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   2018| January-March  | Volume 16 | Issue 1  
    Online since April 27, 2018

 
 
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EVIDENCE-BASED MEDICINE - SUMMARY OF STUDY
Intravenous or oral paracetamol: Which is better in the emergency department?
Heber Rew Bright, Ronald Carey
January-March 2018, 16(1):16-17
DOI:10.4103/cmi.cmi_13_18  
  10,008 233 -
ARTICLES - INVITED REVIEWS
Heat stroke and heat exhaustion: An update
KG Gopinath
January-March 2018, 16(1):5-9
DOI:10.4103/cmi.cmi_12_18  
Heat-related illnesses are part of a continuum comprising heat cramps, heat exhaustion, heat syncope and heat stroke, and are associated with significant morbidity and mortality, especially in a tropical country like India. Heat stroke, which is the most severe, is caused by failure of thermoregulation with elevation of core temperature to 40°C (104°F) or more, associated with central nervous system dysfunction. The two important principles in management of heat stroke are lowering of core temperature immediately to 38.9°C and supporting organ systems injured by heat, hypotension, inflammation and coagulopathy. It is important to initiate cooling as fast as possible and keep the individual adequately hydrated to prevent complications.
  3,747 158 -
Otitis media in children
Naina Picardo, Mary John
January-March 2018, 16(1):1-4
DOI:10.4103/cmi.cmi_1_18  
Otitis media is a spectrum of diseases associated with middle ear infection. Acute otitis media is one of the most common acute infections in childhood, with a peak incidence in the second half of infancy. A diagnosis of acute otitis media is often challenging and requires three criteria to be met - acute onset of symptoms, signs of middle ear inflammation, and effusion. Otitis media with effusion is the presence of middle ear effusion without signs or symptoms of ear inflammation such as pain and fever as a result of impaired middle ear ventilation. Features of middle ear effusion in the absence of features of inflammation helps to make the diagnosis of otitis media with effusion. Most cases are self-resolving with 75%–90% showing complete resolution within 3 months.
  2,311 82 -
HISTORY OF MEDICINE
Dr. Ian R McWhinney: The father of academic family medicine
Kirubah Vasandhi David
January-March 2018, 16(1):24-25
DOI:10.4103/cmi.cmi_4_18  
Dr. Ian R McWhinney is well known to most family doctors as the father of academic family medicine (FM). He outlined the philosophical basis, principles, and knowledge of this clinical discipline. He started the very first academic department of FM located at the University of Western Ontario in 1968. He was instrumental in transforming FM worldwide by his visionary writings and research. In collaboration with a group of gifted colleagues, he advanced this discipline from an unknown subject into an academic one with a distinct clinical method and undergraduate and graduate courses. He was renowned for this great empathy, patient-centeredness, and inspired teaching.
  1,728 67 -
ARTICLES - CASE REPORTS
Hereditary angioedema in mother and son: Challenges in diagnosis for the primary physician
Ramya Iyyadurai, Harsha Perla Teja, Sowmya Satyendra
January-March 2018, 16(1):13-15
DOI:10.4103/cmi.cmi_6_18  
Hereditary angioedema is a rare life-threatening disease. Undiagnosed angioedema is associated with high mortality. Diagnosis is often delayed due to lack of clinical suspicion. We report two cases of patients (mother and son) with angioedema who had been wrongly diagnosed as nephrotic syndrome and hypothyroidism. These case reports highlight the need for a high index of suspicion to diagnose a potentially life-threatening disease which can lead to timely treatment, preventing morbidity and mortality.
  1,501 53 -
Delayed diaphragmatic rupture an unusual differential diagnosis for a pleural effusion
Ramya Iyyadurai, Sowmya Satyendra, Sudhakar Chandran
January-March 2018, 16(1):10-12
DOI:10.4103/cmi.cmi_2_18  
Delayed diaphragmatic rupture is usually seen after blunt trauma. The diagnosis is often missed since the symptoms are often nonspecific.The radiograph findings are also nonspecific, and high index of suspicion is necessary for diagnosis. We report a patient who presented to us 7 years after blunt trauma with delayed diaphragmatic rupture and was successfully diagnosed and treated surgically.
  1,388 55 -
EVIDENCE-BASED MEDICINE - SUMMARY OF STUDY
Low-Volume cigarette smoking is also harmful: Summary of study
Heber Rew Bright, Ronald Carey
January-March 2018, 16(1):18-19
DOI:10.4103/cmi.cmi_14_18  
  1,157 37 -
CME IN IMAGES
Gas in the Abdomen
Mamta Madhiyazhagan, Kundavaram Paul Prabhakar Abhilash, Gina Chandy, Divya Mathew
January-March 2018, 16(1):22-23
DOI:10.4103/cmi.cmi_10_18  
  1,068 39 -
EVIDENCE-BASED MEDICINE - CASE SCENARIOS
Not just skin deep
Manna Sera Jacob, Ajay Kumar Mishra
January-March 2018, 16(1):20-21
DOI:10.4103/cmi.cmi_5_18  
  950 53 -
REGULARS
Drug Dialogues – Medication news and new medications

January-March 2018, 16(1):26-29
DOI:10.4103/0973-4651.231373  
  892 43 -
DEVOTIONAL
Can you come down from the mountain?

January-March 2018, 16(1):31-31
DOI:10.4103/0973-4651.231372  
  829 44 -
REGULARS
Medical News – From around the world

January-March 2018, 16(1):30-30
DOI:10.4103/0973-4651.231374  
  799 32 -