scholarly journals Foreign body ingestion by children: an analysis of age and types at a tertiary hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 299-304
Author(s):  
Tanvir Kabir Chowdhury ◽  
Durdana Sadab ◽  
Md Minhajuddin Sajid ◽  
Md Abdullah Al Farooq
Keyword(s):  
Foreign Body ◽  
Hospital Stay ◽  
Tertiary Hospital ◽  
Foreign Body Ingestion ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Sex Type ◽  
Different Types ◽  
Smooth Objects

Foreign body (FB) ingestion is common in children worldwide. Type of FB ingestion varies among cultures and countries. We retrospectively reviewed all patients of foreign body ingestion who were admitted in Department of Pediatric Surgery, Chittagong Medical College Hospital from January 2017 to December 2019 (total 3 years). Age, Sex, type of foreign body, hospital stay, management and outcome were analyzed. A total of 91 children were admitted with ingestion of FB during this period; male 61, female 30 (male to female ratio 2:1). Age ranged from 3 months to 12 years (median 3.5 ± 3.8 years). Fifty eight percent were less than 5 years old. Children ingested 21 different types of FB; however ingestion of coin was most common (24 patients, 26.37%) followed by different types of pins (19 patients, 20.88%), nail (6 patients, 6.59%), battery (5 patients, 5.49%), screw (5 patients, 5.49%), needle (4 patients, 4.40%), ring (4 patients, 4.40%) and others (18 patients). Sharp object ingestion is higher in older (>5 year) age group. Hospital stay ranged from 0 day to 19 days (mean 1.6 ± 2.1 day). Endoscopic removal needed in 4 patients (coin-2, chain 2), bronchoscopic removal in 1 (pin) and one patient needed laparotomy (open hair pin). There was no mortality. The pattern of FB ingestion is similar to many other countries. Small, smooth objects pass spontaneously. Endoscopic or surgical intervention is sometimes needed if significant symptoms develop or if the object fails to progress through the gastrointestinal tract. Asian J. Med. Biol. Res. June 2020, 6(2): 299-304

scholarly journals Ear Foreign Body: A Study of 148 Cases

2017 ◽  
Vol 29 (2) ◽  
pp. 5-8
Author(s):  
Jahangir Alam Mazumder ◽  
Rafiqul Islam Sarker ◽  
AHM Delwar ◽  
Kamrunnahar
Keyword(s):  
Foreign Body ◽  
Successful Outcome ◽  
Complication Rates ◽  
Age Group ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
History Of ◽  
The Right ◽  
Time Of Presentation

Ear foreign body is a common ENT emergency and a challenge also to otolaryngologist worldwide. Prompt and appropriate management of it can reduce the morbidity. An observational retrospective study of 148 cases of foreign body in the ear done in Comilla Medical College Hospital and two upazilla health complexes (Nangalkot and Chowddagram) of Bangladesh within the period of January 2014 to December 2014 to evaluate the nature, mode of presentation, technique of removal and outcome of it. Data were collected from hospital records including age, sex of patient and mode and time of presentation, nature of foreign body, management outcome and complication, and the result showed that children o funder 15 year age group were mostly affected (60%), among them highest incidence were in 5-10 year age group (25%) with male to female ratio 1:1.28. The most common foreign body was the seeds of various vegetables (25.67%) followed by plastic beads (18.24%) and cotton bud (15.54%), the right ear affected more (54%). Almost half of them (47.97%) presented with history of insertion of a foreign body and most of them (91.98%) were removed in OPD or emergency department under direct vision and remaining required general anesthesia. Despite a high proportion of cases managed in the office setting, complication rates were within acceptable level. It is inversely proportional to the skill of the personnel, number of attempts &availability of equipment. Key to successful outcome are prompt help by well-trained doctor and otolaryngological equipment set up.Medicine Today 2017 Vol.29(2): 5-8

scholarly journals Primary Repair of Traumatic Gut Injury Without Diversion in Casualty Department of Dhaka Medical College Hospital

2014 ◽  
Vol 8 (2) ◽  
pp. 77-79
Author(s):  
Md Mahiuddin Matubber ◽  
Syed Muhammad Baqui Billah ◽  
ASM Nazmul Huq ◽  
Akhter Ahmed ◽  
Ratan Kumar Saha ◽  
...  
Keyword(s):  
Wound Infection ◽  
Primary Repair ◽  
Tertiary Hospital ◽  
Medical College Hospital ◽  
College Hospital ◽  
Stab Injury ◽  
Medical College ◽  
Distended Abdomen ◽  
Severity Of Injury ◽  
Different Types

Colon is one of the most commonly injured viscera followed by small gut and liver in abdomen for which management becomes complicated had the type and severity of injury not been assessed properly. With improved facilities in patient care and proper use of antibiotics the inclination is directed towards primary repair of colon without diversion. This study was aimed to assess the efficacy of primary repair in a tertiary hospital. A number of 50 patients of traumatic gut injury from 15-50 years (31.18 ± 9.38 years) mainly presenting with RTA with blunt trauma abdomen (54.0%) and different types of stab injury (40.0%) were managed with primary repair in the department of casualty in Dhaka Medical College Hospital, Dhaka between the period of January to June 2009. On admission more than half (52.0%) had hypotension, 70.0% distended abdomen, 84.0% tender abdomen, 58.0% presented with abdominal rigidity while 80% of them had perforation of the small and 20% had the same in large gut. After primary repair, only 6% developed chest infection and 4% developed wound infection. The findings suggest that primary repair without diversion in the treatment of traumatic gut injury can be performed among patients admitted in our hospitals. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20390 Faridpur Med. Coll. J. 2013;8(2): 77-79

Endoscopic Management of Ureteric Stones : Experience In Holy Family Red Crescent Medical College Hospital

2014 ◽  
Vol 22 (Number 1) ◽  
pp. 10-14
Author(s):  
Md. A Akbar ◽  
Md. S Alam ◽  
A Sharif ◽  
R Parvin
Keyword(s):  
Operation Time ◽  
Tertiary Hospital ◽  
Medical College Hospital ◽  
Endoscopic Management ◽  
Ureteric Stone ◽  
College Hospital ◽  
Female Ratio ◽  
Stone Clearance ◽  
Medical College

A retrosceptic study was done on 60 patient with ureteric stone underwent uretereroscopic stone in Holy Family Red Crescent Medical College Hospital from June 2008 to July 2011. Among them 35 were male and 25 were female. The male female ratio was 1.4:1. Age of the patients ranged from 21-73 years, with mean age 48±10.8 years. Of the stones 8 were located in the upper ureter, 23 in the mid ureter and 29 at the lower ureter. Size of the stone ranged from 0.8 cm to1.5cm. Ureterorenoscopy was done by 9.5 Fr. Semirigid ureteroscope and stones ware fragmented by pneumatic lithotriptor. Ultimate stone clearance at follow up after 1 month was in 55 (91.6%) cases. In four cases retropulsion of stone occurred up into the pelvicalycial system. These patients were managed byExtra coporeal shock wave lithotrypsy (ESWL.) One patient needed repeat URS and ICPL due to retained stone fragment in lower ureter after 6 weeks of follow up. Average operation time was 41.50 min. All cases were done under spinal anesthesia. D-J (Double I)stenting was done in all patients and Stent was removed ((ter 4-6 weeks under local anaesthesia after ensuring stone clearance. Ureteroscopy and Infra corporeal pneumatic lithotripsy (ICPL) is now a widely accepted procedure for ureteric stone management in appropriate patients where Laser facility is not available. The study has been done to evaluate the outcome of endoscopic treatment of ureteric stone by ICPL in a tertiary hospital.

scholarly journals Cancer Types and Treatment Modalities in Patients Attending at Delta Medical College Hospital

2015 ◽  
Vol 3 (2) ◽  
pp. 57-62 ◽  
Author(s):  
Rafia Parveen ◽  
Shaikh Shofiur Rahman ◽  
Syeda Adib Sultana ◽  
Zakir Hossain Habib
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Medical College Hospital ◽  
Treatment Modalities ◽  
College Hospital ◽  
Frequency Pattern ◽  
Female Ratio ◽  
Female Patients ◽  
Medical College ◽  
Different Types

Background: Cancer is a major health burden worldwide. By 2030, over 9 million cancer patients are assumed to die in developing countries from different types of cancers. Incidence of different types of cancers is increasing due to unhealthy life style. At present, lung cancer is most prevalent in Bangladeshi male whereas it is cancer cervix in female.Objective: To determine the frequency, pattern and treatment modalities in different types of cancer in different age and sex group to get an idea about national cancer scenario.Materials and method: A cross-sectional study was conducted on 1300 cancer patients attending at Delta Medical College Hospital within three months duration (from 15.07.10 to 15.10.10). Histologically proven malignant cases were included in the study.Results: There were 400 male and 900 female patients. Male: female ratio was 1:2.25. Among all patients, cervical cancer was the top most common malignancy (23.07%) followed by breast (22.46%). In male, lung cancer was found to be the most common cancer (15.75%), followed by non-Hodgkin’s lymphoma (13.75%), colorectal (12%), stomach (6.75%), and oesophageal (5.75%) carcinomas. In female patients, carcinoma cervix was the top most cancer (33.33%), followed by breast (32.33%), ovary (6.11%), gall bladder (3.77%), and colorectal (3%) carcinomas. Majority of cancers occurred in middle and older age groups. Combination of surgery, chemotherapy and teletherapy was the most common form of treatment.Conclusion: The findings of the study may provide a helpful clue to important facts and figures of different types of cancers in Bangladesh.Delta Med Col J. Jul 2015; 3(2): 57-62

scholarly journals Epidemiological & Clinical Manifestation of Cirrhosis of Liver in a Tertiary Hospital

2020 ◽  
Vol 32 (2) ◽  
pp. 100-103
Author(s):  
SK Moazzem Hossain ◽  
Farjana Kabir ◽  
SM Kamal ◽  
Utpal Chandra Chanda ◽  
Pritish Tarafder
Keyword(s):  
Tertiary Hospital ◽  
Medical Problem ◽  
Common Symptom ◽  
College Hospital ◽  
Abdominal Ultrasonography ◽  
Female Ratio ◽  
Medical College ◽  
Cirrhosis Of Liver ◽  
Medicine Today ◽  
Upper Abdominal

Introduction:Cirrhosis of liver is common Medical problem in our country and causing for significant morbility & mortality. This study was aimed to findout actiology and clinical presentation of cirrhosis in this southern part of Bangladesh. Materials & Methods: An observantional study was conducted in Khulna Medical College Hospital from January 2016 to June 2016. That included adult (>15yrs) cirrhosis patient in medicine ward on the basis of history & clinical examination. Results: Common age is (37-48)yrs, 80% were male patient. Male Female ratio 4:1. Anorexia & dyspepsia were the most common symptom. 78% presented with ascites 34% presented with variceal bledding. Aetiology are Hepatitis B (52%), Hepatitis C (24%) & idiopathic 16%. Conclusion: Screening for chronic liver disease should include history and physical examination, serum transaminase measurement, upper abdominal ultrasonography, and in some case, fibroscan. Management of patient with cirrhosis should be prevention & early intervention to stabilize disease progression and to avoid or delay clinical decompensation and the need for liver transplantation. Medicine Today 2020 Vol.32(2): 100-103

Utility of Tolonium Chloride Rinse in the Diagnosis of Oral Cancer

2020 ◽  
Vol 26 (1) ◽  
pp. 11-17
Author(s):  
Md Kamruzzaman ◽  
Kazi Nurjahan ◽  
AS Gazi Sharifuddin ◽  
SK Ballav
Keyword(s):  
Developing Countries ◽  
Oral Cancer ◽  
Prospective Study ◽  
Diagnostic Delay ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Biopsy Report ◽  
Patient Side ◽  
Tolonium Chloride

Background: Oral cancer burden in developing countries is huge. In Bangladesh and India incidence were 10.6% and 10.4% respectively on 2018. At the same time worldwide incident was only 2%. Majority patients present at advanced stage and their survival rate is poor. Diagnostic delay from patient side and health delivery system side is significantly longer and it is more in developing countries. Like other malignancy early diagnosis can save a lot of these patient. Methods: This prospective study was carried out in Khulna Medical College Hospital from July 2017 to July 2019. Patients who will meet the criteria for this prospective study and capable and willing to give informed consent were enrolled. 20 second rinse/gargle with 10ml of 1% Tolonium chloride solution was done. Biopsy were taken from stained lesion, biopsy report were compared with TC stained lesions. Results: Out of 1650 patients in our outdoor department for various problem and only 30 cases were selected for this study according to selection criteria. Of 30 patients, 18 (60%) were male and 12 (40%) were female. The male-to-female ratio was 3:2. It was found that the sensitivity of 1% Tolonium Chloride rinse for oral precancer and cancer detection was 83.33%, whereas the specificity was 84.21%. Conclusion: Tolonium chloride rinse is a good screening test for oral cancer diagnosis with sensitivity 83.33% and specificity 84.21%. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 11-17

scholarly journals Surgery at Cranio-vertebral (CV) Junction: Our Experience of 32 Cases

1970 ◽  
Vol 29 (2) ◽  
pp. 78-84
Author(s):  
FH Chowdhury ◽  
MR Haque ◽  
NKSM Chowdhury ◽  
MS Islam ◽  
Z Raihan ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Surgical Techniques ◽  
Clinical Findings ◽  
Type I ◽  
College Hospital ◽  
Chiari Malformation Type I ◽  
Female Ratio ◽  
Medical College ◽  
Neoplastic Lesion ◽  
Wide Range

Cranio vertebral (CV) junction is one of the critical sites for surgery. It's anatomy, physiological aspects and pathological involvement varies in a wide range of margins. Common problems are developmental anomalies, traumatic involvement, inflammatory, infective and neoplastic lesion. Management of these problems varies a lot from each other. Aim of the article is to overview the pathologies in this area and to study presentations, investigations, surgical procedures and results of these pathologies. We prospectively analyzed 32 cases of Cranio-vertebral (CV) region surgery in the Department of Neurosurgery Dhaka Medical College Hospital and Mitford Hospital, Dhaka, from 2000 to 2008. In our series, male and female ratio was 7.2:1. Pathologies were atlanto- axial dislocation (AAD), Chiari malformation type –I, schwannoma, meningioma, hydatid cyst and tuberculosis. Common clinical findings were- neck pain, quadriparesis, quadriplegia, hand atrophy, autonomic dysfunction and hypertension. Various types of surgical procedures were done in this series according to the pathology. Death was in 01 case, neurological deterioration seen in one case, 2 cases were neurologically stable and 28 cases (87.5%) improved neurologically where one was non useful improvement (Frankel grade-C). Complete pre operative radiological study is a very important adjunct for a successful surgical result. Proper evaluation of patients with selection of appropriate surgical procedures along with safe surgical techniques are the necessary things for successful surgery in this area. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7952 (J Bangladesh Coll Phys Surg 2011; 29: 78-84)

scholarly journals Predisposing Factors of Scabies among the Patients Attending Skin and Venereal Disease Outdoor of Dhaka Medical College Hospital

1970 ◽  
Vol 9 (2) ◽  
pp. 82-86
Author(s):  
Afzalur Rahman Mahmood ◽  
Zannatun Nur
Keyword(s):  
Standard Deviation ◽  
Venereal Disease ◽  
Family Members ◽  
Predisposing Factors ◽  
Medical College Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Female Ratio ◽  
Level Of Education ◽  
Medical College

This cross sectional type of descriptive study was carried out among the patients attending the Skin and Venereal Disease (VD) Out Patient Department (OPD) of Dhaka Medical College Hospital (DMCH) from August 2006 to November 2006 with a view to explore the current situation of scabies and its predisposing factors. In this regard 213 clinically diagnosed scabies contracted patients were interviewed randomly by using pre-tested questionnaire. Risk factors were assessed considering their dwelling places, types of families, number of family members, persons living in each room, using fomites of infected persons, socioeconomic condition, occupation, level of education, regular bathing and cloth washing habit along with age, sex distribution and clinical presentation of scabies. The mean age of the respondents was 13.16 years with a standard deviation (SD) of ±5.38 years and majority (36.15%) was in the age group of 1-5 years. Male, female ratio was 1.15:1. Major level of education was in the group of class I to V (38%). 50.73% had family members comprised of 4 to 6. Majority (38.50%) belonged to lower middle class (income 3001-6000 taka/month). Among the respondents maximum (54.93%) were infected by family members. 77.94% respondents used fomites of affected persons and 66% respondents shared beds of infected persons. Mean duration of illness was 42 days with standard deviation of ±4.47 days. Among the male, majority (82.63%) had lesion on lower abdomen and buttock. In contrary, 80.28% female had lesion on hand. 58.68% presented with papule. The study recommends that emphasis should be given on personal hygiene and life style of people as well as educating them about scabies. Key words: Scabies, Predisposing factors, Skin and VD outdoor DOI = 10.3329/jom.v9i2.1436    J MEDICINE 2008; 9 : 82-86

scholarly journals Primary Retroperitoneal Ganglioneuroma: A Retrospective Cohort Study of 32 Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Jianchun Xiao ◽  
Zixuan Zhao ◽  
Binglu Li ◽  
Taiping Zhang
Keyword(s):  
Growth Pattern ◽  
Clinical Manifestations ◽  
Incomplete Resection ◽  
Radiological Imaging ◽  
College Hospital ◽  
Laboratory Findings ◽  
Female Ratio ◽  
Medical College ◽  
The Mean ◽  
The Masses

Purpose: To investigate the clinical characteristics, diagnosis, differential diagnosis, therapy options, and outcomes of retroperitoneal ganglioneuroma.Methods: In this retrospective study, we collected and analyzed the clinical data of 32 patients diagnosed with retroperitoneal ganglioneuroma and admitted to Peking Union Medical College Hospital from October 2012 to August 2019.Results: Among our 32 cases with retroperitoneal ganglioneuroma, the male-to-female ratio was 1:3 and the mean age was 35. Only 25% of the cases presented with abdominal pain while more than 65% had no specific symptoms. The masses could be found through physical examination in only five patients. Most of the tumors are located near the renal area. They were usually single and displayed an embedded growth pattern with diameters <10 cm, clear borders, and soft texture. For radiological imaging, the majority of tumors demonstrated soft tissue density with mild-to-moderate enhancement on CT imaging and showed hypoecho with moderate blood flow signals in ultrasound. No significantly abnormal laboratory examinations were found in most patients. Of all the 32 patients, 2 chose surveillance after biopsy due to difficulties in operation, while others chose surgical resection. The mean follow-up time was 15.8 months among 26 patients. The tumor remained stable in the surveillance cases. Residual tumors were found in four cases receiving operations with no progress and discomfort. No recurrence was seen in all patients.Conclusions: The retroperitoneal ganglioneuroma is a benign tumor without specific clinical manifestations or significant laboratory findings. Typically, it is shown as low density with a clear border and an embedded growth pattern in radiological imaging. The overall prognosis is good. Surgery is an effective approach with possible severe complications. Incomplete resection or surveillance can be considered for some cases where complete resection is difficult to achieve.

scholarly journals Dengue Fever : Study of 100 Cases in a Tertiary Care Hospital in Dhaka City

2015 ◽  
Vol 24 (Number 1) ◽  
pp. 3-7
Author(s):  
A H M Karnal ◽  
K H Mollah ◽  
A Begum ◽  
K Khoda ◽  
S Tanzeem ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Hemorrhagic Fever ◽  
Viral Disease ◽  
Care Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Body Ache

Dengue is a rapidly spreading mosquito-borne viral disease worldwide. The endemicity in Bangladesh is also increasing gradually. The study was a prospective observational one, documented the presenting features and outcome of management. It was carried out in Department of Medicine in Holy Family Red Crescent Medical College Hospital, Dhaka from June 2013 to December 2013. Total 100 admitted cases of both sera positive and sera-negative were included in this study. Detailed history was taken, clinical examination and relevant investigations were done. Out of 100 patients 54 (54%) were male and 46 (46%) were female. So male to female ratio was 1.7:1. The age of the patients ranged from 12-75 years. Among them 20-40 years age group was highest 63%. Patients of higher socio-economic group were (69%) more affected. Out of 100 cases 54 had classical dengue fever (DF), 46 had dengue hemorrhagic fever (DHF). Antibody was positive in 81% cases. All patients presented with high fever, headache in 90%, retro-orbital pain in 45%, body ache in 56%, and backache in 48%. Leucopenia found in 60, platelet count <100x1091L was in 57, HCT- normal 17, <20% rise in 48%, ?20% rise in 28%. With proper management all patients were recovered.

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