scholarly journals Clinical presentation and outcome of fistula in ano cases

2018 ◽  
Vol 5 (9) ◽  
pp. 3006
Author(s):  
Shruti Yadu ◽  
Aradhana Toppo
Keyword(s):  
Digital Rectal Examination ◽  
Perianal Abscess ◽  
Clinical History ◽  
Common Disease ◽  
Anorectal Fistula ◽  
Anorectal Abscess ◽  
Cross Sectional ◽  
Chronic Inflammatory Response ◽  
Fistula In Ano ◽  
Detailed Clinical History

Background: Fistula-in-ano is an abnormal communication between the anal canal or rectum and the perianal skin, which causes a chronic inflammatory response. The most common cause is nearly always by a previous anorectal abscess. The chief complaint of anorectal fistula is intermittent or constant drainage or discharge. There is usually a history of previous pain, swelling and recurrent abscess that ruptured spontaneously or was surgically drained. There may be a pink or red elevation exuding pus, or it may have healed. Digital rectal examination remains the main stay of diagnosis in anorectal fistula cases.Methods: The present cross sectional observational prospective study was conducted in 50 patients who presented with their complaints to the Surgery Outpatient Department and who were admitted under the Department of Surgery, Dr. B.R.A.M. Hospital, Raipur (C.G.), India during study period was from March 2015 to September 2016. Detailed clinical history and examination of the patient was recorded. All investigations relevant to the study were done in all the patients. Appropriate surgical management were performed. Postoperative findings were noted.Results: 36% patients are in the age group of 41-50. 82% are male patients and 18% patients are female patient. 76% Patients had single opening. 74% Patients had perianal discharge while 66% patients presented with perianal pain. 40% patients had h/o perianal abscess. Most common mode of presentation was discharge. 76% patients had posterior opening while 24% patients had anterior opening. Fistulectomy and fistulotomy were performed in 39 subjects (78%) and 7 subjects (14 %) respectively.Conclusions: Anal fistula is a common disease which is devastating to the patients and imposes challenges to the surgeon. Early diagnosis and appropriate management are the key to success.

scholarly journals Evaluation of elderly patients with hearing impairment.

2020 ◽  
Vol 27 (10) ◽  
pp. 2154-2158
Author(s):  
Syed Ali Naqi ◽  
Syed Maisam Ali ◽  
Arslan Akhtar ◽  
Tabassum Aziz ◽  
Tahira Sajid ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Past History ◽  
Clinical History ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Variable Degree ◽  
Cross Sectional ◽  
Detailed Clinical History ◽  
History Of ◽  
Study Setting

Hearing is decreased in later age is due to aging and is normally seen in most of the elderly people all over the world. Objectives: To ascertain the degree of hearing in elders in relation to age, pattern and extent of hearing weakness in old age so that interventional strategies can be planned to improve their wellbeing. Study Design: Cross Sectional Study. Setting: ENT Outdoor Clinic of Akbar Niazi Teaching Hospital of Islamabad Medical and Dental College, Bhara Kahu, Islamabad. Period: December 2017 to October 2018. Material & Methods: 200 patients were part of the study with age > 50 years and no past history of drug therapy. Data was gathered by detailed clinical history, clinical examination and audiometric findings. Result: 57% patients were found with normal hearing and 43% had variable degree of hearing deterioration. Highest number of hearing weakness was found in 9th decade. Most of hearing deterioration was found in both the ears and that of sensorineural in type. Conclusion: Sensorineural type of hearing impairment is very frequently occurring problem seen in the latter part of life in our community. The frequency and severity of decreased hearing is directly proportional to age.

scholarly journals Clinical profile of falciparum, vivax and mixed infections of malaria, from a tertiary care hospital, Coastal Andhra, India

2020 ◽  
Vol 7 (4) ◽  
pp. 541
Author(s):  
Usham Gangaram ◽  
Giri Raju Sarikonda ◽  
Bhimasen Soren ◽  
Venkatakrishnan .
Keyword(s):  
Tertiary Care ◽  
Clinical History ◽  
Clinical Profile ◽  
Common Disease ◽  
Care Hospital ◽  
Major Health Problem ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Detailed Clinical History ◽  
Endemic Areas

Background: Malaria is a major health problem in many parts of India and some parts of Andhra Pradesh is one of the endemic areas for malaria. The objective was to study clinical profile and outcome of malaria in both species and mixed infection.Methods: Present study was carried out on 100 patients admitted during the period of  November 2016 - October 2018 in Narayana medical college and hospital, Nellore. Malaria confirmed by Peripheral thick and thin smear or Antigen Assay underwent detailed clinical history and physical examination. This was followed by monitoring the outcome of the patients with respect to morbidity and mortality.Results: Out Of the 100 patients 58 patients were from rural background, males were predominant, most common age group was 20-30 (34%) followed by 31-40 (31%). Out of 100 patients, 54 patients were  falciparum,44 patients had vivax  and two had mixed infection. All of the patients had fever followed by chills and rigors (75%), nausea and vomiting (59%), easy fatiguability (28%), pain abdomen (17), cough (14%) in both infections, altered sensorium was seen in only falciparum (20.3%). On clinical examination,70% of the patients had pallor, splenomegaly in 46%, icterus (23%), hepatomegaly (14%) and pedal edema in12 patients were observed. All 0f the patients were treated with appropriate antimalarial drugs for appropriate duration, and all were recovered without any mortality.Conclusions:Malaria is very common disease in our country especially in South India, which is one of the endemic areas. Severe malaria usually caused by the falciparum more than vivax, early diagnosis and treatment decreases the mortality and morbidity. 

scholarly journals Clinico-hematological evaluation in cases of pancytopenia at tertiary care centre: largest cross-sectional study

2021 ◽  
Vol 9 (5) ◽  
pp. 1361
Author(s):  
Haridas S. Munde ◽  
Nitin Y. Shende ◽  
Swati D. Nagare
Keyword(s):  
Bone Marrow ◽  
Tertiary Care ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Bone Marrow Morphology ◽  
Detailed Clinical History ◽  
Hematological Evaluation

Background:  Pancytopenia is characterised by a reduction in all the three cellular elements of blood (erythrocytes, leukocytes and platelets) below the normal reference range leading to anaemia, leucopenia and thrombocytopenia. It is a feature of many serious conditions. The present study was conducted to assess aetiology, clinical profile and bone marrow morphology of conditions presenting with pancytopenia.Methods: A two years cross-sectional study from July 2017 to June 2019 was conducted in the Department of Pathology. Total of 300 pancytopenia patient were studied and their clinical features, peripheral smear finding and bone marrow morphology were studied by using marrow aspiration and biopsy.Results: Among 300 cases studied, maximum patients were in the age group 11-20 years (19.66%) with male (50.66%) predominance. Most of the patients presented with weakness (91.66%) and fever (56.66%) as chief complains. The commonest physical finding was pallor (94%) followed by splenomegaly (27.33%). Macrocytic anaemia (43.66%) was commonest peripheral finding. The commonest cause of pancytopenia was megaloblastic anaemia (32.66%) followed by dimorphic anaemia (21%), aplastic anaemia (16%) and acute leukaemia (13.33%).Conclusions: The present study concludes that detailed clinical history, primary haematological investigations along with bone marrow examinations is essential to determine the cause of pancytopenia.

scholarly journals Effectiveness of ligation of intersphincteric fistula tract (LIFT) in the management of fistulas in ano

2017 ◽  
Vol 4 (12) ◽  
pp. 3951 ◽  
Author(s):  
Dushyant Kumar Rohit ◽  
Sarvesh Jain ◽  
Grishmraj Pandey
Keyword(s):  
Anal Canal ◽  
Anal Fistula ◽  
Digital Rectal Examination ◽  
Clinical History ◽  
Fistula Tract ◽  
Female Ratio ◽  
Fistula In Ano ◽  
Rectal Examination ◽  
Anal Ultrasound ◽  
Intersphincteric Fistula

Background: Fistula in ano is an abnormal connection between the epithelized surface of anal canal and usually the perianal skin. It is a benign treatable lesion of rectum and anal canal. Crypto glandular infection accounts for about ninety percent of the cases. The estimated prevalence of an anal fistula is 12 to 28/1000000 of the population per year with male to female ratio 1.8:1. Ligation of intersphincteric fistula tract is a new sphincter saving method with good result in the management of anal fistula. The aim of study was to evaluate the effectiveness and functional outcomes of the ligation of intersphinteric fistula tract (LIFT).Methods: This prospective study includes sixteen patients who were operated for fistulas in ano at Bundelkhand Medical College and Associated Hospital, Sagar from January 2015 to June 2017. Patients above the age of 20 years, proved cases of fistulas in ano without co-morbid conditions and no previous surgical intervention were included in the study. Patients presenting with fistulas from another source such as crohn’s disease, tuberculosis, anal cancer and recurrent fistulas were excluded. A detailed history, clinical presentation, digital rectal examination, anal ultrasound and routine investigations were done in all cases.Results: In the present study most of the patients were male and presents with perianal discharge. The diagnosis is made by clinical history, per rectal examination and anal ultrasonography. All the sixteen patients with fistula in ano underwent ligation of intersphincteric fistula tract (LIFT). The patients were followed for a period of three months. Most of the cases (87.5%) healed within 4-6 weeks. The recurrence of fistula occurs in four cases (25%). Recurrence is due to infection and technical error in the procedures. There were no deaths in the study.Conclusions: The LIFT technique proved to be safe and effective in the treatment of fistula in ano.

CLINICAL AND RADIOLOGICAL STUDY OF PSORIATIC ARTHRITIS IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 68-70
Author(s):  
Kurimilla Narasimha Prasad ◽  
P.Vijay Sekhar ◽  
Gopinath Mogilicherla ◽  
Boppani Praveen Kumar
Keyword(s):  
Psoriatic Arthritis ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Chronic Progressive Disease ◽  
Detailed Clinical History

Introduction: Psoriatic Arthritis (PA) is an autoimmune inammatory disease involving ligaments, tendons, fascia and spinal and/or peripheral joints in association with or without psoriasis of the skin and/or nails. This study done to determine the natural course, clinical presentation and radiological ndings of the disease. To ascertain the incidence of Psoriati Objective: c arthritis, analyse the different clinical manifestations of PA and to evaluate the clinical and radiological correlation in patients. This Materials and Methods: was a non-interventional, cross-sectional study comprised of 12 patients of PA. In all patients, detailed clinical history was taken followed by clinical and radiological examination were done depending on the joint involved. Out of the total attendance of 5801 new patients at Results: tended, 224 patients had psoriasis (5.35%), there were 12 cases of PA detected, thus accounting for 0.21%. Out of the 12 patients of PA, there were 8 males and 4 females. The male to female ratio was found to be 2: 1, The mean age was 40 years. The joints involved were Proximal inter-phalangeal joints of hands in 7 patients (58.34%), Distal interphalangeal joints of hands in 3 patients (25%), Knee joint and ankle joint in each one patient respectively (8.33%). Majority of the patients on radiographic lms, revealed bony erosions, narrowing of joint spaces, minimal periosteal reaction. One case revealed osteoporosis and fusion of PIP-joints. Five cases didn't reveal any abnormal radiological features. This Conclusion: study conrms that PA is a chronic, progressive disease in the majority of patients. Despite clinical improvement with current DMARD treatment, PA results in radiological damage.

scholarly journals A PROSPECTIVE CROSS-SECTIONAL STUDY ON MRI EVALUATION OF INTERNAL DERANGEMENTS OF THE KNEE JOINT

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Solanki Kunal G. ◽  
Raval Udit K. ◽  
Solanki Vipul V.
Keyword(s):  
Knee Joint ◽  
Lateral Meniscus ◽  
Preoperative Assessment ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Posterior Horn ◽  
Cross Sectional ◽  
Detailed Clinical History ◽  
Horizontal Tear

Introduction: Internal derangements of knee joint constitute a major source of morbidity in patients attending orthopaedic outpatients department of our hospital. It includes a group of disorders due to disruption of normal functioning of ligaments and menisci of knee joint leading to persistent or intermittent signs and symptoms such as pain, instability, or abnormal mobility of the knee. MRI would be a noninvasive, nonoperator dependent effective modality for early detection of these pathologies and has very high negative predictive value. Material and Methods: The study was carried out over a period of one year from April 2018 to April 2019. Fifty patients with clinically suspected internal derangement of knee were included in this prospective study. They were evaluated with detailed clinical history and clinical examinations and were subsequently subjected to imaging of knee using 1.5 T HDxt 8 Channel GE MRI machine. Results: ACL was the commonest ligament to be injured with partial tear being more common than complete tear. MCL was the commonest ligament to be torn in association with ACL. Indirect signs of ACL injury were evaluated and helped to corroborate the tears. Meniscal injury was common in medial meniscus and predominantly involved the posterior horn. In lateral meniscus anterior horn was involved more than posterior horn. In both the meniscus horizontal tear was the most common. Certain pattern of associations of injuries was found such as ACL tear with posterolateral corner injury.  Interpretation and Conclusion: MR is an excellent tool for evaluation of ligaments, menisci and osseous structures of knee joint. Various clinical tests and appropriate clinical history complements MR examination. Similarly MR imaging of knee complements therapeutic arthroscopies and would greatly reduce the need of diagnostic arthroscopies. Thus MR is a non-invasive, painless and morbidity-free modality for accurate preoperative assessment that is well accepted by patients.

scholarly journals Behavioral Problems and Intelligence Quotient Changes in Pediatric Epilepsy: A Case–Control Study

2017 ◽  
Vol 08 (04) ◽  
pp. 617-621
Author(s):  
Shyama Choudhary ◽  
N. Niranjan ◽  
Satyendra Khichar ◽  
Pramod K. Berwal ◽  
Abhijeet Singh Barath
Keyword(s):  
Partial Seizure ◽  
Behavioral Problems ◽  
Intelligence Quotient ◽  
Clinical History ◽  
Neurological Impairment ◽  
Cross Sectional Study ◽  
Control Group ◽  
Pediatric Epilepsy ◽  
Cross Sectional ◽  
Detailed Clinical History

ABSTRACT Background: Epilepsy is the most common chronic neurological disease and has neurological impairment as an important comorbidity. Objective: To find behavioral problems and intelligence quotient (IQ) changes associated with epilepsy and to know the association of variables such as frequency, type of seizures, and duration of disease with cognitive impairment. Materials and Methods: A descriptive cross sectional study, consisting of 50 cases (patients of epilepsy) and 50 controls (other patients of same socioeconomic status) was conducted at S.P. Medical College, Bikaner. The patients were subjected to detailed clinical history, thorough examination, Pediatric Symptom Checklist, and Bhatia's Battery of Performance intelligence Test. Data analysis was carried out with the help of SPSS 22 software. Results: The prevalence of behavioral problems in generalized and partial seizure group was high (42% and 53.8%) as compared to control group (9%). Low IQ was present more in the patients (44%) of generalized and partial seizure group as compared with the control group, and results were statistically significant. Furthermore, behavioral problems were more in patients who were having more number of seizures (≥3 per year) with significant P values (χ2 = 5.067, P = 0.024). Conclusion: We conclusively found that behavioral problems and cognitive factors, apart from control of seizures, must be kept in mind to determine how well a child with epilepsy progresses toward independence.

scholarly journals Study the Incidence of Fistula- in- Ano in Subsequent to Anal Abscess

2020 ◽  
Vol 19 (2) ◽  
pp. 218-223
Author(s):  
Nasir Kareem Dhahir ◽  
Keyword(s):  
Teaching Hospital ◽  
Perianal Abscess ◽  
Anorectal Abscess ◽  
Chi Square ◽  
Anal Abscess ◽  
Fistula In Ano ◽  
Surgical Case ◽  
High Incidence ◽  
Different Types ◽  
Males And Females

Background: The Fistula disease is considered common surgical case in the surgical wards of the Baquba teaching hospital, and consider as a complication of the anorectal abscess. Objective: To investigate the incidence of cases that infect with fistula in ano in subsequent to different types of anorectal abscesses. Patients and Methods: This study performed in the Baquba teaching hospital in a period from January 2016 until Jun 2018 including 216 patients (124 male and 92 female); all patients were included in the study . Samples of the patients classified into three groups according to the type of management. Results: The results show that the high incidence of fistula in ano is appearing in patients associated with hemorrhoids 8.84%, and high percent in patients who had a perianal abscess (63.48%) Regarding the distribution of cases according to age and sex, a low percentage of cases appear in age (1-10) with 6.45% and 2.18% in males and females respectively. While the highest percentage appears in the males at age (21-30) with 37.11% and in females is at the age (11-20) with 29.35%. And by the chi-square value for males is 16.37 and for females is 9.94 in a significant value of p=0.01 and p=0.05 respectively. Conclusion: Fistula in ano can be associated with cases have hemorrhois, and more present with patients who have a perianal abscess, and the early drainage of the abscess can prevent development of the fistula. Keywords: Fistula, Ano, Anorectal abscess, Internal anal sphincter

Comparative Analysis of Transmittal Biplane Intracranial Ultrasound and Multi-Slice Spiral CT in the Diagnosis of Perianal Abscess

2021 ◽  
Vol 11 (3) ◽  
pp. 1013-1019
Author(s):  
Xuemei Tang ◽  
Pengfei Kong ◽  
Xuegui Tang
Keyword(s):  
Comparative Analysis ◽  
Clinical Outcome ◽  
Perianal Abscess ◽  
Spiral Ct ◽  
Common Disease ◽  
Anorectal Abscess ◽  
Surgical Drainage ◽  
Anorectal Disease ◽  
Diagnosis Rate ◽  
Ultrasound Group

Perianal abscess is a relatively common disease in the anorectal department, and its incidence accounts for more than 20% of anorectal disease. Once diagnosed in the clinic, surgical drainage is needed immediately, which is of great significance for the clinical outcome. In this study, patients with anorectal abscess diagnosed by transmittal biplanar intracranial ultrasound and multi-slice spiral CT were selected in our hospital. They were randomly divided into the ultrasound group and the MSCT group. Transrectal biplanar intracranial ultrasound has a higher diagnosis rate for perianal abscess, and the localization has a unique advantage, which provides a powerful image basis for the choice of clinical treatment.

scholarly journals Study of Missing Clinical Details in Computed Tomography Radiology Request Forms: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Muna Badu
Keyword(s):  
Computed Tomography ◽  
Binary Data ◽  
Tertiary Care ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Radiology Department ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Detailed Clinical History

Introduction: Detailed clinical history through a properly filled requisition form can help a radiologist in making a diagnosis. The objective of this study was to observe the missing clinical details of Computed Tomography requisition forms at radiology department in tertiary care hospital. Methods: This descriptive cross-sectional study was done in 196 Computed Tomography requisition forms in the department of radiology from September 2019 to October 2019. Ethical clearance from the Institutional Review Committee – Reference No. 120720194 was obtained. An informed consent from the participants was taken prior to the procedure. Convenient sampling was done. The data obtained were computed and analyzed using Statistical Package for Social Sciences to tabulate the results. The results were displayed in frequency and proportion of binary data. Results: All the request forms had name filled, however date was filled in 183 (93.4%), age was filled in 195 (99.5%), sex was filled in 193 (98.5%) and address was only in 30 (15.3%) of the forms. Clinical history and provisional diagnosis were written in 179 (91.3%) forms. Signature was found in more than half of forms 135 (68.9%) whereas the department referring the patient was filled in 92 (46.9%) of forms and the name of doctor referring the patient was not filled mostly. The handwriting was clear in 191 (97.4%) of cases and standard words were used. Use of non-standard abbreviation was found in only 2 (1%) forms. Conclusions: Clinical details were filled in most of the requisition forms however other parameters were still incompletely and inadequately filled.

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