Shailesh Patil

  CASE 1 Question 1) pain in the epigastric region differentials Gastric ulcers Inferior wall MI Acute pancreatitis (Boaring kind of pain) 2)sob- acidosis due to renal failure          ? Ards secondary to sepsis/pancreatitis           Pleural effusion due to acute pancreatitis            3)decreased urine output-pre renal Aki secondary to volume loss(oliguric) 3rd space loss due to pancreatitis Sepsis induced aki 4) abdominal distention with constipation and nausea Secondary to paralytic ileus Treatment 1) Antibiotics  imipenem, ciprofloxacin, ofloxacin, ceftriaxone, cefotaxime, ceftizoxime, cefotiam, piperacillin, mezlozillin, metronidazole and tazobactam were detected in pancreatic tissue at concentrations exceeding the MICs of most of the relevant bacteria A first controlled clinical study with prophylactic imipenem in patients with severe acute pancreatitis showed a reduction in the rate of sepsis https://www.karger.com/Article/PDF/172465#:~:text=According%20to%20efficacy%20factor%

 TOPIC: A STUDY ON ASSOCIATION BETWEEN ULTRASONOGRAPHIC VISCERAL FAT THICKNESS AND CARDIOVASCULAR RISK IN TYPE 2 DIABETES MELLITUS AND THEIR GLUCOSE CONTROL PROBLEM STATEMENT: 1] Currently  the  number  of  cases  of  diabetes  worldwide  is  estimated  to be  around  150  million.  India  leads  then  world  with  the  largest  number  of  diabetic subjects  earning  the  dubious  distinction  of  being  the  “diabetic  capital  of  the world”. Complications of diabetes can only be prevented by timely and regular glucose control that includes proper use of OHA's / insulin therapy / lifestyle modifications 2] Obesity  has  induced  many  public  health  problems  related  to diseases, including glucose intolerance, hypertension, hyperinsulinemia,  dyslipidemia  and  atherosclerosis.  Moreover  these  complexes are  known  to  increase  the  risk  of  cardiovascular  diseases.  In    particular  ,  the accumulation  of  adipose  tissue  predominantly  in  visceral  cavity  plays  a