Indian Journal of Medical and Health Sciences

A 59 years female, known case of Non-Insulin Dependent Diabetes Mellitus (NIDDM) for 10 years with a strong family  history  of coronary  artery disease (both  parents & siblings have CAD),  presente with severe  agonizing precordial chest discomfort, radiating to left shoulder associated with profuse sweating for last 3 hours.In emergency room,patient was restless,pulse=100/min.,BP=170/100mm Hg,O2 saturation 98%.There was no sign of cardiac failure.ECG recorded in emergency room revealed ST elevation of 5to 6 mm in lead I,aVL, 4 mm ST elevation in lead II, V2 and shuttle ST segment sagging in lead II, 4 mm ST segment depression in lead III & Avf (South African Flag Sign) (Fig 1).

Keywords: Case report South African Flag Sign, Acute occlusion of diagonal branch, pecific EKG pattern, Coronary Artery Disease, ST elevation in Lead I, avL&V2, ST depression in inferior leads.

The scar is a sequel of any trauma, surgery, orburns. If the scar becomes unsightly it influences the psychological or physical well beingness of the patient. The pigmentation difference of the scar with the surrounding skin is one factor that can make the scar unsightly. There are many methods of scar management. Laser Therapy using ErYAG laser is one method of management of scars that are widely used in western countries. In India, the data on scar management using ErYAG laser and the effect of ErYAG laser on the pigmentation of the scar is few. This study was conducted in atertiary care center in South Indiaon73 scars for 6 months.

Context: Pancytopenia  is  not  a disease  but a clinichematological entity encountered in day to day practice. Bone marrow examination with peripheral blood finding and relevant biochemical test with  radiological  finding play important role in diagnosing and understanding the causes  of pancytopenia which further determine  the management and prognosis. Aim: To obtain  detailed  clinical and  hematological spectrum of  the common disorders  producing pancytopenia in patient attending our tertiary care center and its causes and diagnostic approaches. Material and Method:The  study was conducted in the department of pathology Katihar Medical College, Katihar. A retrospective study including 150 cases of pancytopenia in the duration of 2018 October to 2020 October. Results: The age of the patients ranged from 2 to 80, 75% of patients out of 150 cases were of megaloblastic anemia followed by aplastic  anemia (10%), kalazar (8%),  acute leukemia (6%), malaria (4%), myelodysplastic syndrome (1%) and tuberculosis (1%). Conclusion:The  study  concluded  that bone  marrow examination  along  with  peripheral blood finding  and radiological finding with biochemical  finding  helps  to diagnose and understand the causes and management of pancytopenia.

Keywords: Pancytopenia Anaemia; Kalazar; Tuberculosis