| |
|
 |
:: News & Events
 |
| |
MNR MEDICAL COLLEGE |
Clinico-Pathological Conference for the month of April 2010 |
| Venue: Lecture hall III |
Date: 16-4-2010
Time: 9-10 AM |
Chair person: Dr. R. Asok Kumar,
Professor & Head, Dept. of Pathology.
Discussant:
Clinical: Dept. of Medicine
Pathology: Dr. K. R. Tagore |
A 50 years old male sought medical attention for bleeding per rectum during defecation for the last one month. Patient also complained of mass coming out of the anus. He was passing small quantity of fresh blood along with stool. Patient was found to be HIV positive 10 years back when he complained of loss of weight, fever, cough and diarrhoea. During the investigations at that time he was found to have upper lobe consolidation with positive sputum for AFB. He was treated with standard four drug regime and recovered completely. He was on ARV, septran and doxycyclin. His CD4 count improved from 80 to 200 after ATT.
On examination patient was moderately built with mild to moderate pallor. No jaundice, no cyanosis, no clubbing nor generalised lymphadenopathy. GC was fair. Heart lungs were normal. Abdomen was soft, no organomegaly. X-ray showed healed tuberculous lesion in right upper lobe.
Routine investigations showed moderate anaemia with 9.5gms haemoglobin and mild microcytic hypochromic anaemia. Total WBC count 10,800 cells/cu.mm and differential counts showed neutrophils 80%, lymphocytes 16%, eosinophils 2%, and monocytes 2%. Platelets showed 1.5 lakhs/cumm. LFT showed mild increase in SGOT and SGPT. Serum bilirubin was normal.
Renal parameters showed creatinine 1.2mg/dl, urea 48mg/dl, serum amylase within normal limits. Urine examination was nil remarkable. Digital and proctoscopy examination showed an ulcerated painful mass. Patient was operated, mass was resected and bleeding controlled.
Histopathological examination showed ulcerated mucosa with dense chronic inflammatory cell collections. There was no improvement of symptoms. Patient underwent CT scan which revealed infiltrating mass in the rectum extending into pararectal fascia. No lymphadenopathy. Skeletal survey showed no secondaries. CT abdomen did not reveal any mass. Lower GI endoscopy showed ulcerated mucosa in the rectum. Upper GI endoscopy was nil remarkable. Diagnostic procedure was done.
* H.O.Ds, Staff, PGs of all clinical,
paraclinical and preclinical depts, to attend
* UGs 8th &9th semesters to attend.
* Notice board. |
| |
DEAN
MNR MEDICAL COLLEGE
SANGAREDDY
|
|
|
|
