CLINICAL PROFILE OF NON-TRAUMATIC ACUTE ABDOMEN AT A TERTIARY CARE HOSPITAL- A RETROSPECTIVE STUDY.

BACKGROUND: Pain abdomen is a common presentation, it accounts for approximately 10% of the cases in emergency room and about 2 -3% of the OPD patients. METHODS: All non trauma patients presenting with pain abdomen to emergency, above the age of 15 years were included in the study. All diagnosed pregnant females were excluded from the study. RESULTS: Most common cause of acute abdomen in our study was acute appendicitis followed by acute intestinal obstruction, cholecystitis and nephrolithiasis. CONCLUSION: Clinicians must consider multiple diagnoses during workup of these patients, those patients who may require surgical exploration should be identified early to limit their morbidity and mortality.

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Laparoscopy in management of surgical causes of acute verses chronic pain abdomen in adults visiting tertiary care hospital in Telangana, India

International Surgery Journal ◽

10.18203/2349-2902.isj20211922 ◽

2021 ◽

Author(s):

Talla Srinivas ◽

Sudagani Sreenivas ◽

Doddoju Veera Bhadreshwara Anusha

Keyword(s):

Chronic Pain ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Diagnostic Uncertainty ◽

Pain Abdomen ◽

Background Pain ◽

Laparoscopic Intervention ◽

A Prospective Study

Background: Pain abdomen accounts for about 14.2% of all emergency hospitalization. Many patients remain undiagnosed even after excluding the common disorders by meticulous investigations. In case of diagnostic uncertainty, laparoscopy may help to avoid unnecessary laparotomy, provide accurate diagnosis. The current study aimed at comparing the role of laparoscopy in management of surgical causes of acute and chronic pain abdomen.Methods: A prospective study was done in 168 adult patients attending tertiary care hospital, selected by convenience sampling method. After clinical examination and relevant investigation, patients in need of diagnostic and therapeutic laparoscopic management were included in study. Laparoscopic findings and postoperative status of patients, with acute and chronic pain abdomen were compared with relevant statistical tests.Results: Mean age of patients was 35.8 years. Majority of the patients were females (58.3%). 41.1% and 58.9% patients had acute and chronic pain abdomen, respectively. Though more patients with chronic pain abdomen (58.9%) underwent laparoscopy when compared with acute pain abdomen (41.1%) it was not statistically significant, also post-operative status though found to be better in patients with chronic pain abdomen was not statistically significant.Conclusions: Though prevalence of laparoscopic intervention and better outcome was found more in patients with chronic abdominal pain in the present study it was not statistically significant.

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Virulence factors associated with organisms causing asymptomatic bacteriuria in pregnant females attending a tertiary care hospital

International Journal of Bioassays ◽

10.21746/ijbio.2017.05.002 ◽

2017 ◽

Vol 6 (05) ◽

pp. 5373

Author(s):

Prabha Ponnusamy* ◽

Radhika Katragadda ◽

Thyagarajan Ravinder

Keyword(s):

Virulence Factors ◽

Host Defense ◽

Virulence Factor ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Asymptomatic Bacteriuria ◽

Phenotypic Expression ◽

Care Hospital ◽

Cross Sectional ◽

Pregnant Females

Asymptomatic bacteriuria (ASB), most common during pregnancy is endangering as it may lead to maternal and fetal complications. Various organisms causing ASB combats the host defense mechanisms through virulence factors exhibited by them. In order to understand the pathogenesis and sequelae of infections, virulence factors like hemolysin production, gelatinase production, haemagglutination, biofilm production and many more should be identified. Hence, we aimed at studying the distribution of virulence factors among each organism causing asymptomatic bacteriuria in pregnant females attending a tertiary care hospital. Materials and Methods: This cross-sectional study was conducted in Department of Microbiology over a period of one year and six months (January 2014 to June 2015) at a tertiary care teaching hospital. A total of 1000 urine samples were included in study taken from pregnant women with asymptomatic bacteriuria. Isolation, identification of organisms was done according to standard microbiological techniques and virulence factors for individual organisms by phenotypic method were tested. Results: Out of 1000 samples screened for ASB, organisms were isolated in following frequency distribution: Escherichia coli, the commonest 54/118 (45.76%), Klebsiella pneumoniae 21/118 (17.80%), Staphylococcus aureus 19/118 (16.10%), Staphylococcus saprophyticus 10/118 (8.45%), Enterococcus faecalis 9/118 (7.63%), Pseudomonas aeruginosa 3/118 (2.54%) and Proteus mirabilis 2/118 (1.69%). Virulence factors for individual organisms and biofilm detection for all organisms were done. Conclusion: Multifactorial mechanisms determine the pathogenicity of an organism and it needs to be explored by analyzing each virulence factor and mechanism of invasion in combating the host defense systems. Hence analyzing the phenotypic expression of each virulence factor helps in better understanding about the complications of ASB.

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Study of Prevalence of Thyroid Disorders in Pregnant Females of a Tertiary Care Hospital of Garhwal Region of Uttarakhand

Annals of International medical and Dental Research ◽

10.21276/aimdr.2018.4.4.bc8 ◽

2018 ◽

Vol 4 (4) ◽

Author(s):

Suman kumari Pandey ◽

Hari Shankar Pandey ◽

Vinita Kalra

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Thyroid Disorders ◽

Care Hospital ◽

Pregnant Females ◽

Garhwal Region

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Incidence of appendicitis and ovarian cyst among female patients presenting with acute abdomen at a tertiary care hospital

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20184879 ◽

2018 ◽

Vol 6 (12) ◽

pp. 3838

Author(s):

E. Chandrasekhara Reddy ◽

Janaki Vellanki

Keyword(s):

Acute Abdomen ◽

Ovarian Cyst ◽

Renal Colic ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Time Rate ◽

Delayed Wound Healing ◽

Female Patients

Background: Physicians working in casualty are often confronted with acute abdomen and get much more bothered as the diagnosis is not easy. This is due to the fact that the etiology of acute abdomen is always much diversified and the classical findings are masked making the diagnosis difficult. Objective was to study incidence of appendicitis and ovarian cyst among female patients presenting with acute abdomen.Methods: A hospital based follow up study was carried out among 64 cases presented with acute abdomen to the casualty from January 2018 to August 2018. All necessary investigations were done to confirm the etiology of acute abdomen. The cases belonged to surgery and gynecology departments where they were operated. The patients were followed from admission in the casualty to the final outcome. The data was analyzed using proportions.Results: During the study period a total of 15413 patients were admitted in the casualty out of them, 64 (0.42%) presented with acute abdomen. Of these 64 cases, majority i.e. 35 (54.7%) were due to acute appendicitis; 13 cases were due to renal colic and eight cases each were due to ectopic pregnancy and ovarian cyst. The most common age group affected was 21-30 years (62.5%) followed by less than 20 years age (21.9%). 25% of the 64 cases had delayed wound healing and no other complications were reported. No death was recorded.Conclusions: Authors achieved excellent results as there were no major complications and no death was recorded. Thus, meticulous diagnosis and prompt treatment can save patient life and at the same time rate of complications can be reduced.

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Retrospective study on cost accounting of trauma patients presenting to the Emergency Department in a tertiary care hospital in South India

Current Medical Issues ◽

10.4103/cmi.cmi_62_19 ◽

2020 ◽

Vol 18 (1) ◽

pp. 14

Author(s):

Didla Gautam ◽

Darpanarayan Hazra ◽

AnkitaChowdary Nekkanti ◽

KundavaramPaul Prabhakar Abhilash

Keyword(s):

Emergency Department ◽

Retrospective Study ◽

South India ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cost Accounting ◽

Trauma Patients ◽

Care Hospital

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Study of genital dermatoses in pregnant females attending a tertiary care hospital

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20193227 ◽

2019 ◽

Vol 5 (3) ◽

pp. 542

Author(s):

Seeniammal Sivanu ◽

Maalik Babu ◽

Soundharyaa Moorthi Savadamoorthi

Keyword(s):

Tertiary Care Hospital ◽

Oral Candidiasis ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Sexually Transmitted ◽

Pregnant Females ◽

One Year ◽

Infective Etiology

Background: Sexually transmitted infections (STI) prevalence in pregnancy is high and causes severe risk of transmission to the newborn. Usually they are asymptomatic and underdiagnosed. Most common STI’s are VVC, HPV, genital herpes, HIV, etc.Methods: A hospital-based cross-sectional study was done for a period of one year (September 2017- August 2018) and 31 pregnant genital dermatoses were encountered.Results: Among 31, infective etiology was seen in 15 cases (48%), non-infective etiology was seen in 3 cases (10%) and no STI’s were seen in 13 patients (42%). Vulvovaginal candidiasis was most common among pregnant females in 9 patients (60%) followed by genital warts in 3 patients (20%) followed by molluscum contagiosum, herpes genitalis and oral candidiasis in one patient (7%) respectively among infective etiology. Non-infective causes include vulval lymphangiectasia, epidermoid cyst and vascular swelling in one patient respectively (33.3%).Conclusions: Screening of antenatal cases is more important to prevent complications.

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Primary omental infarction: a report of a series of cases in an Indian tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20201881 ◽

2020 ◽

Vol 7 (5) ◽

pp. 1623

Author(s):

Ruru Ray ◽

Ann Sunny ◽

Giridhar Ashwath ◽

Anthony Prakash Rozario ◽

Rahul Sima

Keyword(s):

Abdominal Pain ◽

Acute Abdomen ◽

Surgical Intervention ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Abdominal Abscess ◽

Short History ◽

Omental Infarction ◽

History Of

Primary omental infarction is a relatively rare and often presents as right sided abdominal pain. It is often diagnosed as appendicitis and is usually picked up intra-operatively, or - as often seen nowadays - on imaging. We describe a series of four cases of primary omental infarction that presented to us with varying clinical features. Three of them had a short history of right sided abdominal pain, whereas the fourth patient had a longer history of left sided abdominal pain. All 4 were managed operatively, with the fourth having presented with an intra-abdominal abscess that required laparotomy. Primary omental infarction is a diagnosis which must be considered in any case of acute abdomen. Cases diagnosed with certainty on imaging may be managed conservatively but must be followed up closely. Need for surgical intervention should be considered in select cases.

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