Hemophagocytic syndrome
A classification of rare, non-neoplastic, proliferative disorders of the hematologic system. Primary or familial hemophagocytic lymphohistiocytosis (HLH) is inherited with an autosomal recessive pattern with five known subtypes differentiated by specific genetic mutations. Secondary manifestation of HLH is usually seen in hyperactivated immunologic states such as infection, autoimmune disease or malignancy. Histiocytes in the bone marrow, spleen or lymph nodes become activated to the point that phagocytosis proceeds unchecked. Clinical signs usually present within the first decade and include fever, jaundice, hepatosplenomegaly, lymphadenopathy and skin rash. Prompt initiation of treatment improves survival though prognosis remains poor even with intervention.
Ex.central Hospital Dhanbad.1985 ..1993..ex.pathologist .drs Tribedy and Roy Dianostic Lab.kolkata.ex Pathologist.inst of Child Health Kolkata.
Senior Pathologist
School of Tropical Medicine. Kolkata
d c p
The Health City Hospital
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Maharashtra University of Health Sciences Nashik
bhms
BCCL Hospital
Ex. Dy.Cmo
PMCH
MBBS
Parmarth Homeopathic Ausdhalay
M/O Incherge
Homeopathy University Jaipur
DHMS
Tata Central Hospital, Jamadoba
Consultant Pathologist
SCBMC, Cuttack, Orissa
MD(Pathology)
Medvarsity Online Limited
Family Medicine
PGIMS New OPD
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Delhi Police Bhajanpura Quarter Park
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MLN M C Allahabad
DCH
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X-rays are commonly used in clinical practice to diagnose fractures. Characteristics of the fracture such as the type, deformity & soft tissue / joint involvement are used to guide management. Learn & update your basic radiological approach for “Bone Fractures” & interpretation knowledge & patient care approach with this post.
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# CCL6 Young female 18yrs. C/O Muscle spasm, Muscle weakness and wasting. Myalgia and arthralgia Aching bone pain at lumbar,pelvis and hips Inv- Bone mineral density 76% Hypocalcaemia.
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86 year female patient with history of fall at bathroom C/o difficulty in walking on rt lower limb O/e All sighs of fracture proximal femur present X-ray attached Done with titanium pfna2 nailing Post op X-ray c arm pictures attached
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F.20yrs. Diagnosis please.
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Paratesticular tumours are masses of slow & indolent growth & in most cases of benign nature, in these cases the treatment of choice is simple extirpation of the lesion. A paratesticular mass may derive from a number of structures that surround the testis within the scrotum; most commonly, they derive from the spermatic cord. Dr. Vivek Jha is sharing a clinical case of "Large Paratesticular Growth" managed with surgical expertise by him. Share your views on the case & learn new things.
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