Novel Treatments for Rheumatoid Arthritis

Disease Modifying Anti-Rheumatic Drugs (DMARDs) are the only drugs demonstrated to modify the course of the rheumatoid arthritis and improve radiologic findings. There are 2 types of DMARDs: biologic and syntethic small molecules. Among the biologic DMARDs are tumor necrosis factor alpha (TNF-a) inhibitors; T-cell costimulatory blocking agents and B-cell depleting agents

Pleural biopsy in tuberculous pleural effusion

Pleural biopsy performed in a 35 year old Fijian female presenting with bilateral pleural effusion. Both classic hematoxylin & eosin stain and acid-fast staining have been performed and are illustrated in this presentation 

Empyema With Organized Granulation Tissue

What is the definition of empyema? Why might the term organized granulation tissue be redundant? Why might empyema and granulation be oxymoronic? Demonstrate fibrin. Demonstrate neutrophils. Demonstrate abundant new ingrowth of blood vessels.

Thoracoscopy for stage 3 organised empyema / Decortication, Delhi, NOIDA,NCR India

Thoracoscopic Decortication for stage3 organized empyema. Video showing the procedure with removal of thick fibrous pleural layer trapping the lung.

Thoracoscopic Surgery (decortication) for pulmonary kochs & Pyothorax

Thoracoscopic Surgery (decortication) for pulmonary kochs & Pyothorax is a video assisted laparoscopic surgical procedure which was performed by Dr. Mohit Bhandari, Director, Bhandari Hospital & Research Centre & assisted by Dr. Milind Joshi. Dr. Mohit Bhandari is also the Director of Sri Aurobindo Medical College & LASER (Laparoscopy Academy of Surgical Education & Research), Indore.

Thoracoscopy VATS Decortication in stage 2 empyema, Delhi, Noida, India.

Thoracoscopy Decortication for stage 2 / fibrinopurulent satge empyema in a patient with parapneumonic effusion on tracheostomy for longstanding ventilatory support with failure to decanulate tracheostomy. CT thorax showed left multiloculated collection with lower lobe collapsed and non draining chest tube. Patient underwent decortication of the entrapped lung and drainage of multiloculated fluid.
Post decortication the lung was fully expanded and the tracheostomy tube was decanulated on 3rd day.

Corneal transplant

Cornea Transplant in 96' done at UDMC Sacramento Calif.
Dr Manis.

HLA: matching and donor selection

Histology of Thyroid

Thyroid gland consists of colloid follicles which are lined by cuboid epithelial cells secreting the thyroid hormones, triiodothyronine (T3) and thyroxine (T4). Between the follicles is the interstitial space, containing the blood vessels and the parafolliclar (C) cells responsible for the secretion  of calcitonin.

Hematoxylin and Eosin stain

HE stain is a popular staining method in histology. Its a combination of two dyes the basic dye (hematoxylin) and the alcohol-based dye (eosin). In an HE stain you will usually see both eosinophilia and basophilia the nuclei of cells basophilic (blue), while eosinophilia is typical of cytoplasmic constituents (pink). Xylene, alcohols, distilled water are also required.