DUPUYTREN'S CONTRACTURE
Orthopedics
Gradual thickening and tightening of tissue under the skin in the hand. The condition most often affects the 4th (ring) and 5th (little) fingers.
Locally, mahanarayab oil malish 10min ane sved 20min Rx Galo ghan tab 1bd Ashwgadha tab 2bd SH tab 1bd
To be released by orthopaedic surgeon
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36 yr old G3 P2 at 6 weeks presented with abdinal pain *Chief Complaints* History of amenorrhea for one and half months. Lower abdominal pain since one day. *History* Pt had previous 2 normal vaginal deliveries. This time she had amenorrhea and abdominal pain . No bleeding pv *Vitals* Pulse was 106 / min. BP was 110/70 mmHg. *Physical Examination* Per abdomen- tenderness present in suprapubic region. No guarding or rigidity. PV done uterus normal size, Anteverted , right side forniceal bogginess felt. CET positive *Investigations* Hb- 8 gm%. Ultrasound revealed right adnexal mass 3*3 cm and hemoperitoneum 3 +. *Diagnosis* Pt was taken up for laparotomy . OT findings- right sided ruptured isthmic tubal ectopic pregnancy with actuve bleeding and hemoperitoneum of 500 ml *Management* Right sided salpingectomy with left sided tubal ligation done( consent taken).
Dr. Viraj R. Naik10 Likes13 Answers - Login to View the image
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