Muscle wasting
Spinal muscular atrophy (SMA) is a genetic disease that attacks nerve cells, called motor neurons, in the spinal cord. These cells communicate with your voluntary muscles - the ones you can control, like in your arms and legs. As the neurons die, the muscles weaken. This can affect walking, crawling, breathing, swallowing, and head and neck control.SMA runs in families. Parents usually have no symptoms, but still carry the gene. Genetic counseling is important if the disease runs in your family.There are many types of SMA. Some of them are fatal. Some people have a normal life expectancy. It depends on the type and how it affects breathing. There is no cure. Treatments help with symptoms and prevent complications. They may include machines to help with breathing, nutritional support, physical therapy, and medicines.NIH: National Institute of Neurological Disorders and Stroke
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Small muscle atrophy of both hands DD Syringomyelia, MND, diabetic peripheral neuropathy, Myopathy
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Co-op Hospital
Ex-Orthopaedician
Government Arts And Science College Kozhikode Meenchanda
Pre Degree
PHC Bichpuri and ESI Dispensary Chippitola Agra & SN Medical College Agra & Fatehgarh
Medical Officer Incharge
SN Medical College, Agra
DA
Pathy Hospital Jaggannapeta and Jana Veerabhadrayya Dental Hospital AV Palem .
I Had My Own Clinic In My Native Place Near Mori AV Palem . I Did 3 Years Practice In My Native Place and I Trained In My Uncle's General Hospital Ie Pathy Hospital Jaggannapeta for Every Summer Vacations and Even Two Days Holidays Also. So Number of Cases We Have Seen In Pathy Hospital and Surgical Technecs Also I Learned and I Participated In Free Dental Camps Every Year In My Uncle's Horpital In Ever December . Crtical Cases of General and Dental Cases We Studied .
Govt Dental College and Hospital . Afzalgunj .
Bachelor of Dental Surgery.BDS ( osmania)
Gingee Fort
Geriatrician
Kilpauk Medical College Ground
M.D medicine
New Phc
Ayush Pharmashist
Kanpur Para Medical Institute
d.pharma
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Diagnosis please.
Dr. Syam Sundar Patro1 Like8 Answers - Login to View the image
Findings and diagnosis please.
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F.71 years. Shortness of breath 6 days.
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Diagnosis please.
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30 weeks size mass per abdomen *Chief Complaints* 45 year old Para 2 with previous history of myomectomy presented with mass per abdomen and abdominal doscomfort. *History* 45 year female presented with mass per abdomen. She had two normal deliveries. History of myomectomy done for fibroid uterus 8 years back. Papers of surgery were not available. H/o heaviness in lower abdomen and discomfort. No history of heavy menstrual bleeding. *Vitals* Pulse 88/ min. BP 114/80 mmHg. *Physical Examination* Per abdomen . Mass palpable per abdomen around 30 weeks size of gravid uterus irregular , restricted mobility. Well defined margins, firm in consistency, non tender. No guarding/ rigidity/ free fluid. Per speculum examination revealed cervix and vagina normal. Per vaginal examination. Same mass felt per abdomen and multiple fibroids palpable in uterus on posterior wall and lateral walls *Investigations* Ultraound revealed multiple fibroids largest posterior wall fibroid 20*18 cm. *Diagnosis* Fibroid Uterus *Management* Patient underwent adhesiolysis followed by TAH + BSO. OT findings: Uterus irregularly enlarged to 30 weeks with multiple fibroids largest left postero lateral fibroid 20*18 cm. Dense adhesions noted between posterior wall of uterus and sigmoid and rectum. Also adhesions between left adnexa and left lateral pelvic wall. All adhesions were dissected using sharp dissection and Hysterectomy done.
Dr. Viraj R. Naik1 Like3 Answers
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