scholarly journals Wood’s lamp an antique but precious diagnostic tool: A descriptive observational study of fluorescence pattern with wood’s lamp in clinically diagnosed patients with pityriasis versicolor

2020 ◽  
Vol 6 (4) ◽  
pp. 313-317
Author(s):  
Abhirami C ◽  
◽  
Arumugakani V ◽  
P K Kavirasan ◽  
Kannambal K ◽  
...  
Keyword(s):  
Observational Study ◽  
Diagnostic Tool ◽  
Pityriasis Versicolor ◽  
Fluorescence Pattern

scholarly journals Role of Hyperbilirubinemia as a Diagnostic Tool to Predict Gangrenous/Perforated Appendicitis: An Observational Study

2020 ◽  
Vol 3 (1) ◽  
pp. 52-55
Author(s):  
Mohak Mankad ◽  
Pranjal Sangole ◽  
Gyaneshwar Rao
Keyword(s):  
Observational Study ◽  
Acute Appendicitis ◽  
Diagnostic Tool ◽  
Total Bilirubin ◽  
Serum Bilirubin ◽  
Medical Science ◽  
Elevated Serum ◽  
Perforated Appendicitis ◽  
Serum Total Bilirubin

Background: Elevation in serum bilirubin was reported recently, but the importance of the raised total bilirubin has not been stressed in acute appendicitis and appendicular perforation. The aim of the study was to establish the role of hyperbilirubinemia as a new diagnostic tool to predict gangrenous/perforated appendicitis. Subjects and Methods: This was a prospective observational study, which was conducted at the Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India. A total of 100 patients clinically diagnosed as appendicitis from August 2018 to August 2019 at Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India. Patients were clinically evaluated by detailed history, routine examination on initial contact with patients and the routine investigations as per surgery and anesthesia requirements with inclusion of serum total bilirubin. Based on histopathological examination patients will be categorized as positive (acute appendicitis with perforation and/or gangrene) and negative (acute appendicitis without perforation or gangrene). Results: Out of 100 patients, 20 were managed conservatively (mass formation) and was called for interval appendectomy after 6 weeks. In acute catarrhal appendicitis group 47 patients showed normal total bilirubin levels, whereas 8 patients showed increase in levels of total bilirubin.  In gangrenous appendicitis group all 10 patients showed elevated serum total bilirubin levels  In perforated appendicitis group consisted of 15, 11 patients showed elevated serum bilirubin levels and 4 patients showed normal total bilirubin levels. Conclusion: Serum bilirubin is easily available test and cheap and can be estimated from the sample of blood drawn for routine blood investigations.

scholarly journals Profile of Peripheral Arterial Disease in Type 2 Diabetes Mellitus - A Hospital-based observational study in Coastal Karnataka

2020 ◽  
Vol 23 (4) ◽  
pp. 324-328
Author(s):  
Esha Arora ◽  
Hrishikesh Korada ◽  
Tom Devasia ◽  
Rama Bhat ◽  
Ganesh Kamath ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Observational Study ◽  
Peripheral Arterial Disease ◽  
Diagnostic Tool ◽  
Arterial Disease ◽  
Diagnostic Tools ◽  
Peripheral Arterial

Introduction: Ankle Brachial Index (ABI) is one of the common non-invasive diagnostic tools available for diagnosing Peripheral Arterial Disease (PAD). However, it has been observed that for an individual diagnosed with both PAD and Type 2 Diabetes Mellitus (T2DM), ABI tends to give false diagnostic value because of the calcification of the major lower limb arteries. Therefore, the health care professionals are at times misled for the diagnosis of PAD. To overcome this another diagnostic tool Toe Brachial Index (TBI) was suggested to perform. However, there is limited literature on performing both ABI and TBI in the given population in a single study.Aim: The main focus of this study is to report the profile of ABI and TBI along with classical symptoms like claudication pain, palpation of pulse and history of T2DM for the screening and diagnosis of PAD in T2DM.Materials And Methods: In this cross-sectional observational study, a total of 121 participants diagnosed with T2DM were recruited for the study as per the inclusion criteria. Detailed demographic details of the participants were noted. Diagnostic tool including both ABI and TBI were performed for all the participants and the data was analysed.Results: Among 121 participants, only 3 participants had both ABI and TBI positive indicating positive diagnostic test for PAD and 106 participants had both ABI and TBI negative. However, in the remaining 12 participants, 10 showed TBI positive but ABI negative and 2 had ABI positive but TBI negative.Conclusions: Based on our study we have reported the profile of PAD in T2DM individuals, which is found to be 10.75.%. Therefore, it can be concluded that ABI and TBI both should be performed to rule out any complication. This will be beneficial in early screening and detection of neuro ischemic changes in foot and subsequently to prevent amputation.

Onychoscopy as a diagnostic tool in dermatology – Observational study

2020 ◽  
Vol 13 (2) ◽  
pp. 77-80
Author(s):  
G Sumalatha ◽  
◽  
V Haritha ◽  
Madhavilatha Midde ◽  
◽  
...  
Keyword(s):  
Observational Study ◽  
Diagnostic Tool

scholarly journals AN OBSERVATIONAL STUDY TO EVALUATE VASTRARANJANA IN ARTAVAPAREEKSHA

2021 ◽  
Vol 9 (11) ◽  
pp. 2652-2658
Author(s):  
Devi S Nair ◽  
Nisha Kumari
Keyword(s):  
Menstrual Cycle ◽  
Observational Study ◽  
Diagnostic Tool ◽  
Menstrual Blood ◽  
Blood Samples ◽  
Structural Abnormalities ◽  
Hormonal Assay

Objectives: Menstrual problems and infertility are the major problems affecting society nowadays. It can occur due to many reasons namely pathology of Garbhashaya, Artavavaha Dhamani, Dushta Artava etc. For the evalu- ation of structural abnormalities, various technologies like USG, HSG, Hormonal assay etc. are available. But no methods were developed yet to check the purity of Artava. In this background, the Vastraranjana concept men- tioned in the context of Shudha Rakta Lakshana can be considered as a useful tool for diagnosing Artava Dushti. The practicality of this Pareeksha if proved it envisages a new and simple diagnostic tool in Ayurveda. Methods- Menstrual blood samples-stained cotton clothes were washed, and changes were noted. Results- Dushita Artava was found to be causing a stain on the cloth. Conclusion- Changes in the character of Dosha produces Soshana Vidaha Ghanatha etc. of Artava which involve a change in pH, viscosity like elements creating a stain on the cloth. Keywords: Artava Pareeksha, Vastra Ranjana, Menstrual Cycle

scholarly journals Trichoscopy as a diagnostic tool for tinea capitis: A prospective, observational study

2020 ◽  
Vol 12 (2) ◽  
pp. 68
Author(s):  
Deepika Pandhi ◽  
Pradeep Kumar ◽  
SambitNath Bhattacharya ◽  
Shukla Das
Keyword(s):  
Observational Study ◽  
Diagnostic Tool ◽  
Tinea Capitis ◽  
Prospective Observational Study

scholarly journals La impedanciometría multicanal con pHmetría de 24 h: una herramienta útil para estudiar lactantes con eventos de aparente amenaza a la vida

2021 ◽  
Vol 51 (1) ◽  
Author(s):  
Virginia del Carmen Reynoso López ◽  
Florencia Ursino ◽  
Judith Cohen Sabban ◽  
Marina Orsi
Keyword(s):  
Gastroesophageal Reflux ◽  
Observational Study ◽  
Diagnostic Tool ◽  
Correlation Method ◽  
Clearance Time ◽  
Diagnostic Challenge ◽  
Potential Trigger ◽  
Appropriate Therapy ◽  
Threat To Life

Infants with events of apparent threat to life should be hospitalized for evaluation. Gastroesophageal reflux is one of the possible etiologies. Multichannel intraluminal impedanciometry – 24-hour pHmetry is a diagnostic tool that assesses the behavior of pH-independent reflux. Objectives. To describe the parameters of the gastroesophageal reflux measured by multichannel intraluminal impedanciometry – 24-hour pHmetry in infants with events of apparent threat to life. Identify if there are differences between those with positive symptomatic correlation with drowning compared to those without symptomatic correlation. Method. Descriptive, comparative, retrospective and observational study realized between 2005 and 2015. The population were infants under seven months hospitalized by events of apparent threat to life in thepediatrics sector of the Hospital Italiano who underwent multichannel intraluminal impedanciometry – 24-hour pHmetry due to suspected gastroesophageal reflux. Results. 125 patients were evaluated. The median age was 55,7 days of life (range 6-209 days). It was divided into two groups: GI: infants with symptomatic correlation with choking: (32,8% N = 41) and GII: without symptomatic correlation (67,2%, N = 84). Significant statistical differences were observed in: total number of gastroesophageal reflux episodes, episodes that reached proximal channels; clearance time, but not with number of acidic, non-acidic episodes and pHmetry score. Conclusion. Infants with episodes of events of apparent threat to life represent a diagnostic challenge. Gastroesophageal reflux is a potential trigger. The information obtained with the multichannel intraluminal impedanciometry – 24-hour pHmetry in this cohort was useful to better understand the mechanisms involved in this clinical association and thus choose the most appropriate therapy.

scholarly journals Dermoscopy is a new diagnostic tool in diagnosis of common hypopigmented macular disease: A descriptive study

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Khitam Al-Refu
Keyword(s):  
Diagnostic Tool ◽  
Lichen Sclerosus ◽  
Descriptive Study ◽  
Skin Lesions ◽  
Pityriasis Versicolor ◽  
Macular Disease ◽  
Macular Diseases ◽  
Irregular Border ◽  
The Mean ◽  
Characteristic Features

One of the most frequent complaints in dermatology clinics is the eruption of hypopigmented patchy skin lesions. The aim of the study was to investigate the utility of dermoscopy in common hypopigmented macular diseases. Patients with the followings diseases were examined by dermoscopy: vitiligo, pityriasis alba, nevus depigmentosus, achromic pityriasis versicolor, idiopathic guttate hypomelanosis, and extragenital guttate lichen sclerosus. This study showed that these hypopigmented macular diseases might display specific dermoscopic features. In vitiligo, the mean dermoscopic features were the presence of a diffuse white glow with perifollicular pigment, perilesional hyperpigmentation, leukotrichia and the pigmentary network. In idiopathic guttate hypomelanosis, the characteristic features were the presence of multiple, shiny, scaly macules with welland ill-defined edges borders that coalesced into polycyclic macules. For nevus depigmentosus, the mean features were hypopigmented patches with irregular border with a faint reticular network. For pityriasis alba, the fairly ill-demarcated hypopigmented macules with fine scales were the mean feature. In lichen sclerosus, there were white structureless areas, perilesional erythematous halo, follicular plugging and white chrysalis like structures. Dermoscopy of achromic pityriasis versicolor showed a fairly demarcated white area with fine scales localized in the skin creases.

scholarly journals Prevalence and Clinical Pattern of Localised Hypomelanosis in Children: An Observational Study

2021 ◽  
Author(s):  
Venkatesan Sahana ◽  
Muralidhar Krishnakanth ◽  
Dhanaraj Vishupriya ◽  
Rangarajan Sudha ◽  
Veeraraghavan Maalakshmi ◽  
...  
Keyword(s):  
Observational Study ◽  
Demographic Data ◽  
Systemic Disease ◽  
Pityriasis Versicolor ◽  
The Sun ◽  
Age Group ◽  
Multisystem Disease ◽  
Clinical Pattern ◽  
Paediatric Age ◽  
History Of

Introduction: Pigmentary changes in children can be a concern to parents, enabling them to seek medical opinion. Hypopigmentary lesions in the paediatric age group can be a trivial finding or may be a part of a multisystem disease. Identifying and prompt management of these lesions addresses the systemic involvement if any, and parents’ concern as well. Aim: To observe the prevalence and clinical pattern of localised hypomelanotic disorders in the paediatric age group (0-18 years). Materials and Methods: This was a hospital-based observational study conducted for a period of two years (August 2017- August 2019), which included 204 paediatric patients with localised hypomelanotic lesion in children who attended the Dermatology Outpatient Department (OPD). Demographic data such as age, sex, history of onset and progression of skin lesions, general examination, specific cutaneous examination including the site, size, number, symmetry, distribution, etc., were recorded. Data were analysed using descriptive statistical methods. Results: Out of 204 cases, the most common hypopigmentary disorder was Pityriasis versicolor (38.7%), followed by Seborrhoeic dermatitis (18.1%), Pityriasis alba (8.8%) and Polymorphic light eruption (7.8%). Among them female children were 111 (54%) and male children were 93 (46%). The most commonly involved age group was 12-18 years (35%), followed by 6-12 years (32%). Face was the most commonly involved site accounting for, followed by back. The localised hypopigmented lesions are predominantly involved in the sun exposed area (78%). History of atopy and family history of atopy were seen in 5% and 8%, respectively. Conclusion: Pityriasis versicolor was the most common condition seen in this study. The sun exposed areas were frequently involved with face being the commonest. There was no underlying systemic disease involvement observed in this study. However certain conditions like hypomelanosis of Ito and Hansen’s need long term follow-up and prompt treatment to prevent complications respectively.

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