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Background: One of the leading causes of morbidity and mortality in the world is chronic liver diseases. Thyroid hormones regulate the basal metabolic rate of all cells, including hepatocytes, and thereby modulate hepatic function. The liver in turn metabolizes the thyroid hormones and regulates their systemic endocrine effects. Thyroid dysfunction may perturb liver function, liver disease modulates thyroid hormone metabolism, and a variety of systemic diseases affect both organs. Keeping in mind the above view we have done this study by highlighting the association between thyroid function tests with severity of liver dysfunction in cirrhosis of liver by using child Pugh scoring Methods: All patients aged 30-80 years with cirrhosis of liver who are attending Rajarajeshwari Medical College and Hospital. Detailed history, physical examination and drug history was taken as per pre-designed performa. Relevant investigations were done for assessing thyroid function and liver cirrhosis. Severity of liver dysfunction was graded by using Child Pugh Scoring Results: The prevalence of hypothyroidism among patients with liver cirrhosis was 64%. Majority of the cases had a high TSH and TSH levels were directly correlated severity of liver disease. Total T3 levels were low in majority of the cases and it was inversely correlated with severity of liver disease. FT3 was low in most of the cases with child B and child C score; it was inversely correlated with severity of liver disease. FT3 was found to be a more sensitive marker than total T3 for assessing severity of liver disease. Conclusion: Thyroid dysfunction is common in cirrhosis of liver hence thyroid function tests should be carried out in all cirrhotic patients to assess the severity and prognostication of such patients.

Chylous ascites (CA) is the extravasation of milky chyle into the peritoneal cavity. Chylous ascites commonly affects adults in 50 to 60 years of age but can also occur in pediatric population. In adults, the most common causes are abdominal malignancies and cirrhosis which account for more than two-third of the cases in developed countries, whereas infectious diseases, such as tuberculosis and filariasis, are prevalent in developing countries. Other causes include congenital, inflammatory, postoperative, traumatic and miscellaneous disorders. We hereby report two atypical cases of chylous ascites and also briefly discuss the causes and treatment. How to cite this article Tanusha TR, Patil MB. An Atypical Presentation of Chylous Ascites. J Med Sci 2015;1(1):17-20.

This year on World Diabetes Day, the World Health Organization theme is "Women and Diabetes-Our Right to a Healthy Future". A woman is unique as she has to play multiple roles in her lifetime through the various stages of her life. Hence, taking care of women's health by health care providers is a prime concern.Who is a WOMAN? • W-Wonderful mother • O-Outstanding friend • M-Marvelous daughter • A-Adorable sister • N-Nice gift to men from God Diabetes is the ninth leading cause of death in women globally. According to the International Diabetes Federation (IDF) Diabetes Atlas, 1 among South Asians, the mortality in women with diabetes is the second highest, and India contributes the largest number of deaths. The most important risk factor identified for the diabetes epidemic is obesity along with genetic susceptibility because of higher levels of glutamic acid decarboxylase antibodies. When it comes to health care, diabetic women in India find themselves at a great disadvantage compared with men because of gender differences in the social culture. They also lack access to care and medications and follow-up. They often do not agree to lifestyle modifications. Women with diabetes face the same joys and problems, but with an added element. They battle a chronic disease along with facing various social and personal challenges every hour of the day.Some special conditions are unique to a woman, which include menarche, menopause, pregnancy, and polycystic ovarian syndrome (PCOS). Cardiovascular disease is the most common complication and is more serious among women at a younger age with diabetes than women without diabetes and men. Diabetes in women could be relatively worse because the disease can affect both the patient and the family.

Introduction: Neck height ratio (NHtR) and NC (neck circumference) have been suggested to measure of upper body adiposity. NHtR has the advantage over NC, as it adjusts for the differences in height. The aim of this study was to evaluate the role of NC and NHtR as an independent predictor of MetS (metabolic syndrome) among Indians Materials and Methods: Present study is a cross sectional observational study, undertaken at Rajarajeshwari Medical College and Hospital, Bangalore, included 50 individuals, 30-80 years age, without comorbidities who gave informed consent underwent clinical, anthropometric and biochemical assessment, presence of MetS was ascertained using ( NCEP ATP) 3 criteria. Results: Patients with MetS in both sexes had significantly higher NC, NHtR, glycated HBA1C dyslipidaemia (elevated triglycerides, decreased HDL). The highest tertile of NC had significantly higher BMI, hypertriglyceridemia and MetS . BMI had the largest area under curve (AUC) for predicting MetS in males. NHtR had the highest AUC for predicting MetS in females. A logistic regression analysis, using MetS as the dependent variable, showed that the relationship between NC and MetS after adjusting for sex and age was statistically significant. NC of>32 cm/m and NHtR of >20 cm/m for both the genders were the best values in identifying MetS, it also showed that the relationship between NHtR and MetS was more significant. Conclusion: NC and NHtR are important predictors of metabolic syndrome and neck height ratio has a higher predictive potential than NC.

Posterior circulation stroke syndrome has a lesser incidence compared with anterior circulation stroke with an incidence rate of 10 to 15%. Males are commonly affected than females.Patients most commonly present with symptoms of dizziness, diplopia, dysarthria, dysphagia, and dystaxia. The hallmark of posterior circulation stroke is crossed hemiplegia with cranial nerve involvement on the same side of the lesion and motor or sensory involvement on the opposite side. We report a case of a 60-year-old woman who presented with vertigo, nausea, vomiting, unsteady gait, and tendency to fall on either side.

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