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Assam Journal of Internal Medicine
ISSN 2278-8239 · Wolters Kluwer Medknow Publications · 115 artikel di indeks
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Serum Lipid Profile as a Noninvasive Marker of Disease Severity in Liver Cirrhosis: A Hospital-based Observational Study
Background: Cirrhosis is a progressive liver disease characterized by fibrosis and architectural distortion, often associated with altered lipid metabolism. These changes in lipid profiles may correlate with disease severity and serve as prognostic indicators. Objective: To evaluate lipid profile…
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Posterior Reversible Encephalopathy Syndrome in Acute Pancreatitis: A Rare Complication
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological entity characterized by headache, seizures, altered mental status, and visual disturbances, typically associated with hypertension or endothelial dysfunction. Although commonly linked with conditions such as eclampsia…
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Etiological Profile of Macrocytic Anemia in Patients Presenting to a Tertiary Care Hospital
Background: Macrocytic anemia is a common hematological finding with a wide range of causes, from nutritional deficiencies to systemic illnesses and bone marrow disorders. Mean corpuscular volume (MCV), routinely reported by automated blood analyzers, provides useful clues to the underlying…
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Effect of Fever, Sugar, and Swallowing Protocol on Early Functional Outcomes in Acute Ischemic Stroke: A Prospective Cohort Study
Introduction: Acute ischemic stroke (AIS) remains a leading cause of mortality and long-term disability worldwide. Early management of physiological parameters such as temperature, glucose, and swallowing function plays a crucial role in improving outcomes. The Fever, Sugar, and Swallowing (FESS)…
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Burden, Demographic, and Etiological Profile of Iron Deficiency Anemia Among the Tea Tribe and Non-tea Tribe Populations in Northeast India: A Cross-Sectional Study
Introduction: Anemia is a major global public health problem characterized by reduced hemoglobin levels, impairing oxygen transport. It affects approximately 2.36 billion people worldwide, with a higher burden in low-income regions. In India, particularly in Assam, anemia prevalence is notably high…
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A Clinical Study of Chronic Obstructive Pulmonary Disease Patients with Special Reference to Thyroid Function Test and Its Correlation with the Severity of the Disease: A Hospital-based Study
Background: Chronic obstructive pulmonary disease (COPD) is a leading global health concern, placing a significant burden on societies and economies worldwide. In India, COPD ranks second in terms of disability-adjusted life years and deaths, according to the Global Burden of Disease report. COPD…
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Wilson’s Disease with Pneumothorax, Pneumomediastinum, and Subcutaneous Emphysema as the Initial Presentation: A Case Report
Wilson’s disease is a genetic disorder with autosomal recessive inheritance that generally presents with symptoms of hepatic and neurological involvement, with features of Coomb’s negative hemolytic anemia and renal involvement. However, such cases rarely present with symptoms of lung involvement…
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A Study of Serum C-Reactive Protein and Interleukin-6 in Patients with Type 2 Diabetes Mellitus and Their Correlation with Diabetic Nephropathy
Background: Type 2 diabetes mellitus (T2DM) represents the predominant form of diabetes globally and is a major contributor to chronic kidney disease (CKD) through diabetic nephropathy (DN). DN is associated with both hyperglycemia-induced microvascular damage and low-grade systemic inflammation…
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Tuberous Sclerosis: A Case Report in a Tertiary Care Hospital
Tuberous sclerosis is a genetic multisystem disorder characterized by widespread hamartomas in several organs, including the brain, heart, skin, eyes, kidneys, lungs, and liver. The affected genes are TSC1 and TSC2, encoding hamartin and tuberin, respectively. Most features of tuberous sclerosis…
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Dropped Head Syndrome: A Rare Clinical Entity Due to Chlorthalidone-Induced Dyselectrolytemia
Dropped head syndrome (DHS) is an uncommon medical condition that is characterized by severe weakness of the neck extensor muscles, leading to failure in holding the head in an upright posture. This clinical entity was first systematically described by Suarez and Kelly in 1992, who emphasized that…
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Clinical Spectrum of Tubercular Meningitis with Tuberculoma in Pediatric Patients: A Case Series
Tubercular meningitis (TBM) and intracranial tuberculomas are severe central nervous system (CNS) manifestations of tuberculosis (TB). While TBM is more commonly reported in children, the coexistence of tuberculoma with TBM is rare and poses diagnostic and therapeutic challenges. Here, we report a…
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Predominant Lower Lobe Bronchiectasis as a Manifestation of Primary Antibody Deficiency: A Case Emphasizing the Need for Immunological Screening
Bronchiectasis is commonly attributed to post-infectious or post-tubercular causes in developing countries. However, primary immunodeficiency, particularly primary antibody deficiencies, is an important yet under-recognized etiology. Early identification is critical, as immunoglobulin replacement…
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A Rare Case of Male Systemic Sclerosis in a Tertiary Care Centre in Northeast India: A Case Report
Systemic sclerosis is an autoimmune disorder where there is deposition of excess collagen in skin and internal organs mainly due to vasculopathy, immune activation, and fibrosis and shows a strong female predominance. Hence, here we report a rare case of male systemic sclerosis detected and…
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Comparative Evaluation of 0.5% Levobupivacaine and 0.5% Ropivacaine with Fentanyl as Adjuvants in Ultrasound-Guided Supraclavicular Brachial Plexus Block for Upper-Limb Surgeries: A Hospital-Based Observational Study
Background: Brachial plexus block for regional anesthesia is increasingly preferred for upper-limb surgeries, providing effective analgesia and fewer systemic complications compared to general anesthesia. Levobupivacaine and ropivacaine are newer long-acting local anesthetics with safer…
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Study on the Prevalence of Thyroid Disorders and Autoimmune Thyroid Diseases in Rheumatoid Arthritis Patients at a Tertiary Care Center – A Cross-Sectional Observational Study
Introduction: Rheumatoid arthritis (RA) is a systemic autoimmune disorder associated with thyroid disorders and thyroid auto-antibodies found in various research studies. Our study aims to determine the prevalence of thyroid disorders in RA and the association of autoimmune thyroid disorders (AITD)…
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A Curious Case of a Murmur Unmasking a Broken Heart
The development of a pseudoaneurysm as a complication of transmural myocardial infarction is an exceptionally rare occurrence. Its diagnosis primarily relies on imaging, with echocardiography serving as the most commonly used modality. We present a case in which the presence of a continuous…
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Acute Symptomatic Seizures in an Adult with Down Syndrome: A Case Report
Down syndrome (DS) is caused due to trisomy of chromosome 21. Seizure in DS is a rare finding. On computed tomography scan intracranial calcification is seen in people living with DS. The exact pathogenesis is not properly understood but it has been reported that it could be due to hypocalcemia…