Pulmonary artery aneurysm is an infrequent entity and is generally congenital in origin or secondary to pulmonary arterial hypertension. Infections causing pulmonary artery aneurysm are limited, in which tuberculosis and bacterial infections being the shared causative etiologies. There have been only scarce cases reported in the past, in which mucor caused pulmonary artery aneurysm. Pulmonary mucormycosis causing pulmonary artery aneurysm is an infrequent and almost fatal complication, as most of the diagnoses are made postmortem. Our case is the first case report in Indian literature that brings out a case of disseminated mucormycosis, causing bilateral segmental pulmonary artery aneurysm in a patient with uncontrolled diabetes. This patient was cured by timely treatment with antifungals.

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Introduction: Diagnosis of mucoepidermoid carcinoma (MEC) on fine-needle aspiration cytology (FNAC) is grim with important diagnostic pitfalls, leading to wrong treatment decisions. This study highlights uncommon mimics of MEC on FNAC smears of major salivary glands and compares the cytologic findings with definitive histopathology diagnosis for identification of potential diagnostic pitfalls. Methods: This is a retrospective descriptive study of MEC cases diagnosed over a duration of 5 years (April 2015–April 2020) at a tertiary care center with available preoperative FNAC and postoperative histopathology resection specimens. Results: Out of a total of 18 MEC cases diagnosed by histopathologic examination, 8 (44%) were wrongly diagnosed on preoperative FNAC as a different benign or malignant entity. Further details of these cases are shared in the text. Discussion: Although FNAC remains an important preoperative diagnostic tool in salivary gland lesions, utmost care is required in the cases of MEC which are notorious for misinterpretation on cytology. A number of uncommon mimics, both benign and malignant, need to be considered and carefully excluded to spare the patient of avoidable miseries of misdiagnosis. Conclusion: MECs of salivary glands can mimic the morphology of a variety of benign as well as malignant lesions on cytology with low cyto-histologic concordance especially in cystic lesions.

Aim: The present study was undertaken to observe the role of flupirtine and diclofenac sodium in post inguinal hernia surgical pain. Materials and Methods:The study recruited 40 patients who underwent inguinal hernia surgery of the age group of 30-60 years 20 and 50 yrs. Patients of either sex were recruited in the study. All participants underwent thorough physical examination. All measurements were performed using standard methods in the literature. Visual analog scale was used to assess pain score. Side effects if any were noted. Results: Table no 1 presents the demographic data of participants. There was no significant difference in age between the two groups. There was no significant difference in height and weight of the two groups. Baseline pain scores were not significantly different between the two groups. Post intervention pain score was significantly lower in group 1 when compared with group 2. Conclusion:The study results confirm that flupirtine was effective in the management of post surgical pain Further detailed studies are recommended in this area.

Aim: The present study was undertaken to observe the prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. Materials and Methods:The study recruited 30 patients admitted for diabetic foot ulcer within the age group of 30-60 years 30 and 60 yrs. Patients of either sex were recruited in the study. All participants underwent thorough physical examination. All measurements were performed using standard methods in the literature. Results: Majority of patients belongs to age group 30-40 years. 53.3% are males and 46.6% are females. Majority of the participants are post graduates. Majority of ulcers are in right foot. 40 percentage of cases the underlying cause is foot ware. Nephropathy was found to be significant co morbidity in these patients. Conclusion:The study explained he prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. Further detailed studies are necessary in this area to understand the association in better way to plan effective treatment strategies.