scholarly journals A Clinico-Aetiological Study of Prolonged Fever at a Tertiary Care Centre in Patna, Bihar

2021 ◽  
Vol 10 (9) ◽  
pp. 595-599
Author(s):  
Arshad Ahamad ◽  
Praveen Kumar ◽  
Kalpana Chandra ◽  
Amit Kumar Mishra ◽  
Manoj Kumar Choudhary ◽  
...  
Keyword(s):  
Inflammatory Diseases ◽  
Monsoon Season ◽  
Tertiary Care ◽  
General Medicine ◽  
Medical Problem ◽  
Cross Sectional Study ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Prolonged Fever

BACKGROUND Prolonged fever can be defined as fever of more than 14 days duration. It can be caused by infection, non-infectious inflammatory diseases, malignancy, miscellaneous causes and undiagnosed causes. The present study was undertaken to study the clinical profile as well as aetiology of prolonged fever. METHODS A cross sectional study was conducted among patients of prolonged fever admitted in general medicine ward at IGIMS, Patna, Bihar. Patients were selected as per inclusion and exclusion criteria. A detailed history was taken followed by physical examination, systemic examination and investigations to find out the underlying aetiology. RESULTS Male patients were more than females. Most commonly affected age group was of 21 to 30 years comprising 25 patients followed by 13 patients in less than 20 years age group, 11 patients in 41 – 50 years age group, 10 patients in 51 – 60 years age group, 8 patients in 31 – 40 years age group, 7 patients in 61 - 70 years age group and 6 patients in > 70 years age group. Maximum patients were in post monsoon season comprising 35 patients followed by 18 patients in summer, 17 patients in rainy and 10 patients in winters. Patients most commonly presented within 2 to 4 weeks of fever comprising 39 patients. All patients were having fever. Other symptoms present were cough / dyspnoea in 24 patients, weakness / body ache in 15 patients, abdominal pain in 14 patients, headache / irritability in 11 patients, arthralgia in 9 patients and altered sensorium in 2 patients. Most common aetiological diagnosis was tuberculosis in 32 patients followed by connective tissue disease (CTD) in 9 patients, liver abscess in 8 patients and haematological malignancy in 7 patients. CONCLUSIONS Prolonged fever is a common but difficult medical problem commonly caused by infection predominantly tuberculosis. KEY WORDS Pyrexia, PUO, Prolonged Fever

scholarly journals Profile of animal bite cases at immune prophylaxis clinic, tertiary care centre

2017 ◽  
Vol 4 (7) ◽  
pp. 2587
Author(s):  
Jyoti Dattaramji Bhise ◽  
Swati Dattaramji Bhise
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Age Group ◽  
Care Centre ◽  
Class Iii ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
First Case ◽  
Rabies Control ◽  
Study Population

Background: Animal bite, one of the common causes of physical injuries in spite of a long standing nature of the dog bite problem and the presence of effective intervention strategies for rabies control, it continues to pose a major public health challenge to program planners. So the present study is conducted to study Profile of animal-bite cases at immuno-prophylaxis clinic, at tertiary care centre.Methods: The present study was an observational cross-sectional study carried out at immune prophylaxis clinic of tertiary care centre, from 1st January 2013 to 31st December, 2013. All the registered cases of animal bite attending immune-prophylaxis clinic, which are ready to participate in the study were included as study population. The method used was systematic random sampling. First case was selected randomly using lottery method and then every fifth case reporting to immune prophylaxis clinic was taken in the study group. Total 3504 cases of animal bite were reported during the study period. 20% of these i.e. 700 cases of animal bite were included in the study.Results: Out of 700 study subjects, highest number of bites occurred in the age group 21-30 years i.e. 155 (22.1%). Maximum study subjects 471 (67.3%) were from urban area and 53% of bites occurred during daytime. Maximum cases were the class-III bite i.e. 600 (85.7%).Conclusions: Maximum number of bites seen among 21-30 years of age group predominantly seen among male study subjects. 49.6% study subjects were bitten by pet animals and 47.6% were bitten by stray animals. Dog was the principle animal responsible for the bite of study subjects. 85.7% of study subjects were of class III bite among them 75% study subjects had reported to hospitals within 24 hours. Severe the degree of exposure, earlier was reporting to the hospital was statistically significant.

scholarly journals A cross sectional study on antipsychotic induced amenorrhoea in women attending a tertiary care centre in South India

2019 ◽  
Vol 7 (6) ◽  
pp. 2067
Author(s):  
Monisha Kanya Savarimuthu ◽  
Srisudha Bhaskar ◽  
Anu Mary Alexander ◽  
Suja Kurian
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Antipsychotic Treatment ◽  
Age Group ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Menstrual Cycles ◽  
Reproductive Age Group

Background: Absence of menstrual period in a woman of reproductive age group could be physiological or pathological. Ascertaining the cause for this is a common clinical scenario faced by physicians. It is also a common clinical problem in women who are on treatment with antipsychotic medication. This cross-sectional study aimed to assess the occurrence of antipsychotic induced amenorrhoea among women aged 18-45 years, attending outpatient services of a tertiary care setting, the factors associated and to assess the effective strategies of treatment.Methods: Retrospective chart review of clinical details of women in the reproductive age group who fulfilled the inclusion criteria was carried out. They were divided into two groups: Group A included 84 women with antipsychotic induced amenorrhea and Group B included 94 women on antipsychotics and had normal menstrual cycles. Various factors and strategies which worsened or alleviated the symptoms were noted.Results: Women who were less than 35 years of age, on antipsychotic treatment for more than two years duration (52;83.9%) and those who were on treatment with Risperidone (69;73.4%) were identified as having the risk of developing antipsychotic induced amenorrhoea. The strategy of switch of medication to prolactin sparing antipsychotic was more effective in regularising the menstrual cycles (43;87.8%).Conclusions: In women presenting with amenorrhoea, a possible medication induced aetiology need to be considered, especially use of antipsychotics. Further understanding of the complexities of this relationship may help to guide the assessment and proper treatment of women with antipsychotic related amenorrhoea.

scholarly journals STUDY OF SPECTRUM OF BENIGN THYROID LESIONS ON FNAC AT TERTIARY CARE CENTRE

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
M. Reeta Devi ◽  
Babina Sarangthem ◽  
Keerthivasan .
Keyword(s):  
Tertiary Care ◽  
Cost Effective ◽  
Needle Aspiration ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Thyroid Swelling ◽  
Thyroid Lesions

Background: Thyroid lesions are one of the commonly encountered disorders in any hospital. Majority are non neoplastic and malignancy accounts for about 5-10%. Fine needle aspiration cytology is a simple, cost effective, reliable and minimally invasive tool for the evaluation of these lesions and it can differentiate benign from malignancy. Material and methods: This cross sectional study was conducted on the thyroid swelling attending the cytology OPD of Regional Institute of Medical Sciences (RIMS) during October, 2016 to October, 2019 a tertiary care hospital. All smears are air dried and stained with Giemsa stain. Results: The most common age group affected is 41-50 years of age followed by 31-40 years age group. Females outnumbered males with female to male ratio of 16.9:1. Out of 729 cases, colloid goiter constitute a total of 387 (53%), Hashimto's thyroiditis 318 cases (43.3%), adenomatous goiter (1.2%) and Graves disease contribute 1.1% Conclusion: Thyroid Swelling are very common clinical presentation. FNAC is a cost effective, reliable, easy to perform test with commendable sensitivity. It can spare patients to undergo unnecessary surgery. It also helps in differentiating solid from cystic lesions.

scholarly journals Evaluation of knowledge regarding COVID-19 in the doctors - A cross sectional study in a tertiary care centre of Maharashtra

2020 ◽  
Vol 8 (S1) ◽  
pp. 135-138
Author(s):  
Kotnis SD ◽  
Sancheti PV
Keyword(s):  
Human Resources ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Age Group ◽  
Care Centre ◽  
Sectional Study ◽  
Sample Collection ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Paediatric Age

Training of human resources is immensely important as COVID-19 is a new disease and impact of the disease is high in shorter time span. With this view, Government of India initiated Integrated Government Online Training (iGOT) platform for training of human resources. iGOT training was imparted to all doctors, residents. The present study was conducted with an aim to evaluate the knowledge of doctors regarding COVID-19. All delegates (Total 88) were invited to join a social media group which was utilised to circulate the questionnaire. More stress should be given in the training on precautions to be taken triage areas, sample collection and transfer, and management in antenatal, postnatal and paediatric age group. The iGOT training was useful for capacity building. Keywords: COVID-19; doctors; iGOT training; SARS-CoV-2

scholarly journals Breast Arterial Calcifications on Mammography among Patients Attending the Radiology Department in a Tertiary Care Centre: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (241) ◽  
pp. 844-847
Author(s):  
Anamika Jha ◽  
Anugya Sah ◽  
Birendra Raj Joshi ◽  
Benu Lohani
Keyword(s):  
Confidence Interval ◽  
Vascular Calcification ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Age Group ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Vascular Calcifications ◽  
Cross Sectional

Introduction: Breast arterial calcifications are common mammographic findings which are associated with coronary artery disease. The aim of this study was to find the prevalence of breast arterial calcifications in women presenting for mammography in a tertiary care centre. Methods: This descriptive cross-sectional study was performed in the Department of Radiology, in a tertiary care hospital after taking ethical clearance, Reference number 352(6-11)E-2, 077/078, data was collected from Syngovia database from March-June 2021 which included 1614 mammograms. Convenience sampling was done and mammograms evaluated for presence of vascular or non-vascular calcification. Further, vascular calcification was graded. Data was entered in Statistical Package for Social Sciences version 25. Point estimate at 95% Confidence Interval was done, and frequency and proportion were calculated. Results: The prevalence of breast arterial calcification was 188 (11.6%) at 95% Confidence Interval (10.03-13.2). The mean age of women included in this study was 48.42±9.55 years with the largest number of patients in the age group 40-49 years, 682 (42.3%), and least in the age group 80-89 years, 3 (0.2%). All patients in the age group 80-89 years, 3 (100%) had vascular calcifications followed by 70-79 years group, 22 (57.5%) and none in patients younger than 30 years. Conclusions: We found an increase in the number and grade of vascular calcifications in breasts with the patient's age. When present breast arterial calcifications must be mentioned in mammogram report. Identification of such calcifications on mammogram should prompt further screening for atherosclerotic disease.

scholarly journals Study of cross-referrals to the dermatology department in an inpatient setting at a tertiary care centre

2020 ◽  
Vol 8 (2) ◽  
pp. 647
Author(s):  
Niyati Bakhtar ◽  
Kirit Pandey ◽  
Neha Pandey ◽  
Nikhil Bakhtar ◽  
Vijay Bakhtar
Keyword(s):  
Descriptive Analysis ◽  
Tertiary Care ◽  
General Medicine ◽  
Skin Lesions ◽  
Cross Sectional Study ◽  
Inpatient Setting ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Dermatology Department ◽  
The Impact

Background: Till recently, dermatology was primarily being considered to be an outpatient focused discipline. However, several inpatient admissions to other specialties require dermatologic consultation for optimum management. This study was conducted to analyse the incidence and indications for inpatient dermatology referrals and the impact of dermatology consultation on patient management.Methods: A cross-sectional study was undertaken by analyzing the records of 243 patients referred to dermatology department over a 2-year period. Descriptive analysis was conducted in the form of study of presumptive diagnoses by the referring clinicians, causes of referral, distribution of referrals across specialties and the dermatological opinions with respect to diagnosis and management etc.Results: Clinically significant change was documented in the course of skin lesions management of almost two-thirds of referred patients. Maximum referrals were from the department of general medicine with “skin rash” being the most common cause for seeking 2nd opinion. Concordance for diagnosis between the referring clinician and the dermatologist was observed in only 30.2% of the cases.Conclusions: Dermatologic referral does lead to improved patient care. But there is need for better training of non-dermatologists enabling them to recognize and treat common skin lesions.

scholarly journals A study on dermatological manifestations among chronic kidney disease patients undergoing hemodialysis in a tertiary care centre

2017 ◽  
Vol 5 (5) ◽  
pp. 1814
Author(s):  
Mookambika R. V. ◽  
S. Murugan
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Tertiary Care ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional

Background: Chronic kidney disease (CKD) is a progressive loss of kidney function over a period of months or years through five stages. The prevalence of  end-stage renal disease (ESRD) in India is increasing with an estimated annual incidence of about 100 per million populations. About 50-100% of patients with ESRD have at least one associated cutaneous change. These cutaneous disorders can precede or follow the initiation of hemodialysis treatment, and there are more chances to develop newer skin changes during the course of hemodialysis therapy, which may affect the quality of life. Objectives of the study was to find out the  prevalence of various dermatological manifestations in patients undergoing hemodialysis in a tertiary care centre.Methods: A cross sectional study was carried out in the general medicine department of a tertiary care Centre. All cases of chronic kidney disease were diagnosed according to the criteria of KDQQI CKD guidelines, age group between 30-60 years are included. Pediatric patients with chronic kidney disease, patients who had renal transplantations, patients on peritoneal dialysis and renal injury patients are excluded.Results: Out of the 100 study participants majority are males (60%). Majority of the patients belongs to lower socioeconomic status family (59%). Atleast one dermatological manifestation was present in all patients. 23% of the patients presented with two dermatological manifestations and 22% of the participants had three or more dermatological manifestations. Xerosis was the most common dermatological manifestation present among the patients.Conclusions: This study reflects that quality of life in dialysis patients is mainly depend on timely recognition and prompt management of these dermatological conditions.

scholarly journals “A STUDY OF MICROALBUMINURIA IN NON DIABETIC HYPERTENSIVE PATIENTS”

2020 ◽  
pp. 1-3
Author(s):  
Anup Latne ◽  
Prabhakar Jirvankar
Keyword(s):  
Cardiovascular Risk ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Low Grade ◽  
Major Public Health Problem ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Hypertensive Patients

Hypertension is a major public health problem all over the world. The incidence of hypertension is increasing year after year and the prevalence of hypertension is increasing day by day due to increased life expectancy and aging population and their sedentary lifestyle. Hypertension is known to cause microvascular changes and increased cardiovascular risk from it. Microalbuminuria possibly reflects a state of increased renal endothelial permeability and is an easily measured marker of rather diffuse endothelial dysfunction, low grade inflammation and vascular disease burden2. Microalbuminuria has been determined as an important prognostic indicator and has been reported to be associated with increased cardiovascular risk and progressive renal damage. Reliable data on the prevalence of microalbuminuria in the general population and its association with cardiovascular risk factors is limited. Till now, there is little data available regarding screening and early treatment of hypertensive patients with microalbuminuria, as in the case of microalbuminuric non diabetic subjects. With these perspective this cross sectional study of microalbuminuria in non-diabetic hypertensive patients was undertaken to study prevalence of microalbuminuria in Non Diabetic hypertensive patients. Objectives: To determine the prevalence of microalbuminuria in non-diabetic hypertensive patients and to correlate the presence of microalbuminuria with the patients of different clinical profiles. Materials and Methods: This was observational, cross sectional study of Patients diagnosed with hypertension either admitted in ward or attending OPD of Medical College and Tertiary Care Centre. Urine microalbumin creatinine ratio was used for estimation of microalbuminuria. Conclusion: It was proved that microalbuminuria prevalence was directly proportional to the duration of hypertension, the stage of hypertension. Prevalence of microalbuminria was low in ACE inhibitor and ARB treated hypertensive patients.

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