scholarly journals Clinicopathological profile of hoarseness of voice

Author(s):  
Abhinav Rathi ◽  
Shalaka Sharma

<p class="abstract"><strong>Background:</strong> Hoarseness of voice is one of the most common symptoms bringing a patient to an ear, nose and throat (ENT) Out Patient Department (OPD). Hoarseness of voice may arise from wide spectrum of diseases ranging from mild infections to fatal malignancies. Hence a study was done to know the incidence, etiology, predisposing factors and clinical profile of patients presenting with hoarseness of voice.</p><p class="abstract"><strong>Methods:</strong> The study was carried out in the Department of ENT, JNU IMSRC, Jaipur from Aug 2017 to July 2018. All the patients coming to ENT OPD with complaint of hoarseness of voice during that period underwent detailed history, clinical examination and routine investigations to know the exact cause of hoarseness.  </p><p class="abstract"><strong>Results:</strong> A total of 126 cases with male:female ratio of 1.68:1 were analyzed. Patients age ranged from 13 to 82 years with majority of patients presenting in 4<sup>th</sup> decade. Most commonly hoarseness was seen in labourers (42.06%) with most common cause being vocal cord paralysis (23.01%) and majority of patients having smoking as the commonest predisposing factor (65%).</p><p class="abstract"><strong>Conclusions:</strong> The etiology of hoarseness varies from trivial infections to serious malignancies. In our tertiary centre which is at the outskirts of the city majority of the patients coming to OPD are from rural area and most of these patients are labourers by occupation and have a habit of smoking bidis.</p>

2021 ◽  
Vol 4 ◽  
pp. 30-35
Author(s):  
I.V. Kuznetsova

Pathological discharge from the genital tract and other signs of discomfort of the external genitalia are a common cause of a visit to the gynecologist. The cause of these disorders in most cases is vulvovaginal infection, accompanied (vaginitis) or not accompanied (vaginosis) by leukocyte reaction. Methods for treating vulvovaginal infection are predominantly local therapy or systemic agents with highly selective antimicrobial activity. Since a significant part of the vaginitis is of mixed polymicrobial origin, treatment should be complex, which determines the possibility of prescribing topical medicines containing several components of a wide spectrum of action. At the same time, the complexity of diagnosis and the time spent on it allow one to talk about the advisability of empirical therapy of vulvovaginitis, accompanied by severe clinical symptoms.


2018 ◽  
Vol 25 (1) ◽  
pp. 107327481877825 ◽  
Author(s):  
Luis Miguel Juárez-Salcedo ◽  
Lubomir Sokol ◽  
Julio C. Chavez ◽  
Samir Dalia

Primary gastric lymphoma (PGL) is the most common extranodal non-Hodgkin lymphoma and represents a wide spectrum of disease, ranging from indolent low-grade marginal zone lymphoma or mucosa-associated lymphoid tissue (MALT) lymphoma to aggressive diffuse large B-cell lymphoma. The PGL is a relatively rare cancer and easily misdiagnosed due to its unspecific symptoms of the digestive tract. The medical literature and ongoing clinical trials were reviewed on the clinical presentation, diagnosis, prognosis, prevention, and treatment of PGL. Primary gastric lymphoma is an event in the course of cancer with a variable clinical presentation and a wide differential diagnosis. Chronic gastritis secondary to Helicobacter pylori ( H pylori) infection has been considered a major predisposing factor for MALT lymphoma. Magnetic resonance imaging and endoscopic ultrasonography have helped in staging of these cancers. The clinical course and prognosis of this disease are dependent on histopathological subtype and stage at the time of diagnosis. A global therapeutic approach to the cure of PGL has completely changed over the past 10 years, including innovative and conservative options to reduce treatment toxicity. Due to the rarity of PGL, many aspects of this neoplasm are still controversial. The incidence of this disease is increasing, making it necessary for clinicians to understand the clinical symptoms, workup, and treatment of these lymphomas.


Urban Studies ◽  
2016 ◽  
Vol 55 (2) ◽  
pp. 384-405 ◽  
Author(s):  
Jacqueline Housel ◽  
Colleen Saxen ◽  
Tom Wahlrab

What is possible if Dayton became a city that intentionally welcomed immigrants? This question was the starting point for a community conversation about the wellbeing of and outreach toward immigrants in a midsize city in southwest Ohio – the City of Dayton. This paper examines the processes employed to support the emergence of an immigrant-welcoming initiative now called ‘Welcome Dayton’. Early conversations resulted in a formal plan, written by the community and endorsed by city commissioners, which realigned and crystallised local priorities, sparking a wide spectrum of efforts aimed at becoming a welcoming city. Using qualitative methods, primarily participant observation, we identified practices of creating spaces where both long-time residents and recent immigrants come together in a way that recognises and reveals the value of each participant’s perspectives and ideas. Herein we examine the practices of creating and sustaining Welcome Dayton, paying particular attention to the role of recognition in generating ‘resourcefulness’ in the community.


Science ◽  
1936 ◽  
Vol 84 (2169) ◽  
pp. 84-85
Author(s):  
S. L. Ruskin
Keyword(s):  
The City ◽  

1994 ◽  
Vol 108 (5) ◽  
pp. 403-405 ◽  
Author(s):  
A. A. P. Connolly ◽  
J. P. Davis ◽  
N. D. Stafford

AbstractA prospective study of 122 adults undergoing routine ear, nose and throat (ENT) operations over a three-month period was carried out to determine the cause of oropharyngeal trauma seen in some patients. Those having tonsillar or palatal surgery were excluded from the study. Forty-five (36.9 per cent) patients complained of a mild sore throat post-operatively and six (4.9 per cent) of a severe sore throat. Five of these (4 per cent) had evidence of injury to the uvula and soft palate which delayed their discharge from hospital. No single cause of trauma was identified but possible factors included the use of laryngeal masks (two cases), throat packs (two cases) and blind suctioning with a plastic Yankauer sucker (one case). There is a relatively high risk of oropharyngeal trauma during routine otolaryngological procedures and we recommend that care should be taken to prevent this common cause of significant post-operative morbidity.


2018 ◽  
Vol 5 (6) ◽  
pp. 2308
Author(s):  
Harshal B. Ramteke ◽  
Harmandeep Singh ◽  
Dhirendra D. Wagh ◽  
Rohini J. Bhoyar

Background: Objectives of present study was to study the clinical profile, different modalities of investigation and various modes of management for Right Iliac Fossa (RIF) mass at a rural hospital, A.V.B.R.H.Methods: Total 86 cases of RIF mass were studied prospectively for 4 years from August 2013 to September 2017. Patients above the age of 10 years presenting with a mass in RIF associated with acute/chronic abdominal conditions and incidentaly found mass in RIF on examination and investigation were included in the study. Patients with abdominal wall/bony swellings of the region and gynaecological causes of RIF mass were excluded. After detailed history and clinical examination, patients were subjected for different investigations to establish pathological diagnosis and treated accordingly.Results: 69.76% cases with RIF mass were related to appendicular pathology. Of these 60.48% were appendicular mass and 9.3% were appendicular abscess. 13.95% cases were Carcinoma Caecum, 6.97% cases were Ileo-caecal Tuberculosis, 6.97% were of ilio-psoas abscess and 2.32% cases were of Intusussception. Mean age of RIF mass was 37.41 years with a male preponderence of 1.4:1. Pain in abdomen was the commonest symptom. 16.28%(14) cases were treated conservatively and 83.72%(72) were treated surgically.Conclusions: Most common cause of RIF mass is appendicular lump (60.46%) among various other pathologies. Pain in abdomen is the commonest presenting symptom. Interval appendectomy should be considered essential as the incidence of recurrence of appendicitis and mass formation is high after conservative treatment. Detailed history and thorough clinical examination is of utmost importance to reach the correct clinico-pathological diagnosis of RIF mass. 


Author(s):  
Baneesh A. B. ◽  
Dhanya T. ◽  
Jinsha A.

<p class="abstract"><strong>Background:</strong> Hoarseness is a symptom used to describe change in normal quality of voice and is usually described as harsh, grating voice which can be lower in pitch and more or less discordant.</p><p class="abstract"><strong>Methods:</strong> The present study was carried out on 160 patients in the Department of ENT in PKDIMS over a period of 2 years from 2018 March to 2020 March. All patients with a history of voice change were evaluated.  </p><p class="abstract"><strong>Results:</strong> 160 patients between the age group of 21- 80 years were studied. The number of males and females were 97 (61%) and 63 (39%) respectively. Laborers (32%) and housewives (21%) are the major group affected. Smoking (25%) was the most common predisposing factor followed by alcohol consumption (21%). Voice change can be due to various pathologies. In the present study the most common etiology for voice change was vocal nodules (23%) followed by chronic laryngitis (13%), growth in the pharynx and larynx (11%).</p><p class="abstract"><strong>Conclusions:</strong> Voice is important for our communication. Any disturbance in voice affects the individual’s social and personal life. Treatment depends on the individuals needs and their diagnosis. Drug therapy, voice therapy, microlaryngeal surgery are the various treatment modalities done for our patients.</p>


Author(s):  
John Scadding

Craniofacial pain, excluding the headache disorders, comprises a heterogeneous group of conditions. Some fall within the sphere of the neurologist, but many call for other specialist skills in diagnosis and management. The site of pain is not always a good guide to either the nature of the pain or the tissue of origin. Patients with craniofacial pain are frequently referred to the neurologist on an assumption that the pain is neuralgic, and for this reason neurologists need to be aware of the many potential causes and be prepared to collaborate closely with other specialists, including the ear, nose, and throat surgeon, ophthalmologist, dental surgeon, oral medicine physician, and psychiatrist. An accurate and detailed history is essential, because in many patients with facial pain, there will be no abnormal physical signs and the diagnosis rests entirely on the history.


Author(s):  
John Newell-Price ◽  
Alia Munir ◽  
Miguel Debono

A number of conditions may present with a swelling or lump in the neck. A detailed history and an examination defining the site of the swelling are paramount in reaching a diagnosis. The commonest cause is enlarged lymph nodes secondary to infection, of which non-specific infection is most common (followed by infectious mononucleosis, TB, syphilis, toxoplasmosis, and cat scratch fever). After infection, the next most common cause is secondary metastatic deposits, followed by lymphoproliferative diseases, and sarcoid.


Social Change ◽  
2020 ◽  
Vol 50 (1) ◽  
pp. 12-27
Author(s):  
Kiran Desai

Based on an empirical study, this article narrates the condition and status of women workers engaged in the unorganised sector in Surat. The city, considered Gujarat’s economic hub and business capital, is known for its small- and medium-scale industries (SMSIs) especially those connected with weaving, dying-printing, embroidery and diamonds. A number of non-industrial, informal sector livelihood activities, known as the fringe sub-sector, are integrated with the city’s main industrial activities. Studies reveal that a high number of migrant workers from all over India eke their livelihood from this wide spectrum of economic activities combining both these sub-sectors in which women constitute a significant proportion of this workforce. The article firstly describes their demographic profile as well as their working conditions. It also takes into account not only their contribution in terms of an economic income but also outlines their impact in the social sphere. The article argues that though the work milieu of the unorganised sector is as exploitative and oppressive for women workers as it is for men, to a certain extent there is an element of liberation for women in their social existence.


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