female high myopes minus numbers of spectacles with left eye lazy eye non working eye

A 65 years old female (No diabetes or hypertension), high myopes (minus numbers of spectacles) with left eye lazy eye (non working eye) was operated for right eye cataract surgery.

Female presented with pancreatitis

63 year old female presented with pancreatitis before six weeks. At present she had pain abdomen On CT scan she had a 13 x 10 cm Pseudocyst with minimal debris EUS guided drainage was done and stent placed.

Jaundice and CT scab showing mass ( cancer ) in head of pancreas

81 year female presented with jaundice and CT scab showing mass ( cancer ) in head of pancreas ENdosonography was done to confirm cancer and in same sitting a metal stent was placed for palliation of jaundice and symptoms.

Female presented with pain Abdomen and Jaundice

63 year female presented with pain abdomen and jaundice. Usg confirmed dilated bile duct and gall stone ENdosonography was done to confirm presence of stones in bile duct and in same sitting ERCP was done to remove the stones in the bile duct.

Male presented with pain Abdomen and Jaundice

95 year male presented with pain abdomen and jaundice. Usg and MRCP conformed large bile duct stone , ERCP done to remove the large bile duct stone.

Hypertensive Female with Family History of Glaucoma

A 52 years old diabetic, hypertensive female with family history of glaucoma ( called as " mitho zamar" in gujarati) to her grand mother and 2 elder sisters. Patient had no symptoms as it was diagnosed on routine eye check up.

Male with Blurring of vision in both eyes

A 60 year old male patient poorly controlled diabetes, came with blurring of vision in both eyes. Below are the OCT images of both the eyes showing Macular edema ( fluid collection in central part of retina) with multiple hemorrhages. Patient was advised retinal laser.

Dimness of vision in right eye since 2 weeks

A 43 year old female, with no any major systemic illness, came to us with complain of dimness of vision in right eye since 2 weeks. Her vision in right eye was around 25 %. Her retinal examination showed fluid around macula, which was confirmed on OCT as CSR.

Achalasia Cardia : POEM

60 year short statured female with copd had dysphagia EGD Scopy confirmed a aperistaltic esophagus with classical ‘give way’ at the esophago gastric junction. POEM done for type 3 achalasia a 15 cm myotomy with at least 4.5 cm in stomach done. Patient discharged on the 3rd day.

Dysphagia in a post operative case

MR AS,male /55 yr was operated for distal gastrectomy for carcinoma stomach 7yrs back.He had recurrence 12 months back when he got total gastrectomy with roux-en-y esophageal-jejunal anastomosis. The jejunum was made into a J-shaped using staplers and anastomosed.

Recurrent Pancreatitis in a Young Male

Case referred for evaluation of pancreatitis in a young non alcoholic male with normal spiral CT scan abdomen and MRCP He had 5-6 admissions for pain in abdomen with gastroenterologist of surat.

Burning in Upper Parts of Chest

A 55 year female was referred for burning in upper part of chest for one month.There was no complaints of difficulty in swallowing or weight loss.On gastroscopy

Pain in Abomen with Normal Liver

45 year female presented with complaints of pain in abomen with normal liver function test and ultrasound showing dilated bile duct with 10 mm stone in the lower part.Patient has no complaints of fever or back pain.

Pancreatic Ductal stricture with Stone

A 63 year male diabetic patient had complaints of pain abdomen with radiation to the back.He was investigated with MRCP showing a 5mm main pancreatic duct with stone in the neck and upstream dilatation.The pancreas was atrophic.CBD,GB were normal.

Anemia and Bleeding per Rectum

52 year male alcoholic cirrhosis of liver secondary to NASH was having anemia and bleeding per rectum due to portal gastropathy.