Background: Pacific Medical College & Hospital (PMCH) is a 900 bedded, multispecialty, tertiary level health care centre with state of the art equipment, infrastructure & a team of highly experienced, qualified, skilled & motivated teachers, doctors and technical manpower. The hospital has well established departments both in diagnostic & therapeutic fields as well as in supporting logistics services.

01-04

Oligohydramnios is a serious complication of pregnancy that is associated with a poor perinatal outcome. Isolated oligohydramnios at term is defined as AFI <5 cm without any maternal or fetal cause. Incidence of isolated oligohydramnios is 0.5-1% at term. It can be used as an adjunct to other fetal surveillance method to identify those infants at risk of poor perinatal outcome.

05-09

Background: Abnormal Uterine Bleeding (AUB) is a common clinical presentation in gynecology. Alteration in thyroid hormones level has been associated with menstrual disturbances. This study is aimed to know the prevalence of thyroid disorders amongst AUB patients and also the different patterns of menstrual abnormalities associated with thyroid disorders.

10-13

Waiting for own turn in a line is an exceptionally frenzied circumstance for everyone, especially in the case when someone is looking for medical treatment. Commonly it can be observed in general situation people are hanging tight in line for their turn for the service is become the part of their life, especially places such as shopping center, railway reservation counter,

14-17

Background: Nasal cavity and paranasal sinuses are site for variety of mass lesions presenting as polyp or neoplastic lesion. The present study was done on patients presenting to ENT OPD, Pacific medical college and hospital, Udaipur (Rajasthan) January 2018 to December 2019. Inflammatory lesions were more common in comparison to neoplastic lesions with antrochaoanal polyp being most common variety among inflammatory lesion, nasopharyngeal angiofibroma in benign lesions and squamous cell carcinoma in malignant lesions.

18-20

There are a variety of causes that lead to cerebral hemi atrophy with resultant complications like poor physical growth , hormonal 1-4 abnormalities , intellectual insufficiencies, seizures , hemiplegia etc. Dyke,Davidoff and Masson published a series of nine cases in 1933 presenting with hemi paresis , seizures , facial asymmetry.

21-23

Pleomorphic breast carcinoma is a rare variant of high-grade invasive ductal breast carcinoma of no special type. We present a case of a 50 years old female who came with complaints of swelling in right breast since 1-month which was associated with pain. Radiological findings suggested BIRADS gradeV. Fine needle aspiration of the swelling in breast was done.

24-27

A Pilonidal Sinus commonly occurs in the cleft between the buttocks (natal cleft), affecting mainly men from puberty to their thirties and can cause abscess formation with off and on pus discharge causing pain and agony, embarrassment and absence from work for these thousands of youngsters annually.

28-29

Pellagra is a nutritional disorder of niacin or its precursor tryptophan deficiency. It is a historically old but certainly not completely eradicated disease. Deficiency of niacin (Vitamin B3) leads to pellagra with constellation of symptoms affecting skin, gut and nervous system. We present a case of 37 year-old male presented with photodermatitis and neuropsychiatric symptoms, diagnosed clinically as pellagra and was treated successfully with niacin and vitamin B complex supplementation

30-34

Aim: The Clavicle is a rare primary site for Ewing sarcoma (ES). We report one case of patient with clavicular ES under our tracking and review the related literatures on imaging of this rare tumor. Methods and Material: A 22 year old female came with complain of swelling at clavicular region on right side in the radio-diagnosis department .However no pain or fever and the swelling were not tender. Patient is initially investigated with plain radiograph than with CTand MRI.

35-38

Trichotillomania also known as hair pulling disorder is a sub category of obsessive compulsive spectrum disorder characterized by repeated hair pulling from various sites with an increased tension prior to hair pulling and the person gets relief following the act. Trichotillomania is not always a focused act but in fact hair pulling occurs in impulsive episodes . Trichotillomania has two subtypes namely “automatic” versus “focused” hair pulling. Various psychiatric disorders are associated with cases of Trichotillomania.4

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52-55