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Dr. Sameer Pagad

General Surgeon, Pune

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Dr. Sameer Pagad General Surgeon, Pune
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Sameer Pagad
Dr. Sameer Pagad is a renowned General Surgeon in central Panchgani, Pune. You can meet Dr. Sameer Pagad personally at Ayush Multispecialist Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Sameer Pagad on Lybrate.com.

Lybrate.com has top trusted General Surgeons from across India. You will find General Surgeons with more than 29 years of experience on Lybrate.com. You can find General Surgeons online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Ayush Multispecialist Hospital

Shop no.7,Harshlaxmi Complex,Bhaekarai Nagar, Landmark:-Opposite HP Petrol Pump, PunePune Get Directions
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Mantoux Test or Tuberculin Skin Test

MD - Pathology
Pathologist, Noida
Mantoux Test or Tuberculin Skin Test

Diagnosis of tuberculosis is based on a combination of clinical features, smear examination of sputum where available, tuberculin skin testing or Mantoux test, chest X-ray and Histopathologic / cytologic examination as appropriate. Common clinical features are weight loss, persistent fever and /or cough of more than 2 weeks duration and history of close contact with another Tuberculosis patient.

Mantoux test also known as Tuberculin skin test is used for the detection of infection by Mycobacterium Tuberculosis bacteria. The test consists of slowly injecting a liquid intradermally (superficially within the layers of the skin) on the forearm, leading to formation of a raised vesicle which should be easily visible to the naked eye. This liquid, used in India, is Tuberculin PPD RT 23 strain. Tuberculin is a glycerol extract of the Tuberculosis bacteria. This is one of the two WHO accepted standard tuberculins, apart from PPD-S. In India, where the prevalence of tuberculosis is high, the recommended dose of this liquid is 0.1 ml of 1 TU (TU stands for tuberculin units) .1 TU is the strength of the liquid mentioned on the vial. This liquid is usually administered by a very tiny syringe, usually of 26 gauge. (Needle diameter).

Please click on the link to watch a video  demonstrating  how this procedure is performed.

Test principle : The individual who has been infected with Tubercle bacilli responds with a hypersensitivity reaction at the test site in the form of induration. Induration is the palpable raised hardening of the skin, while erythema refers to redness of skin. Only induration is clinically significant and measured after 48 to 72hours following injection. Diameter of the Induration is measured by a scale in millimetres perpendicular to the long axis of the forearm.

Interpretation of the tuberculin test

  1. Size of induration 15 mm and above : - signifies infection with tubercle bacilli
  2. Size of induration 10-14 mm : - could be due to infection with tubercle bacilli, BCG induced sensitivity, or due to cross reaction with other environmental mycobacteria.

It is more likely to be attributable to infection with tubercle bacilli in case of history of contact with smear positive case of pulmonary TB, clinically confirmed TB OR X-ray consistent with active TB.

  1. Size of induration 5 -9 mm: usually non tuberculous in nature generally
  2. Size of induration <5 mm : indicates absence of any type of mycobacterial infection.

Precautions during this procedure :

  1. If a raised vesicle does not appear it means that the liquid has been injected too deeply, and the test should be repeated on the other arm. If the same arm is used the injection site should be should be separated at least 5 cm from the first injection site.
  2. Occasional patients may experience severe allergic reaction to the tuberculin PPD

Comments :

  1. Larger the size of the induration, higher the probability of presence of infection with tubercle bacilli.
  2. Almost all reactions with induration more than 15 mm maybe considered attributable to infection with tubercle bacilli.
  3. Formation of necrosis (ulcer) at the test site, indicates high degree of tuberculin sensitivity and suggests presence of infection with tubercle bacteria.
  4. Tuberculin reaction may be suppressed (falsely low) in presence of immunosuppressive states. Like HIV, malnutrition, patient on steroid therapy etc.
  5. Mantoux test is generally not recommended for infants less than 12 weeks old. If the test turns out to be positive, then it is significant, but if the test is negative, then the test needs to be repeated again.
  6. The tuberculin test detects only the presence or absence of tuberculosis infection. The presence of infection is not synonymous with disease. It simply means, that even if you have tuberculosis infection in your body, as detected by positive Mantoux test, it does not mean you have active Tuberculosis in your body and require anti tuberculosis drugs in all cases. The clinician will correlate your mantoux test result with other tests ( as mentioned at the top of the blog) to give you a final picture.  
  7. For more such interesting articles please visit my blogsite www.doctors4patients.com
5 people found this helpful

Oxygen Jet Peel Facial

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL), DNB (Dermatology), MNAMS
Dermatologist, Delhi
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Hi, I am Dr. Nivedita Dadu. I am a dermatologist at Chronology Skin Clinic. The URL for Scientology is www.scientology.in. Today I will be discussing about Oxygen jet peel facial. This is a revolutionary approach that utilizes the properties of jet technology influencing oxygen and saline into the skin cells using or specially designed microjet handpiece. Unlike chemical peels, oxypeels work by biologically exfoliating your dead cells, thereby imparting oxygen into the basal layer of the skin where new skin cells are being generated. This is followed by spontaneous delivery of ripening cocktails anti-ageing collapse boosters or anti acne or serums depending on your skin concerns.

The benefits of oxy peel jet facials includes;

  • Our dislodging and exfoliating the dry damaged and dead skin cells unclogging your pores removing the dirt and makeup that may build up on the skin surface over time.
  • Rejuvenating the skin that has been exposed to pollutants smokes and other toxins that stops the cells of their oxygen.
  • Control your skin's sebum production which is the main cause for acne.
  • Removes the film of bacteria on the surface of the skin. Hydrating the skin oxygenating the skin and thereby improving the microcirculation of the skin.

A treatment of oxygen feel facial is a 15-minute procedure and it is painless non-invasive comfortable with no downtime. It includes moisturization of the skin followed by microdermabrasion to remove your day. This is followed by oxygen infusion into the skin along with saline serum jetting with whitening anti aging and anti acne serum which are electro politically penetrated into the skin to enhance their penetration and this is followed by a face pack. At the end of the session you can expect a supple and plump skin which is nourished and rejuvenated.

For any further queries you can contact me directly or log onto www.scientology.com or through Lybrate.

 

7401 people found this helpful

Hi sir Surya I am studying 10std I am suffering from mark in face I consulted medical he gave Skinbrite cream use or not.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
Hi sir Surya I am studying 10std I am suffering from mark in face I consulted medical he gave Skinbrite cream use or ...
No skinwhitning cream contain hydroquinone that's create many problem for skin for better consultation you can come online consultation through Lybrate you can explain everything about your health issue. After I can suggest better medicine for you.
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Some times I can see dark blue marks on my thighs or arms. I don't know what is the reason and what should I do?

MBBS
General Physician, Faridabad
Some times I can see dark blue marks on my thighs or arms. I don't know what is the reason and what should I do?
nothing to be done, take cap becozinc 1 cap od and tab vit c 500 1tab od for a month, it will help. thanks
1 person found this helpful
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My 2 years and 5 months boy seems to hv worms in hs tummy. Could notice 1 r 2 at the mouth of the anus. He could not bear the itching and cries. He was already given a deworming dose on sep16, 2015. What to do pls help me.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
My 2 years and 5 months boy seems to hv worms in hs tummy. Could notice 1 r 2 at the mouth of the anus. He could not ...
Yes worm infestation is a common problem in children. I would suggest the following: 1. Repeat deworming dose every 2-3 weeks for 4-6 courses 2. Personal hygiene measures eg. Daily bathing, clean & soft towel, clean & loose clothes, clean socks (even if shoes are not worn), clean toys as the child has a tendency to put toys in the mouth, brushing of teeth, hand washing / sanitizer use & so on 3. Good nutritious food 4. In view of the itching, massage of the skin in general & area around the anus in particular, with oil / cream of your choice will be helpful 5. Periodic check by your paediatrician for this as well as immunizations and preventive & promotive health is a good idea.
1 person found this helpful
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I am having some skin problem since a long time now. Near my stomach and abdomen side I have numerous small rashes which sometimes itches sometimes burns and sometimes get dry and come back with new dots again, please help with a resolution as this is not curing at all.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic treatment derm aid plus (bakson) this pack of derm aid plus contains derm aid tablets nd b-23 drops derm aid tabs -chew 1 tab twice daily b-23 drops - drink 20 drops in 20 ml fresh water twice daily urtica urens ointment (bakson) apply twice a day do nd donts exercise regularily take nutritious diet avoid dry fruits nd nuts, frised nd spicy food drink 6-8 glass water daily.
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Hi, I am Shweta Kochar age 26 years. I was using medasalic cream for whitening of my skin but now my skin is damaging and I can not leave it as it makes my skin again dark. Please help me.

MBBS
General Physician, Jalgaon
Hi, I am Shweta Kochar age 26 years. I was using medasalic cream for whitening of my skin but now my skin is damaging...
Please Stop all such creams To make your skin glowing and fresh looking. Alone medicine, creams etc won't work permanently Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do facial exercises daily Take salads and fruits more Take plenty of water daily Take carrots and beet root juice daily Use herbal face wash regularly Apply Aloe Vera moisturising cream by Patanjali regularly Take Tab purim by Himalaya 2 2 for 3 mths Lohasav 10 ml twice a day for 3 months Reconsult after 45 days.
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I'm Laxmi of 20 years age I have lot of hair fall problem so wat should I do to reduce hair fall n gain more n more hair I'm female n unmarried and even my skin is too oily so give me solution of my problem.

Diploma In Dermatologist, Venereologist and Laparoscopy, MBBS
Dermatologist, Rewari
I'm Laxmi of 20 years age I have lot of hair fall problem so wat should I do to reduce hair fall n gain more n more h...
You can use. Alpicin shampoo alternate day candid-b lotion in morning 1 ml proanagen lotion at night 10 spray over scalp tab. Kerglo-eva once in morning do it for atleast two month saslic face wash twice or thrice in a day for oily skin.
2 people found this helpful
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How to cure itching and scratch of skin after use of hair dye Suggest me the hair dye with no skin reaction.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
How to cure itching and scratch of skin after use of hair dye
Suggest me the hair dye with no skin reaction.
Itching and scratching after dyeing means ur allergic to those chemicals Stop using it Use natural dyes made from plants

I am 30 year old male and I am suffering for pigmentation in face. Give me suitable treatment for it.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am 30 year old male and I am suffering for pigmentation in face. Give me suitable treatment for it.
Your skin gets its color from a pigment called melanin. Special cells in the skin make melanin. When these cells become damaged or unhealthy, it affects melanin production. Some pigmentation disorders affect just patches of skin.Mix the ingredients together to form a thick paste. Apply the mixture evenly on the affected area, leave it on for 20 minutes and then wash it off with lukewarm water. Repeat this regularly, once a week. You can also massage vitamin E oil into the affected skin for 10 minutes twice daily to reduce hyperpigmentation
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