scholarly journals Study on clinical profile and management of varicose veins of lower limbs

2019 ◽  
Vol 6 (4) ◽  
pp. 1097
Author(s):  
Gorijavolu Naveen Kumar ◽  
C. V. N. M. Dattatreya ◽  
M. Krishna Naik
Keyword(s):  
Varicose Veins ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
Venous System ◽  
Lower Limbs ◽  
Morbidity Rate ◽  
Care Hospital ◽  
Heart Chamber ◽  
Clinical Presentations ◽  
Long Term Follow Up

Background: The venous system of the lower limbs has the burden of posture, and blood has to be forced to the heart chamber against gravity. Commonly this problem is tackled either by a conservative approach or by surgical interference, both of which have their limitations. In the present study, an attempt is being made to study various clinical presentations of varicose veins, their management and complications.Methods: The data for the study was obtained from the patients admitted and treated in Tertiary Care Hospital, Kurnool for a period of two years from November, 2015 to November, 2017. Patients presenting with signs and symptoms of varicose veins, who were diagnosed as having varicosities of the superficial veins by clinical examination, were taken up for the study, after explaining the nature of the disease and various modalities of treatment available.Results: It is found that varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. It is more common in middle-aged group and in males. Patients presented with spectrum of symptoms and signs, dilated and tortuous veins being more common presentations. Long saphenous system is the most common venous system affected.Conclusions: Complications are negligible if cases are meticulously selected and operated. The present procedures enable the patient to lead almost normal life after surgery and the morbidity rate is very negligible. Though the newer trends in the management of varicose veins are showing good results, they need a long term follow up.

scholarly journals A prospective observational study to analyse clinical profile of varicose vein cases treated in a tertiary care hospital

2019 ◽  
Vol 6 (3) ◽  
pp. 769
Author(s):  
Maragadha Mani ◽  
Anand A.
Keyword(s):  
Observational Study ◽  
Clinical Presentation ◽  
Vascular System ◽  
Varicose Veins ◽  
Demographic Data ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Leg Pain ◽  
Care Hospital ◽  
Presenting Symptoms

Background: Varicose veins are common vascular disorder. The study was conducted to analyse the clinical presentation, treatment options and complications of varicose veins.Methods: This observational study was conducted in Thanjavur Medical College Hospital. Adults with clinically diagnosed unilateral or bilateral varicose veins of lower limbs were studied in surgical wards between August 2013 to July 2014. The demographic data and presenting symptoms, signs and previous treatment were collected using a structured proforma. Thorough clinical examination, duplex scan and abdominal and pelvic examination were done in all cases to find out the secondary causes. Peripheral vascular system was examined. All the patients were followed regularly for the period of one month to one year after treatment.Results: A total of 60 cases were included. Most participants belonged to 2nd and 3rd decade of life. 55 (91%) participants were male and5 (9%) participants were females. 45 (75%) participants were agriculturists. 10 (17%) participants had bilateral involvement. Most participants 30 (50%) participants had 1 to 5 years duration of disease, most common clinical presentation of the study participants was varicosity with 70.0%, followed by lipodermo sclerosis, leg pain, hyperpigmentation, pruritus as 63.0%, 56.0%, 15% and 11.6% respectively. 17 (28.33%) patients were present with a venous ulcer. 32 (53%) participants were managed surgically, and 28 (47%) participants were managed conservatively. Most participants were treated with multiple ligation 21.8% followed by trendelenburg operation+ stripping18.75%.Conclusions: Regarding the treatment, surgery is the treatment of choice for primary varicose veins and conservative treatment for secondary varicose veins.

EPIDEMIOLOGY OF PRIMARY VARICOSE VEINS OF LOWER LIMB IN A TERTIARY CARE HOSPITAL.

2021 ◽  
pp. 30-32
Author(s):  
Praveen Kumar Nookala ◽  
Sandeep Mahapatra ◽  
Anusha Arumalla ◽  
Muneer Ahmad Para ◽  
Venu Gopal Mustyala ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Lower Limb ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Lower Limbs ◽  
Venous Disease ◽  
Care Hospital ◽  
Study Results ◽  
Primary Varicose Veins

Introduction: Epidemiological studies plays an important role in providing information on the spectrum and frequency of venous disease distribution in a population. In India, study encompassing the clinical evaluation and surgical management of varicose veins on the conventional lines seems a necessity to improve the quality care with the available resources. We have undertaken an epidemiological study on inuence of age, sex, body mass index, posture on clinical manifestations and complications of varicose veins of lower limbs in patients attending the Department of Vascular Surgery . Materials and Methods: A prospective observational study was conducted in Department of vascular surgery on patients with primary varicose veins of lower limb. Patients with secondary varicose veins, recurrent varicose veins, patients less than 18 years, deep vein thrombosis& peripheral arterial disease were excluded from the study. Results: In the present study 88.89% of ulcer patients had combined saphenofemoral(SFJ) and perforator incompetence, while 11.11% of ulcer patients had combined saphenofemoral, saphenopopliteal (SPJ)and perforator incompetence.14% patients present with combined SFJ, SPJ and perforator incompetence. The patients with higher CEAP classication had combined SFJ and SPJ valvular incompetence. Most commonly, the disease affected the males in the age group of 40-50 years. Conclusion: The present study shows that prolonged standing , obesity ,increasing age are the common risk factors for development of varicose veins.

A STUDY ON CLINICAL PROFILE AND OUTCOME OF SNAKE ENVENOMATION IN CHILDREN AT TERTIARY CARE HOSPITAL JHALAWAR, RAJASTHAN

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Abhishek Bansal ◽  
Kalu Ram Meena
Keyword(s):  
Tertiary Care ◽  
Clinical Signs ◽  
Public Health Problem ◽  
Pediatric Intensive Care ◽  
Signs And Symptoms ◽  
Snake Bite ◽  
Lower Limbs ◽  
Common Symptom ◽  
Care Hospital ◽  
Female Ratio

Background: Snake bite is generally considered to be a rural problem and has been linked with environmental and occupational condition is a neglected public health problem. Method: This study was conducted in children admitted with snake bite in Pediatric Intensive Care Unit in the year 2019. Their demographic details, site of bite, arrival time, 20Minutes Whole Blood Clotting time, clinical signs and symptoms, complications and outcome were measured. Results: The male: female ratio was 1.33:1. Peak age group affected was 6 to 12 years old children. Lower limbs were commonly bitten. 88.1% of children arrived in the hospital between 0 and 6 hours after the bite. Pain and swelling at the site of bite were the most common symptom of envenomation. There were only two deaths during the study period. Conclusion: Snake bite is a life threatening emergency. Identification, timely diagnosis and early administration of anti-snake venom will certainly aid to curb mortality in snake bite.

scholarly journals A RARE CASE OF SECONDARY FAHR'S SYNDROME AS A SEQUELAE OF POST THYROIDECTOMY HYPOPARATHYROIDISM REPORTED TO A TERTIARY CARE HOSPITAL.

2021 ◽  
pp. 39-40
Author(s):  
Abdul Rahim Rehan ◽  
Sharanya Sai Manga ◽  
Sujatha Rani
Keyword(s):  
Tertiary Care ◽  
Ct Scanning ◽  
Lower Limbs ◽  
Cerebellar Hemisphere ◽  
Care Hospital ◽  
Blood Calcium ◽  
Fahr’S Syndrome ◽  
Long Term Follow Up ◽  
Calcium Phosphorus

OBJECTIVES: To emphasize the presentation, etiopathogenesis and various diagnostic findings in a case of secondary Fahr's syndrome. METHODOLOGY: A 35 year old female who had undergone total thyroidectomy 9 yrs ago due to papillary carcinoma of thyroid, presented with seizures and weakness in both lower limbs, secondary to hypoparathyroidism. Non contrast computed tomography of brain showed bilateral calcification in basal ganglia, centrum semiovale and cerebellar hemisphere. RESULT: The patient was diagnosed with Fahr's syndrome as a sequelae of post thyroidectomy hypoparathyroidsm. CONCLUSION: We recommend the follow up of blood calcium, phosphorus , PTH levels every 3 months during 1st year after Thyroidectomy and every 6 months subsequently, for the long term follow up of post -thyroidectomy patients along with routine CT scanning.

scholarly journals Study of risk factors and clinical assessment of lower limb varicose vein in a tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2480
Author(s):  
Mohd Shafiuddin ◽  
T. P. Bhavanishankar
Keyword(s):  
Risk Factors ◽  
Lower Limb ◽  
Muscle Tone ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Clinical Aspects ◽  
Common Symptom ◽  
Care Hospital ◽  
Male Predominance

Background: Lower limb varicose veins are one of the common peripheral vascular diseases which requires treatment for leading the productive life without compromise. The present study was undertaken to evaluate the risk factors and various clinical aspects of varicose veins of lower limb of the patients.Methods: The clinical study involved 21 patients with lower limb varicose veins admitted in the surgical wards of Karnataka Medical College Hospital Hubli, during the period from January 1990 to February 1992. Clinical proforma was prepared before starting the study and based on this proforma the data was collected and analyzed.Results: Majority of the patients (42.8%) were under the age group of 21-30 years. Male predominance (95.3%) was seen. Majority (85.7%) of the patient’s occupation was involved in prolonged periods of standing and violent muscular efforts. The most common symptom was pain and prominent veins noted in 10 (47.64%) patients. varicosities were distributed equally in both the limbs (42.86%). Long saphenous vein involvement was seen in 18 (85.72%) cases. Incompetent perforator was observed in 20 cases.Conclusions: We conclude that occupations involving prolonged periods of standing and violent physical effort are the major contributing factors for prevalence of varicose veins. Hence care to be taken to avoid its incidence by doing the physical activities that can improve the blood circulation and muscle tone in lower limbs.

A Study on Clinical Presentations of Oral Cancer at Tertiary Care Hospital, Bellary, Karnataka

2012 ◽  
Vol 3 (7) ◽  
pp. 1-3
Author(s):  
Dr Govindaraja Dr Govindaraja ◽  
◽  
Dr Jashvanth Dr Jashvanth ◽  
Dr Murali Krishna ◽  
Dr Kasa Somasekhar ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Clinical Presentations

Impact of targeted bundles to reduce the nebulization time gap from prescription to administration among red triaged patients in emergency department: An quality improvement initiative

2021 ◽  
Author(s):  
Seema Sachdeva seema sachdeva ◽  
Akshay Kumar Akshay Kumar ◽  
Parveen Aggarwal Parveen Aggarwal
Keyword(s):  
Emergency Department ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
Fish Bone ◽  
Quality Improvement Initiative ◽  
Care Hospital ◽  
Analysis Model ◽  
Post Intervention ◽  
Targeted Interventions ◽  
Administration Time

Abstract BackgroundSevere exacerbation of asthma are potentially life-threatening and therefore require prompt care and frequent management. Important elements of early treatment includes recognition of early signs and symptoms of breathing difficulty and timely prescription and administration of therapeutic agents. A subsequent delay in receiving nebulization during an acute exacerbation of asthma can leads to cardiac arrest and even death. AimTo reduce the gap in administration of nebulization from its prescription time among red triaged patients by 50% from its baseline. Setting and designThis interventional study was conducted among red triaged patients in emergency department of tertiary care hospital, India . Material and MethodsBaseline information was collected during first 4 weeks to find gap in administration of nebulization from its prescription time. Fish bone analysis and process map were laid down to analyse the situation. The intervention using targeted bundles was done via 3 PDSA (PDSA1: indenting the nebulizers, PDSA 2: training of doctors and nurses, PDSA 3; introducing equipment checklist) to reduce the gap . A run chart using time series analysis model was used to compare the pre and post intervention nebulization gap. ResultsTotal 74 patients (30 in pre- intervention, 44 in post intervention) admitted in red triaged area were observed for nebulization gap from prescription to administration. Median time for nebulization gap before intervention was 46.5 minutes which reduced to 15 minutes in post intervention phase. ConclusionThis bundles of targeted interventions was successful to reduce the nebulization gap. Key words: nebulization gap, prescription time, administration time

scholarly journals Commonest modes of presentation of bone and soft tissue tumors at sarcoma services of A Tertiary Care Hospital of KPK.

2020 ◽  
Vol 27 (12) ◽  
pp. 2744-2748
Author(s):  
Muhammad Ibrahim ◽  
Zeeshan Khan ◽  
Muhammad Saeed ◽  
Israr Ahmad ◽  
Salik Kashif ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Soft Tissue Tumors ◽  
Care Hospital ◽  
Duration Of Symptoms ◽  
Mode Of Presentation ◽  
Number Of Patients ◽  
Delays In Diagnosis

Objectives: The aim of this study is to assess the commonest mode of presentation at our sarcoma unit and the duration from onset of symptoms till presentation. Study Design: Retrospectively study. Setting: Sarcoma Unit of Hayatabad Medical Complex, Peshawar. Period: June 2016 to December 2019. Material & Methods: Two hundred and eighty two patients were included in this study of which 172 patients were male and 110 were female. Sample size was calculated through non-probability consecutive sampling technique. Results: Average age of patients presenting to us was 30.2years (±18.5) ranging from 3years to 83years. Highest numbers of patients fell into the age group category of 11-20years i.e. 94 (33.33%). The average duration of symptoms among our patients was 19.6 months (±26.09) ranging from 0.1months (3 days) to 168 months (14years). Highest number of patients fell into the 7months-12months category i.e. 86 patients (30.5%). The commonest mode of presentation among our patients was painful lump i.e. 128(45.3%) while patients presenting with painless lump were 57(20.2%) and those presenting with only pain were 28(9.9%). Conclusion: The study concluded that there is a need of greater awareness amount general population and health care professionals regarding red flag signs and symptoms in order to avoid the delays in diagnosis which may leads to poor prognosis.

scholarly journals Incidence of tuberculosis and opportunistic respiratory infections in cases of human immunodeficiency virus: a one-year study at a tertiary care hospital

2020 ◽  
Vol 7 (7) ◽  
pp. 1068
Author(s):  
Chintha Venkata Subrahmanyam ◽  
Mahesh Vidavaluru
Keyword(s):  
Respiratory Infections ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
Pulmonary Complications ◽  
Care Hospital ◽  
Cd4 Cell Count ◽  
Cd4 Counts ◽  
Management Protocol ◽  
One Year ◽  
Tract Infections

Background: Evaluation of respiratory signs and symptoms among HIV patients is a challenging task for a number of reasons. A definitive diagnosis is highly recommended before starting management protocol. Objectives of this study was to primarily evaluate the incidence of pulmonary tuberculosis and opportunistic respiratory infections among the cases of HIV and to estimate the CD4 counts of all the patients and correlate with the respiratory infections among the cases.Methods: The present study was a one-year study conducted at Narayana Medical College and all the cases of HIV presented with signs and symptoms of lower respiratory tract infections were included after obtaining consent. Relevant biochemical, microbiological investigations and CD4 counts of all the cases were done and noted. The data was entered in Microsoft excel spread sheet and analysed for any corrections. Mean, median and SD was calculated for all the continuous variables.Results: A total of 127 cases with 87 males and females 40 females with a ratio of 2.2:1 were included. Mean age of the total cases in the study was 46.12±8.3 years and 29.92% were above 60 years. Hetero sexual exposure was the commonest cause and 59.84% of cases were diagnosed with bacterial pneumonia. Prevalence of tuberculosis among the cases of this study was 22.05%. The mean CD4 cell count with SD among the study was 168.57±142.21.Conclusions: Knowledge of the pattern of pulmonary complications in patients with HIV infection in relation to CD4 count will help clinicians develop faster diagnostic and therapeutic approach to patient management.

scholarly journals Prevalence and characteristics of venous thromboembolism in severe exacerbation of chronic obstructive pulmonary disease in a tertiary care hospital in India

2021 ◽  
Author(s):  
Soibam Pahel Meitei ◽  
Sudheer Tale ◽  
Arjun Kumar Negi ◽  
Ruchi Dua ◽  
Rohit Walia ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Venous Thromboembolism ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Chronic Obstructive ◽  
Care Hospital ◽  
Obstructive Pulmonary Disease ◽  
Test Probability ◽  
D Dimer

Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) carries a high risk of venous thromboembolism (VTE). Pulmonary embolism (PE) and AECOPD increase the mortality and morbidity risk associated with each other. Racial and ethnic differences in VTE risk have been documented in multiple studies. However, there is a dearth of reliable Indian data on the same. This study was planned to find the prevalence of VTE in the setting of severe AECOPD in a tertiary care hospital in India and to identify the clinical, laboratory and radiological characteristics of VTE in severe AECOPD. A total of 156 consecutive patients admitted with severe AECOPD and meeting the specified inclusion and exclusion criteria were recruited. Thorough workup of all patients was done including ABG, serum D dimer, ECG, compression ultrasound of lower limbs and 2-D echocardiography. Patients with high pre-test probability score, or intermediate pre-test probability score at presentation with serum D dimer above the age adjusted cut-off underwent computerised tomography pulmonary angiography (CTPA).  Results were analysed using SPSS version 23.  Sixteen (10.3%) patients had VTE, 15 (93.75%) of them being cases of isolated PE. Female gender, higher cumulative past exposure to corticosteroid, higher alveolar-arterial gradient, right ventricular dysfunction, and higher mean pulmonary artery pressure were associated with increased risk for VTE. The prevalence of VTE in AECOPD in this study among an Indian population is higher than among other Asians, but lower than among the Blacks, the Caucasians and the Middle-East ethnicities. Since a vast majority of VTE presents as PE without DVT in the setting of AECOPD, the absence of deep vein thrombosis of lower limbs does not rule PE in the setting.

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