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Clinical Pearl-Square doc BY,     Rupjit Banik Clinical Pearl : 14 A 5-years old boy presents with mental retardation. His skin and hair is abnormally light coloured. Thinking of Vitiligo? Please check the body odour. If they impart a strong musty or mousy body odour, may be you're dealing with a case of Phenylketonuria. Explanation : Phenylketonuria is an autosomal dominant disease where there is mutation of the gene that codes for Phenylalanine hydroxylase (PAH). This enzyme converts the Phenylalanine into Tyrosine which is a precursor of Melanin synthesis. So, PAH deficiency leads to decreased Tyrosine leading to decreased Melanin synthesis. So, light colour of skin and hair. On the other hand, increased Phenylalanine level causes Mental retardation. It is also excreted through sweat and urine causing strong musty or mousy odour. Subscribe করুন Youtube Channel Square Doc (Bangla Medical Tutorials) . Clinical Pearl : 15 Early morning generalize...

Clinical Pearl Collection Part--02 Clinical Pearl Collection Clinical Pearl Collection part --02 Clinical Pearl Rupjit Banik December 12 2017, 8:00 AM December 12 2017, 8:00 AM যদি part-০১ টি না দেখে থাকেন Clinical Pearl Collection Part-01 (click here) Clinical Pearl:09 If a child already diagnosed with Polycystic Kidney Disease or Renal Insufficiency presents with Hypercalcaemia, please take his/her diet history. If he/she has a history of taking Dairy Products regularly, may be he/she is suffering from Milk Alkali Syndrome.... mechanism: The Dairy food product companies used to add Calcium Carbonate in dairy foods to enrich it with Calcium. But in case of young patients with renal insufficiency, the Calcium is not cleared well leading to Milk Alkali Syndrome. Subscribe করুন Youtube Channel Square Doc Tutorials . Clinical Pearl :10 A CLD patient suddenly presents with increased Bleeding Time but the Clotting Time is normal. What should be the most...

Clinical Pearl Collection Part--01 Clinical Pearl Collection Clinical Pearl Collection Clinical Pearl Rupjit Banik December 12 2017, 8:00 AM December 12 2017, 8:00 AM Clinical Pearl:01 Unilateral headache with increased ESR? Please consider Temporal Arteritis Clinical Pearl:02 Can't palpate the pulse with repeated effort in an alive patient? May be you're dealing with a patient of Takayasu's Arteritis (Pulseless disease) JOIN করুন Square Doc Group for update post Clinical Pearl:03 A hospital admitted CLD patient suddenly complaining of Dyspnoea? May be this patient is suffering from Right Sided Pleural Effusion. More clearly to say, Hepato Pulmonary Syndrome. Clinical Pearl:04 A well hydrated (Haemorrhage is already managed) hospital admitted RTA victim suddenly presents with Acute Renal Failure? may be you're dealing with a case of Crush Syndrome. Clinical Pearl:05 Palpable JVP? Please consider Tricuspid Regurgitation . Me...