Browsing by Author "Saraf, Amit A"

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    Acute Undifferentiated Febrile Illness: The Utility of Doxycycline
    (Journal of Indian Medical Association, 2024-02) Saraf, Amit A; Mehta, Ketan
    Acute undifferentiated febrile illnesses are associated with specific characterizations like fever of less than two weeks in duration with no organ-specific symptoms at onset. These range from mild and self-limiting disease to progressive, life-threatening illness. Acute undifferentiated febrile illnesses are classified into malaria and non-malarial illnesses on the basis of microscopy or malaria diagnostic tests. Doxycycline demonstrates the potential to inhibit dengue virus replication and exhibits anti-inflammatory activity. The potential of Doxycycline as an empirical choice among antibiotics is summarized in this article.
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    Edema India: Executive Summary of Screening, Diagnosis, and Management of Edema
    (Journal of Indian Medical Association, 2024-07) Mathur, Girish; Wander, Gurpreet Singh; Joshi, Shashank R; Pal, Jyotirmay; Vora, Agam; Tiwaskar, Mangesh; Upadhyay, Rajesh; Saraf, Amit A; Das, Amit Kumar; Ghosh, Udas Chandra; Mehta, Nihar; Mohan, G; K, Sanjeev; Pareek, KK; Saxena, Puneet; Sharma, DC; Pandya, Sanjay
    The management of edema requires a systematic approach to screening, diagnosis, and treatment, with an essential initial assessment to differentiate between generalized and localized edema. The Association of Physicians of India (API) aimed to develop the first Indian Edema Consensus (Edema India), offering tailored recommendations for screening, diagnosing, and managing edema based on the insights from the expert panel. The panel suggested when evaluating edema symptoms, important factors to consider include the patient’s current illness, medical history, risk factors, family history, and medications. Key diagnostic investigations for edema include complete blood count, cardiovascular imaging and markers, deep vein thrombosis (DVT) assessment, along with renal, hepatic, and thyroid function tests. Edema management involves a combination of pharmacologic and nonpharmacologic interventions, including limb elevation, physiotherapy, compression therapy, fluid removal, diuretics (loop diuretics: first-line therapy), and a sodium-restricted diet. The panel believed that educating patients could foster a preventive mindset, helping to prevent the worsening of edema