Clinical Presentation of Patients Admitted with Retained Placenta: Study in Dhaka Medical College Hospital, Dhaka, Bangladesh

Retained placenta is a condition in which the placenta is retained for more than half-an hour after the birth of a child. It accounts for 5-10% of all postpartum haemorrhage (PPH). The present study was conducted to find out the incidence, causes and management of retained placenta of admitted cases in In-Patient Department (IPD) of Obstetrics & Gynaecology of Dhaka Medical College Hospital, Dhaka during the period from June 01 to December 31, 2003. 163 patients were included in the study who presented with retained placenta and developed retained placenta in IPD who had undergone vaginal delivery, with pregnancy equal to or more than 28 weeks both stillbirths and live-births, both singleton and multiple pregnancy. The incidence of retained placenta was found 3.54% of total admissions. Retained placenta developed in 1.53% cases among 1,506 vaginal deliveries in this hospital during this period. The mean age of the respondents was 27.19±1.54 and most of the patients were aged between 21 to 30 years, multipara, illiterate and from low income group and poor socio-economic status. Among them 81.60% had home delivery, 64.42% delivered between 37 to 40 weeks of pregnancy. Majority of the patients i.e. 61.96% reached the hospital within 2 to 6 hours of development of retained placenta and 49.07% had shock with PPH. About 23.92% respondents had predisposing factors like D & C, manual removal of RP and caesarean section. A considerable percentage (19.63%) had history of MR. About 96.93% respondents required manual removal of retained placenta. 124 (76.07%) received blood transfusion ranging from 1 to 13 units of blood. The causes of retained placenta were uterine inertia (38.65%), morbid adhesion (52.76%) and less expulsive efforts of the patients (7.98%). Placenta accreta was the major (96.51%) cause of morbid adhesion. The range of hospital stay was between 6 to 15 days. Of the total retained placenta cases, 98.77% patients improved and 1.23% patients died of irreversible shock due to PPH. Key words: Retained Placenta; Caesarean Section. DOI: 10.3329/jdmc.v18i1.6300 J Dhaka Med Coll. 2009; 18(1) : 20-24

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Clinical presentation of congenital neck mass in children

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v18i1.10409 ◽

2012 ◽

Vol 18 (1) ◽

pp. 16-22

Author(s):

Mazharul Alam Siddique ◽

Mahbuba Hossen ◽

Ahmmad Taous ◽

Kazi Shamimus Salam ◽

Belayat Hossain Siddiquee ◽

...

Keyword(s):

Clinical Presentation ◽

Neck Surgery ◽

Neck Mass ◽

Medical College Hospital ◽

Paediatric Surgery ◽

College Hospital ◽

Medical College ◽

Neck Masses ◽

Common Location ◽

Complete Surgical Excision

Background: Congenital neck mass is a very common problem in children in Otolaryngology & Head-Neck Surgery and Paediatric Surgery Department but data of our country is inadequate and there is lack of published study. This study will help to diagnose congenital neck masses, evaluate the success of surgical treatment in our country.Objective: To assess the frequency of congenital neck mass in children and to see the clinical presentation of different congenital neck mass.Study design: Cross sectional prospective study.Place of study: Department of Otolaryngology Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Dhaka Medical College Hospital (DMCH)l, Dhaka and Mymensingh Medical College Hospital (MMCH), Mymensingh.Methodology: Patients below the age of 18 years with congenital neck mass who presented to three tertiary level hospitals from January 2010 to December 2010 were included in this study. Total thirty six patients were purposively selected. Age, gender, types of swelling and location were examined, investigations were done. Data was analyzed with SPSS software and was presented in the form of tables, diagrams and pie charts.Results: 36 patients with different congenital neck swelling were examined. Out of 36 patients, thyroglossal cysts were commonest- 21(58.33%). Other congenital lesions were as follows: Branchial cyst 7(19.44), Lymphangioma 3(8.33%), Haemangioma 3(8.33%), Dermoid cyst 2(5.55%). Midline was most common location 21 (58.33%).Conclusion: Congenital neck masses constitute important differential diagnosis for neck masses. These masses constitute diagnostic and therapeutic challenges for many clinicians. Correct diagnosis, safe and complete surgical excision requires sound knowledge of the location and extent of these masses. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10409 Bangladesh J Otorhinolaryngol 2012; 18(1): 16-22

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Clinical Profiles of Pelvic Inflammatory Disease Patients: Experience of 150 Cases at a Tertiary Care Hospital in Dhaka City

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v4i2.38928 ◽

2018 ◽

Vol 4 (2) ◽

pp. 129-132

Author(s):

Nadira Khan ◽

Firoza Rahman ◽

Nilufar Jahan ◽

Rahela Khatun ◽

Nebadita Saha

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Clinical Presentation ◽

Tertiary Care ◽

Medical College Hospital ◽

Care Hospital ◽

Age Group ◽

College Hospital ◽

Medical College ◽

Clinical Profiles

Background: Pelvic Inflammatory disease is presented with different clinical presentation among the sexually active women.Objectives: The purpose of the present study was to see the clinical profiles of women presented with pelvic inflammatory diseases.Methodology: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology at Dhaka Medical College Hospital, Dhaka, Bangladesh from November 2001 to April 2002 during the period of six (06) months and December 2002 to February 2003 for three (03) months with the total duration of nine (09) months. Women at any age who were suffering from chronic pelvic inflammatory disease (PID) attended at the OPD of gynecology Department at Dhaka Medical College Hospital, Dhaka, Bangladesh were selected as study population. Epidemiological aspects and clinical presentation have been mainly highlighted in this study.Result: A total number of 150 cases were recruited for this study. Among 150 case of chronic pelvic inflammatory disease (PID) majority of the patients (54%) belonged to the age group of 26 to 35 years of age group followed by 16 to 25 years which was 33.3% cases. Majority 96.0% patients had pain in the lower abdomen; 78.6% cases had backache; 76.6% cases had dyspareunia; 64.0% had congestive dysmenorrhea and 60.0% cases had vaginal discharge. Regarding menstrual problems, 72.7% cases had dysmenorrhea. Majority (84.0%) cases were multipara.Conclusion: In conclusion lower abdominal pain, backache, dyspareunia, congestive dysmenorrhea are the major complaints among the PID patients.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 129-132

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Clinical Presentation of the Epileptic Patients at People Medical College Hospital, Nawabshah, Pakistan

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i53a33659 ◽

2021 ◽

pp. 267-273

Author(s):

Jeando Khan Daidano ◽

Haresh Kumar Makheja ◽

Moti Ram Bhatia ◽

Waseem Raja Memon ◽

Anwar Ali Jamali ◽

...

Keyword(s):

Clinical Presentation ◽

Medical College Hospital ◽

Chi Square ◽

College Hospital ◽

Medicine Department ◽

Medical College ◽

Epileptic Patients ◽

Minimum Age ◽

The Mean

Objective: study will determine clinical presentation, risk, and type of seizures in epileptic patients. Methodology: This observational study was conducted in Medicine department People Medical College Hospital (PMCH) Nawabshah from January 2020 to December 2020. 110 patients were included for study after informed permission of the patient or their relative. Male and female were selected. Known epileptic patients were included in the study, patients with false seizures were excluded from the study. Statically analysis was done by software SSPS 22 version. Results: Age ranged 18 to 60 years. All the patients included in the study epilepsy was noted. The mean age of patients was 37.40 SD 8.71 years. The minimum age was 28 years while maximum 60 years. Pearson Chi-Square Value 105.000a Asymp. Sig. (2-sided) .000, Likelihood Ratio Value 135.012 Asymp. Sig. (2-sided) .000, Linear-by-Linear Association Value 16.297 Asymp. Sig. (2-sided) .000 which were statistically significant. Conclusion: Epilepsy is treatable common neurological disease in Pakistan. quality of life can be improved by Education of the patients and their relatives, without socioeconomically burden.

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Clinical Presentation and Surgical Outcome of Parotid Gland Tumors- Experience in ENT Department of Rajshahi Medical College Hospital

TAJ Journal of Teachers Association ◽

10.3329/taj.v31i2.41592 ◽

2019 ◽

Vol 31 (2) ◽

pp. 21-26

Author(s):

Subrata Ghosh ◽

Milon Kumar Chowdhury ◽

Enamul Haque ◽

Sunandita Sarkar ◽

Anindita Sarkar ◽

...

Keyword(s):

Parotid Gland ◽

Clinical Presentation ◽

Operative Procedure ◽

Needle Aspiration ◽

Medical College Hospital ◽

Superficial Parotidectomy ◽

College Hospital ◽

Medical College ◽

Parotid Region ◽

Benign Pathology

Objective: To assess the clinical presentation and outcome of surgical treatment of various parotid gland diseases requiring parotidectomy. Setting & design: this was a retrospective study conducted of all patients who underwent different types of parotidectomy in the Department of ENT of Rajshahi Medical College Hospital between January, 2014 to December, 2017. Materials & Methods: Patients presenting with parotid gland disorders requiring various range of parotidectomy admitted in ENT dept. RMCH were included in this study. The location of the tumor and diagnosis was confirmed in every case by advising ultrasound of the parotid region and/or computed tomography scan/MRI along with fine needle aspiration cytology of the swelling. Data regarding age, gender & histology, operative procedure and post-operative complications were meticulously entered in a previously prepared questionnaire for this purpose. Patients were followed up for about two years. Results: Out of 68 patients, 37 (54.4 %) were male and 31 (45.6 %) were female with age ranging from 26 to 63 yrs. with a mean age of 39.5 years. All of them presented with painless parotid lump. 55 Fifty Five Patients (80.9%) had benign pathology while 13 patients (19.1%) had malignancy. Superficial parotidectomy was alone in 48 patients (70.6%), total parotidectomy in 18 (26.5%) patients and extended parotidectomy was performed in 2 cases (2.9%). The most common post-operative complication was numbness of ear lobule (gradually improving with time) in 8 patients (11.8 %), followed by transient facial nerve paresis in 7 patients (10.3%). There was no hospital mortality. Conclusion: Parotid gland disorders affect each gender almost equally. Most of the patients present with benign pathology, superficial parotidectomy is the commonly offered surgical management. All parotid surgeries are safely performed in Department of ENT with minimum morbidity. TAJ 2018; 31(2): 21-26

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Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

Journal of Surgical Sciences ◽

10.3329/jss.v22i2.44075 ◽

2020 ◽

Vol 22 (2) ◽

pp. 110-117

Author(s):

Md Mahmudul Islam ◽

Khondkar AK Azad ◽

Md Aminul Islam ◽

Rivu Raj Chakraborty

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Chest Trauma ◽

Road Traffic ◽

Tube Thoracostomy ◽

Rib Fracture ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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