Fluticasone
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H8ghly potent but short acting steroids Earlier it was used fluently but after budenoside now a days at least i am not using as many of drug interactions as potentiated being steroid AVN is well known side effect Liver enzymes are affected and so as lung fibrosis Only use as nasal spray in allergic rhinitis but here too vest8bular atrophic rhinitis is noted in prolonged uses Hence i avoid it and same is my advice
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55 years /F c/o Recurrent offensive odour from the nose while breathing for more than two years. Allopathic medicines got only temporary relief. Force up the phlegm is offensive and taste of rotten egg. No headache. Heaviness of forehead < stooping. Rattling sound from the throat during sleep. Itching without eruptions of body at night. Scanty sleep. BP 180/100under allopathic treatment. Nasal endoscopy report attached. Doctors your opinion please.
Dr. K.suresh Kuzhikandathil6 Likes17 Answers - Login to View the image
13yrs old boy with h/o recurrent nasal bleeding. h/o heat intolerance, since birth. spot diagnosis and kindly give opinion about management
Dr. Noortheen S5 Likes25 Answers - Login to View the image
44 yr old lady ,not a k/c/o DM/HT/Dyslipidemia c/o dyspnoea on exertion for the past 3 yrs along with 10% weight gain. On examination bilateral pitting pedal edema present more so on the right leg (photo attached) vitals are stable and all the systemic examinations normal. Also attaching the photo of her dry,coarse skin,mostly due to hypothyroidism P.s:Can pedal edema be severe enough to cause medial deviation of the toes??(photo attached) If not what are the reasons for it??
Dr. Vaibhav Suresh5 Likes26 Answers - Login to View the image
16yr/M p/w fever , headache and nasal blockage .X ray PNS was done. kindly comment on X ray and also tell the management
Dr. Raquib Parwez4 Likes14 Answers - Login to View the image
A 26 year old male has presented with discharge of greenish crusts from 3 months. he also complains that his family members are complaining of foul smell from him. endoscopic picture below. diagnosis?
Dr. Raghav Yelamanchi3 Likes12 Answers
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