u/Feisty-Account-4305

After reading run repeat and thorough searching I settled on few pairs and finally got myself a Dynablast 5.

Saw this derma case today in OPD . He has sub ungual hyperkeratosis and his nails were broken or atrophied .

What are the differential diagnosis and what should be the line of treatment?

We have our internship going on and right now I have Forensic medicine.

Various types of bodies come for post mortem and not many of them come in a good condition. Some of them start decomposing while some show signs of bloating and all.

Deaths are of various causes - drowning, railway track injury, road traffic accident, rape , homicide , snake bite , burn ....

Most of the bodies are not in very good conditions like some of them are mangled , head missing , cut in half and some of them are in good condition and can be identified.

During my fmt rotation we were advised by seniors to wear 3 masks because of the smell and they were not exaggerating like the smell is so strong and so bad like a sewage would be better smelling than that.

A case hung with me today . It was a male of road traffic accident with broken facial bones and multiple lacerations with rigor mortis . The person who was in charge of dissecting bodies asked us two interns to come after he had done with dissecting the bodies like many of us cannot see the dissection because it is done in quite a gruesome manner (head is broken open with multiple blows of chisel and hammer ) .

When we got there - there was this unbearable smell which could roughly be described as a rotten smell with a sweet smell mixed in. Somewhat sickly sweet . I was thinking of that smell for quite some time but after writing a post mortem report we got into talks with our fmt professor as it was our last day.

Then what happens surprises me to a greater extent -

I could smell that exact odour as I was coming out of my college. I had never smelt that odour in my life and I go daily by that route and I had never smelt it before. Okay it might be fatigue - i brush it off....

After lunch as I was alone in my room in the afternoon i again got that odour. I even checked my surroundings to check if there is any sign of garbage or not or dead animals or something.

At night before writing this post I got that smell again and not like other time - this time I could smell it more stronger and with clarity. Suddenly I saw my surroundings two windows which I had covered with nets show signs of insects crawling. And they were in huge amounts. That scared me the most. This is not even Deepawali time.

Here is an attached image of insects.

I dont know - is it auditory hallucinations.....who knows.?

I am listening to hanuman chalisa now.

Good night