Functional Ovarian cyst

Functional Ovarian cyst

HCG negative

Pelvic mass in reproductive age group

USG :Fluid filled ovarian simple cyst

Management :<7 cm : Observation followed by OCPs >7 cm :Laproscopy

Lead can cause
neurologic damage (learning disabilities or hyperactivity
to mental retardation)
Routine screening is usually only recommended
for high-risk children (e.g., the child lives in old building and is a paint-chip eater or near a battery recycling plant).
If level is more than 10 micro gram only close follow up and observation is required.
Treatment is indicated at >45 microgram.
First step towards treatment should always be cessation of exposure.
Drug therapy involves treatment with succeimer or DMSA

ADPKD

A D Polycystic Kidney Disease:
Prognostic factors
Early onset of disease
Male sex
Early onset of renal dysfunction
severity of hyspertension

Follow up with regular examination of BP

only 10% of patients present with berry aneursyms.

PUD Treatment
If patient is non responsive to triple therapy..
Quadruple therapy is preferred which includes
P :proton pump inhibitor
B :bismuth
M :Metronidazole
T :Tetracycline

Dementia secondary to Parkinson disease:
It presents with classical symptoms of parkisnon disease (bradykinesia, resting tremor, rigidity ) along with dementia.
Recurrent visual hallucination is noticed.

Rx:
Rivastigmine
Donepezil

Pseudotumor cerebri
Offending agents :
Obesity
chronic lung disease
OC pills
Vitamin A toxicity
addison disease

Rx:Weight loss
remove offending agent
acetazolamide or furosemide
steroids may help

In acute cases Lumbar puncture might be needed
In refractory cases ventriculopoertinoal shunt cud be consideraton.