An insight into predominance of pulmonary complications on right side in supracostal percutaneous nephrolithotomy

2021 ◽  
pp. 039156032110383
Author(s):  
Ajay Anand
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Pulmonary Complications ◽  
Government Medical College ◽  
X Ray ◽  
Medical College ◽  
Pneumatic Lithotripsy ◽  
Chest X Ray ◽  
Age Range ◽  
Insight Into

Purpose: To analyse pulmonary complications following supracostal percutaneous nephrolithotomy especially after right sided supracostal punctures, both in initial and relook PCNL. Material and methods: From February 2016 till date, 90 patients underwent PCNL in Government Medical College, Jammu through supracostal puncture – 53 on right side and 37 on left side. All supracostal punctures were made about 7–8.5 cm from midline. Tract dilatation was done using metal dilators and calculi were fragmented using pneumatic lithotripsy. Patients with supracostal superior calyceal punctures were evaluated for chest complications intraoperatively by fluoroscopy, X-ray chest on evening of postoperative day 0 and repeated thereafter on third and seventh postoperative days. Results: Stone configuration included complete staghorn in 16, partial staghorn in 23, multiple stones in 16 and pelvic stone in 35 cases. Age range of patients was 07–76 years. There was 14.4% (13 out of 90) incidence of early or delayed chest complications – 20.8% (11 out of 53) on right side and 5.4% (2 out of 37) on left side. Conclusion: Pulmonary complications in supracostal punctures; especially on right side should not be underestimated. There are always chances of delayed hydrothorax after supracostal puncture. A chest X-ray should be repeated after 1 week in patients with supracostal PCNL punctures.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

1944 IS ROUTINE POST-OPERATIVE CHEST X-RAY NEEDED AFTER PERCUTANEOUS NEPHROLITHOTOMY?

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Marc Bjurlin ◽  
Michael Jordan ◽  
Naveen Divakaruni ◽  
Jed Robinson ◽  
Lindsey Lombardo ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
X Ray ◽  
Chest X Ray

scholarly journals Aetiological Pattern of Haemoptysis in a Tertiary Level Hospital in Bangladesh

1970 ◽  
Vol 22 (1) ◽  
pp. 22-25 ◽  
Author(s):  
M Khalilur Rahman ◽  
MM Rahman Khan ◽  
MH Tarik ◽  
MA Alim ◽  
MH Rashid ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Bronchial Carcinoma ◽  
Cost Effective ◽  
Lung Abscess ◽  
College Hospital ◽  
X Ray ◽  
Medical College ◽  
Chest X Ray ◽  
Valvular Diseases ◽  
Aetiological Diagnosis

To identify the causes of haemoptysis and to diagnose the diseases clinically and cost effective laboratory investigations in our situation. Fifty consecutive cases of haemoptysis admitted at Rajshahi Medical College Hospital, Rajshahi during 2000-2001 were prospectively studied .Pulmonary tuberculosis was the commonest found in 19 (38%) cases. Tuberculer bacilli could be isolated in 5 (26.31%) of the cases. Eight (16%) patients were mitral valvular diseases . Bronchial carcinoma was 4(8%) of the series. Three patients (6%) were lung abscess. Six patients (12%) had bronchiectasis. Five patients (10%) had pneumonia. Remaining five (10%) patients were miscellaneous aetiology. In the present series it has been found that pulmonary tuberculosis and mitral valvular disease comprise 54% of the cases. Chest X-ray and sputum examination were found to be the two most useful investigations necessary for aetiological diagnosis of haemoptysis. Within limited resources the aetiological diagnosis of haemoptysis can easily be done in the majority of cases by doing chest X-ray and sputum examination in our country. DOI: 10.3329/taj.v22i1.5015 TAJ 2009; 22(1): 22-25

scholarly journals Diagnostic bronchoscopy: an experience in a hospital of limited resources

2018 ◽  
Vol 6 (11) ◽  
pp. 3558
Author(s):  
Chingakham Debeshwar Singh ◽  
P. Wilubuibou ◽  
Thounaojam Amusana Singh
Keyword(s):  
Lung Cancer ◽  
Nucleic Acid Amplification ◽  
Limited Resources ◽  
Sputum Smear ◽  
X Ray ◽  
Medical College ◽  
Diagnostic Bronchoscopy ◽  
Chest X Ray ◽  
Set Up ◽  
Diagnosis Of Lung Cancer

Background: Diagnostic bronchoscopy is conventionally performed in evaluating undiagnosed abnormal chest x-ray findings, undiagnosed haemoptysis, pleural effusion, unexplained cough and collapse of lung etc. One indispensable use currently is for diagnosis of lung cancer. The aim of the study was to study the various types of patients who have undergone Diagnostic Bronchoscopy in a hospital of limited resources and the diagnostic outcomes of the procedures.Methods: A retrospective study of Bronchoscopies was done from October 2016 to January 2018, in Department of Respiratory Medicine in the hospital of a Medical College. All 178 patients of all age and any sex were included in the study. These patients present in the study had chest X-ray and CT scan of thorax. Other investigations done were ZN stains for AFB and CBNAAT-TB (Cartridge Based Nucleic Acid Amplification Test) for sputum and blood complete haemogram, prior to bronchoscopy.Results: Our study has shown that Diagnostic bronchoscopy is particularly useful in diagnosis of lung cancer, sputum smear negative Tuberculosis, if proper selection of cases is done even in a centre of limited resources. It has become an absolute necessity in a medical college hospital.Conclusions: Bronchoscopy in our resource limited set up shows that it is an indispensable tool for diagnosis of lung cancer with patients with clinical presentations of lung collapse, unresolved consolidation, lung masses, undiagnosed pleural effusions and haemoptysis. The usefulness can be much better if facilities like TBNA, EBUS are made available.

scholarly journals Sclerosing haemangioma of the lung: A case report

2012 ◽  
Vol 1 (1) ◽  
pp. 33-36
Author(s):  
R Thapa ◽  
M Lakhey ◽  
U Shrestha
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Ct Scan ◽  
Left Lung ◽  
Lower Lobe ◽  
X Ray ◽  
Medical College ◽  
Bronchoscopic Biopsy ◽  
Chest X Ray ◽  
Sclerosing Haemangioma

Sclerosing haemangioma is a rare neoplasm of the lung which behaves in a clinically benign fashion. Herein, a case of sclerosing haemangioma of the lung in a 52 years old woman is reported. She presented with symptoms of cough and chest pain. Chest X-ray and CT scan showed a well-defined lesion in lower lobe of left lung. Bronchoscopic biopsy findings were suggestive of a carcinoid tumor. Later the tumor was removed by lobectomy. The distinctive constellation of histologic findings revealed it to be a sclerosing haemangioma. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7254 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.33-36

Prevalence of Hypertension in Hemorrhagic Stroke at NGMCTH, Kohalpur

2018 ◽  
Vol 16 (1) ◽  
pp. 11-14
Author(s):  
Anil Shrestha ◽  
Richa Shrestha
Keyword(s):  
Hemorrhagic Stroke ◽  
Antihypertensive Drugs ◽  
College Teaching ◽  
Cross Sectional ◽  
X Ray ◽  
Regular Treatment ◽  
Medical College ◽  
Chronic Disability ◽  
Chest X Ray ◽  
Serious Disease

 Aim: To study the prevalence of hypertension in hemorrhagic stroke in patients admitted in medical units of Nepalgunj Medical College Teaching Hospital (NGMCTH), Kohalpur. Background : Hemorrhagic stroke has remained a serious disease despite recent advances in medical treatment. It is one of the most common emergencies encountered in clinical practice and predominantly effects elderly population leading to chronic disability and dependency. This study was designed to identify hypertension as a major cause of Intracerbral hemorrhage (ICH). Material and methods: This is a cross sectional descriptive study conducted in the department of medicine of NGMCTH, Kohalpur between June 2017 and November 2017. A total of 51 patients were included in the study. History and clinical examinations were recorded. Plain CT scan head, ECG and chest x-ray PA view were done and the data were recorded and analysed. Result: The age of patients ranged from 48 to 89 years with the mean age of 66.72 years. Among 51 patients, high BP at presentation along with ECG showing LVH was seen in 38 patients (74.5%) and chest x-ray PA view showing cardiomegaly was seen in 31 patients (60.8%). Most commonly involved ethinic group was Tharu (45.1%). Conclusion: Hypertension is a major cause of ICH. So, early detection and regular treatment of hypertension with appropriate antihypertensive drugs and life style modification would prevent ICH.

scholarly journals Intracardiac Migration of the Ureteral Double-J Stent during Percutaneous Nephrolithotomy

Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 939
Author(s):  
Chun-Kai Chang ◽  
Yi-Hsuan Wu ◽  
Ming-Chen Paul Shih ◽  
Jiun-Hung Geng
Keyword(s):  
Atrial Fibrillation ◽  
Blood Pressure ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stones ◽  
X Ray ◽  
One Stage ◽  
Medical Issues ◽  
Double J Stent ◽  
Chest X Ray ◽  
To Receive

The complications of percutaneous nephrolithotomy (PNL) include hemorrhage, damage to adjuvant organs, and other medical issues, although intracardiac migration of ureteral double-J stent has never been found during PNL and delaying the diagnosis might cause mortality. We report the case of a 60-year-old male who was admitted to receive one-stage PNL for right renal stones. During operation, an unexpected atrial fibrillation with a drop in blood pressure was suddenly encountered and the chest X-ray subsequently showed that the ureteral double-J had penetrated deep into the heart. Emergent endovascular intervention was performed to remove the stent and the patient was uneventfully discharged 2 days later.

scholarly journals PROFILE OF GASTRIC MALIGNANCIES PRESENTING AS GASTRIC OUTLET OBSTRUCTION – A ONE AND A HALF YEAR PROSPECTIVE STUDY FROM KASHMIR VALLEY

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Nisar Hussain Hamdani ◽  
Sumyra Khurshid Qadri ◽  
Zeeshan A Wani ◽  
Syed Asif A Shah ◽  
Sonaullah Kuchay
Keyword(s):  
Gastric Cancer ◽  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Delayed Gastric Emptying ◽  
Outlet Obstruction ◽  
Pulmonary Complications ◽  
Common Symptom ◽  
Kashmir Valley ◽  
Medical College ◽  
Age Range

Background: Gastric adenocarcinoma is one of the frequent cancers seen in Kashmir valley. Patients often present with advanced disease and Gastric Outlet obstruction (GOO). We studied the profile and management of patients presenting with malignant GOO due to Gastric cancer at our center. Methods: A prospective one and half year study from May 2018 to Dec 2019 was done in the Department of Surgical Gastroenterology, Government Medical College, Srinagar. All adult patients with clinical and endoscopic evidence of malignant gastric outlet obstruction and features of gastric cancer were included. Results: Twenty three patients with GOO due to Gastric malignancies were noted in this period with a M:F ratio of 1.9:1 and age range of 32 to 79 years. Vomiting was the most common symptom present in 83 % patients followed by early satiety which was present in 74% of cases. Though patients gave history suggestive of weight loss but only 17 % patients had a documented weight loss. Palliative gastrojejunostomy was done in 21 patients and Radical Distal gastrectomy was done in 2 patients. Surgical site infection was the most common (06 cases; 26%) complication in our group followed by delayed gastric emptying (04 cases; 17.4%) and pulmonary complications (03 cases; 13%). Conclusion: Gastrojejunostomy offers good palliation of symptoms in patients with GOO due to GC. It can be offered with equally good results by laparoscopic access.

scholarly journals Comparison of Lung Ultrasound to X-ray for Diagnosis of Pulmonary Complications after Cardiac Surgery in Children

2020 ◽  
Vol 18 (1) ◽  
pp. 47-51
Author(s):  
Smriti Mahaju Bajracharya ◽  
Pragati Shrestha ◽  
Apurb Sharma
Keyword(s):  
Cardiac Surgery ◽  
Positive Predictive Value ◽  
Diagnostic Accuracy ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Lung Ultrasound ◽  
Pulmonary Complications ◽  
Lung Ultrasonography ◽  
X Ray ◽  
Chest X Ray

Background: The purpose of this study was to compare diagnostic performance of lung ultrasound in comparison to chest X-ray to detect pulmonary complication after cardiac surgery in children.Methods: A prospective observational study was conducted in tertiary center of Nepal. 141 consecutive paediatric patients aged less than 14 years scheduled for cardiac surgery were enrolled during the 6 months period. Ultrasound was done on the first post-operative day of cardiac surgery and compared to chest X-ray done on the same day to detect pleural effusion, consolidation, atelectasis and pneumothorax.Results: Sensitivity, specificity, positive and negative predictive values and diagnostic accuracy were calculated using standard formulas. lung ultrasonography had overall sensitivity of 60 %, specificity of 72.4%, positive predictive value of 31.9% and negative predictive value of 89.3% and diagnostic accuracy of 70.2% for diagnosing consolidation. Similarly, lung ultrasonography had overall sensitivity of 90%, specificity of 82.6%, positive predictive value of 46.1% and negative predictive value of 98% and diagnostic accuracy of 83.6 % for diagnosing pleural effusion. For atelectasis, ultrasonography had sensitivity of 50%, specificity of 76.9%, positive predictive value of 30.7% and negative predictive value of 88.2% and diagnostic accuracy of 72.3%. No pneumothoraxes were detected during our study period. Conclusions: Lung ultrasound is an alternative non-invasive technique which is able to diagnose pulmonary complications after cardiac surgery with acceptable diagnostic accuracy with no proven complications but with decreasing exposure to ionizing radiation and possibly cost.Keywords: Cardiac surgery; children; lung ultrasound; pulmonary complications

scholarly journals Outcomes in patients of pulmonary tuberculosis treated under RNTCP & follow up after 6 months

2022 ◽  
Vol 8 (4) ◽  
pp. 196-201
Author(s):  
Sonisha Gupta ◽  
Ankur Porwal ◽  
Atul Kumar Gupta
Keyword(s):  
Causes Of Death ◽  
Infectious Agent ◽  
Hiv Positive ◽  
X Ray ◽  
Medical College ◽  
Mdr Tb ◽  
Chest X Ray ◽  
Lost To Follow Up ◽  
Destroyed Lung

Tuberculosis (TB) is, one of the top 10 causes of death worldwide and the leading cause of death from a single infectious agent.This Prospective study was conducted at Santosh medical college Ghaziabad from 1 April 2018 to 30 September 2019. All diagnosed PTB patients above 12yrs were taken. Patients with EPTB, HIV positive, MDR TB, XDR TB were excluded from the study. At the end of study treatment outcome was evaluated.Total of 208 patients diagnosed as tuberculosis were enrolled in the study. 6 patients died during course of study, 10 were treatment failure, 4 were lost to follow-up, 3 transferred out & 1 shifted to private treatment. 184 patients completed treatment successfully. Out of 184, only 152 patients were available for interview at 6 months follow up after completion of treatment. 19 could not be traced, 11 patients refused and 2 died. Out of 152, 110 were asymptomatic, 1 relapsed & rest 41 patients were symptomatic. All symptomatic patients were subjected to Chest X-Ray. Fibrosis was seen on CXR of 30 patients, bronchiectasis was seen in 3 patients, 1 patient had destroyed lung, nothing abnormal detected in 7 patients.Even after successful treatment under RNTCP, these patients need to be followed up as many of them relapse or suffer from sequelae of tuberculosis.

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