RESUMO
Belching is a ubiquitous symptom in clinical practice. It could be due to gastrointestinal disease or behavioral, functional and physiological causes. It’s association with acute myocardial infarction, more frequently, with inferior myocardial infarction, has been well established. But exertional belching as a cardinal symptom of coronary artery disease is not well documented and its presence is not mentioned in any standard textbooks. It is rarely reported in the literature. Here we present a female diabetic, who presented with exertional belching as a lone complaint. She was confirmed to have significant coronary artery disease necessitating an intervention. So it may be prudent if clinicians are aware of the fact that exertional belching could be of cardiac origin and needs further evaluation and intervention.
RESUMO
Swine flu is a disease of great concern but warrants no panic. General public and some medical professionals consider Swine flu as highly fatal disease with universal mortality. We present here ten cases of category C Swine flu cases admitted during a period of one month with good outcome. We analysed their symptoms, clinical signs, prehospital treatment, time lapsed before admission, time taken for symptomatic improvement and duration of hospital stay. We also categorized co-morbid conditions and outcomes. Variations in laboratory findings and chest X-ray abnormalities were discussed. Patients were followed up for three months for evidence of any residual disease and requirement of readmission. Restlessness is the most useful sign to pick up a case of H1N1 from other similar illnesses.