scholarly journals Clinical profile of patients with hypertensive crisis in a tertiary care hospital in Haryana, India – A retrospective cross-sectional study

2022 ◽  
Vol 13 (1) ◽  
pp. 66-72
Author(s):  
Navtej Singh ◽  
Tarun ◽  
Ravinder Pal ◽  
Ankit Chamoli
Keyword(s):  
Clinical Presentation ◽  
Target Organ Damage ◽  
Tertiary Care ◽  
Hypertensive Crisis ◽  
Organ Damage ◽  
Hypertensive Emergency ◽  
Time Interval ◽  
Care Hospital ◽  
Hypertensive Urgency ◽  
Cross Sectional

Background: A hypertensive crisis may manifest as hypertensive emergency or urgency. Hypertensive emergency is characterized by target organ damage and poses immediate threat to life, a situation not seen in urgency. Aims and Objectives: The aims of the study were as follows: (1) To determine the prevalence of hypertensive crisis classified as emergency, urgency, and pseudocrisis. (2) To assess the various systems (neurological, cardiovascular, and renal) affected in relation to a particular type of hypertensive crisis. Materials and Methods: The retrospective study comprised analysis of medical records of 100 patients of hypertensive crisis admitted to emergency unit of BPS Government Medical College and Hospital for Women, Sonepat, Haryana, India, in the 2 years period from January 2018 to December 2019 and study their prevalence among hospital emergencies and clinical presentation. Results: Total number of clinical emergencies analyzed during this time interval was 6666. The prevalence of hypertensive crisis accounted to 1.5% of all the clinical emergencies received. About 66% presented as hypertensive emergencies, 32% as hypertensive urgency, and 2% presented as hypertensive pseudocrisis. Males of the fifth decade of life while females of the sixth decade of life were most affected by hypertensive crisis. Headache (58%) followed by giddiness (44%) was the most common clinical presentation in the emergency. About 34% of patients had associated neurological deficit. Only 16% of patients had cardiovascular system involvement. Conclusion: Symptoms provided by patients in the emergency department are of paramount importance for the outcome of hypertensive crisis. Severe complication of hypertensive crisis can be prevented if hypertension is timely diagnosed and appropriately managed.

scholarly journals Clinical study of hypertensive crisis at a tertiary care hospital of South India

2018 ◽  
Vol 5 (5) ◽  
pp. 1168
Author(s):  
M. Sai Varun ◽  
Usham Gangaram ◽  
M. V. Nagabushana ◽  
H. G. Revana Siddappa ◽  
Bhimasen Soren
Keyword(s):  
Blood Pressure ◽  
Hypertensive Crisis ◽  
Hypertensive Emergency ◽  
Common Symptom ◽  
Sudden Increase ◽  
Care Hospital ◽  
Hypertensive Urgency ◽  
Adequate Treatment ◽  
Arterial Blood ◽  
Study Results

Background: Hypertensive crisis is a severe clinical condition in which sudden increase in arterial blood pressure can lead to acute vascular damage of vital organs. So timely detection, evaluation and adequate treatment are crucial to prevent permanent damage to vital organs. The aim of the present study is to evaluate incidence and clinical presentation of hypertensive crisis in relation to age, sex, severity of hypertension, accompanying symptoms and clinical manifestations.Methods: It is a clinical prospective study done during the period between January to June 2018 at Narayana Medical College, Nellore. All patients who were more than 18 years with blood pressure>180/120 mmHg to the emergency, outpatients, and inpatients were included. A thorough History and clinical examination was done and necessary investigation was sent to the laboratory.Results: The study results indicate that males (64%) were significantly over represented compared to females (36%). Out of 50 patients majority of the subjects belonged to age group of 50-59 years. Out of 50 Patients most common symptom is Headache (48%), Vomiting (48%), Giddiness (38%), Dyspnoea (22%), Loss of consciousness (22%) followed by chest pain (20%), Blurring of vision (20%) and weakness of limbs (14%). Most of the individuals are in the hypertensive emergency (66%) followed by Hypertensive urgency (34%). Out of 50 patients 56% had neurological involvement and 44% had cardiological involvement. Our study states that most of cases were in grade 1retinopathy (8%) followed in order by grade 4 retinopathy (8%), grade 2 retinopathy (6%) and grade 3 retinopathy (6%).Conclusions: The present study concludes that majority of patients present presenting in hypertensive emergency belonged to fifth and sixth decades of age. So, treating physician should rapidly assess the differentiation of hypertensive emergency and hypertensive urgency in order to prevent end organ damage and to prevent further morbidity and mortality.

Incidence and Clinical Presentation of Polycystic Ovarian Syndrome in a Tertiary Care Hospital

2021 ◽  
Vol 15 (8) ◽  
pp. 1800-1805
Author(s):  
Muntiha Sarosh ◽  
Faiza Ghafoor ◽  
Najma Parveen ◽  
Rabiya Shahid ◽  
Shifa Khalil Ur Rehman
Keyword(s):  
Polycystic Ovarian Syndrome ◽  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Obese Women ◽  
Cross Sectional ◽  
Medical College ◽  
Ovarian Syndrome

Aim: To determine Incidence of Polycystic Ovarian Syndrome and its clinical presentation in a tertiary care Hospital. Study Design: A Cross sectional study. Place and duration of study: The study was conducted in the Department of Obs. & Gynae, Avicenna Medical College and Hospital, Lahore for a period of six months, January 2020 to June 2020. Methodology: A total of 753 patients attending the gynecological outpatient department were included in the study. Among these the women presenting with clinical picture of menstrual irregularities weight gain, hirsutism and subfertility were evaluated for diagnosis of PCOS. Radiological findings by pelvic U/S were confirmed. Results: 169 women out of 753 patients were found to have PCOS. The incidence was thus 22.44%. Maximum number of women were overweight, BMI (25-29.9Kg/m2). 113(66.86%) presented with oligomennorrea followed by hirsutism and amenorrhea. 57.1% of married women with PCOD had subfertility. Conclusion: Polycystic ovarian Syndrome is common in our population. It is more frequently seen in unmarried obese women. Menstrual irregularity is the most common clinical presentation. Ultrasound criteria is a valuable tool to diagnose the Polycystic Ovarian Disease. Keywords: Polycystic 0varian Syndrome, oligomenorrhoea, amenorrhoea, hirsutism, obesity

scholarly journals Clinico-Mycological Profile of Dermatophytosis in a Tertiary Care Hospital of Eastern Nepal

2021 ◽  
Vol 10 (2) ◽  
pp. 3-6
Author(s):  
Kewal Shrestha ◽  
Sujit Kumar Bhattacharjee ◽  
Kumari Ragani Yadav
Keyword(s):  
Clinical Presentation ◽  
Tertiary Care ◽  
Trichophyton Mentagrophytes ◽  
Tinea Corporis ◽  
Etiological Agent ◽  
Care Hospital ◽  
Biochemical Tests ◽  
Isolation And Identification ◽  
Cross Sectional ◽  
Delay In Diagnosis

Background: Dermatophytes are keratinophilic and keratinolytic fungi which are responsible for dermatophytosis. There are three genera of dermatophytes; Trichophyton, Microsporum and Epidermophyton. As they have affinity to keratin rich tissue, they produce dermal inflammatory response, intense itching and cosmetically poor appearance. The varied clinical presentation of tinea results in delay in diagnosis, poor compliance in follow up of cases, and consequently spread of infection in the community has rekindled interest in rapid identification of species. Materials and Methods: A hospital based cross sectional study was carried out in the department of Microbiology, Nobel medical college from January 2019 to December 2019. Clinically suspected 200 cases of dermatophytosis attending Out Patient Department were studied. Isolation and identification was done by various tests like macroscopic, microscopic and biochemical tests. Results: Out of 200 specimens, 138 (69%) were skin scraping, 42 (21%) were nail clipping and 20 (10%) were hair stubs. Highest incidence was seen in the age group 21-40 years with 115 (57.5%) cases followed by 41-60 years 46 (23%) cases. In our study male preponderance of 158 (79%) and female of 42 (21%) were seen. Tinea corporis was found to be the commonest clinical type with 96 (48%) cases followed by tinea unguinum, 42 (21%), Tinea cruris 10 (11.36%), Tinea capitis 5 (5.68%), Tinea faciei 4 (4.54%), Tinea pedis 2 (2.27%). Among the fungal isolates Trichophyton rubrum (67.04%) was the most common etiological agent followed by Trichophyton mentagrophytes (13.63%), Epidermophyton 10 (11.36%), Trichophyton violaceum 4 (4.54%) and Epidermophyton floccosum 3 (3.4%). Conclusion: The most common clinical presentation was tinea corporis followed by tinea unguinum. T. rubrum was the most common etiological agent of dermatophytosis

scholarly journals Analysis of Maternal Death in a Tertiary Care Hospital

2022 ◽  
Vol 12 (2) ◽  
pp. 63-66
Author(s):  
Kaberi Guha ◽  
Seema Rani Dabee ◽  
Tanvina Akhter ◽  
Nilofar Yeasmin ◽  
Jannat Ara Ferdows ◽  
...  
Keyword(s):  
Maternal Death ◽  
Causes Of Death ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Time Interval ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Objectives: Maternal death was analyzed in Shaheed Suhrawardy Medical College hospital to improve the quality of maternal health care. Methods: In this cross -sectional study, each case was reviewed individually and factors responsible for maternal death were identified and noted. Results: During the study period January 2019 to December 2019 total 16 maternal death recorded among 3410 deliveries. 68% deceased mother were less than 30 years of age. Parity shows 37.50% multipara. 75% deceased mother was delivered by caesarean section, 6% was vaginal delivery and 12.5% mother died undelivered. Regarding time interval 25% of death occurred within 24 hours of admission to hospital. The main causes of death were severe preeclampsia- eclampsia (31.25%), PPH (12.5%), septicemia (12.5%), DIC (12.5%). Some factors were identified and among them lack of proper ANC, delayed admission to hospital, delayed blood transfusion were related. Conclusion: Substantial number of maternal death occurred at or <30 years of age. Preeclampsia-eclampsia, hemorrhage, septicemia were identified as the major cause of maternal death. J Shaheed Suhrawardy Med Coll 2020; 12(2): 63-66

Varied Clinical Presentations of COVID-19 in Pregnant Women in Tertiary Care Hospital of Lahore-Pakistan

2021 ◽  
Vol 15 (6) ◽  
pp. 1266-1268
Author(s):  
S. Aslam ◽  
M. Gondal ◽  
T. Tahira ◽  
Zille Huma ◽  
M. Mumtaz ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Ethical Review ◽  
Care Hospital ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
Health Related ◽  
Obstetric Population

Background: The whole world is facing one of the biggest health related disasters of the century. As a novel disease, Covid-19 has so many parameters yet to explore. Aim: To explore varied pattern of clinical presentation of COVID-19 in obstetric population in tertiary care hospital. Study design: Cross-sectional study. Methodology: This study with enrolled pregnant females (n=36) was carried out after ethical review committee’s (ERC) approval at Department of Gynecology & Obstetrics, Sir Ganga Ram Hospital, Lahore-Pakistan over a period of 3 months in 2020. Data was analyzed by SPSS software, version-20. Presenting symptoms of subjects were presented as frequency and percentage. Results: Total 36 patients were selected. Twenty four (66.66%) patients were symptomatic while the rest 12 (33.33%) patients were asymptomatic. Conclusion: We concluded that clinical presentation of COVID-19 pregnant patients is similar as in rest of the world and it is also same as in general population. Keywords: Covid-19, Pregnant Patients and Clinical Presentation.

scholarly journals Clinical bases of the syndrome of hypertensive crisis in the primary care

2021 ◽  
Vol 17 (1) ◽  
pp. 72-88
Author(s):  
J.E. Vásquez Abanto ◽  
A.E. Vásquez Abanto ◽  
S.B. Arellano Vásquez
Keyword(s):  
Blood Pressure ◽  
Emergency Medicine ◽  
Target Organ Damage ◽  
Hypertensive Crisis ◽  
Target Organ ◽  
Hypertensive Emergency ◽  
Necessary Condition ◽  
Outpatient Basis ◽  
Hypertensive Urgency ◽  
First Case

Hypertensive crisis is a common occurrence at the level of all primary healthcare. One of the main tasks in the diagnosis and treatment of a hypertensive crisis in emergency medicine is the ability to differentiate between a hypertensive emergency and urgency, based on the presence of damage to the target organ in the first case. An appropriate stratification, prevention, and regression of the damage caused by hypertensive crisis could prevent future events in the long term. The states of hypertensive urgency (uncomplicated hypertensive crisis) are usually not associated with an immediate risk to life, so treatment can be started, even completed, on an outpatient basis. Hypertensive emergency conditions (complicated hypertensive crisis) are very serious clinical situations that require hospitalization. In a case of severe hypertension in a patient, asymptomatic or with non-specific symptoms, a cautious therapeutic approach should be taken. When treating conditions of hypertensive urgency, the efforts of physicians are aimed both at lowering blood pressure (at least 20 % of the baseline) and avoi­ding its sudden and/or excessive decrease (it is necessary to maintain penumbra zone). Therefore, fast-acting drugs should not be used because of the risk of ischemic events. In the case of hypertensive emergency conditions, the choice of drugs should be individual, and the parenteral route of administration is the most common form. In the absence of symptoms of target organ damage, most of the patients are likely to be treated on an outpatient basis. Compliance with a clear continuity of diagnostic and therapeutic measures at the prehospital stage and in the hospital is a necessary condition for the real stabilization of this state. Emergency conditions associated with a hypertensive crisis are the main reasons for contacting and/or calling the physician of emergency medicine in Ukraine (≈ 25–26 %). Hypertensive crisis, the primary manifestation or complication of a previously diagnosed arterial hypertension, most often can occur as a severe increase in blood pressure ≥ 180/120 mm Hg (although the clinical picture of hypertensive crisis is sometimes observed with lower numbers). The literature search methods are as follows Scopus database, Web of Science, MedLine, CyberLeninka, RISC.

scholarly journals LEIOMYOMA TYPES, INCIDENCE AND CLINICAL PRESENTATION - A STUDY AT A TERTIARY CARE HOSPITAL

2021 ◽  
Vol 9 (10) ◽  
pp. 438-443
Author(s):  
Ragoor Sujatha ◽  
◽  
Mary Jayasheela ◽  
Karuna Bhavani ◽  
◽  
...  
Keyword(s):  
Pap Smear ◽  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Common Symptom ◽  
Care Hospital ◽  
Cross Sectional ◽  
Endometrial Polyps ◽  
Gynecological Examination

A cross sectional studywas conducted over a period of 15 months from 1st Jan 2020 to 31st March 2021 at Malla Reddy Hospital,a tertiary care hospital. To study the incidence of fibroids according to FIGO categorization and their clinical presentation. 38 confirmed cases of fibroid uterus in the age group 20 – 60 attending gynecology OPD were interviewed and subjected to regular gynecological examination, PAP smear, dilatation and curettage procedures. Based on the studies, 60% of these patients were subjected to total abdominal hysterectomy as a part of treatment and the intra operative findings of the specimens were noted. The leiomyomas were classified according to the histopathological and ultrasonographic findings based on FIGO categorization. Highest incidence was seen 41 to 45 years age (52.6%). Incidence of Leiomyoma types according to FIGO subclassification system were found to be Type0=5%, Type1=5%, Type2=5%, Type3=13%, Type4=30%, Type5=13%, Type6=18.6%, Type7=3.3% and Type8=5%. Multiple fibroids were more common than single fibroids. Posterior location fibroids were more common than anterior. Most common symptom was menorrhagia (73.6%) followed by spasmodic dysmenorrhea (47.3%) and metrorrhagia (26.3%), infertility and symptoms of anemia. Most common sign was pallor (58%) followed by mass per abdomen (18.4%). Incidence of associated pathology of adenomyosis (18%) ovarian cysts (8%), endometrial polyps (8%), myxoid degeneration (2.6%). The results of our study matched the existing studies.

scholarly journals Study of snake bite cases admitted in tertiary care hospital in Nagpur

2017 ◽  
Vol 4 (5) ◽  
pp. 1597 ◽  
Author(s):  
Sandeep M. Bhelkar ◽  
Sanjay D. Chilkar ◽  
Suresh M. Morey
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
First Aid ◽  
Cross Sectional Study ◽  
Snake Bite ◽  
Time Interval ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Traditional Practitioners

Background: In developing countries major portion of individuals bitten by snakes first consult traditional practitioners before visiting a medical centre and resulting delay in transportation leads to mortality. Present study planned to study clinical features and epidemiological factors in snake bite cases.Methods: Hospital based cross sectional study was planned including all snake bite cases admitted during study period. Epi Info 7 used for analysis.Results: Out of 156 snake bite patients, 66.04% subjects were from month of July to September (mean age 37.78 years). About 30.77% of study subjects sought traditional healer for medical care, which was found to be significant when compared with not seeking treatment (Chi square =4.74, df =1, P =0.029). Maximum study subject i.e. 52 (33.33%) received ASV within 1 hour. Only 85 (54.49%) subjects reached the tertiary care hospital within 1- 6 hours following the bite. Mortality was higher in urban area as compared to rural area (P =0.104). Death was higher who had bites on upper limb (11.67%) as compared to bite on lowers limb (2.08%) (P =0.012). Proportion death was higher among those who did not received first Aid measures or took herbal medicine (P =0.022). Mortality was significantly higher in study subjects with complications such as cellulitis and DIC (P =0.006).Conclusions: Mortality among those who received first aid before coming to the hospital was lower (5.56%). Mortality was higher (6.25%) in cases where time interval between bite and initiation of treatment was more than 6 hours. 

Clinical Presentation, Biopsy and Surgery of Breast Cancer in Women at Tertiary Care Hospital in Gujrat

2021 ◽  
Vol 15 (8) ◽  
pp. 1806-1808
Author(s):  
Abid Nazir Choudhry ◽  
Asma Tariq ◽  
Tehmina Naz ◽  
Shahid Mahmood ◽  
Kanwal Shahzad
Keyword(s):  
Breast Cancer ◽  
Clinical Presentation ◽  
Breast Biopsy ◽  
Complete Blood Count ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Nipple Discharge ◽  
Care Hospital ◽  
Breast Lump ◽  
Cross Sectional

Aim: To detect the clinical presentation, biopsy and surgery of breast cancer in women at tertiary care hospital in Gujrat, Pakistan. Study design: Cross sectional descriptive study. Place and duration of study: This study was conducted in 06 years April 2014 to March 2020 at Aziz Bhatti Shaheed Teaching Hospital Gujrat, Pakistan. Methods: Total 138 women were selected for study that was having breast lump, breast ulcer or abnormal breast (nipple) discharge. Women were admitted for investigations and further plan for treatment. Breast cancer was diagnosed on history, examination and investigations. Complete blood count, serum studies, ultra-sonography of breast, mammography and breast biopsy was planned. Results: Total 138 women were enrolled in the study. Women 25-85 years of age were included in the study. Youngest woman was 27 years of age and the oldest was 85 years of age. Thirty two (23.18%) women were less than 50 years of age and 106(76.81%) women were more than 50 years of age. Conclusions: Breast cancer is the commonest cancer of women and most frequent cause of cancer related deaths. Early diagnosis and appropriate treatment offers the best chance for cure. Histological diagnosis and staging is mandatory prior to treatment. The best treatment of breast cancer is carried out by multidisciplinary team. Keywords: Breast lump, mammography, nipple discharge

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