scholarly journals Bronchoscopic findings of flexible bronchoscopy: a one-year retrospective study in a tertiary care hospital

Author(s):  
Philips Antony ◽  
Hafiz Deshmukh

Background: Since the introduction of the first flexible fiberoptic bronchoscope by Shigeto Ikeda in 1966, fiberoptic bronchoscopy (FOB) has been a valuable tool in the diagnosis of pulmonary diseases. Therefore, the aim of this study is to report our one-year experience with the yield of flexible fiberoptic bronchoscopy at MGM Medical College and Hospital, a tertiary hospital in Maharashtra.Methods: A retrospective study of fiberoptic bronchoscopy (FOB) was performed at MGM Medical College and Hospital, Aurangabad, Maharashtra during the period 2015-2016. Bronchoscopy was performed and collection of bronchial washing, bronchial brushing, bronchial biopsy and transbronchial needle aspiration was done.Results: Out of 192 patients, 140 were males and 52 were females. Majority of them were in age group 50-59 years. Main indication was pulmonary tuberculosis. Bronchial washings were done in 168 cases and brushing in 56 cases and common location for both was right upper lobe; bronchial biopsy was done in 90 cases with commonest location left main bronchus. Transbronchial needle aspiration was done in 4 cases, active bleed was seen in 6 cases and purulent discharge was seen in 24 cases. Bronchoscopic finding in majority of patients was normal tracheobronchial tree.Conclusions: The optimal use of conventional bronchoscopy and its techniques in the hands of experienced respiratory interventionists, with the adherence of the international guidelines for performing these techniques will improve the diagnostic outcomes of those patients with the least morbidity and mortality, employing better therapeutic strategies, and thus improving the overall management of those patients.

Author(s):  
Aruna Rani R. ◽  
Dheeba Jayanthi R. ◽  
Eswari S.

Background: In modern obstetrics, the prevalence of Eclampsia and its complications are high, so we decided to study pregnancy outcome in all Antepartum Eclampsia patients. The present study was carried out to investigate the maternal and fetal outcome in patient with Antepartum eclampsia.Methods: A prospective study was conducted in Government Mohan Kumaramangalam Medical College Hospital, Salem, India over a period of one year from January 2016 to December 2016 in all Antepartum Eclampsia patients. Analysis was done regarding the age of women, parity, gestational age, imminent symptoms, mode of delivery, fetal outcome and maternal morbidity and mortality.Results: Incidence of Antepartum Eclampsia in our hospital is 0.7%. It is more common in age group of 20 to 25years (68.5%) and primigravida (56%) and gestational age >37 weeks (51.85%). Commonest mode of delivery was by caesarean section (72%). Out of 54 patients of Antepartum Eclampsia 3 (5.5%) died and 18 (33%) had complications. Out of 50 live babies, 16 (32%) died.Conclusions: Eclampsia is still one of the important and common obstetric emergencies and it has a significant role in maternal and fetal outcome. The early identification of risk factors and timely intervention is needed to improve maternal and perinatal outcome.


Author(s):  
Shairoly Singh ◽  
Ishan Arora ◽  
Shireen Singh

Background: In India, a large majority of blood donors are deferred due to anemia. Anemia is a temporary cause of deferral which can be easily treated. Deferrals due to anemia can be easily identified in blood bank and can be treated and managed effectively.Methods: A retrospective study was carried out in Department of Blood Bank of Pt. Jawahar Lal Nehru Govt. Medical College, Chamba (H.P) over a time period of one year from 1st Jan 2017 to 31st Dec 2017.Results: We observed that the total number of deferrals was 90 out of all blood donors forming 9%. Out of all deferrals, those due to anemia were 23 (25.5%). Prevalence of anemia in female donors is much higher, constituting 26.31% and anemia in male donors in our study is lower forming 1.8%.Conclusions: Our study concluded that percentage of anemia is much higher in females than males. Educating and counseling females about prevention and treatment of anemia would help in lowering the percentage of anemia in females in our community.


Author(s):  
Sitalakshmi V. ◽  
Alpana Bansal

Background: Transvaginal sonography (TVS) is very useful to assess the abnormalities in the anatomical structure of the uterus as well as endometrium. Not only this, it is capable of finding out any abnormalities of ovary, fallopian tubes, cervical structures as well as myometrium. The objective of the study was the role of transvaginal sonography in gynecological diagnosis at a tertiary care hospital.Methods: Present hospital based prospective study was carried out among 31 randomly selected eligible patients as per inclusion and exclusion criteria of the study for a period of one year at Department of Obstetrics and Gynecology of S. V. Medical College, Tirupati. All ethical guidelines were followed. A pre-designed and semi structured pre-tested questionnaire was prepared for entry of patient data.Results: Transvaginal sonography was more accurate in terms of evaluation of both tubes. Overall diagnostic accuracy of transvaginal sonography was 90.9%. It was found that the accuracy of clinical diagnosis was 100% in comparison to diagnosis by scan. In five cases, the clinical diagnosis of infertility was made as ovarian cyst and in all those cases it was confirmed. In three cases, the clinical diagnosis of infertility was made as fibroids and in all those cases it was confirmed. It was found that in cases of ectopic pregnancy, copper T missing loop and missed abortion, the clinical diagnosis was 100% accurate in comparison to scan diagnosis. Only in case of pelvic inflammatory disease, the accuracy of clinical diagnosis was 66% in comparison to scan diagnosis.Conclusions: Despite the few disadvantages of transvaginal sonography in measuring large pelvic masses, the smallest details of the masses yield valuable preoperative information. The more accurate delineation of internal echo characteristics scores the benefit over transvaginal sonography has its rightful place in gynecological practice has diagnostic and minimally invasive therapeutic tool.


2021 ◽  
pp. 261-263
Author(s):  
Shilpa Gupta ◽  
Shanu Srivastava ◽  
Prabhavati Patil

Background – The aim of this study was to identify the pattern of pathologies on FNA of supercial lymph nodes in a tertiary hospital over a period of one year. Methods – The data pertaining to our reports given to the patients who underwent FNAC evaluation of supercial lymph nodes was analysed to determine age distribution of patients, group of lymph nodes involved and distribution of pathologies diagnosed . Results – Majority of patients were adults. Cervical group of lymph nodes were most commonly involved. Granulomatous lymphadenitis was the predominant diagnosis in our series 39%. Conclusion – Fine needle aspiration evaluation is a quick, easy, relatively non traumatic and in expert hands, a reliable method of diagnosing the pathology of underlying enlarged supercial lymph nodes. Granulomatous lymphadenitis was the most common causes of lymph node enlargement in our series.


2021 ◽  
pp. 66-68
Author(s):  
Urvashi Singh ◽  
Gopal prasad singh ◽  
Alka Jha

Aim:To evaluate the efcacy of topical Voriconazole in the treatment of fungal corneal ulcer. Materials and methods: It was a single centre prospective tertiary care hospital based study conducted in the Upgraded Department of Ophthalmology at DARBHANGA MEDICAL COLLEGE AND HOSPITAL, Laheriasarai. It included 25 corneal ulcer patients of all demographic and socioeconomic status attending outdoor and/or indoor of Department of Ophthalmology, from April 2019 to April 2020, for a period of one year. Result: Majority of the patients were females.The decrease in ulcer size and improvement in visual acuity post treatment with topical Voriconazole was found to be statistically signicant. Conclusion: Topical therapy with 1% Voriconazole (w/v) served to be an economical mode of treating fungal corneal ulcer. It helped in the early and complete resolution of the ulcer with no adverse effects.


Sign in / Sign up

Export Citation Format

Share Document