Victor's Medical Diary

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Showing posts with the label Bladder Cancer

Day 53: The Bladder cancer and TURBT

Thursday 24/11/22 Adarsha Hospital, Kundapura More details about TURBT Transurethral resection of a bladder tumor (TURBT) can involve both biopsy and tumor removal (resection). Because the procedure goes through the urethra, no incisions are necessary. The surgery can prevent cancer from invading the muscle wall.

Day 48 : A large right lower limb swellling with cellulitis , Filariasis

18/11/22 Friday Adarsha Hospital, Kundapura The day began good with patients in casuality in the morning followed by Dr Adarsh Sir rounds and then his OPD. While in his OPD, A patient came with Large right lower limb swelling. The patient was Mr.Rajashekhar, middle aged man k/c/o Filariasis since 12 years. He had swelling over his right lower limb with cellulitis since 10 days. He was Febrile with 99.5 degree F fever. He had severe pain and swelling. Just by seeing the severity of the leg he was advised to go to higher center for management. But patient refused and insisted to get treated in our hospital. He was then taken to minor OT for Incision and drainage. As Dr. Adarsh incised few areas over his right lower limb the patient was shouting in pain. He had tears in his eyes due to excruciating pain. Dr Adarsh released the pressure that was built in the swelling. Then he was dressed and shifted to ward.

Day 44 : All about Inj Alprostadil

November 14, 2022 Monday Adarsha Hospital, Kundapura During the rounds of Dr. Adarsha Hebbar in the morning, we saw Pt. Manjunath Naik, who was admitted on 12/11/22 for gangrenous 4th right toe (ring toe). He is k/c/o T2DM,HTN.PVD and his 5th toe (little toe ) was amputated in our hospital few days back. We had done arterial and venous doppler of right lower limb which showed decreased blood supply to lower part of the lower limb. The 4th toe had turned black and looked very bad. The patient and his attenders were not reluctant for the amputation of the 4th toe. They requested the doctor to save his 4th toe by any means. At that time Dr. Adarsha Hebbar suggested inj.Prostal ( Alprostadil) 500mcg. He said we will try inj Prostal for 5 days. Even after this injection if there is no improvement,then we have to amputate the 4th toe to save others nearby toes in the future. Gangrenous toe Some details about Inj Prostal (Alprostadil 500mcg) Prostal Injection is used to treat paten...

Day 57 : Right toe ulcer with TAO ( Buerger's Disease)

Monday 28/11/2022 Adarsha Hospital,Kundapura Had night duty today. Patients were less, the night was going good. Then a patient came to casuality reffered to Dr.Adarsh by Dr.Nagesh for admission. I went to casuality to see the patient. The patient was Mr.Narayana, middle aged man k/c/o T2DM came with c/o ulcer over his right greater toe with right lower limb swelling and fever since 3 days. On examination he had a 2x2 cm ulcer over his 1st toe of right lower limb. He had done a Arterial and venous Dopler study of Right lower limb which said that he had decreased arterial flow below ankle and he had Thromboangiitis obliterans. He was admitted to ward and reffered to Dr.Adarsh (Surgeon) for further management. Dr. Nagesh was planning to start Inj Alprostadil after discussing with Dr Adarsh to increase the blood flow over there. Some details about Thromboangiitis obliterans Thromboangiitis obliterans (TAO), an inflammatory vasculopathy also kn...