Harp
Human PTN wild-type allele is located within 12p12.1-p11.2 and is approximately 14 kb in length. This allele, which encodes pleiotrophin protein, plays a role in mitogenesis for endothelial, epithelial, and fibroblast cells and neurite outgrowth. Further, aberrations of the gene result in allelic variants that are implicated in tumor invasion, angiogenesis, and metastasis.
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Salt losing CAH. Male child is usually missed because of lack of ambiguity in ext genitalia,but a careful look may disclose hyperpigmentation of scrotum,nipples,and mucosa of lips, BP shd be chkd in any child with shock like presentation, w...
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When CSF shows high RBC count and LP was non traumatic then it's Herpes simplex meningoncephalitis . Look carefully for vesicular rash. Repeat CBC for thrombocytopenia CSF PCR for HSV shd be done asap. Start Acyclovir IV ,and other support...
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Ayurvediya Chikitsa Parishad (A.C.P.)
B.A.M.S

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Tibial aplasia and prosthetic Leg restoration. *Chief Complaints* Due to congenital anomalies she walks with abnormal gait patterns. *History* When she was born 28 years ago with such congenital anomalies. Her parents never thought that their 5th girl child would be the same as others 4 . But she had different problems with tibial aplasia and others 4 having complex syndactyly in both hands. Same as their father having complex syndactyly. *Vitals* Unable to perform activities of daily living. *Physical Examination* Problem with walking and gripping and grasping. *Management* 28 years old girl looking for Prosthetics management for tibial aplasia. Our team takes measurements and casting for Prosthetic Leg restoration. Now she walks comfortably with a new prosthetic Leg.
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