic and medical information about an individual. Dermatoglyphics is considered as the window of congenital abnormalities and is a sensitive indicator of intrauterine anomalies. For preliminary investigations in conditions with a suspected genetic basis dermatoglyphic analysis is now beginning to prove itself as an extremely useful tool. In dentistry, various studies have been published on the dermatoglyphics. Here in this present review, the dermatoglyphic patterns of the palms and soles, the methods to record the palm and sole prints and various studies conducted among the dental disorders has been highlighted.