An aetiological evaluation of short stature

Background: Short stature can be a normal variant or secondary to an underlying disorder. It is necessary to evaluate short stature to differentiate a normal from pathological short stature and thus decide the further treatment needed. This study was conducted at a tertiary care hospital to find out the various etiologies of short statureMethods: An observational study was conducted on 49 children in age of 2-12 years with short stature. They were grouped as normal variants and pathological short stature depending on upper-lower segment ratio the study group was later divided into proportionate and disproportionate short stature. They were further investigated to find out the etiology of the short stature. The bone age of all groups was compared with the chronological age to calculate the bone age retardation.Results: Out of 49 children 26.5% were normal variants and 73.4% as pathological type. 77.7% of pathological short stature were proportionate type. The male:female ratio was 1:1.4. Chronic systemic disorders were detected in 24.48% while malnutrition and endocrine disorders constituted 12% each. The bone age retardation in endocrine disorders was 0.47.Conclusions: Chronic systemic disorders were commonest cause of pathological short stature in this study. Females were predominantly affected in all groups and bone age retardation was maximum in endocrine disorders, thus indicating that early diagnosis and management of these disorders is necessary to decrease the growth retardation in these children. An understanding of short stature not only permits to differentiate a normal variant from an underlying disorder but also helps in modifying the course by means of early intervention.

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Incidence of thyroid pathologies requiring thyroid surgeries in a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20203247 ◽

2020 ◽

Vol 7 (8) ◽

pp. 2636

Author(s):

Anuradha Panchal ◽

Aniket Ray ◽

Raj Gautam ◽

Aashay Shah ◽

Chandan Singh ◽

...

Keyword(s):

Total Thyroidectomy ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Geographical Area ◽

Endocrine Disorders ◽

Care Hospital ◽

Benign Diseases ◽

Papillary Carcinoma Thyroid ◽

The World ◽

Common Malignancy

Background: Diseases of the thyroid gland are one of the most common endocrine disorders in India and the world, many of these diseases require surgery for their treatment. The incidence of thyroid diseases differs from one geographical area to another. This study was aimed at finding out the thyroid pathologies for which thyroid surgeries were performed in D. Y. Patil Hospital, Nerul, Navi Mumbai.Methods: It is a retrospective analysis of all the patients who have undergone thyroid surgeries (lobectomy, hemithyroidectomy, subtotal or near total thyroidectomy or total thyroidectomy) in D. Y. Patil hospital, Nerul, Navi Mumbai from 1st January 2018 to 31st December 2019 (2 years duration).Results: Most common pathology for which thyroidectomy was performed was colloid goitre (41.33%). Benign diseases of the thyroid was much more common (76%) than malignant diseases (24%). Most common malignancy was papillary carcinoma thyroid. Thyroid surgeries were most commonly performed on women in their 5th decade of life.Conclusions: Colloid goitre was the most common pathology for which thyroid surgeries were performed and females in their 5th decade of life were the most common patients undergoing thyroidectomy.

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Characteristics and etiologies of short stature in children: Experience of an endocrine clinic in a Tunisian tertiary care hospital

International Journal of Pediatrics and Adolescent Medicine ◽

10.1016/j.ijpam.2019.07.005 ◽

2020 ◽

Vol 7 (2) ◽

pp. 74-77

Author(s):

Leïla Essaddam ◽

Wafa Kallali ◽

Emna Cherifi ◽

Rahma Guedri ◽

Nadia Mattoussi ◽

...

Keyword(s):

Short Stature ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital

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A prospective study of indications and maternal outcome in case of emergency obstetric hysterectomy in a tertiary care hospital of Gujarat, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20190856 ◽

2019 ◽

Vol 8 (3) ◽

pp. 912

Author(s):

Mahima Jain ◽

Devanshi Dave

Keyword(s):

Maternal Mortality ◽

Rural Areas ◽

Tertiary Care Hospital ◽

Post Partum ◽

Tertiary Care ◽

Reproductive Age ◽

Care Hospital ◽

Underlying Disorder ◽

One Year ◽

A Prospective Study

Background: Obstetric hysterectomy was developed as a heroic operation arising out of necessity to control post-partum haemorrhage thereby reducing maternal mortality. The objectives of this study are to examine the incidence, indications, outcomes and complications of obstetric hysterectomy in a tertiary care hospital. It also aims to study the changing trends in incidence and indications in present day obstetric practice.Methods: This is a one-year study including 31 cases of obstetric hysterectomy performed in the Department of Obstetrics and Gynecology in a tertiary care hospital of Gujarat. Each case is analyzed, computed and tabulated as per standard proforma including clinical assessment, questionnaire, examination and investigations.Results: In present study 68% cases were in 21-30 years which is peak reproductive age. 55% patients were from rural areas and 52% cases were having three or more parity. The incidence of obstetric hysterectomy is 0.432% in both vaginal and cesarean deliveries i.e. 1 in 231 deliveries. Major indication for obstetric hysterectomy is morbidly adherent placenta 32% followed by atonic PPH 25.8% and ante partum hemorrhage in 22.58% due to increase in rate of cesarean sections. Most common complication is DIC and maternal mortality in around 16.12%.Conclusions: Obstetric hysterectomy is still a lifesaving surgery in modern day obstetrics. Quick decision for obstetric hysterectomy reduces maternal morbidity and mortality. Most of the morbidity is attributable to its indication and underlying disorder rather than the procedure itself.

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