GIVE ALL 2 UR RELATIONSHIP

Give Your Best to Relationship
 
 A boy and a girl were playing together.The boy had a collection of marbles.
The girl had some sweets with her.
 
The boy told the girl that he will give her all his marbles in exchange for her sweets.
The girl agreed.
 
The boy kept the biggest and the most beautiful marble aside and gave the rest to the girl.
The girl gave him all her sweets as she had promised.
 
That night, girl slept peacefully.
But the boy couldn't sleep as he kept wondering if the girl had hidden
some sweets from him the way he had hidden his best marble.

CASE -7-POWER OF COLOR DOPPLER

CASE-7-POWER OF COLOUR DOPPLER
Mr S ,age 56 years ,male ,presented with pain in Rt lewer limb for ½ hour only. He was not a known diabetic or hypertensive. He used to smoke 10 cig/day –for 30 years.
On examination –pulse-80/min regular,BP-180/100mm,systemic exm-NAD
All his pulses of RT lower limb were not palpable,SLR-negative.Limb was slightely cold than LLL.
CLUE-absent pulses in Rt Lower limb
KEY INVESTIGATION-COLOUR DOPPLER LOWER LIMBS
He had total blockage at RT Internal Ileac Artery
TREATMENT-IMMIDIATE INTERVENTION
Patient recovered completely without any loss.

CASE-6-POWER OF ECHOCARDIOGRAPHY

CASE-6-POWER OF ECHOCARDIOGRAPHY

Patient Mr R ,54 years,Male ,presented with breathlessness on exertion -5 years which has been worsening and has worsened to dyspnoea on rest for 10 days and patient unable to sleep for 5 days. He is not a known diabetic or hypertensive. Smoker with 20 biris /day for last 30 years.No h/o chest pain.

O/E-puse-100/min ,regular,BP-110/80mm ,JVP-raised,oedema-nil, Lungs-few crepts at base.

On investigation-Haemogram is uneventful,Blood sugar-pp-144mg%,BUN-16mg%,S Creatinine-0.9mg%.CXR-mild cardiomegaly,ECG-P pulmonale.

KEY INVESTIGATION-ECHOCARDIOGRAPHY

ECHOCARDIOGRAPHY shows large ASD of 27mm diameter with decompensated heart.

TREATMENT-SURGICAL REPAIR

FOOTNOTE-Patient came to me after surgery touched my feet and said that he could visit  his Fields after 5years and he was now fit as a fiddle.