Physicians Academy
Established in December 2006 by the Kashmir Academy Of Private Physicians
Table Of Contents
Editorial :
 The Real Paradigm Shift in Management of T2DM
Article 1 :
 Introduction of DMS irrigation to heal Endo–Perio lesions and Cysts
Article 2 :
 Alagille Syndrome in a Neonate
Picture of The Month :
 POTM-April 2018
Drug Update :
 SEGLUROMET (ertugliflozin+metformin)
Abstracts from Other Journals :
 Abstracts from Other Journals-April 2018

Locations of visitors to this page
Jan 2018 ( Volume -12 Number -1)

Picture of The Month
Picture of The Month January 2018
Sarosh Ahmed Khan, MD; FACP
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Picture of The Month

Sarosh Ahmed Khan, MD; FACP

A 25 years old male presented with complaints of pain and eroded skin of the fingers of his right hand. He gives history of similar problem during winters in the last two years only. He is a computer technician working in a Cyber Café. What is your diagnosis?


Send your answer to us on Rapid Response.

Contributed by: Dr. Sarosh A. Khan is Senior Consultant, Internal Medicine and Director, Naseem Medical Center, Baghe-Mehtab, Srinagar, Kashmir, India. Pin: 190019. He is the Editor in Chief of Physicians Academy. Affiliations: Governing Council Member of American College of Physicians (India Chapter) from 2014-2017. Email:


Answer to last month’s POTM December 2017

A 21 year young female presented with complaints of occasional palpitations. Clinically she was of average built with no anemia, cyanosis or jaundice. Pulse 80/min and Blood Pressure of 110/70 mmHg. Peripheral pulses were normal. Chest and abdomen were clinically normal. Cardiac examination revealed normal S1 and S2. There is a systolic murmur II/VI in left sternal border. Transthoracic Echocardiography reveals (see pics). What is your diagnosis?

Fig. 2.  M-Mode Echo

Fig. 1.  2D-Echo. Parasternal Long axis View.

The Correct Answer

POTM December 2017 is typical picture of Hypertrophic Cardiomyopathy (HCM). Two findings diagnostic of HCM in this picture are 1) Asymmetrical septal hypertrophy -ASH and Systolic anterior Motion of anterior mitral leaflet –SAM of AML. (Fig. 1 and 2).

For details of this topic see the article by same author in the present issue of PA.

Here is the link:


Contributed by: Dr. Mehraj Ud Din Shah, MD; DM; FICC; FESC; FACC is Senior Consultant Cardiologist at Al-Kareem Cardiac Center, Jawahar Nagar, Srinagar, Kashmir, India. Email:


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