Abdominal pain in pregnancy: who needs to be admitted? Admissions in a district general hospital in one year

1995 ◽  
Vol 15 (6) ◽  
pp. 363-365
Author(s):  
L. Impey ◽  
J. Hughes
Keyword(s):  
Abdominal Pain ◽  
General Hospital ◽  
District General Hospital ◽  
One Year ◽  
In Pregnancy

scholarly journals Imaging and Initial Management of Loin Pain in Pregnant Women in District General Hospital

2014 ◽  
Vol 8 (2) ◽  
pp. 65-67
Author(s):  
N Kadi
Keyword(s):  
Pregnant Women ◽  
General Hospital ◽  
District General Hospital ◽  
Imaging Modalities ◽  
Initial Management ◽  
Obstetrics And Gynaecology ◽  
Loin Pain ◽  
In Pregnancy

Loin pain in pregnancy has an incidence of one per 1500- 2500. The investigation of loin pain in pregnancy poses a difficult diagnostic as well as therapeutic dilemma. This article highlights the usual imaging modalities that are used to investigate loin pain and the initial management in pregnant women.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 65-67 DOI: http://dx.doi.org/10.3126/njog.v8i2.9776

WP1-10 Prevalence of normal pressure hydrocephalus in falls clinic patients

2019 ◽  
Vol 90 (3) ◽  
pp. e4.2-e4 ◽  
Author(s):  
S Sennik ◽  
C Craven ◽  
L D’Antona ◽  
H Asif ◽  
W Dawes ◽  
...  
Keyword(s):  
General Hospital ◽  
Normal Pressure Hydrocephalus ◽  
Normal Population ◽  
District General Hospital ◽  
Normal Pressure ◽  
Idiopathic Normal Pressure Hydrocephalus ◽  
List Type ◽  
Ventricular Enlargement ◽  
Evans Index ◽  
One Year

ObjectivesPatients with idiopathic Normal Pressure Hydrocephalus (iNPH) present with Hakim Adams triad and radiological findings suggestive of iNPH. We compare the presence of clinical and radiological signs of iNPH present in patients presenting to falls clinic at a District General Hospital with the general population.DesignRetrospective analysis of patients referred to falls clinic (January 2017 to December 2017) and interpretation of CT or MRI head imaging with Evans index.SubjectsFalls clinic patients presenting to a District General Hospital outpatient clinic.MethodsRetrospective cohort of patients admitted to a single District General Hospital with falls and recent CT or MRI head. An Evans Index above 0.35 was used as an indicator of hydrocephalic ventricular enlargement.Results371 patients were seen in one year. 216 had previous CT or MRI head. 6.75% of all patients seen in falls clinic (11.6% who have had brain imaging) have hydrocephalic ventricular enlargement. This is compared to 4.5% in a study of patients aged 70 and over in a normal population.1ConclusionsPatients seen in Falls clinic have an increased probability of having radiological signs consistent with idiopathic normal pressure hydrocephalus.ReferenceJaraj D, Marlow T, Jensen C, Skoog I, Wikkelso C. Prevalence of idiopathic normal-pressure hydrocephalus. Neurology2014April 22;82(16):1449–1454.

Pre-operative haemoglobin estimation in paediatric ENT surgery

1993 ◽  
Vol 107 (12) ◽  
pp. 1146-1148 ◽  
Author(s):  
Timothy J. Hoare
Keyword(s):  
Haemoglobin Level ◽  
General Hospital ◽  
District General Hospital ◽  
Ent Surgery ◽  
Published Evidence ◽  
Mild Anaemia ◽  
One Year

Estimation of haemoglobin is still undertaken routinely before ENT surgery in many centres despite evidence that it is unnecessary, traumatic and expensive. The haemoglobin was estimated of all 372 children about to undergo ENT surgery in a busy district general hospital over a one year period. No child was noted to be clinically anacmic, and no child had a haemoglobin of less than 9 g/dl. Of 18 children with a haemoglobin level of 10.5 or less, 10 had their operations postponed and eight did not. There were no complications in the latter group. We can find no published evidence that operating on children with mild anaemia is unsafe. Ceasing routine pre-operative haemoglobin estimation would safely save an estimated £9000 per year in our unit.

scholarly journals Incidental findings on computed tomography coronary angiography and its impact on respiratory services in a United Kingdom district general hospital

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 988
Author(s):  
Bikash Gurung ◽  
Finnian D. Lesser ◽  
Ellis James ◽  
Kabali Nandakumar
Keyword(s):  
Computed Tomography ◽  
Coronary Angiography ◽  
General Hospital ◽  
District General Hospital ◽  
Computed Tomography Coronary Angiography ◽  
Health Records ◽  
Cardiac Pathology ◽  
Artery Disease ◽  
One Year

Background: Computed tomography coronary angiography is used to assess for coronary artery disease but can also pick up non-cardiac pathology. Previous studies have assessed the frequency of non-cardiac pathology. We investigated the non-cardiac findings and resulting follow up in a District General Hospital. Methods: All computed tomography coronary angiography scans for 1 year were retrospectively collected. Basic demographics and the non-cardiac findings were recorded from electronic health records. The significant respiratory findings and the respiratory follow up of these non-cardiac findings were recorded. Results: A total of 503 scans were carried out in one year. Of these scans, 24% had non cardiac findings present. Older patients were more likely to have non cardiac findings. The most common non cardiac findings were lung nodules, emphysema and hiatus hernias. Significant respiratory findings were present in 35 cases, which generated 24 episodes of respiratory follow up. Some patients who met criteria for follow up had not been referred. Conclusions: Non cardiac findings are common on computed tomography coronary angiography and in our hospital these findings led to significant follow up in respiratory services.

scholarly journals EP.TU.521Does a foundation interim year one post improve confidence in general surgery in a district general hospital?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jayan George ◽  
Alok Mathew ◽  
Edward Robinson ◽  
Rohan Ardley
Keyword(s):  
Abdominal Pain ◽  
General Hospital ◽  
General Surgery ◽  
District General Hospital ◽  
Hepatobiliary Disease ◽  
Microsoft Excel ◽  
Likert Scales ◽  
Google Docs ◽  
Confidence Levels ◽  
Deteriorating Patient

Abstract Aims 1. Understand the confidence levels of current foundation year one (FY1) doctors. 2. Understand whether an interim foundation year one (FiY1) post improves confidence. Methods FY1s were surveyed throughout August – December 2020. Nine questions used Likert scales (1 to 5: not at all confident to very confident) over some common general surgical themes. Data was initially inputted using google docs and analysed in Microsoft Excel. Results 32.1% (9/28) of FY1s completed the survey. 33.3% (3/9) did not undertake a FiY1 post where 66.7% (7/9) did. Confidence levels were mostly the same between FY1s who had a FiY1 post and those that did not for dealing with patients with hepatobiliary disease, non-specific abdominal pain, appendicitis, speaking to a family when a patient is dying prescribing fluids for maintenance as well as resuscitation. Confidence levels were higher for FY1s who did not have a FiY1 post compared to those that did in managing the deteriorating patient. Confidence levels were lower for FY1s who did not have a FiY1 post compared to those that did in speaking to a patient when their diagnosis is unknown. Conclusions FY1s who have had a FiY1 post in a district general hospital have more confidence in most areas but not all. This data shows the value of the FiY1 post however work needs to be done to improve the experience to the role.

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