scholarly journals A study of migraine cases in a tertiary care hospital neurology outpatient department: demography, sub classification and clinical features

2018 ◽  
Vol 6 (12) ◽  
pp. 3872
Author(s):  
Selvaraj C. ◽  
Sivakumar S.
Keyword(s):  
Migraine Without Aura ◽  
Age Of Onset ◽  
International Headache Society ◽  
Tertiary Care ◽  
Positive Family History ◽  
Outpatient Department ◽  
Specific Reference ◽  
Care Hospital ◽  
Headache Clinic ◽  
One Year

Background: Recurrent headache disorders impose a substantial burden on headache sufferers, family and society. In India, 15 to 20% of people suffer from migraine with an adult female: male ratio of 2:1. This study has been done with an aim at documenting the different types of migraine, their clinical presentations among patients presented to the Headache clinic, Neurology outpatient Department, Government Rajaji Hospital, Madurai during a one year period.Methods: The patients registered at Headache clinic, Neurology outpatient Department, Government Rajaji Hospital, Madurai during one year period between the March 2009 and February 2010 with the diagnosis of migraine as per International Headache Society 2004 criteria were taken for this study. The clinical material was collected from the records and by patient interviews with a detailed pre-prepared proforma. The various parameters of the patients were compared, classified and analysed with specific reference to national and international studies.Results: Migraine is the commonest type of headache comprising of about 76% of total cases of headache. Migraine without aura (48%) was more common than migraine with aura (32%). Female preponderance was noticed in all subtypes of migraine, age of onset being in 2nd and 3rd decade for majority of the subgroups of migraine, with positive family history in 45% of cases, with predominant unilateral in presentation and temporal in location, lasting for 12 to 24 hours in majority of cases.Conclusions: Migraine is the commonest type of headache in patients observed in this study. Among subtypes migraine without aura is the commonest. Second and third decade is the commonest age group of onsets.

Study of vitiligo at a tertiary care hospital

2021 ◽  
Vol 11 (2) ◽  
pp. 112-114
Author(s):  
P Ravindra Kumar ◽  
Keyword(s):  
Family History ◽  
Tertiary Care Hospital ◽  
Age Of Onset ◽  
Tertiary Care ◽  
Age At Onset ◽  
Positive Family History ◽  
Care Hospital ◽  
Morphological Pattern ◽  
Hla Antigen ◽  
Triggering Factor

Background: Vitiligo is a common acquired, progressive, multifactorial, depigmenting disorder characterized by the appearance of circumscribed white macules varying patterns, varying from small macules with scalloping borders to near total depigmentation of body, supposed to be due to chronic, progressive loss of functional melanocytes in the epidermis. This study was aimed to study vitiligo in our tertiary care hospital. Material and Methods: This prospective, observational and descriptive study was conducted in OPD patients clinically diagnosed as vitiligo during study period. Results: A total of 300 patients were included in the study after applying inclusion and exclusion criteria. Among these 179 (59.67%) were females and 121 (40.33%) were males. The female to male ratio was 1.5:1. The age at onset was found to be in the 11-20 age group in 104 (34.5%) patients. Most common duration was noted as between 1 to 5 years, 169 (56.5%) patients. A positive family history was present in 62 (20.5 %) patients In 67 patients triggering factor was noted. Koebner’s phenomenon was noted in 62 (22.2%) patients while leucotrichia was seen in 33 (11 %) patients in our study. Most common site affected was lower limb in 204 patients (68.17%), followed by upper limb in 194 (64.67%) patients. Clinically most common morphological pattern was vitiligo vulgaris noted in 52.5% patients. Acrofacial, segmental, universal, mucosal patterns were noted in 23.83 %, 7.67 %, 5.67 %, 1 % patients respectively. Conclusion: Vitiligo has a multifactorial origin, unpredictable triggers and progress of disease. Early age of onset, family history, HLA antigen, presence of leucotrichia, other skin problems are predictors for poor prognosis.

scholarly journals A Psoriatic Arthritis Patient with Multiple Rare Complications – case report and review of literature.

Pulse ◽  
2014 ◽  
Vol 5 (2) ◽  
pp. 48-53
Author(s):  
NS Afsar ◽  
S Mahmud ◽  
RJ Tamanna ◽  
MA Ahmed
Keyword(s):  
Psoriatic Arthritis ◽  
Age Of Onset ◽  
Severe Aortic Stenosis ◽  
Tertiary Care ◽  
Positive Family History ◽  
Skin Lesions ◽  
Rapid Progression ◽  
Care Hospital ◽  
Severity Of The Disease ◽  
Hands And Feet

A 28 year old male patient of psoriasis was admitted in a tertiary care hospital of Bangladesh with typical skin lesions for 18 years, nail changes for 16 years, arthritis for 12 years and eye changes for 3 years. In addition he had other rare extra articular complications like severe aortic stenosis, moderate aortic regurgitation and mild mitral regurgitation. He had a positive family history of psoriasis. HLAB27 is positive and X-ray of hands and feet showed classical findings of psoriatic arthritis. We presented the case to show the early age of onset, severity of the disease with rapid progression and multiple extra articular complications. DOI: http://dx.doi.org/10.3329/pulse.v5i2.20266 Pulse Vol.5 July 2011 p.48-53

scholarly journals Socio-demographic and Comorbidity Profiles of Migraine Patients in a Headache Clinic of a Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 3 (1) ◽  
pp. 48-51 ◽  
Author(s):  
Mohammad Akter Hossain ◽  
Maliha Hakim ◽  
Mashfiqul Hasan ◽  
Mohammad Atiqur Rahman ◽  
Mamnur Rashid ◽  
...  
Keyword(s):  
Migraine Headache ◽  
International Headache Society ◽  
Tertiary Care ◽  
Total Duration ◽  
Episodic Migraine ◽  
Care Hospital ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Headache Clinic

Background: Comorbidities of migraine patients are not uncommon.Objective: This study was done to find out sociodemographic characteristics and the important comorbid psychiatric and physical illness in migraine patients.Methodology: This cross sectional study was carried out in the Neurology Outdoor and Headache Clinic at Dhaka Medical College Hospital, Dhaka from July 2010 to June 2011 for a period of 1 year. Patients with migraine (on the basis of International headache society migraine headache criteria), age ≥16 years with total duration of headache six months or more, having comorbidities like major depressive disorder (MDD), generalized anxiety disorder (GAD), hypertension (HTN), diabetes mellitus (DM) or obesity were included in the study (n=33).The sociodemographic and relevant data were collected in a preformed data sheet from each patient.Result: The mean age of the participants was 33.8±8.8 years. Most of them were in 31-40 year age group (39.4%), followed by 21-30 year age group (36.4%). Most of the participants were female (72.7%) and housewives (57.6%). The symptoms of migraine was severe according to Migraine Severity Scale (MIGSEV) in 19 (57.6%), moderate in 8 (24.2%) and mild in 6 (18.2%) participants. Among the comorbidities, psychiatric problems like GAD and MDD was present in 8 (24.2%) and 6 (18.2%) participants respectively. Seven (21.2%) were obese, 4 (12.1%) hypertensive and 8 (24.2%) diabetic. Frequency of headache/month was observed to be higher in participants with hypertension (5.0±1.4 episodes/month) and duration of episodic migraine headache was higher in those with MDD (23.4±10.3 hours).Conclusion: Patients of migraine have comorbidities like GAD, MDD, obesity, hypertension and DM which need to be addressed appropriately for proper migraine headache management.Journal of National Institute of Neurosciences Bangladesh, 2017;3(1): 48-51

scholarly journals Quality of Life of Peri and Postmenopausal Women attending Outpatient Department of Obstretics and Gynecology of A Tertiary Care Hospital

2018 ◽  
Vol 16 (1) ◽  
pp. 32-35
Author(s):  
Sunita Koirala ◽  
Naresh Manandhar
Keyword(s):  
Quality Of Life ◽  
Age Of Onset ◽  
Tertiary Care ◽  
College Teaching ◽  
Menopausal Symptoms ◽  
Menstrual Period ◽  
Outpatient Department ◽  
Natural Phenomenon ◽  
Care Hospital

Background: Many women experience menopausal symptoms during menopausal transition and postmenopausal years. This natural phenomenon often results in various psychological, somatic and urinary symptoms which impair the overall quality of life of women. This study aimed to access the quality of life of women during perimenopausal and early postmenopausal years attending outpatient department of OBGYN at Kathmandu Medical College Teaching Hospital.Methods: A descriptive cross-sectional study of 240 perimenopausal women of aged 45-60 years attending gynaecological outpatient clinic was carried out between 15th January to 13th April 2017. Data were collected using Women Health Questionnaire, containing 37 questions by interview technique and analyzed using chi-square test to assess the association between sociodemographic information and the quality of life.Results: The median age of onset of menopause was 50 years and 50.8% of respondents were having good quality of life. Sociodemographic variables such as age of women, marital status, educational level, last menstrual period and regular menstrual period were statistically significant with the quality of life of peri and postmenopausal women.Conclusions: Menopausal symptoms are common but due to lack of awareness, they do not seek medical advice. Hence priority lies on generating awareness among women about menopause and menopausal symptoms and establishment of dedicated elderly clinic to help these women live a healthy and comfortable life.

scholarly journals Parental knowledge, attitude and practices regarding febrile convulsion

2018 ◽  
Vol 5 (2) ◽  
pp. 515
Author(s):  
Srinivasa S. ◽  
Syeda Kausar Anjum ◽  
Shruthi Patel ◽  
Harish S. ◽  
Bhavya G.
Keyword(s):  
Age Of Onset ◽  
Tertiary Care ◽  
Parental Knowledge ◽  
Febrile Convulsion ◽  
Educational Status ◽  
Fear Of Recurrence ◽  
Care Hospital ◽  
Inadequate Knowledge ◽  
One Year ◽  
Level Of Understanding

Background: Febrile convulsion is a condition which can emotionally traumatize most parents. Inadequate knowledge regarding febrile convulsion can cause parental anxiety. This study is conducted to assess the level of parent’s knowledge, attitude and practices regarding febrile convulsion.Methods: It was a prospective questionnaire study conducted over a period of one year from January 2016 to January 2017 in Department of Paediatric of a tertiary care hospital KIMS, Bangalore. 110 children with febrile convulsion in the age group of 6 months to 5 years were enrolled.Results: Out of 110 children, 82 had single convulsion and 28 had recurrent convulsions. Mean age of onset of first febrile convulsion was 20 months. About 50 (45.45%) had experienced convulsion with one-episode of fever. Only 46 (41.8%) of parents recognized convulsion. Others interpreted convulsion as shivering (20.9%), evil effect (7.2%), excessive cry tantrum (10.9%), fainting spell (8.18%) and lethargy (20%). 88 (80%) did not carry out any intervention prior to getting the child to hospital. Effect of convulsion on parents was fear of death (82.7%), fear of epilepsy (17.3%), fear of recurrence (34.5%). 85% parents did not know that convulsion can occur due to fever. 32% thought that traditional treatment would help. Only 38% had thermometer at home and 23% knew the normal range of body temperature. Preventive measures were known to 44%.Conclusions: A higher level of understanding regarding practices was shown among higher socioeconomic and higher educational status. The efficiency of parental first aid practices can be evaluated and significant improvement can be achieved by giving adequate awareness and education.

Clinical Audit of Obstetrical Hysterectomies for a Period of One Year in A Tertiary Care Hospital

Esculapio ◽  
2021 ◽  
Vol 16 (4 (oct 2020 - dec 2020)) ◽  
Author(s):  
Farzana Latif ◽  
Sadia Ilyas ◽  
Saeed Mehmood ◽  
Hammad Arif ◽  
Nuzhat Parveen Khawaja ◽  
...  
Keyword(s):  
Gestational Age ◽  
Tertiary Care Hospital ◽  
Clinical Audit ◽  
Tertiary Care ◽  
Care Hospital ◽  
Hospital Record ◽  
Record System ◽  
Peripartum Hysterectomy ◽  
Emergency Peripartum Hysterectomy ◽  
One Year

Objectives: To audit the obstetric hysterectomies in a tertiary care hospital during one year. Methods: It was an observational retrospective study design, where all the pregnant women were assessed for fetomaternal outcomes, indications and complications for peripartum hysterectomy. The records were retrieved from Jan 2015 to Dec 2015 by using hospital record system. The study duration was of one year. The venue of the study was Lahore General hospital, Lahore. The exclusion criteria included all unmarried women, women with chronic kidney disease or renal failure, past surgical history of heart disease, whereas all the women who delivered in hospital, private clinic or at home after atleast 28 weeks of gestational age and experience hysterectomy at the time of delivery or after delivery in the puerperium, were included in the study. Results: The data over 32 women were retrieved from the hospital record system. The mean age of the women was 30.34+2.23 with range 26-34. The average number of parity was 3 of all females. The range of parity was 2 to 7. The average gestational age was 36.18 weeks. All the deliveries were done by cesarean section whereas 4 (12.5%) were elective and 28 (87.5%) were with emergency indications. 13 (40.6%) of the deliveries were in private clinic, 9 (28.1%) were done by LHV/ mid wife, 5(15.6%) were in private hospitals, 4(12.5%) were in LGH and only 1(3.1%) was at home. 18(56.3%) of the women were having at least one abortion in previous history. Conclusion: We concluded that emergency peripartum hysterectomy is very vital procedure that saves lives and manage life threatening obstetrical hemorrhage when other methods failed to control it.The major indications for emergency peripartum hysterectomy were placental abruption, placenta praevia/accrete, uterine atony and ruptured uterus. Key Words: Uterine artery embolization, Emergency peripartum hysterectomy, maternal morbidity and mortality, healthcare providers How to Cite: Latif F, Ilyas S, Mehmood S. Arif H. Khawaja P. Nuzhat. Jawad Z. J Clinical audit of obstetrical hysterectomies for a period of one year in a tertiary care hospital. Esculapio.2020;16(04):50-53.

Distribution of age, gender and body weight in AMI patients in a tertiary care center of Eastern India

2021 ◽  
Vol 12 (6) ◽  
pp. 75-58
Author(s):  
Tanushri Khatua ◽  
Tanima Mandal ◽  
Mita Saha ◽  
Biswajit Majumder
Keyword(s):  
Body Weight ◽  
Family History ◽  
Care Center ◽  
Tertiary Care ◽  
Positive Family History ◽  
Premenopausal Women ◽  
Care Hospital ◽  
Risk Of Mortality ◽  
And Gender ◽  
Risk Predictors

Background: The leading cause of death in the world is coronary heart disease (CHD). In India, CHD manifests almost a decade earlier than in Western countries. Gender differences play an important role in the pathophysiology of AMI. Body weight and family history are claimed to be the indicators of relative risk of mortality. Aims and Objective: To look for the age and gender distribution pattern in patients with recent diagnosed AMI and to find out the association of some of the risk factors like BMI, family history. Materials and Methods: A descriptive study was conducted in a tertiary care hospital with 50 recent diagnosed AMI patients of either sex as cases after considering the inclusion and exclusion criteria. The biochemical parameters were measured by validated methods. Results: On statistical analysis, 58% of total AMI cases occurred before 50 years of age; out of which 18% belong to 31 - 40 years, 40% belong to 41- 50 years. Out of total 50 AMI cases, 60% is male and 40% is female. Obesity seen in 14% cases and 56% is overweight; 16% having positive family history. Conclusion: The study indicates a trend of early age onset AMI. Increased body weight and positive family history can be the risk predictors. It is suggested that younger age males and premenopausal women should not be ignored regarding the risk of MI. Further studies are required for verification.

scholarly journals Clinical Presentation of Preterm Neonates with Intraventricular Hemorrhage: Experience in a Tertiary Care Hospital in Dhaka

2017 ◽  
Vol 7 (3) ◽  
pp. 194-197
Author(s):  
Tasnima Ahmed ◽  
Abdul Baki ◽  
Tahmina Begum ◽  
Nazmun Nahar
Keyword(s):  
Clinical Features ◽  
Intraventricular Hemorrhage ◽  
Tertiary Care ◽  
Clinical Signs ◽  
Sudden Onset ◽  
Morbidity And Mortality ◽  
Preterm Neonates ◽  
Cranial Ultrasound ◽  
Care Hospital ◽  
One Year

Background: Intraventricular hemorrhage (IVH) is common among preterm infants as many of them survive with the advancements in neonatal care. Severe IVH may lead to significant morbidity and mortality. The objective of our study is to find out the significant clinical signs of IVH in preterm neonate for early detection by ultrasonography.Methods: This prospective observational study was done in special care baby unit (SCABU), Bangladesh Institute of Research & rehabilitation of Diabetic, Endocrine & metabolic Disorder (BIRDEM) for a period of one year. Eighty five preterm neonates were included in this study. Clinical features of IVH like- convulsion, lethargy, irritability, bulged fontanelle, recurrent apnea, sudden onset of respiratory distress, sudden pallor and bradycardia were observed. Cranial ultrasound studies were done within 7 days of life in all cases to identify IVH.Result: Mean gestational age of these neonates was 31.31(±2.2) weeks & mean birth weight was 1413.42 (±330.55) gm. Among 85 preterm neonates 21(24.7%) developed IVH, confirmed by ultrasonography of brain. Clinical features like convulsion, bulged fontanel, repeated apnea & sudden pallor were significantly present in IVH group.Conclusion: Intraventricular Hemorrhage constitutes an important cause of morbidity and mortality in neonate. This study showed that clinical features like convulsion, bulged fontanel and sudden pallor had a significant relationship with intraventricular hemorrhage which will help for its early detection.Birdem Med J 2017; 7(3): 194-197

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