Raju Narasimhan

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AIMS To find the diagnostic yield of a pleuroscopic pleural biopsy and to find the complication rates. SETTINGS AND DESIGN Institutional based prospective study. MATERIALS AND METHODS Sixty-eight consecutive patients who had undiagnosed exudative pleural effusion were recruited for pleuroscopy from September 2007 to August 2010. RESULTS A total of 68(More)
Tuberculosis (TB) presenting with Hodgkin's Lymphoma is a rare and difficult clinical situation for any physician to identify and to manage because of very similar clinical presentation. Herein we report a case of 29 year old woman who presented with enlarged lymph nodes, diagnosed and initiated on therapy for TB, based on the cervical node biopsy that(More)
Pulmonary alveolar proteinosis (PAP) is a disease characterized by the deposition of amorphous lipoproteinaceous material in the alveoli secondary to abnormal processing of surfactant by macrophages. Whole-lung lavage often is performed as the first line of treatment for this disease because it is a means to wash out the proteinaceous material from the(More)
pulmonary haemorrhage (pH) in a sick neonate is a life-threatening complication and is often associated with a high mortality. it is now often seen in extreme preterm and very low birth weight infants who are growth restricted and have received surfactant with significant respiratory distress syndrome. the mainstay of treatment includes ventilation and(More)
Intrapartum hypoxic ischaemic insult remains an important cause of perinatally acquired brain injury in full term neonates. The risk of death or severe neurological impairment following hypoxia–ischaemia is 0.5–1.0/1000 live births in the UK (≈750 neonates/year). It is routine practice to commence antibiotics in these neonates pending blood culture results.(More)
We present a case of perforating granuloma annulare (PGA), in which we show the natural history of lesions and outline the different clinical types. Our patient responded well to intralesional triamcinolone acetonide 10mg/ml injections. Although she was otherwise well, PGA can be associated with diabetes mellitus in up to 17 percent of cases. Differential(More)
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