scholarly journals Study of obstructive jaundice in adult: association between clinical diagnosis and operative "ndings

2019 ◽  
Vol 47 (1) ◽  
pp. 33-36
Author(s):  
Mohammad Golam Masum ◽  
ABM Sarwar Jahan ◽  
Md Rezwanul Haque Robbani ◽  
Fayed Chowdhuray ◽  
Mohammed Faroque Hossain
Keyword(s):  
Obstructive Jaundice ◽  
Clinical Diagnosis ◽  
Pancreatic Head ◽  
Serum Bilirubin Level ◽  
Female Ratio ◽  
Head Of The Pancreas ◽  
Average Rise ◽  
Operative Findings ◽  
Medical University ◽  
Male To Female

Obstructive jaundice is a condition in which there is blockage of the flow of bile out of the liver. To find out the correlation between clinical diagnosis and operative findings of patients having obstructive jaundice. This prospective observational study was conducted at the Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2008 to April 2009. Fifty clinically diagnosed obstructive jaundice cases were enrolled in this study. A detailed history was taken and thorough physical examination was done. Also necessary haematological, biochemical, radiological and other special investigations were carried out.  In this study, mean age of the patients was 42.9 years and male to female ratio was 1:1.17. The most frequent cause was choledocholithiasis (40%), stricture of CBD (6.0%), retained stone (14.0%), parasitic obstruction (4.0%), carcinoma (30.0%) and other cause (6.0%). Serum bilirubin level was below 10mg/dl in all cases of stricture of CBD. It was above 15mg/dL in cases of carcinoma head of the pancreas. The rise of Serum alkaline phosphates level was up to 3 folds in cases with choledocholithiasis, biliary stricture and pancreatic head malignancy. The average rise in other cases was 1 to 2 folds. Sensitivity and specificity of pre operative clinical diagnosis of choledocholithiasis, carcinoma and retain stone was 86.4 & 96.4%, 92.3 & 91.9% and 71.4 & 95.3% respectively. Pre operative clinical diagnosis of obstructive jaundice is a good diagnosis tool in diagnosis of causes of obstructive jaundice. Bangladesh Med J. 2018 Jan; 47 (1): 33-36

scholarly journals P129 The utility of routine operative swab culture in uncomplicated peri-anal abscesses

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Apoorva Khajuria ◽  
Tuba Rahim ◽  
Mariam Baig ◽  
Kai Leong ◽  
Apoorva Khajuria
Keyword(s):  
Inflammatory Bowel Disease ◽  
Perianal Abscess ◽  
Female Ratio ◽  
Incision And Drainage ◽  
Common Presentation ◽  
History Of ◽  
Inflammatory Bowel ◽  
Operative Findings ◽  
The Cost ◽  
Male To Female

Abstract Introduction Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures. Methods A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken. Results Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually. Conclusion Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.

Rate of Metabolic Syndrome Among Patients with Facial Acanthosis Nigricans

2019 ◽  
Vol 47 (2) ◽  
pp. 12-16
Author(s):  
Abida Sultana ◽  
Mohammed Saiful Islam Bhuiyan ◽  
Md Mostaque Mahmud
Keyword(s):  
Metabolic Syndrome ◽  
Large Scale ◽  
Acanthosis Nigricans ◽  
Serum Insulin ◽  
Venous Blood ◽  
Insulin Level ◽  
Type Ii Diabetes Mellitus ◽  
Female Ratio ◽  
Medical University ◽  
Male To Female

Facial acanthosis nigricans (FAN) is an ignored dermatological entity. Nowadays it occurs more frequently than previous days may be due to changing economic and social status of our country. Aim of this study was to assess the rate of metabolic syndrome in cases of facial acanthosis nigricans. This observational study was conducted in the outpatient department (OPD) of dermatology and Venereology of Bangabandhu Sheikh Mujib Medical University (BSMMU) in the year 2017 among thirty clinically diagnosed cases of FAN. After taking their informed written consent; BMI, random plasma glucose, fasting lipid profile and serum insulin level was estimated in venous blood and recorded accordingly. To confirm metabolic syndrome we followed NCEP ATP III guideline (2005) where 3 of 5 positive criteria confirmed the diagnosis. All data was preserved in a secured computer device and was analyzed with SPSS program with appropriate statistical tools. Mean (±SD) age of patients was 35.63 ± 14.26 years and male to female ratio was 1:1.14. The mean BMI of cases was 33.73±3. We found 11 cases with hypertension, 8 with type II diabetes mellitus and 9 with dyslipidemia. Among the 30 cases of FAN 12 zygomatic type, 8 generalized type and 5 had band like pigmentation on the forehead. Twenty-three patients had acanthosis nigricans on both sides of body. According to our preset criteria we found 26.66% cases had metabolic syndrome. The rate of metabolic syndrome is higher in facial acanthosis nigricans patients. A further large scale study is recommended for strengthening this study findings. Bangladesh Med J. 2018 May; 47 (2): 12-16

scholarly journals DETERMINATION OF SENSITIVITY AND SPECIFICITY OF ULTRASONOGRAPHY IN ACUTE APPENDICITIS: COMPARISON WITH PER-OPERATIVE FINDINGS AND HISTOPATHOLOGICAL REPORT

2017 ◽  
Vol 10 (9) ◽  
pp. 151
Author(s):  
Sasmita Parida ◽  
Bibekananda Nayak ◽  
Jayashree Mohanty
Keyword(s):  
Acute Appendicitis ◽  
Reproductive Period ◽  
Bowel Loop ◽  
Predictive Values ◽  
Female Ratio ◽  
Operative Findings ◽  
Sensitivity Specificity ◽  
A Prospective Study ◽  
Histopathological Results ◽  
Male To Female

  Objective: This study was under taken to compare the ultrasonographic findings with pre-operative findings and histo-pathological report and to evaluate the sensitivity, specificity, positive and negative predictive values and accuracy of ultrasonography in the diagnosis of acute appendicitis.Methods: It was a prospective study done in the department of radio-diagnosis, SCBMCH, Cuttack. Patients with provisional diagnosis of acute appendicitis were subjected to ultrasound of abdomen and pelvis. Patients with positive USG findings were followed up for pre-operative findings and histo-pathological results. All the obtained data were tabulated and subjected to statistical analysis.Results: Among the 100 cases studied, 77 cases were proved as acute appendicitis based on surgical and histopathological results. Male to female ratio was 1.5:1. The disease was found to be more prevalent in second and third decade of life. Location of affected appendix was most commonly retro caecal. Mean diameter of the appendix was 8.56 mm. Target sign and non-compressible bowel loop was the most commonly detected ultrasonographic sign and the ultrasonographic sensitivity was 96.1% and specificity was 95.65% in our study.Conclusion: High resolution sonography with graded compression is a very useful diagnostic tool for diagnosis of appendicitis in problematic cases and in women in their reproductive period. It is also helpful in detecting complications of appendicitis and other abdominal diseases that mimic acute appendicitis.

scholarly journals Effects of Griseofulvin in the Treatment of Lichen Planus -A Study in BSMMU

1970 ◽  
Vol 6 (2) ◽  
pp. 86-88
Author(s):  
KG Sen ◽  
RM Hira ◽  
AZMM Islam ◽  
SK Sarker ◽  
MN Sarker ◽  
...  
Keyword(s):  
Lichen Planus ◽  
Complete Response ◽  
Oral Lesion ◽  
Therapeutic Trial ◽  
Inflammatory Disorder ◽  
Oral Lesions ◽  
Female Ratio ◽  
Moderate Improvement ◽  
Medical University ◽  
Male To Female

Lichen Planus (LP) is an inflammatory disorder of skin, mucous membranes, nails and hair. There are various modalities of treatment but none is curative. This prospective therapeutic trial was done among patients with lichen planus at the outpatient department of Dermatology & Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka between November 2001 and April 2002. Total 20 patients were taken of them 12 were male and 8 were female with male to female ratio 3:2. Age of the patients was between 10 to 50 years. Patients were diagnosed clinically & confirmed histologically. They were treated with griseofulvin 500 mg daily for 6 months. Out of 20 patients, 8 had only oral lesions, of them 2 (25%) showed complete response, 3(37.5%) showed moderate improvement and 4 (37.5%) showed no response. Other 12 patients had lichen planus involving skin without oral mucosa, of them 4 (33.3%) showed moderate improvement, 4 (33.3%) showed no response and 4 (33.3%) patients worsens with treatment. So, success in patients with cutaneous lichen planus is less likely; however, griseofulvin may afford relief in selected patients with oral lesion. This study indicates that further prospective placebo controlled studies are needed to clarify the efficacy of griseofulvin in lichen planus. Key words: Lichen planus; Griseofulvin DOI: http://dx.doi.org/10.3329/fmcj.v6i2.9207 FMCJ 2011; 6(2): 86-88

593 The Utility of Routine Operative Swab Culture in Uncomplicated Peri-Anal Abscesses

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Khajuria
Keyword(s):  
Inflammatory Bowel Disease ◽  
Perianal Abscess ◽  
Female Ratio ◽  
Incision And Drainage ◽  
Common Presentation ◽  
History Of ◽  
Inflammatory Bowel ◽  
Operative Findings ◽  
The Cost ◽  
Male To Female

Abstract Introduction Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures. Method A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken. Results Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually. Conclusions Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.

scholarly journals Clinicopathological Profile of Rhabdomyosarcoma in Children

2012 ◽  
Vol 30 (3) ◽  
pp. 132-136
Author(s):  
Umme Habiba Begum ◽  
Afiqul Islam
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Mass Lesion ◽  
Female Ratio ◽  
Head And Neck Region ◽  
Clinicopathological Profile ◽  
Common Clinical Presentation ◽  
The Common ◽  
Medical University ◽  
Male To Female

Objectives: To describe the clinical profile as well as  histopathological sub-types of Rhabdomyosarcoma in  children.Methods: A hospital base prospective observational study  was conducted among 20 diagnosed cases of  Rhabdomyosarcoma in children, those attending in  Hemato-Oncology department of Bangabandhu Sheikh  Mujib Medical University (BSMMU), Dhaka in the period  between January to December 2009.Results: The peak incidence of Rhabdomyosarcoma was  in 1-5 years of age group (n=9, 45%) with mean age 6.83  years with male to female ratio 5.66:1. The common sites  of primary tumor was in head and neck region (40%, n=08),  followed by genito-urinary tract, 30% (n=06), extremities  20% (n=04), trunk 10% (n=02). The most common clinical  presentation was mass lesion 100% (n=20), followed by local  pain 25% (n=05), urinary obstructions 15% (n=03)  dysphagia, chronic otorrhea, dysuria, haematuria, and  proptoses were 10% each (n=02, each); The histological  sub-types were Embryonal 60% (n=12), alveolar 30% (n=6),  and Botryoid 10% (n=02); Of Embryonal variety in head  and neck region 58.33% (n=7), and Genito-urinary sites  41.67% (n=5); of Alveolar variety in trunk 66.67% (n=4),  and in extremities33.33% (n=2), of Botryoid sub-type  frequency was equal in head - neck region and genitourinary  site 50% each (n=1).Conclusion: Children with Rhabdomyosarcoma presented mostly in 1 to 5 years of age, with mass lesion (100%),  predominantly in head and neck region (40%) and the  commonest histological sub-type was Embryonal variety  (60%). DOI: http://dx.doi.org/10.3329/jbcps.v30i3.12461 J Bangladesh Coll Phys Surg 2012; 30: 132-136

An audit of foeticide, neonaticide and infanticide: A retrospective study in the Department of Forensic Medicine, King Edward Medical University, Lahore

2022 ◽  
pp. 002581722110381
Author(s):  
Qasim Mehmood ◽  
Fatima Yasin ◽  
Arif Rasheed Malik
Keyword(s):  
Mental Illness ◽  
Retrospective Study ◽  
Head Injury ◽  
First Year ◽  
Female Ratio ◽  
Causative Factors ◽  
Socioeconomic Stress ◽  
First Year Of Life ◽  
Medical University ◽  
Male To Female

The deliberate killing of a foetus in the womb, or a child from the first 24 h of birth to one month of age, or within the first year of life, is called foeticide, neonaticide and infanticide, respectively. Socioeconomic stress, mental illness, gender selection, shame or fear of punishment of adultery or illegitimacy, grudge and jealousy with parents and negligent delivery by dai are major causative factors in such cases. This is a retrospective, descriptive, observational study, and the sample pool consisted of 35 cases. Foeticide cases were 42.9% of the total and the same percentage of cases were neonaticides, while 14.3% of cases were of infanticide. The male-to-female ratio was 1.26:1 and the major cause of death was head injury. The study shows a prevalence of foeticide and neonaticide as compared to infanticide. It also displays the prevalence of males in overall cases and a higher number of unknown cases in our setting.

Sonological evaluation of thyroid swellings

2021 ◽  
Vol 12 (2) ◽  
pp. 72-76
Author(s):  
Raghu G ◽  
Keyword(s):  
Thyroid Gland ◽  
Papillary Carcinoma ◽  
Clinical Diagnosis ◽  
Nodular Goiter ◽  
Anaplastic Carcinoma ◽  
Age Group ◽  
Thyroid Malignancy ◽  
Thyroid Lesion ◽  
Female Ratio ◽  
Male To Female

Background: Ultrasonography has become the procedure of choice for the initial evaluation of thyroid gland in many centers. It permits a quick evaluation of thyroid gland; its relationship with adjacent structure and an assessment of the main lymph node chains of the neck. The major advantage of ultrasound is the rapidity with which the images are obtained. In order to study the various typical and atypical sonological features of those lesions presenting as thyroid swellings, this study was undertaken. Aims and Objectives: To evaluate thyroid swelling with reference to-Ultrasonic appearance and characteristics of thyroid gland in its various disorders. Materials and Methods: In this series, during the period from September 2002 to September 2004, 65 cases of clinically suspected thyroid swellings were studied using real time ultrasound. The patients were referred from surgical and medical units of Victoria hospital, Bangalore. Results: 16.92% of patients were males and 83.08% females with male to female ratio of 1:4.9. Maximum number of cases was found in the age group 31-40 years (25 out of 65 cases i.e. 38.46%). Nodular goiter was found in 56.91% and 5 patients of thyroid malignancy of which 3 patients were papillary carcinoma, 1 was follicular carcinoma, and 1 patient was anaplastic carcinoma. The sonographic findings in clinical diagnosis of solitary thyroid nodule in 38 patients only 22 (i.e. 57.89%) of these were truly solitary on ultrasound examination. Of 27 patients referred with clinical diagnosis of multinodular disease, 6 patients had diffuse enlargement of the gland, 20 patients had multinodular involvement on ultrasonographic examination. Conclusions: Thyroid lesions were more common in females with male to female ratio of 1:4.9. Most frequently encountered thyroid lesion was nodular goiter and maximum incidence occurred in the age group of 31-40 years. 11 cases of adenoma and 5 cases of thyroid malignancy were found which included 3 cases of papillary carcinoma suggesting it as the commonest malignancy.

Pattern of dermatophyte in Bangabandhu Sheikh Mujib Medical University

2012 ◽  
Vol 6 (2) ◽  
pp. 11-14 ◽  
Author(s):  
Mst. Rummana Rahim ◽  
Ahmed Abu Saleh ◽  
Md. Ruhul Amin Miah ◽  
Shaheda Anwar ◽  
Md. Muzibur Rahman
Keyword(s):  
Trichophyton Rubrum ◽  
Trichophyton Mentagrophytes ◽  
Age Group ◽  
Female Ratio ◽  
Epidermophyton Floccosum ◽  
Tinea Unguium ◽  
Medical University ◽  
Male To Female ◽  
Dermatophyte Species ◽  
Culture Positive

Dermatophytes are by far the most significant fungi because of their widespread involvement of population at large and their prevalence all over the world. This is an attempt to observe the spectrum of dermatophytes among the clinically suspected cases of dermatophytosis attending the outpatient department of Dermatology and Venereology, Bangabandhu Sheik Mujib Medical University, Dhaka. Three hundred and twenty clinically suspected cases of dermatophytosis were subjected to mycological studies. One hundred and five cases (32.8%) were positive for fungus in direct microscopy while 97(30.3%) were culture positive. Tinea unguium was the most common clinical type encountered followed by tinea corporis. Dermatophytosis was more common in the age group of 21-30 years. The male to female ratio was 1.54:1. Trichophyton rubrum 84(86.6%) was found common etiological dermatophyte species followed by Trichophyton mentagrophytes 8(8.2%) and Epidermophyton floccosum 5(5.2%).DOI: http://dx.doi.org/10.3329/bjmm.v6i2.19370 Bangladesh J Med Microbiol 2012; 06(02): 11-14

scholarly journals Exxtraintestinal Manifestations of Crohn's Disease in Bangladesh

2013 ◽  
Vol 21 (2) ◽  
pp. 58-59
Author(s):  
Rajib Barua ◽  
Dewan Saifuddin Ahmed ◽  
ASMA Raihan ◽  
Mohammad Abul Kalam Azad ◽  
Sadesh Kumar Chakrovortty ◽  
...  
Keyword(s):  
Early Recognition ◽  
Individual Case ◽  
Asia Pacific ◽  
Aphthous Ulcer ◽  
Extraintestinal Manifestations ◽  
Extraintestinal Manifestation ◽  
Female Ratio ◽  
Important Differential Diagnosis ◽  
Medical University ◽  
Male To Female

Crohn’s disease has been considered to be uncommon in Asia Pacific region The study was undertaken to know the extraintestinal manifestations of Crohn’s disease in Bangladesh and to compare the result with that of other Asian and Western countries. This was an observational study consisting of patients seen in the department of gastroenterology, Bangabandhu Sheikh Mujib Medical University for 20 years (between 1991 and 2010). Individual case records were carefully reviewed with regard to gender, sex and extraintestinal manifestations. A total of 41 patients with Crohn’s disease were identified. 70.7% were male and 29.3% were female with male to female ratio was 2.4:1. Mean age was 34±11.8 years and peak age group was 21-30 years. The chief extraintestinal manifestations were arthritis, aphthous ulcer in the oral cavity, erythema nodosum and episcleritis. Arthritis was the most frequent among the extraintestinal manifestations. So, Crohn’s disease should be considered as an important differential diagnosis when a patient presents with bowel symptoms associated with extraintestinal manifestation and thus early recognition and treatment could be possible. DOI: http://dx.doi.org/10.3329/bjmed.v21i2.13611 Bangladesh J Medicine 2010; 21: 58-59

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