Community-acquired pneumonia (CAP) in elderly has different clinical presentation and higher mortality than CAP in other age group. Clinical presentation may vary from mere presence of fever to altered sensorium. The incomplete clinical picture of CAP in the elderly may be associated with a delay in establishing the diagnosis and, consequently, in starting adequate antibiotic therapy. Delay in diagnosis and treatment may contribute to the higher observed death rate in the elderly population with CAP. Hence the following study was undertaken to study the clinical, radiological, and bacteriological profile of community-acquired pneumonia in elderly. A total of 50 patients were studied. Age group varied from 66 years to 88 years. Presentation varied from typical symptoms to altered sensorium. Smoking and COPD were most common predisposing conditions. Most common organisms responsible were Streptococcus pneumonia, Klebsiella pneumonia, Pseudomonas, H. influenza, and Staphylococcus aureus. Etiological agents could not be identified in many cases because of difficulty in collecting sputum in elderly patients, lower yield of culture, and various atypical and difficult to isolate causative organisms. Hence there is need for an empirical therapy covering both typical and atypical organisms. Better understanding of these aspects may help a long way in managing elderly patients with pneumonia.

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We report a 25-year-old lady presenting to the outpatient department of a tertiary care hospital with spinal cord compression. Initially we had a diagnostic difficulty, as its presentation was perplexing. Finally we pointed towards the diagnosis of nonHodgkin's lymphoma and proved it. This article carries a message for the clinicians as clinical fallacies were noticed towards pointing this diagnosis. We have clearly explained the shortcomings in evaluating a case making a diagnosis towards nonHodgkin's lymphoma and spinal cord compression, as many situations in the setting were simulating and overlapping.

BACKGROUND: Anaemia is a major public health problem during the pregnancy throughout the world. Globally almost half of the pregnant mothers are anemic. The hematological data representative of anaemia among Asian countries, India has highest prevalence and continues to be serious health problem. Studying the prevalence of Anemia in pregnancy aids in establishing the magnitude of the problem and helps the antenatal health providers in early detection and management. In a teaching hospital based a population study of Anemia in pregnancy is strong indication of true Anemia prevalence in the community, as large numbers of patients from different backgrounds attend the hospital. OBJECTIVES: The study was conducted to know the prevalence of Anemia in pregnancy in and around Bijapur, Karnataka. This study related with the Prevalence of Anemia in pregnancy in relation to age, gravida, parity, trimester and morphological types of Anemia. MATERIAL AND METHODS: The material for this study is obtained from in-patient and out-patients attending the OBG department at Al-Ameen Women's and children's hospital, Bijapur Automated hematology analyzer -Sysmex-Kx21 and peripheral smear study were used to study the anaemia in pregnancy. 100 blood samples of those pregnant women whose hemoglobin was less than 11gm/dl were selected for study over a period of one year from January, 2012 to December 2012. The study was according to predesigned and Prescheduled proforma which includes detailed obstetrics history and systemic examination. LIMITATIONS OF STUDY: Serum iron, Serum Folic Acid, Serum ferritin, and Vitamin B12 assays, total Iron Binding Capacity (TIBC), Zinc, were not done because they are costly and most of patients were from poor socioeconomic backgrounds. RESULTS: Blood samples of 100 pregnant women were analyzed & were found to be anaemic. This study includes magnitude of anaemia according to age, gravida and parity wise distribution of anaemia. degree, types of anaemia. Out of 100 pregnant cases, 70 had moderate degree, 12 cases had severe degree and 18 were mild degree anemia' Microcytic hypochromic were -70 (70 %), Macrocytic Normochromic -17 (17 %) and dimorphic anaemia-13 (13 %).

BACKGROUND Diabetes mellitus (DM) is a syndrome characterized by chronic hyperglycaemia and disturbances of carbohydrate, fat, and protein metabolism associated with absolute or relative deficiencies in insulin secretion and/or insulin action. Worldwide, approximately 200 million people currently have type II diabetes mellitus (DM), a prevalence that has been predicted to increase to 366 million by 2030. MATERIALS AND METHODS All participants are selected from those who visited Diabetes Clinic, in Al