Browsing by Author "Anubhav Thukral"

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Carcinoma of bronchus presenting as hydropneumothorax
(2012) Anubhav Thukral; Digvijay Nath Tiwari; Naveen Sharma; Kamlakar Tripathi
Lung cancer is one of the common malignancies encountered in daily practice, but its presentation as hydropneumothorax is rare. © JAPI.
Correlation of Serum Endothelial Dysfunction Markers with CT Angiographic Findings in Ischemic Stroke
(2012) Neeraj Varyani; Suchi Tripathi; Anubhav Thukral; Manish Mishra; Sunny Garg; Kamlakar Tripathi; Amit Nandan D Dwivedi
Objective: Endothelial dysfunction is considered as root cause of vascular diseases like stroke, myocardial infarction (MI) and venous thromboembolism. Soluble endothelial dysfunction markers are emerging as surrogate markers of disease risk. We aim to correlate the findings of Computed Tomography Angiography (CTA) with biochemical markers of endothelial dysfunction in patients of stroke. Material and method: 40 patients diagnosed to have ischemic stroke or Transient Ischemic Attack (TIA) based on clinical history, examinations and imaging were included. We assessed high sensitive C - reactive protein (hsCRP), total nitric oxide (NO) and superoxide dismutase (SOD) levels in all patients within 24 hours and CT-Angiography of bilateral neck vessels within 48 hours of hospital admission. Results: Increase in hsCRP, NO and decrease in SOD was significant in cases as compared to controls. These biochemical markers correlated significantly with CT Angiographic findings. Conclusions: This study demonstrates that hsCRP, NO and SOD is good surrogate biochemical markers for assessing disease risk and burden in ischemic stroke. These surrogate markers showed a linear correlation and statistical significance with CT angiography score. Specific intervention targeted to reduce the oxidative stress, as indicated by these markers, and imaging findings should be a part of stroke management protocol. © 2012 Asian Pacific Tropical Medicine Press.
Determinants of intravascular resistance in indian diabetic nephropathy patients: A hospital-based study
(Hindawi Publishing Corporation, 2011) Anubhav Thukral; Manish Mishra; Vaibhava Srivastava; Hemant Kumar; Amit Nandan Dhar Dwivedi; Ram Chandra Shukla; Kamlakar Tripathi
Aims and Objectives. Metabolic dysregulation has failed to explain clinical variability of patients with diabetic nephropathy and hence a renewed interest emerged in haemodynamic factors as determinant of progression and development of diabetic nephropathy. We therefore studied for various factors which can correlate with raised renal vascular resistance in diabetic nephropathy. Material and Methods. Renal vascular resistance was measured in patients with established and incipient diabetic nephropathy and compared with controls using noninvasive color Doppler examinations of intrarenal vasculature. Results. Renal vascular resistance correlated with age, duration of disease, GFR, serum creatinine, and stage of retinopathy. Renal vascular resistance was significantly reduced in patients on treatment with RAAS inhibitors and insulin, than those on OHA and antihypertensives other than RAAS inhibitors. Conclusion. The study implies that renal vascular resistance may help identify diabetics at high risk of developing nephropathy, and these set of patients could be candidates for RAAS inhibition and early insulin therapy even in patients without albuminuria. © 2011 Anubhav Thukral et al.
Extensive pleural calcification
(2010) Anubhav Thukral; Digvijay Nath Tiwari; Kamlakar Tripathi
[No abstract available]
Fever, rash, and crusting ulcers
(Elsevier B.V., 2009) Anubhav Thukral; Kamalakar Tripathi; Imran Khan; Rahul Chaudhary
[No abstract available]
Heel pad sign
(2011) Anubhav Thukral; Digvijay Nath Thwari; Kailash Kumar; Ravi Tandon; Kamlakar Tripathi
[No abstract available]
Slurred speech and spirochaetes
(Elsevier B.V., 2009) Anubhav Thukral; Imran Khan; Kamlakar Tripathi
[No abstract available]