HEPATORENAL SYNDROME HEPATORENAL SYNDROME HRS is development of acute renal failure due to severe hepatic (advanced cirrhosis) or bilary disease with jaundice. Low cardiac putput and high plasma rennin predicts development of HRS. Patient develops oliguria, azotaemia and hyponatraemia. ETIOLOGY- Bile salt sludging in the tubules Absorption of toxins Increase ADH release Hypoperfusion and renal […]
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Hepatorenal syndrome Q. 1 Albumin treatment along with antibiotic in the setting of SBP(spontaneous bacterial peritonitis) is indicated to prevent the development of hepatorenal syndrome is in all , EXCEPT: A Serum creatine is > 1 mg/dl B BUN > 30mg/dl C Total bilirubin is > 4 mg/dl D INR > 2 Q. 1 Albumin treatment
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ACUTE PROSTATITIS ACUTE PROSTATITIS Inflammation of prostate can be Acute or Chronic. ETIOLOGY- MC organism- E. Coli > staphylococcus aureus > staphylococcus albus Instrumentation Ascending and descending infection from below and above into infected urine into prostatic ducts Haematogenous CLINICAL FEATURES- High grade fever, chills and rigors Retention of urine Perineal heaviness, pain on defaecation
Acute Prostatitis Q. 1 Complication which commonly accompanies acute prostatitis – A Epididymitis B Orchitis C Seminal vesiculitis D Sterility Q. 1 Complication which commonly accompanies acute prostatitis – A Epididymitis B Orchitis C Seminal vesiculitis D Sterility Ans. C Explanation: Ans. is ‘c’ i.e., Seminal vesiculitis [ads id=”21887″] PreviousNext × Will you help me
CARCINOMA OF PROSTATE CARCINOMA OF PROSTATE Carcinoma of prostate is the MC malignant tumour in men over 65 years. MC cause of bone secondaries Carcinoma of prostate occurs in peripheral zone in prostatic gland proper (commonly in posterior lobe) RISK FACTORS- Advancing age + increase fat intake Genetic alterations is hypermethylation of glutathione transferase (GSTP-1)
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Carcinoma of prostate Q. 1 Which is the most common site of carcinoma prostate? A Peripheral B Centre C Verumontum D None of the above Q. 1 Which is the most common site of carcinoma prostate? A Peripheral B Centre C Verumontum D None of the above Ans. A Explanation: 85% of prostate carcinoma arise
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CARCINOMA OF PENIS CARCINOMA OF PENIS MC type – SCC ETIOLOGY- Premalignant lesions- Genital warts- Bushke- Lowenstein tumour is a giant penile condyloma (verrucous carcinoma of penis) Erythroplasia of Queyrat or Paget’s disease of penis- precancerous lesion Leukoplakia of glans Bowen’s disease- small eczematous plaque Chronic balanoposthitis, phimosis (50%), Balanitis xerotica obliterans Condyloma auminata (HPV)
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Carcinoma Penis Q. 1 Carcinoma penis is rarest among – A Americans B Indians C Swedes D Jews Q. 1 Carcinoma penis is rarest among – A Americans B Indians C Swedes D Jews Ans. D Explanation: Ans. is `d’ i.e., Jews Carcinoma of penis Penile cancer is a malignant growth found on the skin
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BUERGER DISEASE BUERGER’S DISEASE (THROMBOANGITIS OBLITERANS) Buerger’s disease is a non- atherosclerotic, progressive, segmental, occlusive inflammatory disorder involving small and medium sized arteries with cell mediated sensitivity to Type I and Type II collage in upper and lower extremities. Inflammatory process does involve adjacent nerves and veins. Triad of thromboangitis obliterans- occlusion of small and
Buerger Disease Q. 1 All of the following are the clinical feature of thromboangitis obliterans except : A Raynaud’s phenomenon B Claudication of extremeties C Absence of popliteal pulse D Migratory superficial thrombophlabitis Q. 1 All of the following are the clinical feature of thromboangitis obliterans except : A Raynaud’s phenomenon B Claudication of extremeties
