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PCOS - finding the root cause is everything. A thread

A 28 year old woman with BMI 22 kg/m2 was referred in view of irregular cycles. The patient had attained menarche at the age of 14 years. She had regular cycles initially. Since the past 6 years, her cycles were irregular.
She had cycles once in 3-4 months. She had also noticed thick terminal hair on her face and upper chest. Her physician had suspected PCOS ( polycystic ovarian syndrome). Ultrasound abdomen confirmed the diagnosis of PCOS. She was then started on oral contraceptive pills
Her cycles regularised while on the oral contraceptive pills. But there was no improvement in the hair growth on her face. She then stopped the pills by herself. She did not menstruate for 6 months after she stopped the pills. She then consulted a gynaecologist
Read 11 tweets
Tracking a mystery to the pituitary gland. A thread

A 58 year old woman presented with vomiting and altered sensorium. Her sodium on presentation elsewhere was 102. She was diagnosed with hypovolemic hyponatremia.
She was rehydrated and discharged when sodium normalised. 3 months later, she presented again with hyponatremia and altered sensorium. Na - 103. TSH was 2 ( normal). Since the TSH was normal, pituitary pathology was ruled out and she was treated as SIADH.
She presented again, 4 months later with hypotension , vomiting and hyponatremia. Sodium - 102 meq/L.

Endocrine consultation was sought
Read 8 tweets
Please feel free to join the #paneldiscussion on exciting topic of #QuantumComputing #technology development in #india.

Date and Time: 24th July; 5-6 PM
Free Registeration at bit.ly/qcpanel

@rbeiindia Image
#QuantumComputing #quantum #technology #India We will be discussing on Prospects of Quantum Technology Development in India.
#QuantumComputing #quantum #technology #India Panel is packed with eminent and leading members from Science and Academia.
Apoorva Patel (IISc, Bangalore)
R. P. Singh (PRL, Ahmedabad)
Umakant Rapol (IISER, Pune)
Anil Prabhakar (IIT Madras)
Read 5 tweets
Justice B.N. #Srikrishna believes that the #law has to declare an #objective. Whatever procedure is declared are non-arbitrary. It leads us to a state where you or the state can look at everything we do and have access to everything we have.
#sflcin #data #pdpb
Justice B.N. #Srikrishna on whether the Government has neglected the work of the #SrikrishnaCommittee, "It is too complicated to answer; the right thing was to get a special committee to debate on the Bill, and thankfully the #JPC was made."
#sflcin #data #pdp
Ms @ramavshree on the #PersonalDataProtectionBill2019 says that the current format of the bill doesn't give comfort and ease to businesses and the users.
#Srikrishna @saikatd @ashutoshchadha @Shshk
#sflcin #data #pdpb
Read 12 tweets

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