Abstract: Jumper's knee (patellar tendinosis) is a common entity in athletes, who are involved in sports such as basketball and volleyball. Non-athletes with history of rheumatoid arthritis, seronegative arthropathies, and those on steroids treatment are predisposed to this condition. Patient presents with insidious onset anterior knee pain, swelling and feeling of “giving way.” In extreme cases, partial or full thickness tear may occur. MRI accurately delineates the extent of soft tissue and bony involvement. Treatment includes conservative management and surgical correction is required in refractory cases.

Abstract: Sugars belong to glycan/carbohydrate group of chemicals. Realisation of their sweetness was earlier as compared to its use as an energy source and an important dietary component. Although sugar is vital for defraying many physiological functions of our body properly, “Sweet tooth” or “Craving for sugar” is of common occurrence in children. Of late, we have realised that an excess consumption of sugar is harmful leading to various elements affecting our health, more so in children and women. So one should not only be careful while consuming excess amount of sugar (more than the recommended) in one’s diet, but rather advertently avoid it.

Abstract: Spinal epidural lipomatosis is a disease involving excessive deposition of adipose tissue within epidural space of spinal canal, most commonly associated with exogenous steroid usage. Patients may be asymptomatic or may present with a low backache, weakness, and claudication. Diagnosis is usually made on MRI showing compression of dura by excessive epidural fat. Severe cases may show stellate or ‘Y’ sign. Increasing incidence of obesity and more common use of steroids has led to increased incidence of SEL over years. The main mode of treatment is conservative with surgery reserved for refractory cases.

Abstract: Medical education has undergone major changes from teacher centered to student centered, from discipline based to integrated, from hospital based to community based curriculum and is more focused on formative learning. Medical professionals are looking at aids to cope with the information overload. The processing capability of desktop and the communication attributes of the mobile phone has merged together to create a device which offers limitless access to medical resources. Physicians prefer a Smartphone, which has multiple functions to offer. They are making increasing use of mobile devices in support of their clinical practice and professional development, and their profile in medical education is also growing.

Abstract: World Health Organization defines palliative care as “An approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual.” Hospice care, a model of palliative care, aims to help terminally ill patients cope with the psychological aspects associated with end of life while providing optimal symptom management. Faith and spirituality have a key role to play in end of life care which may allow patients to adapt to the accompanying stress better. Preferred place of death is also an important component of hospice care. While death at home may be associated with less emotional stress, this decision should take into account the quality of care that can be provided at home. In the developing world where there is a lack of formal setup of hospice care, physicians hold an additional responsibility of attending to all dimensions of a “dying” patient and assuming a holistic approach in the management of such patients.

Abstract: The double posterior cruciate ligament (PCL) sign is characteristic MRI sign of bucket handle tear of medial meniscus in patients with the intact anterior cruciate ligament. Bucket handle tear is displaced vertical longitudinal tear with displacement of the inner fragment (resembling the handle of a bucket) into intercondylar notch parallel to posterior cruciate ligament with residual larger peripheral part of the meniscus resembling the bucket. On MRI, the double posterior cruciate ligament (PCL) sign is seen as a low-signal-intensity band that is parallel and anteroinferior to the PCL on sagittal images. Double PCL sign is a highly specific indicator of bucket-handle tear of the medial meniscus. However, knowledge of mimics of this sign which include few normal and abnormal structures in the intercondylar fossa, such as meniscomeniscal ligaments, ligament of Humphrey and Wrisberg (accessory meniscofemoral ligaments), loose bodies, fracture fragments, double-barrelled PCL is important to avoid fallacies. Primary treatment of bucket handle tear is arthroscopic repair.

Abstract: The arterial supply of the interventricular septum was studied by macroscopic and radiological examination after injecting radio-opaque material in 50 human hearts. During macroscopic study many intercoronary anastomoses were found in different regions of heart though they were short in length, small in caliber and thin walled. At radiological examination, the small septal arteries arising from the posterior interventricular artery and large septal arteries from the anterior interventricular artery were observed. The secondary branches from the main septal arteries displayed diverse patterns on the right and left sides of the septum. During radiological study, it was also recognized that the short septal rami from the posterior descending artery were distributed over the posterior or inferior one-third of the septum except its apical zone while the anterior descending artery through its septal branches supplied the ventral two-thirds of the septum and whole of the apical portion. Straight intercoronary anastomotic vessels were clearly discernible within the interventricular septum during radiological examination.