Trisomy 21

# 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.

M.62yrs. Pain & stiffness neck 1 year.

Astra Zeneca vaccine against Covid-19 has the potential to cause Thrombosis with Thrombocytopenia Syndrome (TTS), a rare side effect associated with blood clotting. TTS causes blood clots & leads to low blood platelet count. Experts say, the adverse effects related to vaccine usually occur within a few weeks (1-6 weeks) after the administration. Hence, people in India who took the vaccine 2 years ago need not worry. What do you think about it?

This is a case of my brother - A 47-year-old male complains of pain in his right wrist while lifting anything with hand or twisting the wrist even a little bit. Pain occurs occasionally on rest. He also has pain in his both shoulders. Radiographic images of wrist are attached. Can you diagnose the cause? Let me know if you have any query.

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.