21 Questions 24 Answers 0 Followers
Questions related from Thirunavukarasu Kumanan
Can anybody suggest the Jelly fish species that cause allergic reaction in fishermen of Sri lankan and south Indian coastal sea?
09 July 2015 8,196 4 View
Toddy (Palmyrah wine/palm wine) is said to be the culprit of hepatic amoebiasis in Northern sri lanka. But nobody has isolated amoeba from palm wine.
30 April 2015 4,611 3 View
It is being tried in France with children with autism spectrum disorders.
17 December 2014 6,826 0 View
It is proven that angiotensin converting enzyme inhibitors is superior to receptor blockers. Is it the bradykinin accumulated by ACEI responsible for that? It causes the cough and limits the use...
29 September 2014 8,698 1 View
Its said glucose toxicity significantly affects beta cell function in the early part of type 2 diabetes and hence giving insulin for 3 months and reduce glucose toxicity and give rest to beta...
15 September 2014 7,245 5 View
There are no evidence based therapies for dengue shock management except meticulous fluid management. Some anecdotal reports claim that it is beneficial.
22 August 2014 6,576 7 View
Cadmium is said to be an important cause of chronic kidney disease of uncertain aetiology in Sri Lanka. It would be very beneficial that if there is a non invasive screening tool to detect cadmium...
16 August 2014 1,552 6 View
The FDA has approved both risperidone and aripiprazole to treat symptoms of autism. Aripiprazole is better tolerated than risperidone, but there are no head to head trials to compare the efficacy...
16 August 2014 6,803 4 View
It is said that pioglitazone and statins are useful in preventing endothelial dysfunction and are drugs of choice for erectile dysfunction in males.
05 August 2014 6,731 2 View
At present we have a patient with tetanus. Elevation of csf protein is a well known association. But our patient has a lymphocyte count of 125. Is it an expected finding?
01 August 2014 4,636 5 View
A 45 year old male patient presented to me with hepatosplenomegaly, thrombocytopenia, neutropenia and microcytosis. He has recurrent lung abscees. He was treated as pulmonary tuberculosis...
29 July 2014 1,380 9 View
NCEAP ATPIII and various guidelines point out that LDL/HDL is an important predictor of atherosclerosis. But in clinical practice I found that log of TG/HDL (Atherogenic index of plasma) as an...
29 July 2014 5,844 4 View
Since oral metronidazole is absorbed directly into the portal circulation, theoretically it will concentrate more in liver and hence a question arise about the dosage.
29 July 2014 5,245 3 View
We have come across hundreds of amoebic liver abscess cases here in northern Sri Lanka. We treat all of them with metronidazole and sometimes with percutaneous aspiration. All of them recover. But...
29 July 2014 6,753 15 View
Various definitions and criteria used to diagnose metabolic syndrome. Its a common observation that central obesity, high blood pressure and impaired fasting sugars are an important triad. So I...
28 July 2014 1,036 10 View
Platelet destruction and bone marrow suppression account for thrombocytopenia in Dengue. But few studies only done in platelet morphology.
24 July 2014 7,602 1 View
Levofloxacin and moxifloxocin are commonly used. I am not sure which one will cross BBB better.
22 July 2014 9,129 6 View
Exposure to Jellyfish is a common problem observed among fishermen of northern Sri Lanka. Being a general physician I treat them with antihistamines and short course of steroids. I dont know the...
20 July 2014 9,690 6 View
Neutropenia with relative lymphocytosis is a well known fact and commonly observed but coukdnt find an explanation in any text books.
18 July 2014 8,974 6 View
Its an extremely common observation that hepatic amoebiasis is extremely common among nothern Sri Lankan population who drink toddy (Palmyrah palm wine). Its also noted the hygiene of taverns that...
08 July 2014 4,913 5 View
It is a well known fact that certain traditional risk factors exist for the reactivation of tuberculosis and herpes zoster. In addition to age in particular pregnancy, uncontrolled diabetes,...
01 January 1970 4,692 3 View
