Cholelithiasis

Share your views on this Week's Expert Case A rare disease case reporting by Dr. Asifa N Follow us for more such updates!

age- 26 yrs c/o- irregular menses with dysmenorrhea since 6 months cycle-28-40 days menses- 5 days blood- dark red, clotted, sometimes offensive Patient has desire of salty things and sweet things Dislikes sour things urine and stool normal thirst- increased, drinks a lot at a time Appeitite- normal thermals- Hot+++ she is restless, wants to be alone ambitious, fear of dark stress of his career , no family tension Suggest Rx doctors

A patient of 45 yrs male *Chief Complaints* complained of pain and stiffness in knee joints since 2-years aggravation on walking for long duration better by rest & warm application *Investigations* X-ray- knee- Osteoarthritic changes seen no other complaint generals -appetite, thirst, urine- normal stool- constipated with occasional diarrhea sleep- normal desire- sweet things aversion- n.s mentally patient is very talkative moves from one topic to another doesn't like company of too many people angry easily Suggest medicine

A 63 yo woman with exertional angina is taking atenolol (Tenormin) 100 mg qd for management of her angina. While the drug appears to be effective in reducing her heart rate, it has not provided an adequate change in her double product (heart rate x systolic blood pressure) at the time of onset of anginal pain during a treadmill test. A second drug that could be added to her drug regimen that could improve her treadmill performance would be:

30 years/F Complaint of continuous weight gain since 9 months Diet- normal K/C/O- hypothyrodism, on Rx No Diabetes Menses- normal All generals are normal desires- sweet Dislikes- non-veg Mentally extrovert likes company, emotional Even simple questions led to profound irritability everytime sadness and crying. How can we help the patient Doctors?