Tropical myositis an unusual presentation.
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Biomedical subjects
Publications and source records attributed to B C Sharma.
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Electrocardiographic monitoring of a 24 year old male, who sustained household electric current injury, showed low voltage ECG complexes, varying degrees of atrioventricular (AV) blocks, and ventricular fibrillation. The low voltage ECG complexes and varying AV blocks disappeared spontaneously and ventricular fibrillation reverted to normal after cardioversion.
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One hundred patients with superficial burns were treated by the exposure method under ordinary ward conditions. Topical 1% Silver Sulphidiazine ("Flamazine") was used under controlled conditions. The exposure technique, with judicious local cleaning, resulted in spontaneous healing in 42% of cases. Topical "Flamazine" was used in 58% of cases. It was found to be soothing, giving patients instant relief of pain. It arrested crack and fissure formation with bleeding, especially in burnt areas in the neck and about major joints. It expedited healing; an astringent effect was also observed. It was concluded that the exposure technique, with topical "Flamazine", was beneficial in the treatment of superficial burns, obviating the routine daily bathing of the burnt.
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It is a common experience that some patients continue to attend outpatient departments with their cut-down wounds long after their primary disease is cured. This is so because a cut-down is done usually in an emergency situation with poor aseptic rituals. More often than not the patient is in shock and in urgent need of fluids but his peripheral veins are collapsed. It is often found that the ligature used to tie off the vein is responsible for the persistence of infection. When it is removed and an associated abscess(if any) drained cure results. A new simple technique has been devised and described here for cut-down operations which overcomes the problem.
Fourteen men with deep dermal burns of the dorsum of the hand treated by early excision and primary skin grafting are presented. Satisfactory functional and cosmetic results within two to three weeks were obtained in ten patients and in five to six weeks in the remaining four. Three patients who refused surgery developed contractures. The procedure is recommended as a routine.