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Angina Pain

Dr. Tayyab Saeed Akhtar is working as Medical Officer in the Department of Medicine in Holy Family Hospital Rawalpindi.  He is Registrar of Medicine (FCPS) From College of Physician and Surgeons Pakistan. He has done his MBBS from the most prestigious college of Pakistan “THE KING EDWARD MEDICAL COLLEGE LAHORE. He is also running an Academy Titled as “Foreign Students Academy” Where He and His Faculty Helps those students who have graduated from foreign Medical colleges and willing to pass the pre-registration test of Pakistan Medical and Dental Council. He has Published Many research papers and considered one of the most honorary and respectable resident of the Department of Medicine in Holy Family Hospital Rawalpindi. He   has also been participating and delivering lectures in several national and international conferences. The flash slides of his lectures can be seen in medicotips.com He has worked as Medical officer RHS Domeli Jhelum Pakistan. Had been House surgeon and House Phy

Q: 54 year old male presented to us with low grade fever for 1 month associated with gradually worsening dyspnea  along with  orthopnea  and PND. There is also H/O marked weight loss. What is your radiological diagnosis? Courtesy Of Dr. Tayyab Akhtar: MO : Holy Family Hospital Rawalpindi Pakistan Post your answer as comment. The image below is the CT chest images of the same patient? Would u like to change your radiological diagnosis? What other clinical signs you would be looking for? Courtesy Of Dr Tayyab Akhtar MO Holy Family Hospital Rawalpindi Pakistan Answer:  This patient is having massive pericardial effusion. One should immediately look for  pulsus paradoxicus , a raised JVP and blood pressure to rule out cardiac  temponade . This patient was not having  temponde  also confirmed on echocardiography. Most common cause in Pakistan is still tuberculosis. Patient was put on ATT and steroids and is doing good  Alhamdullilah . ¨ In case of cardiac  temponade  immediate

Difference Between Small Pox and Chicken Pox Difference between chickenpox and  smallpox is tabulated below Feature Smallpox Chickenpox Caused by: Smallpox is caused by the Variola virus Chickenpox is caused by Varicella zoster virus Incubation Period: It is 7-17 days for smallpox It is 7-21 days for chickenpox Prodromal Symptoms These are Severe in smallpox These are Mild in chickenpox Distribution Of Rash Centrifugal for smallpox Centripetal for chickenpox Palms and Soles Frequently Involved in smallpox Seldom affected in chickenpox Axilla Usually free in smallpox Axilla is affected in chickenpox Rash In smallpox it is Predominant on extensor surface, deep-seated, vesicles are multilocular, only one stage of rash is seen at one time and there is no inflammation around the rash. In Chickenpox Predominant on flexor surface, Superficial, Vesicles are unilocular, dewdrop li

 Classification Of Breast Tumor/Cancer/Carcinoma Breast cancer arises in its ducts and glandular stroma. It is the number one cause of cancer deaths in females. Classification Of Breast Tumors : 1. Benign Tumors: a) Adenoma         i) Tubular adenoma        ii)  Lactating adenoma b) Fibroadenoma         i) Intercanalicular fibroadenoma

Bias may arise from errors of assessment of the outcome due to human element. For example, if a patient knows about the research, he may deliberately conceal some important points which may affect the results of the study. In order to reduce this problem, a technique known as "blinding" is adopted, which will ensure that the outcome is assessed objectively. 1. Single Blind Trial This trial is planned in such a way that the participants (patients or study population) are not aware whether they belong to study group or control group. 2. Double Blind Trial: This trial is so planned that neither the doctor nor the participant is aware of the group allocation and the treatment received. 3. Triple Blind Trial: This is one step further. The participant, the doctor and the person analysing the data are all blind. Ideally triple blinding should be used but the double blinding is the most commonly used method. In some cases blinding is not so important for example when an outcom

Dr Amnah Abbasi is currently working as a postgraduate resident in gynae and obstetric department in Pakistan Institute of Medical Sciences. She had done Bachelor of Medicine and Bachelor Surgery from IIMC Islamabad Pakistan. Dr Amnah Abbasi had been working as a medical officer in gynaecology and casualty department at " BEGUM AKHTAR RUKHSANA MEMORIAL TRUST HOSPITAL PAKISTAN " She completed her residency training from FGSH Islamabad. She also worked at Holy Family Hospital Rawalpindi as House Officer in Medicine Department She has the honour of being a Medical Intern at Shifa International Hospital Pakistan. She got her MBBS degree from Riphah International University Pakistan with honour. She joined Medicotips.com editorial board on 2nd January 2012 Begum Akhtar Rukhsana Memorial Trust Hospital