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VIRTUAL CASE BANK MEDICINE

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  Infective spondylodiscitis is a rare disease.  Infective spondylodiscitis should be considered in hemodialysis patients who present with prolonged back pain with or without fever. Non-contrast MRI is an appropriate diagnostic tool for this condition. Vascular access infection increases the risk for infective spondylodiscitis in hemodialysis patients.  A review of the literature indicated that the common risk factors for infective spondylodiscitis are intravenous drug use, uncontrolled or poorly controlled DM, complications from catheter-associated infections, infective endocarditis, prior spinal surgery, and immunocompromised status. Patients on maintenance HD are exposed to additional risks due to the need for repetitive puncture of the arteriovenous shunt, long-term indwelling of a central venous catheter or Gore-Tex graft, and contamination of the dialysate storage or distribution system . We report 2  cases of infective spondylodiscitis in chronic kidney diseas...
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 19 year old male resident of Nalgonda and currently studying intermediate ,came to opd with complaints of : -Itchy Ring leisons over arms ,abdomen ,thigh and groin since 1 and half year . -Purple stretch marks all over abdomen ,lower back ,upper limbs ,thighs since 1 year . -Abdominal distension and facial puffiness since 6 months. - Pedal edema since 3 months. - Low back ache since 3 months . - Feeling low , not feeling to talk to anyone. - Weight gain and decreased libido since 3months. - Loss of libido and erectile dysfunction since 2 months . Pt was apparently alright one and half year ago , when he slowly developed erythematous round leisons which are annular shaped and itchy all over abdomen , upper limb ,groin and inner thigh region . No history of fever back then. No other complaints apart from skin lesions. Pt visited local RMP where he prescribed auyurvedic medications and other creams ( unknown composition as pt don't have them currently ). He also prescribed tablets (u...
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