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Acute pancreatitis is the inflammation of the pancreas due to reversible parenchymal injury. It is clinically diagnosed by a characteristic abdominal pain and laboratory findings of elevated levels of serum amylase and serum lipase. In addition to this, due to the movement of the intravascular fluid into the abdominal cavity, polycythaemia has been observed in a few such patients, which can potentially predispose to thromboembolic complications such as deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE), thereby posing a life-threatening risk to the patient. A study was conducted in the Department of General Surgery at Saveetha Medical College and Hospital to assess the incidence of polycythaemia in patients clinically diagnosed with acute pancreatitis by retrospectively analysing the haematology reports of 50 patients. It was found that 5 out of 50 patients (10%) had a finding of polycythaemia in their haematology reports. The identification of polycythaemia in pancreatitis patients will help the clinician with the management protocol to prevent the occurrence of thromboembolic events.

Schwannoma is a tumor of tissue covers nerves called the nerve sheath. It is a common type of benign peripheral nerve tumor in adults can occur anywhere in the body at any age. It typically arises from single bundle (fascicle) within the main nerve and displaces the rest of nerve.Here we present a case of swelling in the left hand for the past 6 years. Increasing in size in the last 3 months. Came with the complaints of numbness over the little finder and half of the ring finger for the past 3 months. No restricted movements in the finger. Imaging done showed soft tissue sarcoma without any nerve involvement. Patient underwent local excision. HPE revealed as Schwannoma.

Background: Diabetes is a strong risk factor for stroke, it is unsettled stroke is different in patients with and without diabetes. Hyperglycemia has been observed after an acute stroke and is associated with poor prognosis. Stroke patients with diabetes mellitus appear to have a worse prognosis in term of both mortality and residual disability. Aims and Objective: The study aims to prospectively characterize stroke in the diabetic patients in stroke population. To determine the time course of recovery and prognosis in stroke patients with diabetes and the relation between non-diabetes, pre diabetes, and post diabetes. Materials and Methods: A total of 65 subjects were enrolled for the study from the Outpatient Department of ACS Medical College and Hospital. 30 patients after exclusion were subjected for the therapeutic session under 3 groups of 10 each, such as non-diabetic, diabetic before stroke and diabetic after the stroke, and each group comprising males and females. The treatment session of 3 months comprised aerobic exercises, neurological rehabilitation, and prescribed diet. Pre-and post-test using, Scandinavian stroke scale (SSS), Barthel's Index (BI), and random blood glucose level. Data were analyzed using twotailed t-tests, delineated as a mean ±standard deviation and the level of significance was set at P < 0.01 for SSS, P < 0.005 for BI, and P < 0.005 for random glucose level (RGL). Results: Pre-and post-intervention data of SSS and BI of all the three groups of subjects recorded significant increase at P < 0.01 and P < 0.05, respectively, indicating the positive impact of the treatment session on mitigation of disabilities. The RGL data of both diabetic groups recorded a significant reduction in the post-treatment estimation, confirming the effectiveness of the treatment regimen in regulating the blood glucose level as well. Conclusion: This study has demonstrated the positive impact of physical activity; particularly the aerobic exercise and nutritional alterations in successful intervention of the disabilities of stroke survivors with and without diabetes.

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