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Introduction: A stroke, also known as a cerebrovascular accident, is the sudden onset of a neurological deficit caused by a focal vascular cause. It is one of the leading causes of morbidity and mortality worldwide. Most cases of cerebrovascular disorders are caused by lesions of the extracranial carotid arteries, particularly the internal carotid artery near the bifurcation. To prevent or reduce morbidity and mortality from stroke, it is critical to provide early diagnosis and treatment. The primary reason for extracranial Doppler examination is stroke prevention. Colour Doppler sonography is a sensitive method for detecting atherosclerotic plaque and provides information on the extent and severity of the plaque as well as the resulting narrowing of the arterial lumen. Aim And Objectives: To evaluate the role of carotid Doppler ultrasonography in patients presenting with acute ischemic stroke and to determine the association between carotid artery stenosis and risk factors such as diabetes mellitus, hypertension, hyperlipidemia, smoking and age. Materials And Methods: The present study was conducted on 100 patients. MRI scan was done to diagnose acute ischemic stroke in patients who presented to emergency medicine with symptoms of acute ischemic stroke. Retrospectively CIMT and plaque characterization were done by gray scale ultrasound. Site and severity of stenosis were assessed on colour Doppler. All these findings were correlated with clinical presentation and risk factors. The collected data was statistically analyzed using SPSS 16.0 version software. Results: A total of 100 patients were examined by color Doppler sonography and out of these 58 showed carotid artery disease. 26 patients had unilateral involvement while 32 patients had bilateral involvement of carotid vasculature. In our study 42% patients had normal ipsilateral ICA on color Doppler imaging. 5% patients total occlusion of ipsilateral ICA. 32% patients had <50% stenosis, 13% patients had 50-69% stenosis and 7% patients had >70% stenosis of ipsilateral side ICA. Conclusion: Color Doppler examination is a non-invasive, cost-effective, safe, reproducible, and time-saving method of identifying the root cause of cerebrovascular insufficiency in the extracranial carotid artery system and will aid in determining the best management option.

Skin diseases have a significant impact on health-related quality of life, comparable to other serious medical conditions. They are among most common cause of human illness, resulting in a substantial non-fatal burden. Recent decades have seen a concerning increase in skin and subcutaneous diseases, attributed to factors such as altered lifestyles, lack of physical activity, poor hygiene, mental stress, unhealthy eating habits, and nutritional deficiencies. Ayurveda categorizes various skin diseases under the term \"Kushta,\" which is further divided into \"Mahakushta\" and \"Kshudra Kushta.\" \"Kitibha Kushta,\" a type of Kshudra Kushta, exhibits symptoms resembling those of plaque psoriasis. Psoriasis, a chronic condition encountered frequently in clinical practice, has a widespread prevalence and often requires long-term treatment due to its recurring nature. A 50 years old male patient came in Kaya Chikitsa opd of Sir Sundarlal Hospital, BHU with Chief Complaints:- raised, blackish patches covered with a silvery/ white scale with intense itching on B/L lower leg and elbow since 10 year. Intervention: The patient was treated using Ayurvedic principles, including \"Sanshodhana Chikitsa\" through \"Virechana Karma\" and \"Sanshamana Chikitsa\" involving the use of \"Mahatikta Ghrta,\" \"Kaishore Guggulu,\" \"Psorakot Tablet,\" “Patolakaturohinyadi Kashaya’’ and \"Winsoria Oil\" for external use. Outcome: Complete remission of the all complaints of patient was observed after 3 months of treatment. Conclusion: This case study demonstrates the potential and usefulness of Ayurveda in the management of chronic plaque psoriasis (Kitibh Kustha).