Parikh forensic medicine pdf

 

    The American Journal of Forensic Medicine and Pathology: September - Volume 1 - Issue 3 - ppg BOOK AND LITERATURE REVIEWS: PDF Only. The Seventh Edition retains the prime flavour of Parikh's original book, Parikh Textbook of Medical Jurisprudence Forensic Medicine and. Parikh's Textbook of Medical Jurisprudence & Toxicology book. Read 5 reviews C.K. Parikh. Other editions Awesome forensic book for medical students.

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    Parikh Forensic Medicine Pdf

    Parikh's Text Book of Medical Jurisprudence and Toxicology, Download the PDF to view the article, as well as its associated figures and tables. Abstract of hair, and clinical forensic medicine (impotence, sterility, virginity. Parikh Forensic Medicine pdf Review: Medical jurisprudence, toxicology and forensic medicine, all of these three subjects are very closely related. And in most . PDF | The Essentials of Forensic Medicine is a time-tested "core Om P Murty at All India Institute of Medical Sciences, New Delhi ,India .. Third Edition of Parikh's Colour Atlas -illusrated Atlas covering wide range of.

    Click here to view Modern ophthalmology has experienced a dramatic increase in knowledge and an exponential increase in technology. A lot of this 'hi-tech' explosion involves diagnostic tests. Regrettably, there is sometimes a tendency to use tests just because they are available; or because they are hi-tech. The basic idea of performing a diagnostic test is to increase or decrease our suspicion that a patient has a particular disease, to the extent that we can make management decisions. In this article, we have tried to explain the rationale behind tests and their 'scientific' application in the practical management of a patient. Diagnostic Tests For this article, the term 'diagnostic tests' will include everything physicians do to diagnose disease. This includes assessing symptoms and signs, as well as what we conventionally refer to as tests: such as laboratory investigations, gonioscopy, Optical Coherence Tomography OCT , etc. Gold Standard The gold standard is the best single test or a combination of tests that is considered the current preferred method of diagnosing a particular disease X. All other methods of diagnosing X, including any new test, need to be compared against this 'gold' standard. The gold standard is different for different diseases. If we are considering peripheral anterior chamber depth van Herick test [2] for the diagnosis of primary angle closure PAC , the current gold standard is gonioscopy.

    The peripheral anterior chamber depth was less than one-fourth the peripheral corneal thickness in both eyes. Let us examine the rationale behind this statement. That in itself is not enough for a SpPIN, or 'rule in,' and doesn't help too much. However, the two tests can be combined to increase the specificity and perhaps apply SpPIN and 'rule in' diagnosis.

    The 'open angle' described earlier is shown in [Figure - 3]. The angles on repeat gonioscopy indentation are shown in [Figure - 4]. While 35 is a low sensitivity as far as tests in general are concerned, it doesn't really matter here as we are utilizing the 'rule in' specifically to make the diagnosis in an individual patient.

    Let's take another example: a patient has repeatable IOP measurements of 24 mmHg with normal pachymetry, and the angles this time are really open.

    And, while not too useful a measure, the cup disc ratio is 0. This specificity is high enough to "rule in" the diagnosis of POAG, without further testing. Any further testing is probably required for monitoring.

    Of course, whether we treat or not is a different matter. Some of us want even more evidence than this. The approach we describe allows incorporation of further testing including optimal and effective use of modern imaging techniques too.

    If we combine this with just the IOP, can you calculate the combined specificity? Did you get As a 'rule in,' this is almost as good as it gets. Regrettably, there is no absolute certainty. According to our clinical Bible, absolute certainty is limited to theologians and like-minded clinicians.

    If the tests were not independent, there would be some 'convergence,' as it is technically called. When we use three tests, such convergence would have minimal clinical significance. Case 2 A year-old male is suspected to have sarcoidosis. It is an idiopathic multi-system granulomatous disease, where the diagnosis is made by a combination of clinical, radiological and laboratory findings. The gold standard is a tissue biopsy showing noncaseating granuloma. Ocular sarcoidosis could present as anterior, intermediate, posterior or panuveitis; but none of these are pathognomonic.

    Therefore, one has to rely on ancillary testing to confirm the diagnosis. Sensitivities can be used in the same manner to rule out diagnoses. But you feel the disc is suspicious or the patient has a family history or has been referred or whatever. Based on the above information, could the patient still have glaucoma? Did you try to calculate that? That's certainly not good enough to rule out a disease like glaucoma. The combined specificity now becomes 1 - 0.

    You should be able to rule out 'functional' glaucoma now. So you can use the GDX to combine information about the nerve fiber layer. What is the combined sensitivity now? Can we send the patient home now?

    More importantly, we have discussed the advantage and limitations of these measures and provided how we should use these measures in our day-to-day clinical practice. Variant metabolic risk factor profile leading to premature coronary disease: time to define the syndrome of accelerated atherocoronary metabolic syndrome in Asian Indians.

    Singapore Med J ; Considerable disagreement among definitions of metabolic syndrome for Japanese. Circ J ; Cardiovasc Diabetol ; Diagnosis of insulin resistance in hypertensive patients by the metabolic syndrome: AHA vs.

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    Parikh's Textbook of Medical Jurisprudence & Toxicology: For Classrooms & Courtrooms

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    For Classrooms and Courtrooms 2. New and latest material has been added at appropriate places, several old photographs replaced by better visuals, and many new photographs also added in the text.. Recent topics like the Protection of Children from Sexual Offences Act, , and recent changes in the criminal law in relation to rape, sexual deviations, penetrating sexual assauH and acid attacks have been incorporated.

    Other topics of current importance like body farming, virtual autopsy, narcoanalysis, hair dye poisoning, newer plant poisons like brasinolide, and khat abuse have been added. Most old photographs have been replaced with new and recent photographs with crisp captions in relation to decomposition, autopsy 4.

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