Indexed with IndMED ISSN 0971-0876 Indexed with MedIND RNI 50798/1990 Indian Citation Index (ICI) University Grants Commission 20737/15554 www.ijcpgroup.com A Multispecialty Journal Volume 29, Number 10 March 2019, Pages 901–1000 Single Copy Rs. 300/- Peer Reviewed Journal y American Family Physician y Consensus Statement y Gastroenterology y Internal Medicine y Neurology y Obstetrics and Gynecology y Ophthalmology y Medicolegal y Conference Proceedings y Around the Globe y Spiritual Update y Inspirational Story y Lighter Reading Incorporating American Family Physician A Peer-reviewed Journal of the American Academy of Family Physicians Full text online: http://ebook.ijcpgroup.com/ijcp/ www.emedinexus.com IJCP Publications | https://goo.gl/j2nXQQ Online Submission IJCP Group of Publications A Multispecialty Journal Dr Sanjiv Chopra Volume 29, Number 10, March 2019 Group Consultant Editor FROM THE DESK OF THE GROUP editor-IN-CHIEF Dr Deepak Chopra 905 Wrong Diagnosis does not Amount to Medical Negligence: Chief Editorial Advisor Supreme Court KK Aggarwal Dr KK Aggarwal Group Editor-in-Chief AMERICAN FAMILY PHYSICIAN Dr Veena Aggarwal 907 Uterine Fibroids: Diagnosis and Treatment Group Executive Editor Maria Syl D. De La Cruz, Edward M. Buchanan Mr Nilesh Aggarwal 915 Practice Guidelines CEO 917 Photo Quiz Ms Naina Ahuja COO CONSENSUS statement 920 Harm Reduction Conference: Consensus Statement Editorial Advisors Obstetrics and Gynaecology GASTROENTEROLOGY Dr Alka Kriplani 932 Pseudomembranous Colitis: Do we Need a Screening? Cardiology Ashish Gautam, Prabhat Agrawal, Abhishek Raj, Ashwini K Nigam, Dr Sameer Srivastava Subhash Chandra, Manish K Bansal Paediatrics Dr Swati Y Bhave INTERNAL MEDICINE Diabetology 936 Clinical and Laboratory Evaluation of Patients with Fever with Dr Anoop Misra Thrombocytopenia ENT Shankar R Raikar, Panna K Kamdar, Ajay S Dabhi Dr Chanchal Pal 940 Adult-onset Still’s Disease: Rare But not Uncommon Gastroenterology Aakash Shah, Krupa Pathak, Archana Gandhi, Smita Trivedi Dr Ajay Kumar and Dr Rajiv Khosla Dermatology Dr Anil Ganjoo NEUROLOGY Oncology 944 ‘Wine Glass’ Sign in a Case of Juvenile Amyotrophic Dr PK Julka Lateral Sclerosis Arvind Vyas, Divya Goel Anand Gopal Bhatnagar Editorial Anchor 947 Types and Classification of Nerve Injury: A Review Advisory Bodies R Jayasri Krupaa, KMK Masthan, Aravintha Babu N, Sona B Heart Care Foundation of India Non-Resident Indians Chamber of Commerce & Industry OBSTETRICS AND GYNECOLOGY World Fellowship of Religions This journal is indexed in IndMED (http://indmed.nic.in) 952 Evaluation of Perinatal Outcome by Antenatal CTG and and full-text of articles are included in medIND Umbilical Artery Doppler in Pre-eclamptic Mothers databases (http://mednic.in) hosted by National Informatics Centre, New Delhi. Barunoday Chakraborty, Tamal Kumar Mondal, Sannyasi Charan Barman, Biswa Pratim Rudra, Ramkrishna Sahana, Prabhat Chandra Mondal OPHTHALMOLOGY Published, Printed and Edited by Dr KK Aggarwal, on behalf of IJCP Publications Ltd. and 960 A Comparative Study of Safety Profile and Efficacy of Published at Acyclovir and Ganciclovir in Viral Corneal Ulcer E - 219, Greater Kailash Part - 1 New Delhi - 110 048 Rajender Singh Chauhan, Ashok Rathi, Aparna Yadav, JP Chugh, E-mail: [email protected] Ravinder Rose Printed at New Edge Communications Pvt. Ltd., New Delhi E-mail: [email protected] MEDICOLEGAL Copyright 2019 IJCP Publications Ltd. All rights reserved. The copyright for all the editorial material contained 964 Can You be Punished for Something, which is not a Part of in this journal, in the form of layout, content the Charge-sheet? including images and design, is held by IJCP Publications Ltd. No part of this publication may be published in any form whatsoever without the prior KK Aggarwal, Ira Gupta written permission of the publisher. Editorial Policies CONFERENCE PROCEEDINGS The purpose of IJCP Academy of CME is to serve the medical profession and provide 980 ESICON 2018: 48th Annual Conference of Endocrine print continuing medical education as a part of their social commitment. The information and Society of India opinions presented in IJCP group publications reflect the views of the authors, not those of the journal, unless so stated. Advertising is AROUND THE GLOBE accepted only if judged to be in harmony with the purpose of the journal; however, IJCP group reserves the right to reject any advertising at its 984 News and Views sole discretion. Neither acceptance nor rejection constitutes an endorsement by IJCP group of a particular policy, product or procedure. 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We have sympathy The bench agreed with NCDRC approach and said: for the appellant, but sympathy cannot translate into “The explanation offered by respondent No. 2-Doctor a legal remedy.” was that when he attended the patient at 11:00 a.m. The Supreme Court dismissed an appeal filed by a on 16.10.2011, he found that the drip had been man against order of the National Consumer Disputes disconnected, on account of all peripheral veins being Redressal Commission (NCDRC) which dismissed his blocked due to past chemotherapies, and that the drip complaint alleging medical negligence on the part of a had been stopped, the night before itself, at the instance hospital in the death of his wife in the matter of Vinod of the appellant. Taking into consideration the fact Jain vs. Santokba Durlabhji Memorial Hospital & Anr that the patient was normal, afebrile, well-hydrated (Civil Appeal No. 2024 of 2019 Arising out of SLP(C) and displayed normal vitals, the oral administration No. 32721/2017, dated February 25, 2019). of the tablet was prescribed. This, according to the NCDRC was the professional and medical assessment The bench comprising of Justice L. Nageswara Rao and by respondent No. 2-Doctor, arrived at on the basis Justice Sanjay Kishan Kaul upheld the NCDRC order of a medical condition of the patient, and could not which had held that the case “would at best be a case of constitute medical negligence.” wrong diagnosis, but not medical negligence.” “We see no reason to differ from the view expressed by the The state commission had allowed his complaint and NCDRC, keeping in mind the test enunciated aforesaid ordered a compensation of Rs. 15 lakh; the national Respondent No. 2-Doctor, who was expected to bring commission had set it aside. a reasonable degree of skill, knowledge and care, The Apex Court discussed all the legal principles based on his assessment of the patient, prescribed Bolam Test, Kusum Sharma & Ors. v. Batra Hospital & oral administration of the antibiotic in that scenario, Medical Research Centre and Jacob Mathew v. State of especially on account of the past medical treatments of Punjab while deciding the case. the wife of the appellant, because of which the veins for administration of IV could not be located. Her COMPLAINT physical condition was found to be one where the oral In the early hours on 16.10.2011, the IV cannula stopped administration of the drug was possible.” functioning and instead of re-cannulating the patient, oral “The appellant has also sought to make out a case that and not IV administration of the antibiotic cefpodoxime the blood culture report required his wife to be kept in was done, which amounts to medical negligence. the hospital. This was again a judgment best arrived at IJCP SUTRA 724: Hepatitis B vaccine protects from hepatocellular carcinoma. 905 Indian Journal of Clinical Practice, Vol. 29, No. 10, March 2019 by respondent No. 2-Doctor, based on her other stable nor a very low-degree of care and competence conditions, with only the WBC count being higher, judged in the light of the particular circumstances which, as per the views of the respondent No.