scholarly journals Study on clinical profile of hyponatremia in patients admitted to the MIMS in Northern Andhra Pradesh, India

2019 ◽  
Vol 7 (6) ◽  
pp. 2055
Author(s):  
Anand Sankar Sastry ◽  
Buridi Praneetha
Keyword(s):  
Common Type ◽  
Chronic Illnesses ◽  
Clinical Profile ◽  
Age Group ◽  
Medical Sciences ◽  
Elderly Age ◽  
Common Cause ◽  
Electrolyte Disorder ◽  
Common Etiology ◽  
Epidemiological Profile

Background: Hyponatremia, most common electrolyte disorder has symptomatology ranging from asymptomatic to being comatose and etiologically from simple G.I. loss to chronic illnesses like CCF, CKD. Very sparse study has been done in this region on clinic-epidemiological profile of hyponatremia. The aims and objective of this study was to find out most common etiology, type, clinical features and outcome in hospitalised hyponatremic patients and to Correlate clinical profile and outcome with etiology, severity and treatment.Methods: The present observational study was conducted in department of medicine, Maharajah’s Institute of medical sciences, for two months. All patients aged ≥15 years having true hyponatremia were included. Detailed history, examination, relevant investigations including serum and urinary Na were done. Patients were classified to euvolemic, hypervolemic and hypovolemic depending on volume status and proper etiologies were determined in each group.Results: Of 50 patients included, mean age was 50.12±8.8 years. Hyponatremia was more common in older age group>40 years (P<0.05%). CNS manifestations were more prevalent in patients with Na<125 Meq. (80%) P< 0.05%. Hypervolemic was most common type (50%) followed by hypovolemic (34%) and euvolemic (16%). CKD was the most common cause overall (24%) and also among hypervolemic type (40%).Conclusions: Hyponatremia was more predominant in elderly age group (P<0.05%). It is more in 40-60 years age group. Hypervolemic type (50%) of hyponatremia is most common type of the hyponatremia and CKD (24%), to be most common cause of the hyponatremia attributed to Uddanam nephropathy in this region.

scholarly journals Clinical profile and prognostic factors of leptospirosis: a study of 50 cases from North Kerala, India

2017 ◽  
Vol 5 (11) ◽  
pp. 4793 ◽  
Author(s):  
Rijit Kannan ◽  
Anoop George Alex ◽  
Anoop George Alex
Keyword(s):  
Renal Failure ◽  
Prognostic Factors ◽  
High Mortality ◽  
Clinical Profile ◽  
Age Group ◽  
Medical Sciences ◽  
Monsoon Period ◽  
Common Cause ◽  
Severe Leptospirosis ◽  
A Prospective Study

Background: Leptospirosis is the most common zoonosis in the world. In humans it is caused by leptospira interrogans group of organism. It is an emerging disease in various part of the Kerala since 1980 and frequent epidemic with high mortality is being reported. Severe leptospirosis is characterized by jaundice, renal dysfunction, and hemorrhagic manifestation and with high mortality. Studies on assessing the prognostic factors in leptospirosis is only few from this area. This study was conducted to assess the clinical profile and prognostic factors of icteric leptospirosis.Methods: This is a prospective study conducted at academy of medical sciences Pariyaram involving 50 cases from the medical intensive care unit and wards with clinical features of leptospirosis and confirmed by the ELISA. All the patients were investigated and assessed for the complications and out come.Results: 50 cases of clinically and serologically confirmed cases of leptospirosis were included in this study of which 39 (78%) were males and 11(22)% were females. Among males maximum cases were reported in 40 to 44 age group and that females 30-34 age group. Of the 50 cases 7 patients expired and most common cause of mortality among this were acute respiratory distress syndrome (90%). Five patients had residual renal failure at the time of discharge.Conclusions: Leptospirosis was a common cause of hepatorenal failure in this area and important cause of mortality among agriculture workers during monsoon and post monsoon period. Acute respiratorydistress syndrome, and renal failure was the most common cause of mortality. Out of the 50 patients studied, 36 patient got cured and severn patient died and and five patients got discharged with residual renal and hepatic dysfunction. The mortality rate was 14% higher than noticed in other studies. patient who had early dialysis, plasma transfusion had a better prognosis. 

scholarly journals Pola Kasus dan Penatalaksanaan Peritonitis Akut di Bangsal Bedah RSUP Dr. M. Djamil Padang

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Aiwi Japanesa ◽  
Asril Zahari ◽  
Selfi Renita Rusjdi
Keyword(s):  
Medical Records ◽  
Surgical Procedure ◽  
Sampling Technique ◽  
Exploratory Laparotomy ◽  
Descriptive Study ◽  
Common Type ◽  
Age Group ◽  
Exclusion Criteria ◽  
Common Cause ◽  
Abdominal Emergency

AbstrakPeritonitis menjadi salah satu penyebab tersering akut abdomen yang merupakan suatu kegawatan abdomen. Peritonitis biasanya disertai dengan bakterisemia atau sepsis yang dapat menimbulkan kematian. Tujuan penelitian ini adalah untuk mengetahui hal-hal yang berkaitan dengan peritonitis agar dapat mencegah dan melakukan penanganan secepatnya terhadap kasus ini. Penelitian deskriptif retrospektif ini telah dilakukan dari September 2014 sampai Oktober 2014 dengan teknik total sampling. Data yang diambil merupakan kasus pasien peritonitis yang dirawat inap di Bagian Bedah RSUP Dr. M. Djamil Padang, kemudian dilakukan seleksi berdasarkan kriteria inklusi dan eksklusi sehingga didapatkan 98 data rekam medik periode 01 Januari 2013 sampai 31 Desember 2013.  Prevalensi peritonitis pada laki-laki (68,4%) lebih tinggi dibandingkan perempuan (31,6%). Kelompok usia terbanyak adalah 10-19 tahun (24,5%). Peritonitis sekunder umum akibat perforasi apendiks merupakan jenis peritonitis yang terbanyak (53,1%). Sebagian besar pasien peritonitis mendapatkan tatalaksana bedah berupa laparatomi eksplorasi dan apendektomi (64,3%). Lama rawatan terbanyak pada 4-7 hari (45,9%). Frekuensi pasien peritonitis menurut kondisi keluar sebagian besar dalam keadaan hidup (85,7%). Kesimpulan yang dapat diambil dari penelitian ini adalah bahwa peritonitis dapat dipengaruhi oleh faktor usia, jenis kelamin, penyebab peritonitis, tatalaksana, lama rawatan dan kondisi saat keluar dari rumah sakit.Kata kunci: peritonitis, bedah, pola AbstractPeritonitis is one of the most common cause of acute abdomen, which is an abdominal emergency. Peritonitis is usually accompanied by bacteremia or sepsis that can cause mortality. The objective of this study was to know something that associated with peritonitis in order to prevent and to respond immediately to this case. This retrospective descriptive study was conducted from September 2014 to October 2014 using a total sampling technique. Data was taken from cases of hospitalized patients with peritonitis in Surgery Ward of RSUP Dr. M. Djamil Padang, selected by on inclusion and exclusion criteria. There were 98 medical records by the period from 1st of January 2013 to 31th of December 2013. Peritonitis prevalence in men (68,4%) was higher than women (31,6%). Most common age group is 10-19 years old (24,5%). Secondary peritonitis due to perforation of the appendix is the most common type of peritonitis (53,1%). Most patients with peritonitis get a surgical procedure of exploratory laparotomy and appendectomy (64,3%). Most hospitalization length was 4-7 days (45,9%). The frequency of peritonitis patients based on conditions when discharged from hospital is mostly alive (85,7%).Conclusion from this study is that peritonitis may be influenced by age, sex, cause of peritonitis, the surgical procedure, hospitalization, and condition when discharged from hospital.Keywords: peritonitis, surgical, pattern

scholarly journals Etiological factors and clinical profile of acute respiratory distress in children age group 2 months to 2 years and prevalence of respiratory syncytial virus in the study population

2019 ◽  
Vol 6 (4) ◽  
pp. 1496
Author(s):  
A. Logesh Anand ◽  
S. Vijayaraghavan
Keyword(s):  
Respiratory Distress ◽  
Respiratory Illness ◽  
Clinical Profile ◽  
Age Group ◽  
Common Cause ◽  
Etiological Factors ◽  
Study Population ◽  
Group 2 ◽  
Tract Infections ◽  
Time Of Admission

Background: Acute lower respiratory tract infections are a common cause of morbidity and mortality in children. Respiratory infections in infants and small children are of great importance because of small airways. Infection may cause a further narrowing and may lead to respiratory distress. To evaluate the etiological factors, clinical profile and outcome of acute respiratory distress in the age group 2 months to 2 years.Methods: This study was conducted in the Paediatric department of Government Mohan Kumarmangalam medical college hospital, Salem, Tamil Nadu, India in the year September 2017-March 2018. Totally 183 cases of acute respiratory distress children were included in the study. A thorough clinical examination was done at the time of admission and management details were recorded into the proforma. Respiratory distress is defined as per WHO protocol as respiratory rate more than 50/minute in infants from 2 months to 12 months of age, and more than 40/minute in children from 13 months to 24 months of age.Results: Of the 72 cases of bronchiolitis, 32 cases (44%) tested positive for IgM at the time of admission and no cases in the control population tested positive for IgM. Of the 72 cases of bronchiolitis in the study population, 52 cases (72%) tested positive for ELISA IgG at the time of admission and 2 cases among the controls tested positive for ELISA IgG.Conclusions: Pneumonia was the most common cause of respiratory illness in the study population. Overcrowding was the major risk factor contributing to acute respiratory illness. Incidence of acute respiratory distress was high among undernourished children.

scholarly journals CLINICAL PROFILE OF CHILDREN PRESENTING WITH SEIZURE

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Rakesh Thakur ◽  
Sumeet Verma
Keyword(s):  
Health Care ◽  
Descriptive Study ◽  
Health Care Facilities ◽  
Clinical Profile ◽  
Age Group ◽  
Common Cause ◽  
Common Causes ◽  
Care Facilities ◽  
Acute Symptomatic Seizure ◽  
The Common

Background: This study is to describe the clinical profile of children presenting with seizure including common causes of seizure and classify the seizure types. Methods:  Hospital-based, analytic and descriptive study. This study includes all children in the age group 6 months to 12 years who presented in the department of paediatrics with seizure. Results: Seizures presented with fever in 36.00% of cases Conclusions: Seizures are one of the common causes of hospitalization. It can be inferred from this study that CNS infections are the most common cause of acute symptomatic seizure. The improvement in health care facilities like sanitation and immunization is warranted to prevent it. Keywords: Seizures, GTCS, Children

scholarly journals Epidemiological Profile of Patients of Aged 65 Years and Over in a University Private Hospital

2019 ◽  
Vol 12 (1) ◽  
pp. 113-118
Author(s):  
Emilio Conde-Flores ◽  
Rita Dorantes-Heredia ◽  
Daniel Motola-Kuba ◽  
Hiram Josué Grimaldo-Roque ◽  
Julio Eduardo Martínez-Sámano ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Private Hospital ◽  
Descriptive Study ◽  
Disease Diagnosis ◽  
Epidemiological Studies ◽  
Common Type ◽  
Age Group ◽  
American Population ◽  
Patient Diagnosis ◽  
Epidemiological Profile

Objectives: An increase in life expectancy is predicted for the general population and, by 2050, about one billion people will be older than 65 years. The Global Cancer Incidence, Mortality and Prevalence database estimates that 1.2 million people of this age will have cancer; this number represents 58% of new cases in the American population. This represents a challenge for diagnosis and treatment, given that some older people have multiple comorbidities and disabilities. Materials and Methods: This was a retrospective descriptive study of 204 patients aged 65 years and over. All had a solid tumor that was diagnosed in a private hospital from January 2015 to December 2017. Results: The median age was 72.2 years; the most frequent age group (48.5% of patients) was 65–75 years, and only a small percentage (4.4%) were aged > 85 years. The most common type of cancer was lung cancer (22.5%), followed by colorectal and urinary cancer. Most patients received cancer treatment after the disease diagnosis. Conclusion: There are no epidemiological studies of the older oncology population in Mexico. We believe it is necessary to perform larger studies to understand this population and to undertake actions to facilitate greater attention to patient diagnosis, treatment, and alleviation.

scholarly journals Clinical Profile of Diabetic Foot Amputation in Hasan Sadikin Hospital, Bandung, Indonesia

2020 ◽  
Vol 2 (2) ◽  
pp. 57-62
Author(s):  
Cakra Andhika
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Common Type ◽  
Clinical Profile ◽  
Foot Ulcers ◽  
Age Group ◽  
Duration Of Diabetes ◽  
Knee Amputation

Diabetes mellitus related to foot ulcers is common. Most studies use amputation rates as a measure of foot management in diabetics. The aim of this study was to determine the description of diabetic foot clinical profile at Hasan Sadikin Hospital, Bandung, Indonesia. The study was conducted on diabetic foot who came to Hasan Sadikin Hospital, Bandung from January 2014 to December 2018, retrospectively. There are 243 diabetic foot patients at Hasan Sadikin Hospital in this study. There are 112 males (46.1%) and 131 females (53.9%). There are more patients with the duration of diabetes was more than 10 years than the shorter duration of diabetes. The 51-60 year age group is the group with the largest percentage (41.6%). Based on the Wagner classification group, patients with grade 2 Wagner diabetic foot became the most group (28.4%). Total amputations were 91 patients (37.5%). The most diabetic foot management is debridement, which is 110 patients (45.3%). The most common type of amputation is below knee amputation, which is 45 patients (49.5%).

scholarly journals Study of correlation between age with incidence of endometrial cancer and histopathological type

2021 ◽  
Vol 10 (6) ◽  
pp. 2473
Author(s):  
Ganesh Bharaswadkar
Keyword(s):  
Endometrial Cancer ◽  
Endometrial Carcinoma ◽  
Uterine Cancer ◽  
Age Groups ◽  
Common Type ◽  
Age Group ◽  
Elderly Age ◽  
Gynecological Malignancy ◽  
Dismal Prognosis ◽  
Histopathological Type

Endometrial carcinoma is one of the commonest Gynecological malignancy. Endometrioid type is the most common type associated with hyper-estrogenic state and has better prognosis. While non endometrioid type is less common, associated with elderly age and has dismal prognosis. Uterine cancer is most often observed in higher age group with average age at diagnosis of 60 years. It most often occurs in women over 50. 16 cases of endometrial carcinoma were collected from January 2018 until November 2020.The study evaluated the correlation of age with incidence and type of endometrial cancer by categorizing patients into different age groups and then analyzing them. The most affected age group was between 60-70 years and commonest type of endometrial cancer identified was Endometrioid type. 

scholarly journals Clinical profile and outcome of organ dysfunction in sepsis

2018 ◽  
Vol 6 (6) ◽  
pp. 1927
Author(s):  
Laxmikanta Dash ◽  
Lagendra Kumar Singh ◽  
Malati Murmu ◽  
Susruth Krishnadas P. ◽  
Amita Kerketta ◽  
...  
Keyword(s):  
Organ Dysfunction ◽  
Clinical Profile ◽  
Apache Ii Score ◽  
Common Symptom ◽  
Age Group ◽  
Elderly Age ◽  
Female Ratio ◽  
Common System ◽  
Source Of Infection ◽  
Life Threatening

Background: Sepsis is defined as life threatening organ dysfunction due to a dysregulated host response to infection. It is the tenth leading cause of death among older adults in United States. Mortality rate of the sepsis ranges from 30-40%. In severe cases sepsis can drastically reduce blood flow to the major organs, leading eventually to septic shock, widespread organ failure and death. So, the present study was done to evaluate the clinical profile, symptoms, source of infection, co-morbid conditions and outcome with respect to the organ dysfunction in sepsis cases.Methods: This prospective observational study was undertaken among 100 cases of sepsis diagnosed by the “International Sepsis Definitions Conference” criteria admitted during October 2015 to September 2017. All patients were evaluated clinically and subjected for laboratory investigations.Results: In present study, a total of 100 cases were enrolled. Mean age of cases were 38.15 years. Male and female ratio was 1.63:1. Most common symptom was fever (100%). Pneumonia was the most common (36%) source of infection. Mortality was highest in pneumonia (55.55%). 77 % of cases had organ dysfunction. Cardiovascular system was the most common system involved. Maximum mortality was within the age group of 56-65 years. Diabetes was the most common co-morbid condition. Mean APACHE II score was high among the death cases.Conclusions: Sepsis was more common in younger group of patients but mortality was more in elderly age group. Overall mortality was 38%. 

scholarly journals Epidemiology of Childhood Burn: A 5-Year Retrospective Study in the Referral Burn Center of Northern Iran Northern Iran

2021 ◽  
Vol 6 (3) ◽  
pp. 101-108
Author(s):  
Mohammadreza Mobayen ◽  
◽  
Reza Zarei ◽  
Sanaz Masoumi ◽  
Mohsen Shahrousvand ◽  
...  
Keyword(s):  
Burn Severity ◽  
Age Group ◽  
Injury Death ◽  
Northern Iran ◽  
Female Ratio ◽  
Common Cause ◽  
Burn Center ◽  
Duration Of Hospitalization ◽  
Common Etiology ◽  
Working Day

Background: Burns are the second most common etiology of injury death in children under 5 years old and are the most common cause of death in a home accident. Materials & Methods: This study was performed to investigate the epidemiology of childhood burn in children under 16 years old referred to Velayat Burn Center, Rasht City, Iran, from 2013 to 2018. Data were collected from electronic hospital records of burn patients aged under 16 years of age. Results: Out of 717 patients, 44.5% were girls, and 55.5% were boys (sex ratio=1.2). The highest frequency of burns (56.1%) was reported in the 1-5 years age group. The most common cause of burn was scalds (76%), and the most common burn severity was second-degree burns (46.7%). The Mean±SD duration of hospitalization was 3.07±4.15 days, and the hospital stay was significantly associated with the cause of the burn, Burned Body Surface Area (BBSA), and burn severity. The highest frequency was reported on Saturdays, i.e., (the first working day in Iran) (22.7%), between 6 and 12 o’clock (42.8%). Conclusion: This study found that children in 1-5 years old were the most susceptible age group for burn injuries and scalds were the most common cause of the burn. The male to female ratio was 1.2, and the majority of burns occurred in the winter.

scholarly journals Endoscopic evaluation of dysphagia

2019 ◽  
Vol 6 (12) ◽  
pp. 4323
Author(s):  
Arun Gupta ◽  
Tejinder Singh Dall ◽  
Darpan Bansal
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Neuromuscular Disorders ◽  
The Elderly ◽  
Age Group ◽  
Medical Sciences ◽  
Lower Socioeconomic Status ◽  
Elderly Age ◽  
Lower Esophagus ◽  
Lower Socioeconomic ◽  
Number Of Males

Background: Dysphagia basically means difficulty in swallowing. Dysphagia may result from structural or neuromuscular disorders of the esophagus. Endoscopy is the main indication for patients with dysphagia to determine the underlying etiology. The main objective of the study was to evaluate the plethora of disorders leading to dysphagia in this region of Punjab.Methods: The present study was carried out in the department of General Surgery at Sri Guru Ram Das Institute of Medical Sciences And Research, Sri Amritsar. Gastrointestinal endoscopy was performed both on the patients admitted and those who presented at outpatient department. The diagnosis was confirmed by biopsy.Results: The sample consisted of 100 patients presenting with dysphagia. Total number of males were 42% and 58% females. It was found that the most common age group presenting with dysphagia was 41-60 years followed by 61-80 years. It was also observed that the most common cause of dysphagia was growth of esophagus (24%). Lower esophagus was most common site of lesion found in 30 (45%) of the patients. Squamous cell carcinoma was found in 52 (24%) of the patients. Maximum patients (84%) were of lower socioeconomic status. Dysphagia was more common in females as compared to males.Conclusions: It can be concluded that prevalence of dysphagia in Indian settings is more in the middle to the elderly age group with a female preponderance. Endoscopy plays an important role in detecting premalignant conditions leading to dysphagia.

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