Tuberculosis has global presence and no part of human body is immune to it, most frequent site beings lungs. Nasopharyngeal tuberculosis is a rare type of extrapulmonary tuberculosis comprising only less than 1% of tuberculosis found in the upper respiratory tract. The authors are presenting here a case of primary tuberculousis affecting the nasopharynx (adenoids) which is one of the rare differential diagnosis of nasopharyngeal mass. Isolated nasopharyngeal tuberculosis is a rare condition even in the endemic areas. In literature there are varied clinical presentations of nasopharyngeal tuberculosis. Tuberculosis should be one of the differential diagnosis of nasopharyngeal lesion. Biopsy and histologic study should be performed in every patient to avoid misdiagnosis. When treated properly, nasopharyngeal tuberculosis carries a excellent prognosis, and complete resolution of disease is the rule.
A prospective study of 100 consecutive patients of deviated nasal septum to analyze association of septal deviation with external nasal deformity was undertaken at Acharya Vinoba Bhave rural Hospital of Jawaharlal Nehru Medical College, Sawangi (Meghe) Wardha from January 2009 to September 2010. Nasal septal deviations were evaluated by clinical examination and diagnostic nasal endoscopy while external nasal deformities, after evaluating, were documented using high resolution photography Nasal septal deviations were classified in seven types from I to VII by using Mladina's classification modified by Janardhan et al. Jang classification was employed to classify external nasal deformities. 66% of the patients with deviated nasal septum were symptomatic while 34 lacked symptoms. Nasal obstruction was the most frequent symptom in 64% followed by nasal discharge in 33% Type VII was the most common type of deviation in 29%. Study revealed that 67% of the patients with deviated nasal septum had external nasal deformity and of the 67 patients with external deformity, Type I deformity was most frequent (26%). Remarkable feature of our study was Type I, III, V septal deviations were not associated with external deviation Type II septal deviations were commonly associated with Type III external deformity (7%) and Type IV septal deviation were closely associated with Type I external deformity (12%).
Tuberculous retropharyngeal abscess is a rare presentation. It is present in adults usually due to involvement of cervical spine by tuberculosis. Retropharyngeal space usually gets involved in children due to pyogenic organisms or secondary to trauma. Here is a case of tuberculous retropharyngeal abscess in an adult female, with pulmonary tuberculosis. The patient was not having tuberculous involvement of cervical spine and was managed surgically by aspirating the retropharyngeal abscess transorally and AKT Category I.
Today, all manufacturing companies need to minimize the effect of waste water in the farm and human health. It is depending on removing the oil and grease from the water. The Dr. Naganath Anna Nayakavadi H.K.A. Sugar factory placed Walwa. about E.T.P. section where worker removes oil manually and he told about scrap oil skimmer. Before scrap the oil skimmer it working but it problem when which is can not continuous remove oil from water and machine problem is that while the oil skimmer is not work properly Sum percentage of oil also goes on E.T.P section. When in the E.T.P they change the P.H value. They also effect on the farm. We have decided the make the arrangement at a time two oil skimmers run one motor.
<p><strong>Background:</strong> Hallux valgus deformity mostly seen in females because of high heels and tight/narrow shoes. Previous studies have focused on surgical treatment, orthosis, footwear modifications and tapping, but this not correct valgus deformity and causes certain complications. No studies are conducted showing proper exercise program effective in decreasing the valgus angle. The purpose of this study was to determine the efficacy of hallux valgus deformity correction exercise program in young females. <strong>Objectives:</strong> To determine the efficacy of hallux valgus deformity correction exercise program in young females. Methods: 24 female subjects with mild and moderate hallux valgus angle were divided, in group A (experimental) treated with deformity correction exercises, mobilization, stretching and group B (control) with toe spread out and short foot exercises. A goniometer was used to determine the valgus angle of great toe. Visual analogue scale for the pain and functional limitations was evaluated by using Foot and Ankle Disability Index. <strong>Results:</strong> On comparing both groups, there was no statistically significant difference seen in pre interventional values. In post interventional values, there was significant difference seen with p value for pain at rest (<0.0001) and on activity (<0.0001), goniometric range of motion of great toe of right (<0.0002) and left side (<0.0003), foot and ankle disability index score (<0.0238). <strong>Conclusion:</strong> The conducted study shows that deformity correction exercises, stretching and mobilization had more beneficial effects than toe spread out and short foot exercises for correcting the deformity.</p>
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