scholarly journals External rhinoplasty in post rhinoscleromatous bulbous Nose

2013 ◽  
Vol 19 (1) ◽  
pp. 69-72 ◽  
Author(s):  
Deepalakshmi Tanthry ◽  
Rukma Bhandary ◽  
PP Devan ◽  
A Kavitha ◽  
Gururaj Tanthry
Keyword(s):  
Clinical Examination ◽  
Outpatient Department ◽  
Anterior Rhinoscopy ◽  
Nasal Tip ◽  
Cosmetic Appearance ◽  
Normal Limits ◽  
Bulbous Nasal Tip ◽  
One Year ◽  
External Rhinoplasty ◽  
Bulbous Tip

A 22-year-old male presented to outpatient department with the complaint of widened nasal tip. He was a known case of rhinoscleroma diagnosed five years ago and had taken treatment for the same for one year. He has been asymptomatic since then. On clinical examination the patient had widening of the dorsum of the nose with a bulbous nasal tip. Anterior rhinoscopy was within normal limits. Rhinoplasty was done and the patient had an improvement in his cosmetic appearance. This is one of unique cases of rhinoplasty on bulbous tip due to rhinoscleroma. DOI: http://dx.doi.org/10.3329/bjo.v19i1.11604 Bangladesh J Otorhinolaryngol 2013; 19(1): 69-72

scholarly journals Recovery from Transient Global Amnesia Following Restoration of Hippocampal and Fronto–Cingulate Perfusion

2010 ◽  
Vol 22 (3-4) ◽  
pp. 131-139 ◽  
Author(s):  
Paolo Caffarra ◽  
Letizia Concari ◽  
Simona Gardini ◽  
Sabrina Spaggiari ◽  
Francesca Dieci ◽  
...  
Keyword(s):  
Acute Phase ◽  
Neuropsychological Testing ◽  
Transient Global Amnesia ◽  
Normal Limits ◽  
Global Amnesia ◽  
One Year ◽  
The Right ◽  
Rcbf Spect ◽  
Subject Comparison

A patient who suffered a transient global amnesia (TGA) attack underwent regional cerebral blood flow (rCBF) SPECT imaging and neuropsychological testing in the acute phase, after one month and after one year. Neuropsychological testing in the acute phase showed a pattern of anterograde and retrograde amnesia, whereas memory was within age normal limits at follow up. SPECT data were analysed with a within subject comparison and also compared with those of a group of healthy controls. Within subject comparison between the one month follow up and the acute phase detected increases in rCBF in the hippocampus bilaterally; further rCBF increases in the right hippocampus were detected after one year. Compared to controls, significant hypoperfusion was found in the right precentral, cingulate and medial frontal gyri in the acute phase; after one month significant hypoperfusion was detected in the right precentral and cingulate gyri and the left postcentral gyrus; after one year no significant hypoperfusion appeared. The restoration of memory was paralleled by rCBF increases in the hippocampus and fronto-limbic-parietal cortex; after one year neither significant rCBF differences nor cognitive deficits were detectable. In conclusion, these data indicate that TGA had no long lasting cognitive and neural alterations in this patient.

Experience in the examination of children on the pediatric ward

1986 ◽  
Vol 67 (2) ◽  
pp. 131-132
Author(s):  
T. M. Shigabutdinova
Keyword(s):  
Health Status ◽  
Clinical Examination ◽  
Pediatric Ward ◽  
The Family ◽  
One Year

There are 840 children registered at the pediatric area, including 66 children under one year of age and 140 "unorganized" children. In the course of the clinical examination, the health status of children was studied according to the data of preventive examinations, as well as materials of the district therapist on the health status of the family.

scholarly journals Efficacy of OPD based rigid sigmoidoscopy in diagnosing the patients with bleeding per rectum

2018 ◽  
Vol 6 (1) ◽  
pp. 261
Author(s):  
Hardik Parmar ◽  
Arun R. ◽  
Sahdevsinh Chauhan ◽  
Akshay Sutaria
Keyword(s):  
Clinical Examination ◽  
Diagnostic Yield ◽  
Outpatient Department ◽  
Sigmoidoscopic Examination ◽  
High Diagnostic Yield ◽  
Routine Blood ◽  
Bleeding Per Rectum ◽  
Very High

Background: The aim of study was to evaluate the patients with bleeding per rectum by rigid sigmoidoscopy and to know the various causes of bleeding per rectum in our OPD population and to select the best approach to treat the underlying pathology.Methods: A total 63 patients with bleeding per rectum in whom cause could not be ascertained by routine methods like proctoscopy were considered from outpatient department form January 2017 to June 2018 for the study. Out of 63 patients, rigid sigmoidoscopy done in 31 patients and results were documented. All 31 patients were undergone for complete clinical examination and rigid sigmoidoscopic examination in the surgical OPD and routine blood, urine and stool investigations were also done.Results: Out of 31 cases in which sigmoidoscopic examination has been done, definitive source of bleeding is identified in 22 cases (70.97%) and in 9 cases (29.03%), the source of bleeding could not be detected by rigid sigmoidoscope.Conclusions: Rigid sigmoidoscopy has a very high diagnostic yield (approximately 71% in this study) in patients with bleeding per rectum which could not be detected by routine ano proctoscopy. Hence rigid sigmoidoscopy would be recommended in the workup of patients presenting with bleeding per rectum and it also serves an equally important function in excluding serious colonic lesions like malignancy and enables us to reassure the patient.

scholarly journals Distribution of Dental Diseases and Treatment Delivered amongst Patients Visiting Dental Outpatient Department at Gandaki Medical College, Nepal

2018 ◽  
Vol 11 (1) ◽  
pp. 29-32
Author(s):  
S L Tuladhar ◽  
U Parajuli ◽  
P Manandhar ◽  
N Subedi ◽  
D Kunwar
Keyword(s):  
Dental Caries ◽  
Dental Restoration ◽  
Outpatient Department ◽  
Dental Disease ◽  
Age Group ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Medical College ◽  
Dental Diseases ◽  
One Year

Introduction: A study of dental diseases amongst patients attending dental outpatient department (OPD) helps us plan a preventive, and/or a definitive dental treatment.Objectives: To find out the distribution of dental diseases amongst patients visiting dental OPD at College of Dental Surgery, Gandaki Medical College (GMC), Pokhara, Nepal.Methods: The present study was a hospital based cross sectional descriptive study carried out during a period of one year extending from 1st February 2016 to 31st January 2017. A total of 3052 patients attending the dental OPD were included in the study. The distribution of dental diseases according to sex, age and diagnosis were collected and analyzed. Additionally, frequency distribution of treatments provided to the patients was observed.Results: Dental caries was the most prevalent dental disease (64.41%) followed by gingivitis (13.04%). The prevalence of dental caries was significantly higher in females (Females 56.91% vs. males 43.08%, P <0.05). Conversely, the prevalence of maxillofacial injuries (85.06%), dental impactions (72%), and malocclusion (53.88%) were significantly more common in male patients (P <0.05). The age group <19 years comprised 23.98 % of patients who visited the dental OPD, and the dental caries was most prevalent (27.10%) in the age group. The order of more frequent dental treatments was root canal treatment (18.84%), tooth extraction (18.44%), dental restoration (10.48%), and scaling (9.20%).Conclusions: The most prevalent dental disease was dental caries and it was more prevalent in females than in males. The most common age group reporting to Dental OPD was <19 years. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 29-32

scholarly journals Home Therapy for Haemophilia in Norway: Effect on Transfusion Frequency and Absenteeism

1977 ◽  
Author(s):  
S.A. Evensen ◽  
R. Thaule ◽  
K. Grøan
Keyword(s):  
Liver Function Tests ◽  
Factor Ix ◽  
Haemophilia A ◽  
Home Therapy ◽  
Factor Level ◽  
Normal Limits ◽  
Viii And Ix ◽  
The Mean ◽  
One Year

Twenty-seven patients with haemophilia A or B (factor level of 1% or less) have so far been instructed to administrate concentrates of the deficient factor (mean dose: 14 units/kg) in case of episodic, uncomplicated bleedings without prior consultation with a physican. Twenty-five patients(21 with haemophilia A and 4 with haemophilia B) are at present included in the program. They represent 19% of all patients with severe haemophilia in Norway and range in age between 7 and 45 years. For 15 patients data from one year on home therapy have been compared with data from the preceding year. There was 77% reduction in days lost from work. The number of infusions increased 22%. Use of factor VIII and IX increased 37% because the mean dose per bleed was 27% higher than the dose previously received by the patients. Liver function tests remained within normal limits for all but 2 patients receiving factor IX concentrates. None were HBAg positive, 4 turned HBAb positive. Home therapy is practical and safe and improves the quality of life considerably.

scholarly journals Frequency of Developmental Dental Anomalies in the Indian Population

2010 ◽  
Vol 04 (03) ◽  
pp. 263-269 ◽  
Author(s):  
Kruthika S Guttal ◽  
Venkatesh G Naikmasur ◽  
Puneet Bhargava ◽  
Renuka J Bathi
Keyword(s):  
Prospective Study ◽  
Clinical Examination ◽  
Indian Population ◽  
Outpatient Department ◽  
Dental Anomalies ◽  
Oral Medicine ◽  
Careful Observation ◽  
Fused Teeth ◽  
Male Patients ◽  
Dens Invaginatus

Objectives: To evaluate the frequency of developmental dental anomalies in the Indian population.Methods: This prospective study was conducted over a period of 1 year and comprised both clinical and radiographic examinations in oral medicine and radiology outpatient department. Adult patients were screened for the presence of dental anomalies with appropriate radiographs. A comprehensive clinical examination was performed to detect hyperdontia, talon cusp, fused teeth, gemination, concrescence, hypodontia, dens invaginatus, dens evaginatus, macro- and microdontia and taurodontism. Patients with syndromes were not included in the study.Results: Of the 20,182 patients screened, 350 had dental anomalies. Of these, 57.43% of anomalies occurred in male patients and 42.57% occurred in females. Hyperdontia, root dilaceration, pegshaped laterals (microdontia), and hypodontia were more frequent compared to other dental anomalies of size and shape.Conclusions: Dental anomalies are clinically evident abnormalities. They may be the cause of various dental problems. Careful observation and appropriate investigations are required to diagnose the condition and institute treatment. (Eur J Dent 2010;4:263-269)

Acoustic Measurements of Objective Tinnitus

1990 ◽  
Vol 33 (4) ◽  
pp. 816-821 ◽  
Author(s):  
Craig A. Champlin ◽  
Stephen P. Muller ◽  
Stephen A. Mitchell
Keyword(s):  
Jugular Vein ◽  
Cutoff Frequency ◽  
Low Frequency ◽  
Masking Effect ◽  
Hearing Sensitivity ◽  
Normal Limits ◽  
Objective Tinnitus ◽  
Low Pass ◽  
Vascular Origin ◽  
One Year

Ear canal sound pressure levels were measured from a 38-year-old woman who had experienced objective tinnitus in her right ear for approximately 2 years. The tinnitus sounded like a series of “sighs” that were synchronous with her pulse rate. Because the level of the tinnitus fluctuated in a pulsing manner, it appeared to be of vascular origin. Psychoacoustically, the tinnitus behaved like a low-pass masker (cutoff frequency = 1.5 kHz) of about 40 dB SPL. This masking effect was manifested as a low-frequency hearing loss in the subject’s right ear. A miniature microphone system was used to monitor the tinnitus before, during, and after a jugular-vein ligation. Because the cause of the tinnitus was only generally known, acoustically monitoring the sound as the jugular vein and/or its tributaries were systematically clamped and then released enabled the site of generation to be known exactly. By monitoring the tinnitus during surgery, the effectiveness of the corrective procedure could be immediately evaluated. Hearing sensitivity in the affected ear returned to normal limits following the elimination of the tinnitus. One year after the surgery, the tinnitus was barely audible to the woman, but only when she positioned her head a specific way. The level of the tinnitus measured in this head-turned condition was markedly lower than the level obtained preoperatively.

Sign in / Sign up

Export Citation Format

Share Document