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PLHA with Paraplegia

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Stanley Medical College, Department of Medicine
Health & MedicineEntertainment & Humor
1 of 26
Dr. Devendra Patil 1 st yr. PG (G.Med ) Govt Stanley Hospital and Medical College Chennai
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Bladder catheter present Pale Oral candidasis , pressure sores present non icteric , no cyanosis clubbing lymphadenopathy right left bulk reduced reduced tone decreased Decreased Power: UL LL 5/5 1/5 5/5 1/5 Superficial Reflexes Abdomen Cremaster Plantar Present Lost Withdrawl Present Lost Withdrawl Deep Reflexes Upper limbs ++ ++ Knee ankle + - + -
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RBS : 95 BUN : 16 Sr. Cr. : 0.5 Sr. Bilirubin : 0.5 SGOT : 52 SGPT : 38 SAP : 313 Sr. Protein : 5.7 Sr. Albumin : 2.1 Sr. Globulin : 3.6 Sputum : positive 1+ HIV Elisa :- +ve CD4 : 62 ( July 2009 ) Hbs Ag : -ve ( Oct 2009 ) Anti HCV : -ve ( Oct 2009 ) USG Abdo :- Splenomegaly
 
 
 
 
 
 
 
[object Object],[object Object]
Final Diagnosis ,[object Object],[object Object],[object Object],[object Object]
POTT’s Paraplegia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POTT’s PARAPLEGIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Late onset Paraplegia internal gibbus fibrous septae recurrence
[object Object],[object Object],[object Object],[object Object],[object Object],GRADES OF POTT’s PARAPLEGIA
TREATMENT: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK - YOU

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