Congenital diaphragmatic hernias are infrequently encountered in adult patients. A rare type of this hernia is the Morgagni’s hernia. Although they remain asymptomatic in a majority of patients, we present the case of an elderly patient who presented to us with abdominal pain and upper gastrointestinal bleeding.

Symmetrical peripheral gangrene (SPG) is a rare clinical syndrome characterized by ischemic necrosis of 2 or more limbs, without involvement of large vessels. It is often associated with disseminated intravascular coagulation and septic shock. Usually caused by Gram-positive and Gram-negative organisms, tuberculosis as a cause is extremely rare. We present the case of a 46-year-old man, who initially presented with signs and symptoms suggestive of tuberculosis but later developed SPG along with septic shock after his initial visit. The case highlights the progression of this dreaded complication and touches upon recent developments in its etiology as well as pathogenesis.

Antenna with higher directivity and compact size is the need of hour, latest trends suggest that lot of work has been going on in this field. In this paper the performance of patch antenna with substrate having higher relative permittivity has been compared with that of patch antenna with substrate having low value of relative permittivity. The simulation results suggests that patch antenna with lower relative permittivity substrate has better value of directivity and return loss, these parameters play significant role in antenna designing.

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