Clinical Query

Hi,
Very happy to note your efforts have taken off and now our members are looking up this site for upcoming conferences and CMEs. And you have fantastic links too.

I would suggest you add a discussion board too; if there is one, I couldn't locate it.

If you start one, can you pls add my this query:
Hi,

I would like to have your advice for the following patient.

60 yr old male, has been having dysphagia and chokes on fluids and solids
for about 2 yrs or more. The daughter who happens to be our nurse, says it
is a pain to watch him taking food.

His X-ray neck lateral shows big osteophytes between C2-3, C3-4, C4-5, C5-6,
and C5-7. The ones C4-5-6 looks like a single unit. They are big and roughly
measures the antero-posterior diameter of the corresponding vertebral body.


A CT done 2 yr back revealed nothing more than this. We couldn't do a
Barium swallow for flimsy reasons, but it could be done about a week back,
and since the software to record the same didn't work, we had to be
contented by just seeing what was seen during fluoroscopy. The barium went
down without any hitch, sliding in front and below the "C" projection of the
C4-5-6-7osteophytes at the root of neck.

We sent him to our Orthopaedician, who asked for an MRI; but it couldn't be
done, as he was unable to lie down for the same because of pain (Radiologist
told the nurse-daughter) Hence a repeat CT was done (Is the position for CT
different from MRI?), which showed no change from the previous CT.

What next?
I have posted the Xray Neck Lateral and a section of CT here:

http://headandface.blogspot.com/2008/03/clinical-cervical-osteophytes-dysphagia.html
Best rgds,

Dr.Thomas Antony
Aden,Rep of Yemen

Bombay Hospital Workshop-(click image for details)

SMARTFESS-2009

Dear Friends,

Start the coming New Year with an academic fiesta.

We at the AOI Kochi, are having none other than the doyen & foremost proponent of Endoscopic Sinus Surgery, Prof.H.Stammberger to lead a 3 day FEES work shop.He will be joined by Prof.Gerald Wolf, another great name in the field, and an associate of Prof. Stammberger, as member of the faculty.

Dr Sham Cheuk-lun, Chief of Rhinology, The Chinese University of Hong Kong is also joining the International Faculty.
Kochi is getting
smarter by slowly becoming the hub of Information Technology. So are we, with SMARTFESS 2009 on the 16th,17th& 18th January 2009.

The early bird reg.fees is only Rs.2500.00 till the 29th of February 2008( limited numbers)
So as soon as you get this mail, go to the top of the home page of www.gvent.net ,and after going through the brochure, download the registration form, print it, fill it, & send it across & confirm your seats!

Please forward this mail to your friends.



With warm regards & looking forward to having you here,




DR.GEORGE VARGHESE

GV ENT Centre, Seaport - Airport Road, CEPZ P.O,

Chittethukara, Kakkanad, Kochi 682 037, Kerala, India, Phone: + 91 9447407706

Hosp: 0484-2378980(10 am to 1 pm) Res: 0484-2428012 Email : georgegogi@gmail.com

10th Asia Pacific Congress on Deafness 4-7 August 2009

Invitation to APCD2009
Dear Dr.Rajesh Kalra
On behalf of the organizing committee, we would like to inform you regarding an upcoming Congress “10th Asia Pacific Congress on Deafness – APCD2009 will be held in connection with 10th Hearing International Annual Meeting-HI and 2nd ASEAN Academy of Neuro-Oto-Audiology-AANOA” at The Landmark Hotel, Bangkok, Thailand during 4-7th August, 2009. This will be another great event. It is my great privilege and pleasure to warmly invite you to be a part of these three combined conferences. Organizing Committee of APCD2009 will ensure you of the innovative programming, latest technology and opportunity in Medical, Surgical, Rehabilitation and Education for the Hearing Impaired and the Deaf. Conference offers professional development for deaf education, teachers, interpreters, support staffs, professionals in the field of deafness and parents, audiologists and hearing specialists. You will have the opportunities to site visit of professional interest such as diagnostic and rehabilitation technology and school for the deaf in Bangkok . We promise you that APCD2009 will be memorable from scientific, education and social aspects. We are looking forward to welcoming you to APCD2009. Please note that the deadline for abstract submission is 31st January 2009. Additionally, for more information please find the attachment of registration brochure or visit our website at www.apcd2009.org. Any inquiries please do not hesitate to contact us at congress@apcd2009.org. We will be appreciated if you could kindly forward this email to your members and friends. Sincerely yours,Suchitra Prasansuk M.D. Congress President

2nd Hands on FESS Course,DMC Ludhiana,Feb 23-24( click images below to see brochure)

Workshop on Rhinoplasty & Endo- Ear Surgery at Imphal, May 10-11,2008

We, "the ENT specialists of the Manipur State Health Services, are organizing a two day workshop on Rhinoplasty and Endo-ear Surgery on the 10th and 11th May 2008 at Jawaharlal Nehru Hospital, Imphal.

Professor R.N. Patil, Prof. of ENT, J.N. Medical College, Belgaum is the chief resource person.

All PG students will get free registration and free lodging. Details of the programme can be had from:

Dr. P. Dhakeswar Singh,
Organizing Secy.
Mo: 9862027652.
email: dhake7@yahoo.com

APSICON -2008

4th-ANNUAL CONFERENCE OF THE ASSOCIATION

OF PHONOSURGEONS OF INDIA (APSICON -2008



VENUE
Vivekananda Institite of Medical Sciences,Kolkata

On 15,16 and 17th February 2008.

Conference with Live Surgery Demo an Cadaveric Dissection



Contact for details

Dr.Amitabh Roychaudhari’
Secretary APSICON-2008

L-13, Navadarsa, Kolkata-700134
E.mail- aroychoudhury@yahoo.com



Prof.V.Phaniendrakumar
Chairman and Founder President
The Association of Phonosurgeons of India