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
Mar 2018 ( Volume -12 Number -3)

Picture of The Month
Picture of The Month-March 2018
Murtaza Rashid, MBBS; MD
Rapid Response  |  Back

MARCH 2018

Picture of The Month

Murtaza Rashid, MBBS; MD

The patient is a 78 year old lady who is a known case of Diabetes Mellitus, Hypertension, and old CABG done, and presented to our Emergency Department with abdominal pain of one month duration. She had multiple visits to various hospitals in the past few weeks without any relief. Abdominal examination revealed a faint pulsatile mass in the umbilical area. An urgent CT Scan was done which revealed the following (See Fig 1-3): What is the diagnosis?




Fig. 1,2 and 3 show CT Scan images of Abdomen.

Contributed by:

Dr. Murtaza Rashid M.D is working in the Department Of Emergency Medicine, Royal Commission Hospital, Jubail, 31961, Kingdom of Saudi Arabia. Email:


Answer to last month’s POTM February 2018

This is the dissected neck in a 50 years old female. It is a case of submandibular gland tumor. Note and mark the various structures. What anatomical variant can you identify?

The Correct Answer is:

Inverted U pattern of AJV and IJV with unusually well developed AJV. A rare anatomical variant where anterior jugular vein is extremely well developed and joining the facial vein after traversing in an arch shaped path crossing over the anterior surface of submandibular gland and then joining posterior to gland with facial and entering IJV. This is a dangerous variant. I have, by the way, not come across this anomalous variant in the literature.

Author Information: Dr. Aashob Qazi Ashraf, MD; MS; DNB (MCh); MNAMS; MESSO; FSSO(USA) is Senior Consultant, Surgical Oncology in Noora Hospital, Srinagar, Kashmir, India. Email:


Dear Readers: Would you like to contribute to this page? Send us your contribution (photograph and 1-3 paragraphs about it) by email to

To Get This Article in PDF CLICK HERE

Rapid Response  |  Back
  Listed in Directory Of Open Access Journals (DOAJ).   ||    Google Scholar   ||    INFOPORT   ||    OAJSE  
  Copyright © 2019 Physicians Academy (ISSN : 0973-998X). All rights reserved.  |   Developed By: DZ International