Publications by authors named "Sakshi Sadhu"

7 Publications

  • Page 1 of 1

Hard nodular lesions over the chest wall.

J Fam Pract 2016 Jan;65(1):53-5

Kasturba Medical College, Manipal University, Manipal, Karnataka, India.

Thirteen years after undergoing a mastectomy for breast cancer, this patient developed lesions near the scar.
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January 2016

Malignant peripheral nerve sheath tumour in a patient with a plexiform neurofibromatosis.

Indian Dermatol Online J 2015 May-Jun;6(3):225-6

Department of Surgery, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.

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http://dx.doi.org/10.4103/2229-5178.156431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4439761PMC
May 2015

Diffuse idiopathic calcinosis cutis in an adult: a rare case.

Eurasian J Med 2014 Jun;46(2):131-4

Department of Surgery, Manipal University Kasturba Medical College, Karnataka, India.

Idiopathic calcinosis cutis is a condition involving the deposition of calcium salts in the skin and subcutaneous tissue. The disease is a pathological condition of unknown origin and hence is idiopathic. The salt deposition is confined to areas such as the breast and vulva in females and scrotum and penis in males. Diffuse calcification with multiple complications in an adult is a rare entity. Only one such case has been reported in literature. A 59-year-old female presented to us with swelling of the right elbow, multiple calcific nodular lesions all over her fingers approximately 0.5x0.5 cm in size, and ulcers on her left great toe and right thumb with pain for the past two months. The ulcers were 2x2 cm and were observed to be healing without active discharge or signs of inflammation. The elbow was diffusely swollen and tender. Flexion deformity was present at the elbow. X-ray of hand and feet revealed calcinosis of the elbow and interphalangeal joints of the foot and hand. Blood tests revealed elevated C-reactive protein levels of 24 mg/dL, elevated Erythrocyte Sedimentation Rate (ESR) of 52 mm/hr., serum calcium of 9.7 mg/dL and a serum phosphorous of 5 mg/dL. Cultures from the foot ulcer were positive for methicillin-resistant staphylococcus aureus (MRSA). Workup for collagen vascular disease was negative. Histopathology confirmed calcinosis cutis. Treatment involved a conservative approach, including physiotherapy for the flexion deformity, antibiotics for MRSA, analgesics for pain relief and daily dressings. This case demonstrates that if a patient presents with multiple chalky nodular lesions with or without ulceration, pain and discharge involving areas of the upper limb or lower limb, diagnosis of idiopathic calcinosis cutis could be considered as a differential, despite its common confinement to the scrotum, breast, vulva and penis.
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http://dx.doi.org/10.5152/eajm.2014.29DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4261459PMC
June 2014

Be Careful with an IV Line.

J Clin Diagn Res 2014 Mar 15;8(3):166-7. Epub 2014 Mar 15.

Intern, Department of Surgery, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .

Obtaining an intravenous (IV) access is a simple procedure which can be done in almost any hospital setting. One of the most dreaded complications of this procedure is an inadvertent intra-arterial cannulation. This can result in an accidental injection of medications intra-arterially, which can potentially lead to life altering consequences. In the hope that these types of events can be prevented, we are presenting a case of a 57-year-old male who underwent bougie dilatation for an oesophageal stricture and was accidentally given medication for pain management intra-arterially through an improperly placed IV line, which resulted in ischaemia, gangrene and subsequent loss of the hand. Those who try to obtain an IV access should always be on the lookout for possible clues that can prevent an inadvertent IA injection, especially if cannulation is in an area where an artery is in close proximity to a vein; these clues include but are not limited to the following: a bright-red flash of blood in the cannula, pulsatile movement of blood in the IV line, and intense pain or burning at the site of injection. These signs, as well as educating the patient on early symptoms of ischaemia, may allow early action to be taken, to prevent irreparable damage. We always have to be careful when we insert an I.V line.
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http://dx.doi.org/10.7860/JCDR/2014/7937.4150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003627PMC
March 2014

Acute large bowel obstruction secondary to stage 4 colonic carcinoma in an elderly man with severe aortic stenosis: a therapeutic challenge.

BMJ Case Rep 2014 Feb 20;2014. Epub 2014 Feb 20.

Department of Surgery, Kasturba Medical College, Manipal, India.

Colonic adenocarcinoma is a common gastrointestinal malignancy affecting the elderly, and has a multifactorial aetiology. Depending on the individual circumstances, surgical resection is the treatment of choice for colon cancer even for oligometastasis. Metastatic evidence as well as presence of comorbidities, particularly in the elderly, make surgical management difficult and often present a clinical challenge for clinicians. This is a case report exploring the treatment options for an 80-year-old male patient presenting with acute large bowel obstruction secondary to colonic adenocarcinoma with disseminated metastases and severe aortic stenosis.
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http://dx.doi.org/10.1136/bcr-2013-201186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931969PMC
February 2014

Primary colorectal non-Hodgkin's lymphoma in a retropositive patient.

BMJ Case Rep 2013 Sep 6;2013. Epub 2013 Sep 6.

Department of General Medicine, Kasturba Medical College, Karnataka, India.

A 43-year-old man known case of retropositive illness presented with abdomen pain of 15 days and loose stools for 10 days. Loose stools were foul smelling and blood stained. The patient was a known case of type 2 diabetes and retroviral illness on highly active antiretroviral therapy (HAART). General physical examination was normal. On examination an irregular mass was palpable in the right iliac fossa and right flank. The mass was hard in nature; irregular with restricted mobility. There was no palpable liver or spleen. CT of the abdomen and pelvis revealed a well-defined heterogeneously enhancing hypodense mass lesion measuring 16 × 11.7 × 12 cm involving the ileocaecal region and extending medially and inferiorly to sigmoid colon and rectum. A colonoscopy showed a proliferative highly vascular mass 15 cm from anal verge at the rectosigmoid junction. Histopathology revealed sheets of neoplastic lymphoid cells in rectal wall suggestive of non-Hodgkins lymphoma.
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http://dx.doi.org/10.1136/bcr-2013-200442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3794223PMC
September 2013

Palliative Care Awareness among Indian Undergraduate Health Care Students: A Needs-Assessment Study to Determine Incorporation of Palliative Care Education in Undergraduate Medical, Nursing and Allied Health Education.

Indian J Palliat Care 2010 Sep;16(3):154-9

KMC Manipal, Manipal University, Manipal, India.

Purpose: Quality assurance data worldwide suggests that the current healthcare system is providing inadequate care for the dying. Current health care education focuses entirely on cure and care is almost compromised or nonexistent in end-of-life settings. The purpose of this study was to determine palliative care awareness among Indian undergraduate health care students and assess the need for incorporating palliative medicine education into undergraduate health education.

Materials And Methods: A non-randomized population based study was conducted using 39-point questionnaire. Undergraduate medical, nursing and allied health students of Manipal University were the target population.

Results: 326 students participated in the study. 61.7% of students feel that resuscitation is appropriate in advanced metastatic cancer. 67.5% feel that all dying patients need palliative care and most of the students think that palliative care is equivalent to pain medicine, geriatric medicine and rehabilitation medicine. 89% of students think that Morphine causes addiction in palliative care setting. 60.7% of students feel that prognosis should only be communicated to the family.

Conclusion: The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care.
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http://dx.doi.org/10.4103/0973-1075.73645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3012238PMC
September 2010
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