Browsing by Author "O.P. Sharma"

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Amyloid nephropathy in ankylosing spondylitis
(1988) J. Prakash; K. Tripathi; O.P. Sharma; Usha; P.K. Srivastava
[No abstract available]
An iatrogenic radio-opaque foreign body in the nasal passage
(1978) O.P. Sharma; S.K. Gupta; Virinder Mohan
[No abstract available]
Ankylosis of temporo-mandibular joint due to smallpox. (A report of two cases)
(1985) S.K. Gupta; O.P. Sharma; K. Sasibabu; J.K. Sinha
[No abstract available]
Choledochal cyst: Radiological and ultrasonic evaluation. A report on three cases
(1987) O.P. Sharma; S.K. Gupta
[No abstract available]
Cleido cranial dysostosis
(1976) V. Mohan; O.P. Sharma; K. Kumar
[No abstract available]
Clinical spectrum of chronic renal failure in the elderly: A hospital based study from Eastern India
(2006) Jai Prakash; J.K. Hota; S. Singh; O.P. Sharma
The aim of this study was to describe the clinical spectrum of chronic renal failure (CRF) in the elderly. The diagnosis of CRF was made using standard clinical criteria. The elderly was defined as person with over 60 years of age. In total, 200 elderly patients with CRF were evaluated between July 2002 and February 2004. Their age (male: 146; female: 54) ranged between 60 and 90 (mean 64.31 ± 4.18) years. Diabetic nephropathy was the most common (46%) cause of CRF. Hypertensive nephrosclerosis, chronic interstitial nephritis and obstructive uropathy were responsible for CRF in 18%, 14% and 13% of patients, respectively. We observed chronic glomerulonephritis in 7% of elderly CRF. Urinary tract infection (55.5%), hypovolemia (22.2%), accelerated hypertension (11.1%) and sepsis (11.1%) were responsible for acute exacerbation of renal failure in 36 (18%) patients. Associated co-morbid conditions were noted in 93 (46.5%) patients. They included; coronary artery disease 46 (49.46%), cerebrovascular disease 20 (21.50%), osteoarthritis 13 (13.97%), chronic obstructive pulmonary disease 6 (6.45%), dilated cardiomyopathy 5 (5.37%), and malignancy in 3 (3.22%) patients. Acute dialytic support was required in 164 (82%) cases and remaining 36 (18%) patients received conservative management. Mortality was noted in 25 (12.5%) cases. The coronary artery disease (48%), acute pulmonary edema (20%) and hyperkalemia (12%) were the main causes of death. Subsequent evaluation revealed that 102 (51%) patients had ESRD of which only 3 (2.94%) patients could afford CAPD. A total of 11 (10.7%) patients underwent chronic maintenance hemodialysis for 3-4 months and then discontinue dialysis mainly because of financial constraints. Remaining 88 (86.27 %) patients with ESRD were discharged from hospital after symptomatic improvement with acute dialysis. Thus, diabetic nephropathy related to type-2 diabetes was the commonest cause of CRF in our elderly patients. Chronic renal failure in elderly was associated with a number of co-morbid conditions, which contributed significantly to morbidity and mortality. Acute on chronic renal failure with severe uremic complications were an important cause of hospitalization. The financial constraint was the major limiting factor for the management of elderly ESRD patients. © Springer Science+Business Media B.V. 2006.
Clinical trial of Conray '280' in hysterosalpingography
(1979) O.P. Sharma; S.K. Gupta; V. Mohan
This paper is based on a comparative study of 125 hysterosalpingograms performed with Conray 280 in 113 cases and with Diaginol Viscous in 10 cases. With standard hysterosalpingographic technique the amount of either contrast media used was 8-12 ml. and one to three exposures were obtained. The use of Conray 280 has proved definitely better than Diaginol Viscous on account of its economy, reducing the health hazard of radiation by minimizing the number of exposures, its efficacy without any serious side effect, and diagnostic accuracy.
Color doppler ultrasonography in the evaluation of gestational trophoblastic disease
(2004) O.P. Sharma
72% of Hydatidifrom mole, 12% invasive mole and 16% choriocarcinoma constituted the study. Complete and partial mole ratio was 8:1. Main clinical presentation were vaginal bleeding, enlarged uterine size, hypertension and hyperemesis gravidarum. B-HCG level was significantly raised. The characteristic ultrasonic observations were enlarged uterus having uniform echogenic mass with an echofree space within enlarged endometriens having radiating spicule like pattern or snow-storm appearance with or without Theca Leutin Cyst. Two cases were misdiagnosed either as degenerated Fibroid or A. V. malformation and diagnosis was confirmed an histopathology. Color Doppler study revealed Peritrophoblastic flow, venous flow, tumor vesicle devoid of blood-flow, Persistent systolic flow in the range of > 50 - > 100 cm/sec and RI Lesser than 0.50 may be even 0.40 (normal PSV < 50 cm/s & RI 0.70). The cases of choriocarcinoma had vaginal as well as pulmonary and hepatic metastasis.
Cruveilhier Baumgarten syndrome: Report of nine cases
(1977) S.K. Gupta; O.P. Sharma; J.P. Gupta
Nine cases of Cruveilhier Baumgarten syndrome (C.B.S.) are reported. Two out of these had clinical evidence of excessive umbilical circulation i.e. caput medusae, engorged abdominal veins, venous hum and thrill, while in seven, the diagnosis of C.B.S. was entertained on demonstrability of left umbilical vein on portovenography. In one case ductus venosus was also outlined. All the nine patients had cirrhosis, micro-nodular or macronodular type. Esophageal varices were present throughout the length of esophagus in most of the cases. Two patients presented with hepatic encephalopathy. It is postulated that C.B.S. is an advanced stage in the life history of portal hypertension. Two forms of C.B.S., one that is complete, having caput medusae, engorged abdominal veins, venous hum and thrill and one incomplete, showing only left umbilical vein on portovenography are described. Probable factors leading to these two forms of C.B.S. are suggested. A brief review of the subject is given.
Ellis-Van Creveld's Syndrome (a case report)
(Georg Thieme Verlag, 2006) O.P. Sharma; R. Saraf; B. Gupta
A 13 years old male patient had stunted growth, bilateral polydactyly, fusion of capitate and hamate on right side, incomplete duplication of 1st metacarpal at its proximal end, poorly ossified epiphyses of lower end of radius & ulna, valgus deformity of right knee, conical shape of tibial epiphyses, nonossified fibular epiphyses & a small bony exostoses from medial end of right tibia, abnormal teeth and nail of hand. Also there was evidence of left to right shunt in the heart. Oral frenulae, pseudocleft of upper lip were also noticed.
Enteroliths in tuberculous strictures of intestines
(1984) S.K. Gupta; O.P. Sharma; A.K. Agrawal; A.K. Singh; K. Sasibabu
Eight cases of opaque enteroliths associated with tuberculous strictures are described. Long history of chronic partial intestinal obstruction with occasional episodes of acute attacks managed by conservative treatment was the presenting feature in all cases. Plain X-ray revealed solitary (6 cases) or multiple (2 cases) radio-opaque densities showing wide mobility on successive roentgenograms. The enteroliths had a peripheral dense rim and in some X-rays 'coin on end' position indicating disc shaped configuration. Multiple enteroliths were either closeted or widely separated indicating free longitudinal mobility inside the dilated loop of intestines proximal to a stricture. Intra-luminal location was documented in three cases on barium studies. In three cases enteroliths were submerged in the barium filled dilated loop of intestines. One case had associated cholelithiasis and cholecystitis without any evidence of communication between the biliary and gastrointestinal tract.
Fahr's syndrome: Report of two cases
(Indian Medical Association, 2010) O.P. Sharma; S. Senthil; G. Sharma
Two cases (one female and one male) of Fahr's syndrome are reported here. Both of them had neuropsychiatric disturbances and intracranial calcifications in bilateral basal ganglia and cerebral hemispheres. CT scan helped in establishing the diagnosis. Both of them were treated with antipsychotic drugs and responded to some extent.
First-and-second-branchial-arch syndrome
(1979) S.K. Gupta; O.P. Sharma; V. Mohan; K. Sasibabu; H.C. Samant
Two cases of this facial-malformation syndrome are reported. The role of various radiographic projections, with special reference to the 20-degree occipitomental view, is stressed for evaluation of cranio-facial skeletal deficiencies.
Giant cell tumour of short tubular bones of hands and feet. (Report of 9 cases)
(1980) V. Mohan; S.K. Gupta; O.P. Sharma; D.N. Varma
[No abstract available]
Growth and productivity of groundnut (Arachis hypogaea l.) under varying levels and sources of sulphur in semi-arid conditions of Rajasthan
(Agricultural Research Communication Centre, 2018) Nagesh Yadav; S.S. Yadav; Neelam Yadav; M.R. Yadav; Rakesh Kumar; L.R. Yadav; L.C. Yadav; O.P. Sharma
A field experiment was conducted at Agronomy research farm, S.K.N. College of Agriculture, Jobner during kharif, 2015 in order to evaluate the performance of groundnut (Arachis hypogaea L.) under varying levels of sulphur and its sources. Results of experiment revealed that CGR of crop during 0 - 35 DAS registered significant increase upto application of sulphur at 45 kg/ha. However, at later stages of growth the significant increase was noted upto 60 kg S/ha only. Application of sulphur at 60 kg/ha recorded a significant increase of 6.1 per cent in RGR over 15 kg/ha during 70 DAS – at harvest stage. Likewise, application of 60 kg S/ha also significantly enhanced the number of total and effective nodules as well as fresh and dry weight of nodules/plant and produced significantly higher pod and biological yields of groundnut (1832 and 5361 kg/ha) than 45, 30 and 15 kg/ha. Application of sulphur through gypsum recorded significant increase in plant height and dry matter accumulation/m row length at all the stages of crop over SSP and elemental sulphur treatments. The maximum CGR at all the stages of crop was recorded when sulphur was applied through gypsum. Sulphur application through SSP registered 13.9, 9.8 and 21.4 per cent increase in CGR over elemental sulphur at these stages, respectively. On the other hand, SSP and gypsum increased the RGR by 7.2 and 6.3 per cent, respectively over elemental sulphur. Gypsum as a sources of sulphur fertilization recorded the highest number of 62.30 total and 55.00 effective nodules/plant and as well as fresh and dry weight of nodules (229.87 and 102.00 mg/plant) thereby increasing to the extent of 22.1, 27.6, 23.9 and 18.9 per cent over elemental sulphur. Sulphur application through gypsum produced 13.1 and 10.2 per cent higher pod and biological yield of groundnut over elemental sulphur. © 2018, Agricultural Research Communication Centre. All rights reserved.
Histoplasmosis : An Unusual Presentation
(2000) S.K. Singh; S.K. Bhadada; O.P. Sharma; N.C. Arya; V.K. Shukla; J.K. Agrawal
Histoplasma capsulatum (HC) infection is rare in India. We document a case of unilateral adrenal histoplasmosis in a 56 year male. The patient presented with hepatosplenomegaly, unilateral adrenal mass and significant weight loss. Since FNAC of adrenal mass was inconclusive, he underwent splenectomy, adrenalectomy and liver biopsy, histology of these specimens revealed HC only in adrenal mass. Subsequently, histoplasmin test was also performed which was also found to be positive. He responded well to parenteral amphotericin B and is under regular follow-up with no complaints now.
Imaging depiction of retrograde jejunogastric intussusception
(2013) O.P. Sharma; Saurabh Gaharwar
Retrograde jejunogastric intussusception is an unusual long term complication of gastro-jejunostomy or Billroth-II reconstruction. Acute and chronic forms have been well recognised with the acute form being fatal without timely surgical intervention. The imaging findings are diagnostic, and an established emergency imaging protocol would be very useful for clinical decision making, as the clinical features are usually ambiguous. We present the systematic imaging description in a case of retrograde (type II) jejunogastric intussusception with strangulation following gastric bypass procedure. © Association of Surgeons of India 2012.
Macrodystrophia lipomatosa: Radiographic observations
(1992) S.K. Gupta; O.P. Sharma; S.V. Sharma; B. Sood; S. Gupta
23 cases of macrodystrophia lipomatosa (MDL) are reported showing a wide spectrum of radiographic findings. Typical findings were hypertrophy of all the mesodermal tissues of the affected digits with dramatic overgrowth of fat. Phalanges were enlarged both in length and transverse diameter, but the trabecular pattern was maintained. In one patient, the phalanges and metatarsals were elongated but thinned. In another case, all the phalanges and metatarsals of the great toe were small. The little toe was also involved in two cases. Articular surfaces were slanting. There was a high incidence of palmar and plantar involvement. In a few cases the forearm and leg were also involved. Other uncommon features observed were early maturation of epiphyseal centres of ossification of phalanges and metatarsals, syndactyly, polydactyly, brachydactyly and symphalangism. Angiography was uncharacteristic.
Magnetic resonance cholangiopancreatography in obstructive jaundice
(2004) M.D. Vaishali; A.K. Agarwald; N. Upadhyaya; V.S. Chauhan; O.P. Sharma; V.K. Shukla
Goals: To determine the ability of magnetic resonance cholangiopancreatography (MRCP) to diagnose the level and cause of obstruction in patients with obstructive jaundice. Background: The limitations of available imaging modalities have led to the increasing use of MRCP, which is a noninvasive and highly accurate technique in evaluating patients with biliary obstruction. Study: Thirty patients were included in this study. MRCP was done using a fat suppressed heavily T2 weighted fast spin echo sequence. The MRCP findings were confirmed on surgical exploration or clinical follow-up. Results: MRCP could correctly identify ductal dilatation and the level of obstruction in all cases, except one. All causes of obstruction, except three, were detected. It failed to detect a common bile duct calculus in a minimally dilated ductal system and misdiagnosed a case of focal chronic pancreatitis as carcinoma head pancreas and a small pancreatic head mass as cholangiocarcinoma. It had a sensitivity of 94.44%, specificity of 81.81%, positive predictive value of 89.47%, and negative predictive value of 90% for the detection of malignant causes. The overall diagnostic accuracy for detection of level and cause of obstruction was 96.3% and 89.65%, respectively. Conclusion: The high diagnostic accuracy of MRCP in evaluating patients with obstructive jaundice indicates that it has the potential to become the diagnostic modality of choice in such patients.
Meig's syndrome associated with haemorrhagic pleural fluid and papillary adeno-carcinoma of ovary
(1975) S.K. Gupta; O.P. Sharma; S.S. Ambasta; M.L. Mehrotra
[No abstract available]