Background: Common symptoms of anxiety are palpitations, tremors, dyspepsia, numbness, tingling, nervousness, shortness of breath, sweating, and a feeling of dread. These symptoms, if they occur, can reduce a person's quality of life. Objectives: The main objective was to study the incidence of anxiety in chronic kidney disease (CKD) patients undergoing hemodialysis (HD). Materials and methods: Patients were recruited of either sex undergoing HD. Sociodemographic and anxiety-related details were collected. Result and discussion: The study found that anxiety disorder is highly prevalent in patients undergoing HD and thus replicated the findings of previous studies. The study also adds to the existing literature by throwing light on patients’ age-segregated anxiety levels and various sociodemographic factors, and possible underlying reasons for the population. These patients should undergo a psychological evaluation in the early phase of illness so that timely and appropriate interventions can be done and their quality of life can be enhanced by reducing the disease burden. Conclusion: Future studies should explore the other comorbidities in CKD patients and also biopsychosocial impact of these symptoms and their effect on disease progression.

Thoracolumbar kyphoscoliosis provides a very challenging situation for anesthesiologists because of the changed anatomy and related cardiopulmonary changes in the patient. The spread of drugs and the action of neuraxial anesthesia are erratic in these patients. If short stature is added with a history of failed spinal anesthesia in a different setup, planning anesthesia becomes even more difficult. At such times ultrasonography comes as a boon for visualizing the spine and assists in deciding the site for puncture for spinal anesthesia for a successful intrathecal tap and placement of drug.

Introduction: Trichilemmal or pilar cysts are common intradermal or subcutaneous cysts that are benign, adnexal skin tumors usually occurring on the scalp. Rarely do these cysts occur in the neck region? Case history: We report the clinical course and management of a teenage girl who presented with swelling on the left side of the neck for three months duration. She underwent total excision of the cyst. It was diagnosed histopathologically as a trichilemmal cyst. Conclusion: Trichilemmal cysts are usually found in the hairy region. In this case, the cyst was found below the deep cervical fascia; therefore, it is an unusual presentation and needs to be highlighted.