STUDY OF A, B, O (H) ISOANTIGENS IN PARAFFIN SECTIONS OF MALIGNENT TUMORS

The present study entitled, Study of A,B,O (H0 Isoantigens in paraffin sections of malignant tumors was conducted among the patients at Amaltas Institute of Medical Sciences, Dewas. Patients coming to any clinical department with tumors during the period ware randomly selected for the study . After complete history and thorough clinical examination, surgery of tumors was done and tissues were sent for histopathology examination.

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Clinicopathological spectrum of gynecological pelvic masses: a cross-sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20171948 ◽

2017 ◽

Vol 6 (5) ◽

pp. 1915

Author(s):

Shobha S. Pillai

Keyword(s):

Clinical Examination ◽

Pelvic Mass ◽

Diagnostic Procedures ◽

Cross Sectional Study ◽

Cross Sectional ◽

Methodical Approach ◽

Pelvic Masses ◽

Mass Lesions ◽

Optimum Management ◽

Complete History

Background: Pelvic mass lesions are a commonly encountered entity in gynecological practice. These masses may be uterine or adnexal, benign or malignant. Clinicians have to be aware of their differential diagnosis to triage the patients and ensure optimum therapeutic approach. The objectives of this study were to study the diverse clinical spectrum of gynecological pelvic masses and to correlate the preoperative diagnosis based on clinical examination and ultrasonography with intraoperative surgical findings and histopathological examination.Methods: This was a cross sectional observational study on 114 patients with a diagnosis of pelvic mass who underwent laparotomy. All the patients were evaluated by a complete history, general abdominal and pelvic examination, followed by ultrasonography. These preoperative findings were then correlated with surgical findings and histopathological diagnosis.Results: 48% 0f the patients were in the age group of 41-50 years. The most common presenting complaint was lower abdominal/ pelvic pain seen in 78% of the patients. Uterine masses mostly presented as abdominal pain, abdominopelvic mass, menstrual complaints whereas ovarian masses presented with vague G. I symptoms or were asymptomatic. 37% of all masses were leiomyomas. There were 16 uterine malignancies and 14 ovarian cancer cases. Preoperative USG correlated well with histopathological diagnosis.Conclusions: A methodical approach consisting of a proper history, clinical examination, imaging studies and correct interpretation of diagnostic procedures is necessary for the triage and optimum management of gynecologic pelvic masses.

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The non traumatic acute abdomen and its clinical spectrum

International Surgery Journal ◽

10.18203/2349-2902.isj20191895 ◽

2019 ◽

Vol 6 (5) ◽

pp. 1710

Author(s):

M. Srujan Kumar ◽

Bharath B. ◽

K. S. Balasubramanya ◽

K. Thinagaran

Keyword(s):

Acute Appendicitis ◽

Acute Abdomen ◽

Clinical Examination ◽

Open Appendectomy ◽

Postoperative Outcome ◽

Exploratory Laparotomy ◽

Medical Sciences ◽

Female Ratio ◽

Perforative Peritonitis ◽

General Surgeons

Background: Acute abdomen poses a big challenge to the general surgeons in terms of both diagnosis and management. The aim of this study was to know in detail the clinical and postoperative outcome in non traumatic acute abdomen.Methods: Prospectively collected data of 326 patients with non traumatic acute abdomen admitted in PES institute of medical sciences and research, Kuppam from November 2016 to June 2018. All patients were subjected to clinical examination, relevant blood and imaging investigations, Intra and postoperative findings events were recorded.Results: Non traumatic acute abdominal pain was more common in 2nd to 5th decade of life. Males are more affected than females with a male to female ratio of 3.4:1. Acute appendicitis forms the commonest cause of acute abdomen (n=160=49%) followed by perforative peritonitis (n=85=26%). Most common surgical procedures done were laparoscopic/open appendectomy for acute appendicitis, exploratory laparotomy with Graham’s omentoplasty for perforative peritonitis.Conclusions: Systematic approach in history taking and a proper clinical examination with supportive imaging findings are most important in making an accurate diagnosis and need of appropriate surgical intervention in patients with non traumatic acute abdomen.

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Self-reported Confidence of the Dental Faculty Participants of “Training Workshop on Objective Structured Clinical Examination (OSCE)”

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v8i1.31554 ◽

2020 ◽

Vol 8 (1) ◽

pp. 34-39

Author(s):

Rano Mal Piryani ◽

Suneel Piryani ◽

Nitasha Sharma

Keyword(s):

Clinical Examination ◽

Clinical Skills ◽

Health Professions ◽

Assessment Tools ◽

Objective Structured Clinical Examination ◽

Demographic Information ◽

Training Workshop ◽

Medical Sciences ◽

Course Content ◽

Structured Questionnaire

Background and Objectives: Objective Structured Clinical Examination (OSCE) is one of the assessment tools used to assess the clinical skills. Health Professions Training Committee (HPTC), Universal College of Medical Sciences (UCMS), Bhairahawa, Nepal organized 2-days Training Workshop on OSCE in Feb 13-14, 2020 for dental faculty. The objective of this study was to assess the feedback of the participants of training workshop on OSCE and their self-reported confidence using retro-pre-questionnaire. Material and methods: The feedback was taken on the pretested semi-structured questionnaire comprised of four parts: A. Demographic Information, B. Overall feedback on the training workshop- (closed-ended questions), C. Feedback on specific sessions conducted in the training workshop on retro-pre-questionnaire and D. Feedback on good points/strengths of the raining workshop and areas for improvement- (open-ended questions). Analysis was done with SPSS-21. Results: The rating of the participants on training workshop for usefulness, course content of training, relevance of session & content, facilitation and overall was notable. Participants’ self-reported confidence remarkably enhanced after participation in the training workshop(before vs after)on all four skills; develop blueprint for the assessment (1.33±0.5 vs 3.33±0.50), develop blueprint and test map for OSCE (1.22±0.44 vs 3.11±0.33), develop OSCE station (33±0.70 vs 3.67±0.50) and conduct OSCE examination (1.22±0.67 vs 3.33±0.50). Participants stated “the training workshop was interactive and participatory” and suggested to include more dental related tasks in training. Conclusion: Overall the feedback of the participants was positive and noteworthy. Participants’ self-reported confidence remarkably enhanced after participation in the training workshop.

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Poland's anomaly - A case report

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v6i3.4074 ◽

1970 ◽

Vol 6 (3) ◽

pp. 40-43 ◽

Cited By ~ 1

Author(s):

PSV Devi ◽

CK Reddy ◽

N Satyanarayana ◽

P Sunitha ◽

N Reddy ◽

...

Keyword(s):

Case Report ◽

Clinical Examination ◽

Medical Condition ◽

Medical Ward ◽

Pectoralis Major ◽

Typical Case ◽

Medical Sciences ◽

Pectoralis Minor ◽

Severe Dyspnoea

A 12 year old boy was admitted in the medical ward, Prathima Institute of Medical Sciences hospital, Karimnagar, with severe dyspnoea of one week duration. During the clinical examination, besides the auscultatory findings, it was observed that the boy was a typical case of Poland's anomaly, characterized by deficiency of the sterno-costal part of Pectoralis major and entire pectoralis minor, minor associated with hypoplastic, thenar and hypothenar muscles. Considering the rarity involved in finding such a sporadic, congenital but non fatal medical condition, knowledge of musculoskeletal anomalies is important for clinicians, orthopedics and plastic surgeons. Keywords: Poland's anomaly; deficiency; musculoskeletal anomalies. DOI: 10.3126/jcmsn.v6i3.4074Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 3 pp.40-43

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Twelve Tips to Successfully Conducting Virtual Clinical Assessment Using Zoom™ Lessons Learned from COVID-19 Pandemic

10.20944/preprints202006.0171.v1 ◽

2020 ◽

Author(s):

Mohamed H. Shehata ◽

Archana Prabu Kumar ◽

Mona R. Arekat ◽

Hani Atwa ◽

Samar A. Ahmed ◽

...

Keyword(s):

Medical Education ◽

Clinical Examination ◽

Clinical Assessment ◽

Arabian Gulf ◽

Lessons Learned ◽

Medical Sciences ◽

Clinical Assessments ◽

The World ◽

The Future

The COVID-19 pandemic changed the world of medical education, moving it years ahead of time into the future. Many concepts needed to be changed, so did the methodologies. Nevertheless, clinical assessment remained tricky. This work highlights the outcome of the work of College of Medicine and Medical Sciences at the Arabian Gulf University in Bahrain in performing virtual clinical examination using Zoom™. Tips in this article are meant to help plan, implement and evaluate clinical assessments virtually.

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CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors

Brazilian Oral Research ◽

10.1590/s1806-83242009000200017 ◽

2009 ◽

Vol 23 (2) ◽

pp. 196-202 ◽

Cited By ~ 3

Author(s):

Marco Antonio Portela Albuquerque ◽

Marcia Etsuko Kuruoshi ◽

Ilka Regina Souza Oliveira ◽

Marcelo Gusmão Paraíso Cavalcanti

Keyword(s):

Clinical Examination ◽

Malignant Tumors ◽

Bone Involvement

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Study of the clinical pattern of contact dermatitis over the face and its correlation with patch testing

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20191761 ◽

2019 ◽

Vol 5 (2) ◽

pp. 350

Author(s):

Saumya Goel ◽

Vinma H. Shetty ◽

Hafsa Eram ◽

Amita Murali Babu

Keyword(s):

Contact Dermatitis ◽

Patch Testing ◽

Medical Sciences ◽

Hair Dye ◽

Clinical Pattern ◽

International Contact ◽

The Face ◽

Allergic Contact ◽

Complete History ◽

Written Informed Consent

Background: Contact dermatitis (CD) is an altered state of reactivity; occur due to direct contact with noxious agents in our environment. Face is a very common site for CD.Methods: Prospective hospital based study was conducted at A. J. Institute of Medical Sciences, Mangalore from June 2018 to November 2018. Fifty cases aged above 18 years with suspected allergic contact dermatitis (ACD) over face who gave written informed consent were enrolled. A complete history was taken and detailed clinical examination was done. Patch testing was done over the back in all patients which was removed after 48 hours and positive result was recorded based on the recommendation of the international Contact Dermatitis Research Group (ICDRG).Results: The most common clinical pattern observed was pigmented contact dermatitis(PCD) (70%), followed by irritation (6%), acneiform eruptions (5%) and contact urticaria (2%). Out of 50 patients, 20 patients developed CD to fragrances and perfumes. 14 patients developed to soaps and shampoos. On patch testing, most common allergen in fragrances/perfumes was fragrance mix (52.9%). In soaps and shampoos it was triclosan (68.4%), parabens (31.5%). Sesquiterpene lactone in parthenium plant (4%), Paraphenylenediamine in hair dye (8%). In face creams were gallate mix and cetrimide among metals, nickel and chromium (6%). In case of kumkum it was paraphenylenediamine (4%).Conclusions: Amongst the various patterns of contact dermatitis, PCD to cosmetics, fragrances and daily care products was most common pattern observed and the main allergens were triclosan, fragrance mix and balsum of Peru.

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The Study on the General Medical Students’ Clinical Competency in Problem Solving, Communication Skills, Procedure, History and Physical Examination and Critical and Non-Critical Indicators in Objective Structured Clinical Examination (OSCE)

10.21203/rs.3.rs-206569/v1 ◽

2021 ◽

Author(s):

Haniye Mastour ◽

Ali Emadzadeh ◽

AmirAli Moodi Ghalibaf

Keyword(s):

Problem Solving ◽

Communication Skills ◽

Clinical Examination ◽

Clinical Education ◽

Teaching And Learning ◽

General Medicine ◽

Objective Structured Clinical Examination ◽

Clinical Competency ◽

Medical Sciences ◽

Cross Sectional

Abstract Introduction: Clinical education is the basic pillar and heart of medical education. In fact, it is one of the most important manifestations of teaching and learning in professions related to medical sciences, which leads to the clinical competency of learners. Assessing new physicians before entering the field of clinical activities can be a reliable criterion for evaluating the quality of their clinical skills.The current study was done to investigate the knowledge, practice, and general clinical competency of general medicine graduates before entering the field of clinical activities. The study was in line with according to the document of the minimum competency expected from general practitioners in Iran. Methods In this descriptive cross-sectional study, the scores of different stations of the national Objective Structured Clinical Examination (OSCE), which be held at the end of the general medicine course in Iran, were collected at Mashhad University of Medical Sciences. These scores were subdivided into four specific areas and two critical and non-critical indicators of capability were gathered from the exam assessors' checklists. Totally, 266 students who participated in six periodicities of clinical competency tests at the end of the general medicine course at Mashhad University of Medical Sciences were included in the study by the census method. The clinical competency of general medicine graduates assessed in the areas of problem-solving, communication skills, practical action (procedures and critical skills), taking the history, performing physical examinations, and critical and non-critical indicators by the OSCE. Data were analyzed using descriptive statistics (frequency, mean and standard deviation) and inferential statistics including independent t-test, one-way and two-way analysis of variance by using SPSS. Results The results showed that the effect of different areas of the OSCE (F(3,5652) = 7.022 and P = 0.001) and participants' performance based on their critical and non-critical indicators (T = 1.976 and P = 0.04) are significant with 95% confidence interval. Conclusion The OSCE improves the standards of clinical competencies of new physicians and can make beneficial changes in clinical education at medical schools.

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Clinical and Morphological Analysis of Adrenal Glands Pathology in Kharkiv Region (according to Archival Material for the Period 2015-2019)

Ukraïnsʹkij žurnal medicini bìologìï ta sportu ◽

10.26693/jmbs05.06.084 ◽

2020 ◽

Vol 5 (6) ◽

pp. 84-87

Author(s):

I. V. Sorokina ◽

V. D. Markovskyi ◽

N. I. Goidenko ◽

O. V. Kaluzhyna

Keyword(s):

Adrenal Glands ◽

Malignant Tumors ◽

Diagnostic Procedures ◽

State Institution ◽

Adrenocortical Adenoma ◽

Medical Sciences ◽

Malignant Paraganglioma ◽

Adrenocortical Adenomas ◽

Cell Variant ◽

The Right

The adrenal glands play an important role in the functioning of the human body. There are more opportunities for early tumors detection of these endocrine glands thanks to modern diagnostic procedures, but the problem is very relevant. Morphological investigation is the basis for differentiating adrenocortical adenoma from carcinoma. Material and methods. The article presents the clinical and morphological features of the adrenal glands pathology in Kharkiv region in the period 2015-2019 by analyzing the archival histological material of 77 patients who were operated in hospitals of the State Institution "Institute of General and Emergency Surgery named after V. T. Zaitsev of National Academy of Medical Sciences of Ukraine" and "V. Danilevsky Institute for Endocrine Pathology Problems of the National Academy of Medical Sciences of Ukraine". Results and discussion. The study established that in 2015 there were 18 cases (including 8 malignant tumors), in 2016 – 16 cases (2 cases with bilateral damage, 1 malignant tumor), in 2017 – 12 cases, in 2018 – 20 cases, in 2019 – 11 cases. All tumors were benign in the last 3 years of the study. We calculated that 48.6 years was the average age of patients with this localization tumor processes (20-75 years). Women suffered more often than men (61.03% and 38.97%, respectively). Both adrenal glands had pathological changes in 2 people. The left gland is most often affected. The vast majority of the formations in 2015-2019 were benign (88.61%). Adrenocortical adenomas (45 cases, mostly clear cell variant, leftward, in women) and mature pheochromocytomas (13 cases, uncomplexed variant, leftward, in men), adrenal cysts (6 cases, more often on the right, in men, with a dense fibrous capsule), hyperplasia of the cortical, cerebral or both layers (4 cases), ganglioneuroma of the adrenal medulla (1 case) and a combination of pheochromocytoma with two adrenocorticosteromas (1 case) were among them. Conclusion. Malignant tumors were represented by malignant corticosteromas (5 cases out of 9, leftward, various sizes, with secondary changes in tumor tissue), malignant pheochromocytomas (3 cases out of 9, right, different size) and malignant paraganglioma (1 case). The larger size of the tumor did not always correlate with the nature of the process

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Examination Approach to the Dizzy and Swaying Patient

Malaysian Journal of Medical Sciences ◽

10.21315/mjms2020.27.6.9 ◽

2020 ◽

Vol 27 (6) ◽

pp. 89-101

Author(s):

Nur Nazleen Said Mogutham ◽

Jafri Malin Abdullah ◽

Zamzuri Idris ◽

Abdul Rahman Izaini Ghani ◽

Sanihah Abdul Halim ◽

...

Keyword(s):

Medical Students ◽

Clinical Examination ◽

Vestibular System ◽

Accurate Diagnosis ◽

Junior Doctors ◽

History Taking ◽

Medical Sciences ◽

Detailed History ◽

Vague Term

Background: Dizziness is a common presenting complaint among patients in Malaysia. It is a vague term which could be associated with vertigo, imbalance, ataxia or syncope. In order to deal with this overwhelming complaint, a detailed history-taking is essential in confirming aetiology of disease and this should be followed by a meticulous clinical examination. The purpose of the video manuscript it to provide a step-by-step approach to a dizzy and swaying patient, specially catered for Malaysian medical students and trainees. Methods: A series of videos were shot, which involved the eye, ear, vestibular system, cerebellar, proprioceptive sense and gait examination. These videos, conducted in Universiti Sains Malaysia (USM) School of Medical Sciences, will be first in Malaysia and will highlight the proper technique and rapport with patients and essential points of each examination. There will be summary at the end of each examination on how to report findings which is a common weakness among students. Conclusion: We hope that students and junior doctors could be apply these methods in their daily assessment of dizzy patients and ultimately, reach an accurate diagnosis.

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