Skip to main content

SYNDROMES

In this blog, I'm cleverly jotting down all these fancy new terms I haven't quite mastered yet, ensuring they don't slip through the cracks of my memory. It's like a witty insurance policy against forgetfulness, allowing me to review and conquer them in the future.


While browsing through Quora account, I came across an answer explaining why doctors do not prescribe Saridon tablets. According to the answer, the tablets contain a combination of drugs, including propyphenazone, which can potentially lead to Kounis syndrome.

KOUNIS SYNDROME

Kounis syndrome (KS) has been defined as cardiovascular symptoms that occur secondary to allergic or hypersensitivity insults. It was thought to be a rare condition but is now being more commonly identified as the cause of acute coronary events in patients without previous history of coronary artery disease (CAD). The most identified KS cases have been provoked by medications on elderly male patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791094/


During my recent Instagram browsing, I stumbled upon a post featuring a middle-aged man who had been unable to open his mouth for 15 years, with half of his face visibly shrunken. Despite undergoing multiple unsuccessful surgeries, his condition shed light on a relatively unknown syndrome known as Parry-Romberg syndrome, leaving me intrigued by this newly discovered condition.

PARRY ROMBERG SYNDROME

Parry Romberg syndrome (PRS), also referred to as progressive hemifacial atrophy, progressive facial hemiatrophy, or idiopathic hemifacial atrophy, was first described by C Parry and M Romberg. It is an idiopathic, gradually progressive craniofacial asymmetry, following the atrophy of subcutaneous tissue, muscles, osseous, and cartilaginous structures. It manifests in the first two decades in morphologically normal-born individuals. It commonly affects one or more dermatomes in the trigeminal nerve territory. It has an early onset of ophthalmic and neurological involvement and a variable maxillo-facial or cardiac involvement.

https://www.ncbi.nlm.nih.gov/books/NBK574506/


While conversing with a friend, I expressed my dissatisfaction with the hospital I am currently employed in, describing it as subpar. In response, my friend reassured me that the situation is similar across all hospitals and that ours is actually relatively better. I then mentioned that my other friends had shared the opposite view, praising the academic and skill level of their respective hospitals compared to ours. To this, my friend playfully suggested that they might be experiencing the Dunning-Kruger effect, while implying that I might be grappling with imposter syndrome.

DUNNING- KRUGER EFFECT

The Dunning-Kruger effect is a cognitive bias whereby people with low ability, expertise, or experience regarding a type of task or area of knowledge tend to overestimate their ability or knowledge. Some researchers also include the opposite effect for high performers: their tendency to underestimate their skills. In popular culture, the Dunning–Kruger effect is often misunderstood as a claim about general overconfidence of people with low intelligence instead of specific overconfidence of people unskilled at a particular task.



Comments

Popular posts from this blog

MEDIASTINAL SHIFT USING 2D ECHO PROBE

 Case history 40 year male autodriver by occupation resident of Narketpally came to General medicine opd with complains of Pain abdomen since 3 days, Cough since three days and Difficulty breathing since 3 days Patient is apparently alright until 3 days ago then had complains of Epigastric pain and abdominal bloating sensation , insidious onset, intermittent , No aggravating and relieving factors. Patient consumed soda water, eno, jeera soda to alleviate symptoms Complains of Non productive cough insidious onset associated with shortness of breath progressive from grade 1 to grade 4 aggreviated on supine position and lying on right side.  History of low grade fever not associated with chills and rigor, no diurnal variations relieved with Tab PCM650 mg No complains of loss of appetite, weight loss, insomnia  No complains of Orthopnea, PND, Palpitations, profuse sweating No complaints of burning micturition, increased or decreased urine output No complains of nausea, vomiti...

74M CHF HTN DM PROSTATE CA

  74 male from jalalpuram came with complaints of sob and chest pain since 3 days  Patient was born and brought up in jalalpuram,lived along with parents and 3 siblings,studies till 9th standard,no health issues in childhood, discontinued education and entered carpenter work at 16 yrs of age. He got married at age of 21 years and had 3 sons and 1 daughter and lead a relatively healthy life, Patient remained asymptomatic till 14 years ago then he developed tingling sensation and weakness of limbs intermittently for which he went to local hospital and was diagnosed of having high blood pressures around 200/100 and was started on anti hypertensives,he was continuing medication and his bp was under control and remained asymptomatics until 7 yrs ago, At that time he had h/o burning micturition along with pain and dribbling of urine ,he went to local hospital for that and was diagnosed of having prostatic carcinoma and resection of tumor was done at that time and also used medicatio...

30M WEIGHTLOSS

  A 30-year-old male presented with a history of progressive weight loss over the past year. Symptoms commenced in November 2022 with severe abdominal pain and vomiting, initially attributed to roadside food consumption. Recurrent monthly episodes of abdominal pain, bloating, and vomiting/loose stools persisted until April. Diagnostic workup, including abdominal scan, CBP, ESR, CRP, TTG antibody, LFT, RFT, sputum for AFB, chest X-ray, Quantiferon Gold for TB, and Montoux test, yielded normal results except for elevated CRP. Ayurvedic treatment resulted in symptom improvement, but weight loss persisted. From November 2022 to April 2023, he lost 10 kgs and maintained stability at 48 kgs thereafter. CRP levels correlated with symptom exacerbations, decreasing post-treatment. Presently, he experiences diminished appetite, eating only twice daily, despite previously consuming 4-5 meals. Daily schedule and eating patterns outlined. . [27/11/23, 10:31:59] ~ A: ‎~ A created this group ‎[28...