Hola

Abstract

Pheochromocytomas are catecholamine secreting tumours that arise from chromaffin cells of the sympathoadrenal system. They account for fewer than 0.1% of all cases of hypertension in adults but have lethal potential and are one of the few truly curable forms of hypertension. The symptoms with the greatest “pooled sensitivity” are hypertension, headache, palpitation, and diaphoresis. The diagnosis is based on these symptoms and high levels of plasma-free normetanephrine and/or metanephrine. This report is of the successful anaesthetic management of a 40-year-old female, a known case of hypertension for 10 years, with only low back ache, and vomiting as her presenting complaints, posted for excision of a retro-peritoneal mass, whose intraoperative tumour manipulation led to a hypertensive crisis, showing its true colours! The histopathological report of resected specimen, obtained post-operatively, came to be consistent with pheochromocytoma. A high level of clinical suspicion of pheochromocytoma in such cases will turn out to be the saviour of the day, by prompting us to meticulously evaluate, appropriately optimise and adequately prepare for any intra-operative events in an otherwise “simple case abdominal mass excision!”

المعضلة الحقيقية للاشكناز

Abstract

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A Health Awareness and Govt. Schemes in India: A Study of Bihar State

Abstract

The importance of health to society cannot be overstated. A key consideration for assessing social development is health. India and other developing nations face health problems. Numerous programmes have been established by the Indian Government to address public health issues. However, rural Indians are unaware about the health programme. The goal of the current study is to determine how informed people are of health-related initiatives. With the help of a closed-ended questionnaire, we conducted the survey. The findings show that opinion leaders are essential in helping the Indian government's health awareness efforts reach Bihar's rural residents. Although the audience's level of awareness is appropriate, more effort must be put into promotion