Crossed fused kidney place in an unusual area are the congenital developmental malformation of urinary tract. There are many variants of ectopic renal presentation. In this malformation both the kidneys are anatomically located at one side of the body over each other and inferior CFRE is the most frequent type observed. The condition is generally asymptomatic and diagnosed as an incidental radiology finding and Multi Detector Computed Tomography (MDCT), urography is the investigation of choice. Autopsy based kidney specimens with gross anomalies can be rich source of knowledge about renal pathology.
Withdrawal symptoms amongst the habitual drinkers of alcohol have become a common finding during the COVID 19 pandemic as a result of lockdown. To curb the symptoms, some seek to take surgical spirit which contains isopropanol, a monohydroxy alcohol. As the mortality rate of its ingestion is very low, most of the literature is concerned with the clinical findings. Here we present autopsy findings of a couple who had consumed surgical spirit to ease the symptoms of alcohol withdrawal. On taking a history from the son we came to know about the withdrawal symptoms and previous medical treatment. They had consumed surgical spirit which they allegedly took to relieve the symptoms which had been retrieved from the house. There were no external injuries present over the bodies. The stomach showed diffuse submucosal hemorrhages. Lungs were grossly edematous and hemorrhagic. Urine showed the presence of ketone bodies. Chemical analysis of viscera showed the presence of isopropanol. Many studies pointed out that during the COVID-19 pandemic there is a surge in the withdrawal symptoms amongst the alcoholics which even had provoked them towards consumption of toxic alcohols. With limited or no access to alcoholic beverages, people tend to consume toxic alcohol to relieve their withdrawal symptoms. In these ‘hard times’ population at risk should be identified, treated, and counseled against the taking of toxic alcohols. Substitutes for alcohol-based sanitizers could be researched and put in use. A cautionary message should be boldly printed on the label of such things.
Violence against women has been in talks and news every now and then. Various laws are enacted world-over and in India for protection of their rights and dignity with stringent punishments of the offender. But issues arise if the offender is a mentally unsound person or a juvenile. The case is of a four-month pregnant lady who was attacked by a mentally unsound person and was brought to casualty in a low condition with unstable vitals. She had sustained multiple injuries over the body and a wooden roller stuck inside the vagina. The treating physician’s medico-legal duties and the role of state in such cases become very important. The treatment examination of victim and accused along with the legal implications make such cases worth discussing.
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