scholarly journals STUDY OF RIGHT ILIAC FOSSA MASS IN PATIENTS ATTENDING ANDHRA MEDICAL COLLEGE, VISAKHAPATNAM

2016 ◽  
Vol 3 (51) ◽  
pp. 2635-2638
Author(s):  
Sudhakar Waddi ◽  
Suganakar Kodi ◽  
Chandana Vemuri ◽  
Deepika P
Keyword(s):  
Iliac Fossa ◽  
Medical College

scholarly journals Sensitivity of Alvarado Score among the Suspected Appendicitis Patients at a Tertiary Level Teaching Hospital

2020 ◽  
Vol 32 (1) ◽  
pp. 45-47
Author(s):  
Md Shamsuzzaman ◽  
Md Alamgir Hossain Sikder ◽  
Quazi Sabran Uddin Ahmed ◽  
Shyamol Chandra Banik ◽  
Kartick Chanda Shaha
Keyword(s):  
Iliac Fossa ◽  
Medical College Hospital ◽  
College Hospital ◽  
Alvarado Score ◽  
Predictive Values ◽  
Suspected Appendicitis ◽  
National Medical College ◽  
Medical College ◽  
National Medical ◽  
The Right

Introduction: The aim of this study was to screening the Sensitivity of Alvarado score among the hospitalized suspected appendicitis patients at Dhaka National Medical College Hospital for determine the diagnostic accuracy. Materials and Methods: It was an observational type of descriptive study, conducted in the Dhaka National Medical College Hospital, Dhaka, during the study period of July 2015 to December 2015. The study was approved by the institutional ethical committee. Results: Most of the appendicitis patients belonged to the between 21-30 years which was 64 (32%). Male appendicitis patients (52%) are more than the female patients (48%). Majority of the patients (69%) complains pain occurs in the Right iliac fossa. The sensitivity of Alvarado scores was 81.60%, specificity 74.58%, accuracy 79.35%, positive and negative predictive values were 87.18% and 65.67% respectively. Conclusion: Alvarado score has more specificity. Medicine Today 2020 Vol.32(1): 45-47

scholarly journals Pediatric appendicitis score in the diagnosis of childhood appendicitis: a validation study

2017 ◽  
Vol 4 (6) ◽  
pp. 2196 ◽  
Author(s):  
Kambalabettu Zohara Parveen ◽  
K. Shreedhara Avabratha ◽  
Kishan Shetty
Keyword(s):  
Biopsy Specimen ◽  
Laboratory Tests ◽  
Iliac Fossa ◽  
Diagnostic Value ◽  
College Hospital ◽  
Medical College ◽  
Right Iliac Fossa Pain ◽  
Laboratory Investigations ◽  
A Prospective Study ◽  
Appendicitis Score

Background: Pediatric appendicitis score (PAS) is a scoring system which includes symptoms, physical examination and laboratory tests in children suspected to have appendicitis. The objectives of this study were to analyze the diagnostic value of Paediatric Appendicitis Score and to aid early diagnosis of appendicitis.Methods: A prospective study was done in a Medical College hospital, in Mangalore in children aged between 4-16 years, admitted during study period June to December 2016, with right Iliac fossa pain, suspected to have appendicitis. Data from the children including demographic details, clinical features, laboratory investigations and ultrasound done were recorded in proformas after consent from parents. The PAS score was applied to them. If PAS was between 4-6, PAS scoring was repeated after 6 hours. Investigations done were noted. If child was taken up for surgery, histopathology report of the biopsy specimen was collected. The decision to operate or manage conservatively was taken up by the treating pediatric surgeon. PAS score was compared with ultrasound and biopsy report.Results: Sixty children were included in the study. Anorexia, emesis, migration pain, cough tenderness and leukocytosis were the features most consistently seen in appendicitis. Initial PAS were comparable to the repeat scores. Ultrasound showed presence of appendicitis in 88.3% of the children. Ultrasound showed appendicitis in all children with PAS ≥7. Twenty-six children out of 60 underwent surgery. Out of 20 children with PAS ≥7.15 (75%) were taken up for surgery and biopsy showed appendicitis. Biopsy was done in 26 children, of whom 58.1% had PAS ≥ 7. These findings were statistically significant. Conclusions: Paediatric appendicitis score is a valuable tool in diagnosing childhood appendicitis.

scholarly journals A comparative study of RIPASA and Alvarado score for the diagnosis of acute appendicitis

2020 ◽  
Vol 7 (12) ◽  
pp. 4006
Author(s):  
Praveena Suresh ◽  
Rajan Janardhanan ◽  
Deepak Paul
Keyword(s):  
Acute Appendicitis ◽  
Scoring System ◽  
Prospective Observational Study ◽  
Iliac Fossa ◽  
Scoring Systems ◽  
Alvarado Score ◽  
Medical College ◽  
Right Iliac Fossa Pain ◽  
Sensitivity Specificity ◽  
Ripasa Score

Background: Acute appendicitis is a common problem and can be difficult to diagnose at time. There are many scoring systems to predict the diagnosis of acute appendicitis. The most commonly used scoring system is Alvarado scoring system but, it is far from perfect. In this study we compare Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring system to Alvarado scoring system in correctly diagnosing acute appendicitis.Methods: This prospective observational study was conducted in the department of general surgery, Sree Gokulam Medical College and Research Foundation. It comprised of 60 consecutive patients who were admitted with suspicion of appendicitis who had right iliac fossa pain. RIPASA and Alvarado scoring was done and compared to histopathology after surgery. Sensitivity, specificity and accuracy was calculated.Results: Majority of the patients were below 30 years of age majority were males 36 (60%). When Alvarado score predicted appendicitis in 31 (51.77%) and RIPASA in 54 (90%). When the RIPASA score was >7.5 the sensitivity was 100%, specificity 67% and accuracy was 95%.Conclusions: RIPASA scoring system is more accurate to diagnose acute appendicitis especially when RIPASA score is >7.5. literatures.

scholarly journals HISTOPATHOLOGICAL SPECTRUM OF APPENDICITIS IN A TERTIARY HEALTH CARE CENTER

2019 ◽  
pp. 1-3
Author(s):  
A. R Jaswanthini
Keyword(s):  
Acute Appendicitis ◽  
Care Center ◽  
Iliac Fossa ◽  
Microsoft Excel ◽  
Chronic Appendicitis ◽  
Health Care Center ◽  
Medical College ◽  
One Year ◽  
The Right ◽  
Granulomatous Appendicitis

INTRODUCTION: Appendix in a nger like projection situated just near the caecum. It is located in the right iliac fossa of the abdomen. The most common pathology which arises is appendicitis and is mostly treated surgically. Although appendix is considered to be a vestigial organ, it accounts for immune function upto some extent. OBJECTIVES: To study and analyse the various histopathological forms of appendicitis MATERIALS AND METHODOLOGY: A descriptive study was undertaken to analyse the different histopathological forms of appendicitis over a period of one year in the Department of Pathology, Government Medical College, Omandurar Government Estate. The acquired data was fed into Microsoft Excel and analysis was done. RESULT: A total of 100 specimens were analysed during the study period. Maximum number of cases (62% of cases) were reported amongst females. The most common age group which was affected was 9 years to 19 years. The most common histopathological form of appendicitis was analysed to be acute appendicitis (76% of cases) The statistical data for various histo pathological types of appendicitis are as follows Subacute appendicitis – 10 cases ; Acute appendicitis – 76 cases ; Chronic appendicitis – 13 cases ; Granulomatous appendicitis – 1 case. CONCLUSION: The incidence of appendicitis is higher in the second decade of life and is remarkably high amongst females. Among the pathological types, incidence of acute appendicitis is the highest and that is seen in the second decade of life

Clinical Study of Right Iliac Fossa Mass Pathology At: Central Vidarbha Region

2020 ◽  
Vol 11 (3) ◽  
pp. 3329-3337
Author(s):  
Anupam Kakade ◽  
Mangesh Padamwar ◽  
Ajonish Kamble ◽  
Yashwant Lamture ◽  
Meenakshi Yeola
Keyword(s):  
Differential Diagnosis ◽  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Pathological Process ◽  
Clinical Appearance ◽  
Medical College ◽  
Detailed Clinical History ◽  
Interval Appendicectomy ◽  
The Right

One of the most common problems experienced in surgical practice, which challenges the surgeon and needs the ability to diagnose through knowing the anatomy and pathological process that can occur inside the abdomen, is a mass in the right iliac fossa. The purpose of this research was to examine clinical appearance, differential diagnosis and treatment methods for patients with the right iliac fossa.Study was carried out in the Dept. of General Surgery at Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Sawangi (M), Wardha , Maharashtra , between August 2018 to December 2019. 43 patients with signs and symptoms of right iliac fossa mass were studied by taking detailed clinical history, physical examination, and were subjected to various investigations.In the present study appendicular mass constituted 60.46%, appendicular abscess 09.30% ,ileocaecal tuberculosis 06.97 % , carcinoma caecum 13.95 % , intussusseption02.32%. Patients presented with constitutional symptoms like pain , fever , vomiting , weight loss.Appendicular lump remains the most common entity in right iliac fossa mass patients. Ileocaecal tuberculosis is one of the most common differential diagnosis to be considered for pain abdomen evaluation in rural population. Conservative treatment followed by interval appendicectomy remains the main management modality in appendicular lump. The rare cause of mass in right iliac fossa as intussusception should be kept in mind.

Impact of “Lateralizing” the Sigmoid Colostomy on Port Ergonomics in Laparoscopic Anorectoplasty for High Anorectal Malformations

2020 ◽  
Author(s):  
Vikesh Agrawal ◽  
Deepak Sulya ◽  
Himanshu Acharya ◽  
Abhishek Tiwari ◽  
Dhananjaya Sharma
Keyword(s):  
Operative Time ◽  
Statistical Tests ◽  
Iliac Fossa ◽  
Central India ◽  
Anorectal Malformations ◽  
Left Iliac Fossa ◽  
High Type ◽  
Medical College ◽  
Second Stage ◽  
Sigmoid Colostomy

Abstract Introduction The high-type anorectal malformations (ARM) are conventionally managed by an initial left iliac fossa sigmoid colostomy, followed by laparoscopic anorectoplasty (LARP). Such a stoma occupies left half of the infraumbilical region and hinders the LARP ergonomics, leading to the surgeon's discomfort. We studied the outcome and impact of “lateralizing” (shifting laterally in the abdominal wall) the colostomy on port ergonomics. Materials and Methods This prospective study was conducted in the pediatric surgery unit of a medical college in central India between March 2014 and June 2017 in two parts. In the first part of the study, neonates with high ARM were block randomized in two groups: conventional colostomy (CC) in left iliac fossa and lateral colostomy (LC, laterally placed abdominal colostomy). Outcomes of colostomy were compared among these two groups. In the second part of the study, 40 consecutive infants from both types of colostomy groups underwent ergonomic comparison and assessment of the surgeon's discomfort during LARP (CC-LARP and LC-LARP). Standard statistical tests were used for comparison. Results In the first part of the study, 203 ARM cases were included in this study; 100 underwent CC and 103 underwent LC. Colostomy prolapse, excoriation, reversed stoma, and short distal limb were significantly higher in the CC group. In the second part of the study, the LC-LARP group showed many significant advantages over the CC-LARP group, including less peri-stomal adhesions, better vision, shorter operative time, and better ergonomics (better manipulation, elevation, and azimuth angles). The LC-LARP also significantly reduced the surgeon's discomfort. Conclusion Lateralization of high-sigmoid colostomy should be preferred over left iliac fossa sigmoid colostomy for ARM, as it improves the port ergonomics and reduces the surgeon's discomfort for second stage LARP.

scholarly journals Spectrum of right iliac fossa mass differential diagnosis and their management

2019 ◽  
Vol 6 (7) ◽  
pp. 2312
Author(s):  
G. V. V. Prasad Reddy ◽  
Konappa V. ◽  
V. Mahidhar Reddy ◽  
Dharmendra Kumar
Keyword(s):  
Differential Diagnosis ◽  
Prospective Observational Study ◽  
Histopathological Examination ◽  
Psoas Abscess ◽  
Iliac Fossa ◽  
Malignant Lesion ◽  
Clinical Suspicion ◽  
Anatomical Structures ◽  
Medical College ◽  
High Clinical Suspicion

Background: Right iliac fossa mass is a common clinical entity encountered in routine surgical practice. The mass arises from different anatomical structures with varied aetiologies that require a high clinical suspicion in its management. The reason being that the mass may range from being benign to most aggressively malignant lesion which encompasses various specialities of surgery like genitourinary, vascular, gynaecological and colorectal surgery.Methods: This was a prospective observational study conducted between august 2015 and October 2017 in Narayan Medical College and Hospital, Nellore. 50 cases were studied after detailed history and physical examination, relevant investigations were done, and different surgical procedures done were noted and histopathological examination of resected specimens was done.Results: In this series out of 50 patients studied, 23 patients (46%) were diagnosed to have appendicular mass, 10 cases (20%) ileocaecal TB, 8 cases (16%), appendicular abscess, 6 cases (12%) CA Caecum, 3 cases (6%) psoas abscess. Most commonly encountered in 3rd decade of life with male predominance.Conclusions: RIF mass is a challenging clinical scenario for the surgeons. Keeping in mind the various differential diagnosis with good clinical acumen supported by appropriate investigations, patients with RIF mass can be managed appropriately either by conservative or surgical management. 

First Ricin Readings

1998 ◽  
pp. 39-41
Author(s):  
Oleksandr N. Sagan
Keyword(s):  
Religious Studies ◽  
National Academy Of Sciences ◽  
Medical College ◽  
Religious Consciousness ◽  
Medical Academy ◽  
65Th Anniversary ◽  
Academy Of Sciences

On April 22, 1998, on the occasion of the 65th anniversary of the publication of Arsen Rychinsky's "Problems of Ukrainian Religious Consciousness" in Kremenets (Ternopil region), the First Rychinsky reading was held. The organizers of the conference were: Ukrainian Association of Religious Studies, Ternopil Medical Academy named after them. I.Gorbachevsky, Department of Religious Studies at the Institute of Philosophy named after G.S. Skovoroda, National Academy of Sciences of Ukraine, Kremenets Medical College.

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

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