Dr. Shivani sahu

Our cute little rockstar all set for his future endeavours 🤩

“Three musketeers: double the laughs, triple the chaos.”
Outfit: ,

Perks of being a Pediatric surgery resident ❤️

Syndactyly Part 1: Hands intertwined by nature's design 🤝💕
This little child and her mother were in my opd when I went to the rural phc.
The fused fingers (syndactyly) in her left hand caused her a little discomfort.
She was therefore instructed to come see us at our main hospital, where she underwent a standard medical examination and pre-anesthesia evaluation.
She was listed under plastic surgery for syndactyly release operation.
You can see preoperative and postoperative pictures.

Part 2 will be posted soon
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Exploring the Mysteries of Our Beginnings: The Umbilical Vein Remnant 🌟✨
Did you know that our journey begins long before we take our first breath? 🌱 Hidden within our bodies lies a silent reminder of our earliest moments—the umbilical vein remnant. 🧡✨ During our time in the womb, the umbilical vein played a crucial role in nurturing us, transporting essential nutrients and oxygen. As we grew, it connected us to our lifeline, the placenta.

While the physical connection fades after birth, a small remnant of the umbilical vein remains in our bodies—a testament to our shared origins and the intricate bond between a mother and her unborn child. 💫💕 This unassuming remnant holds within it the story of our beginnings, a symbol of the profound connection that brings life into existence.

So as we marvel at the intricacies of our bodies, let's take a moment to reflect on the miracle of life itself. 🌍💧✨

i will be sharing more details about this case in my next post, so stay tuned.
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OVARIAN CYST

√Ovarian cysts are fluid-filled sacs that may be simple or complex.

√Ovarian cysts can be complicated by rupture, hemorrhage, and torsion, which are considered emergencies.

√Ovarian cysts can occur at any age but are more common in reproductive years and have an increased occurrence in menarchal females due to endogenous hormone production. 

√Simple cysts are the most likely to occur in all age groups, and mixed cystic + solid and completely solid ovarian lesions have a higher rate of malignancy than simple cysts.

√Risk factors for ovarian cyst formation include
1.nfertility treatment- Patients treated with gonadotropins
2.Tamoxifen
3.Pregnancy- form in the second trimester when hCG levels peak.
4.Hypothyroidism
5.Maternal gonadotropins
6.Cigarette smoking
7.Tubal ligation- Functional cysts have been associated with tubal ligation sterilizations.

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***y

EDH - Epidural hematoma
∆ Is a condition in which there is collection of blood within the space between the outer layer of the dura mater and the inner table of the skull.
∆ It usually occurs as a result of trauma to the brain either due to rta or fall from height.
∆ It is confined by the lateral sutures (especially the coronal sutures) where the dura inserts.
∆ It is a life-threatening condition, which requires immediate image diagnosis and sometimes emergency surgery (evacuation of hematoma), for a better outcome.

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Trying to vaccum the knowledge to the brain 🙄

SPINAL CORD TUMOUR

36year old patient came to us with complaint of severe backache and difficulty in walking

MRI spine was done and he was diagnosed with intradural spinal cord tumour (? Schwannoma)

Patient was posted for excision. Post Operatively patient has bilateral lower limb power 3/5, with limb physiotherapy he may regain 5/5 power.

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MARKER X-RAY FOR SPINAL CORD TUMOUR

We placed a coin approximately at the site spinal cord tumour (seen in the mri spine) and shoot a xray so that the vertebrae which is involved can be identified easily and we have an easy to take incision.

In this picture coin is nearly placed opposite to D8 vertebrae, as the spinal cord tumour is extending D7-D8.

STSG - "Split Thickness Skin Grafting"

A 16year old boy came to the casualty with a/h/o RTA while riding a mini four wheelers which occured 2days before visiting to us. Patient has dead, necrotic tissue with pus filled dirty foul smelling wound.
We first posted him for wound debridement with VAC application and after 1 week, we again posted him for VAC removal with skin grafting.

VAC (Vaccum Assisted Closure)

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Latest guidelines for covid treatment from AIIMS /ICMR

1.Plasma therapy has been dropped from latest official ICMR AIIMS guidelines.

2. No oral steroids in mild disease, Only I/V when hospitalised.

3. Ivermectin, HCQ can be given.

27.10.2021
A day to remember
My first Hernioplasty done under supervision of my guide.
Forever grateful to him🙏

TESTICULAR ATROPHY
- is a medical condition in which the male reproductive organs (the te**es, located in the sc***um) diminish in size and is accompanied by loss of function.

- it can be caused by
Trauma
Varicocele
Ischemia (testicular torsion)
Orchitis
Anabolic steriods use
Oldage

TESTICULAR ATROPHY
- is a medical condition in which the male reproductive organs (the te**es, located in the sc***um) diminish in size and is accompanied by loss of function.

- it can be caused by
Trauma
Varicocele
Ischemia (testicular torsion)
Orchitis
Anabolic steriods use
Oldage

Latest guidelines for covid treatment from AIIMS /ICMR

1.Plasma therapy has been dropped from latest official ICMR AIIMS guidelines.

2. No oral steroids in mild disease, Only I/V when hospitalised.

3. Ivermectin, HCQ can be given.

How to interpret your covid-19 report, simplified
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New guides for COVID-19

CHOLELITHIASIS -"Gall Bladder Stones "
A 55year old female came with the complain of pain in right upper abdomen since 2 months, radiating towards back. There was a h/o burning micturition, h/o nausea, h/o loose stools.
Patient was vitally stable.

On palpation : per abdomen was soft, Non-tender. There was a Vague lump of around 8 x 8 cm present in Right hypochondrium which was mobile, cystic in consistency, non tender, surface was smooth. Bowel sounds present all over abdomen.

(1)Xray Abdomen erect was WNL
(2)USG Abdomen Pelvis: Grossly distended gall bladder with multiple gall stones and tumefactive sludge was seen.
(3)Upper GI Endoscopy was WNL
(4)CECT Abdomen Plevis
Cholelithiasis with dilated cystic duct and CBD.

(5) On MRCP: Cholelithiasis with choledocholithiasis with mucocele formation was seen.
Flow void in cystic duct was likely suggestive of calculus

OPERATIVE PROCEDURE done in this patient was "OPEN CHOLECYSTECTOMY with CBD EXPLORATION DONE UNDER GA + EPIDURALEPIDURAL with T-tube insertion".

WORLD ANAESTHESIA DAY 💉💊

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FACTS ABOUT MENTAL HEALTH CARE IN INDIA

The levels of anxiety, fear, isolation, social distancing and restrictions, uncertainty and emotional distress experiences have become widespread as the world struggles to bring the virus under control and to find solutions.

Amid growing concerns about the global spread of COVID-19, India and the United States has reached an agreement to help each other in the area of mental health.
💯

World Mental Health Day
According to World Federation for Mental Health (WFMH) the theme for World Mental Health Day 2020 is 'Mental Health for All: Greater Investment – Greater Access'.

The theme stresses on the fact that mental health is a human right and that it is time mental health is made available to all.
Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization stated:

“The world is accepting the concept of universal health coverage. Mental health must be an integral part of UHC. Nobody should be denied access to mental health care because she or he is poor or lives in a remote place.”

Peau d' orange appearance.
It means the appearance of the skin over breast is similar to that of 'skin of orange'.
It is a dimpled or pitted and thickened appearance of skin over the breast due to blockage of subcuticular lymphatics with edema of skin.
There will be redness over breast.
It is a classical sign in case of carcinoma of breast.
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🎀 BREAST CANCER AWARENESS MONTH 🎀
Most common symptoms of breast cancer is lump in breast, which can be painless in it's initial stage.
There are 3 ways to examine the lump
🔰 Self-Breast Examination
🔰 Breast Examination by Doctor
🔰 Mammography
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DR. GOOGLE.
"Just a click away" ,feels like a blessing. But is it really a blessing?
We all love to google and gather new information every now and then. But what we forget is "whether the information provided in web is authentic?"
To gather information regarding your heath and medical condition is very important but at the same time, our resources should be reliable, and not misleading. Otherwise it will lead to medical anxiety.
So remember before coming to any conclusion that you might have any rare or chronic disease.
- question your belief.
- always consult your doctor first.
- try to avoid unnecessary web search.
- meditate.
- and REMEMBER NOT ALL SYMPTOMS LEADS TO A RARE OR SERIOUS ILLNESS.

Are you a fair,middle-aged man suffering from acne rosacea? And do you think shape and colour of your nose is changing?
It might be RHINOPHYMA.

Rhinophyma is a skin condition characterized by a red, swollen, bumpy nose. It is an advanced form of acne rosacea. It is more common in men than women of age group 50-70 years.
READ THE ABOVE SLIDES CAREFULLY FOR BETTER UNDERSTANDING.
Taking care of Yourself
* Use gentle products to clean your face.
* Use electrical shaver instead of razors.
* Avoid shaving cream that burns or stings.
* Use good moisturizer after shaving.
* Use sunscreen with SPF 15.
* Avoid products that contains ALCOHOL, WITCH HAZEL, FRAGNANCE, ASTRINGENTS or EXFOLIATING PRODUCTS.
* If you don't know your trigger factors, make a diary and keep records of your daily activities, diet and flare-ups.
NOTE : Common trigger factors are " sun exposure, stress, extremes of temperature, and alcohol".