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The aims of the study were to redefine the criteria used to grade varicoceles, based on reflux times that correlate with Dubin and Amelar clinical grading by overcoming the limitations of clinical grading and to include the less known entity of intratesticular varicoceles in the grading. Prospective correlative study was undertaken at JSS Hospital, Mysore,(More)
Paraneoplastic polyarthritis is a rare manifestation described in association with various solid tumours. We describe the clinical presentation, diagnostic evaluation, differential diagnosis, and management of a 28-year-old woman who presented with fever, weight loss, and symmetrical polyarthritis, subsequently diagnosed to have a metastatic neuroendocrine(More)
BACKGROUND AND OBJECTIVES Recently, the Indian Council of Medical Research (ICMR) has published normative data for bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA) scanning. However, the impact this has had on the diagnosis of osteoporosis when compared to currently used Caucasian databases has not been analysed. Hence, this(More)
Osteoporosis in elderly men is an under-recognized problem. In the current study, we intend to look at the performance of two risk assessment tools [OSTA and MORES] for the diagnosis of osteoporosis. Osteoporosis was seen in 1/4th of elderly men at spine and 1/6th of them at femoral neck. Both risk assessment tools were found to have good sensitivity in(More)
To cite: Kapoor N, Shetty S, Thomas N, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014206957 DESCRIPTION A 19-year-old college girl presented with lack of linear growth since 11 years of age, primary amenorrhoea and failure of development of secondary sexual characters. There was no significant history prior to(More)
To cite: Cherian KE, Shetty S, Kapoor N, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-209058 DESCRIPTION A 52-year-old man presented with upper abdominal pain and weight loss of 10 kg over 6 months. He had suffered from diabetes mellitus for the past 10 years and was on oral antidiabetic agents. He did not(More)
Thyrotoxicosis may present with a variety of non specific symptoms in elderly patients. Gastrointestinal symptoms such as nausea, vomiting and abdominal discomfort can occasionally be the presenting feature of thyrotoxicosis in this age group. We describe an elderly patient in whom thyrotoxicosis was diagnosed after extensive evaluation for nausea, vomiting(More)
To cite: Shetty S, Kapoor N, Prabhu AJ, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202955 DESCRIPTION Paget’s disease (PD) is a chronic metabolically active bone disease, characterised by a disturbance in bone remodelling due to an increase in osteoblastic and osteoclastic activity. We report a case of a(More)