scholarly journals Mode of Presentation of Liver Cirrhosis: A Study in a Tertiary Level Hospital

2021 ◽  
Vol 16 (1) ◽  
pp. 39-41
Author(s):  
Mohammad Iqbal Hossain ◽  
Md Aynul Islam ◽  
MM Bodiuzzaman ◽  
Md Shahidul Islam Talukder ◽  
MM Shahin Ul Islam ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Case Fatality ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Peripheral Edema ◽  
Medical College ◽  
Clinical Presentations ◽  
Male To Female

Liver cirrhosis is an important cause of death and disability globally. This cross-sectional study was carried out in Faridpur Medical College Hospital from November 2018 to April 2019 to see the patterns of clinical presentations and associated factors among admitted liver cirrhosis patients. A total of 89 patients were included. Data were collected by detailed history from patients or their relatives followed by thorough physical examination as well as diagnostic evaluation; then those were checked, verified for consistency and edited for result. Among total respondents, the majority were male (69.7%) with a male to female ratio of 1:0.44. Age of patients ranged between 22-106 years with mean age of 52.33 year. The patients predominantly presented with ascites (49.4%), gastrointestinal bleeding (27%), peripheral edema (24.7%), and encephalopathy (21.3%). The in-hospital case fatality rate was 11.2% and the patients presented with decreased urinary output, peripheral edema and encephalopathy had statistically significant death rate. The results of the study highlighted that the patients with liver cirrhosis mostly present with features of decompensation and there is a statistically significant relation with some of these clinical presentations with in-hospital mortality. Faridpur Med. Coll. J. 2021;16(1):39-41

scholarly journals Comparison of early appendectomy versus conservative management for appendicular lump at Tertiary Care Hospital.

2020 ◽  
Vol 27 (09) ◽  
pp. 1818-1822
Author(s):  
Zulfiqar Ali Imtiaz Memon ◽  
Mashooque Ali Khowaja ◽  
Inayat Ali Zardari ◽  
Altaf Hussain Ghumro ◽  
Farkhanda Jabeen Dahri ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Wound Dehiscence ◽  
Cross Sectional Study ◽  
Histopathological Diagnosis ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Negative Results ◽  
Clinical Presentations

Objectives: The purpose is to compare two options of management of appendicular lump in order to sort out the better one for the benefit and betterment of populace. Study Design: Cross Sectional study. Setting: Peoples Medical College Hospital Nawabshah. Period: 2016 August to August 2018. Material & Methods: Total 50 patients of appendicular lump were included in this research. All patients were divided into 2 groups. Group 1 included those patients undergoing emergency appendectomy. They were admitted, optimized and the required treatment was initiated. Results: Of total 50, 30(60%) were male and 20(40%) were females. Age was between 14 to 51 years. All patients presented with different clinical presentations. Pain in RIF was in 42(84%) patients whereas 47(94%) patients presented with lump in RIF. 20(40%) patients were operated for appendectomy in emergency and 5(10%) patients for right hemi-colectomy. Histopathological diagnosis was inflammation in 24(48%) patients and 1(2%) resulted in cecal tumor. Infected wound was found in 15 (30%) patients, hematoma in 3 (6%), wound dehiscence in 1(2%) and also cecal fistula in 1 (2%). Conclusion: Conservative treatment is better option to treat appendicular lump with least negative results.

scholarly journals Aetiology and Clinical Presentation of Pancytopenia in a Teaching Hospital

2019 ◽  
Vol 13 (2) ◽  
pp. 62-65
Author(s):  
ATM Ataur Rahman ◽  
ARM Saifuddin Ekram ◽  
Mohammed Shahadat Hossain ◽  
Jayanta Kumar Saha ◽  
Fahreen Rahman ◽  
...  
Keyword(s):  
Aplastic Anaemia ◽  
Cross Sectional Study ◽  
Morphological Description ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Presentations ◽  
Physical Findings ◽  
Age Range ◽  
Secondary Causes

Pancytopenia is a morphological description of the peripheral blood picture irrespective of its cause & it denotes simultaneous presence of anaemia, leucopenia and thrombocytopenia. The study was done to observe the demographic profile & the clinical presentations of pancytopenic patients and to find out the aetiology of pancytopenia. This cross sectional study was carried out in Medicine ward of Rajshahi Medical College Hospital from August 2005 to July 2006. A uniform protocol was followed in all cases, to have appropriate history, physical findings & laboratory investigations. The commonest cause of pancytopenia was aplastic anaemia (48%) which was followed by hypersplenism (22%) & acute leukemia (16%). The majority cases of aplastic anaemia were idiopathic (57.69%), only 42.31% cases were due to secondary causes. The majority (94%) of patients was in the age range of 14-60 years and up to 54% was in the age group of 20-40 years. The ratio of male to female in patients of pancytopenia was 1.5:1 and 3:1 in aplastic anaemia. In secondary causes of aplastic anaemia, insecticides and viral hepatitis was found to be causative agent in 45.45% cases of each followed by pregnancy in 9.10% of cases. The common presenting complains of aplastic anaemia were generalized weakness (100%), gum bleeding (76.92%), fever (76.92%) and pallor (96.15%). Faridpur Med. Coll. J. Jul 2018;13(2): 62-65

Age, Gender and Common Site of Haematoma Formation among Acute Subdural Hematoma Patients: Experience of 48 Cases in Bangladesh

2021 ◽  
Vol 17 (2) ◽  
pp. 54-57
Author(s):  
Kalim Uddin ◽  
Md Abdus Salam ◽  
Ashraful Haque ◽  
Amir Md Khan ◽  
Md Mahfuzur Rahman ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Cross Sectional Study ◽  
Acute Subdural Hematoma ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Male And Female ◽  
Medical College ◽  
And Gender ◽  
One Year

Background: Acute subdural hematoma can occurs in different age group of patients in both male and female. Objective: The purpose of the present study was to observe the age and gender distribution among acute subdural hematoma patients. Methodology: This cross-sectional study was carried out in the Neurosurgery Department of Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2011 to August 2012 for a period of one year and eight months. Patients with acute subdural hematoma who fulfil the inclusion criteria for surgery and got admitted were selected as study population. Acute Subdural hematoma patient of any age, both sex with GCS 5 to 13, thickness of hematoma more than l0 mm, midline shift more than 5 mm, pupil reacting to light and patient presented within 72 hours of injury were included for this study. At admission, a detailed history of the illness was taken from the patient or attendant, thorough general and neurological examinations were carried out and were recorded. Result: A total number of 48 patients were recruited for this current study. The mean age of the patients was 32.39±11.63 years and their age ranged from 10 to 56 years. The male and female ratio was 5:1. Out of 48 patients 17(31.25%) cases were fronto-temporal. Temporo-parietal were 16(33.3%) patients. Fronto-temporo-parietal were 7(14.5%) cases. Parietal were 5(10.41%) cases. Frontal were 3 (6.25%) case. Conclusion: In conclusion majority of the patients are male young adults presented with fronto-temporal and temporo-parietal region of shull. Journal of Science Foundation 2019;17(2):54-57

scholarly journals Presentation of sinonasal carcinoma

2014 ◽  
Vol 19 (2) ◽  
pp. 99-103
Author(s):  
Md Momenul Haque ◽  
Mohammad Idrish Ali ◽  
Md Harun-Ar-Rashid ◽  
Md Tariqul Islam ◽  
Mujibur Rahman ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Economic Condition ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Sinonasal Carcinoma ◽  
Age Limits

Objective: To observe the pattern of clinical presentation according to site of origin of sinonasal carcinoma. Methods: This cross-sectional study was done in the Department of Otolaryngology-Head and Neck Surgery, BSMMU and Dhaka Medical College Hospital, Dhaka during the period from January 2008 to December 2009. Patients of sinonasal carcinoma were evaluated by detailed history, clinical examination and relevant investigations. Results: The present study included 40 patients of sinonasal malignancy bearing age limits of 4 years to 75 years with mean age 48.29. Male and female ratio was 2.6:1. Most patients (77.5%) came from rural area and illiterate (40%) and most of them were farmers (40%), having poor socio-economic condition (50%). About 35% of them were smokers and more than one other personal habit. Majority patients presented with multiple sinuses involvements (72.5%) and among single sinus involvement maxillary sinus was most common (63.63%), followed by nasal cavity (27.27%) and ethmoidal sinus (9.09%) as primary site. Conclusion: Though carcinoma of the nose and paranasal sinuses is relatively uncommon, it is not uncommon in our country. This disease generally presents in an advanced stage. Overall prognosis was directly related to diseases stages. DOI: http://dx.doi.org/10.3329/bjo.v19i2.17632 Bangladesh J Otorhinolaryngol 2013; 19(2): 99-103

scholarly journals Performance of CT Scan in diagnosis of Sinonasal mass

2019 ◽  
Vol 24 (2) ◽  
pp. 149-155
Author(s):  
Lodh Dipankar ◽  
Islam Nazmul ◽  
Talukder Debesh ◽  
Majumder Rita ◽  
Arafat Shahriar ◽  
...  
Keyword(s):  
Ct Scan ◽  
Histopathological Examination ◽  
Malignant Tumour ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Sinonasal Mass ◽  
Histopathological Results

Objective: To establish CT scan as a sensitive modality in the diagnosis of sinonasal mass by correlating with the findings of histopathological examination Methods: This cross sectional study was conducted in Dhaka Medical College Hospital (DMCH) from 01/07/2013 to 30/06/2014. A total of 32 cases were studied. Results: In this study male and female ratio was 1.4:1. So, the incidence of sinonasal mass slightly higher in male (59.3%) compared to the female (40.6%). Incidence of malignant tumour was found more in age group above 60 years. Out of 32 patients, 6 patients (18.7%) were diagnosed histopathologically as infective, 7 patients (21.8%) were benign and 19 patients (59%) had malignant sinonasal mass. Conclusion: Computed tomography (CT) scan examination of the sinonasal mass correlate well in most of the cases with histopathological results. It is therefore can be concluded that CT examination of nose and paranasal sinuses is a useful modality in the evaluation of sinonasal mass.  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 149-155

scholarly journals Comparative Study of Ultrasound Guided FNAC and Conventional FNAC in the Diagnosis of Parotid Tumour

2015 ◽  
Vol 21 (1) ◽  
pp. 5-16
Author(s):  
Mohammad Obaidul Islam ◽  
Md Zakaria Sarker ◽  
Muddassir Mahmud ◽  
Mesbah Uddin Ahmed ◽  
Ashequr Rahman Bhuiyan ◽  
...  
Keyword(s):  
Imaging Modality ◽  
Cross Sectional Study ◽  
Clinical Feature ◽  
Parotid Tumor ◽  
Ultrasound Guided ◽  
College Hospital ◽  
Cross Sectional ◽  
Predictive Values ◽  
Female Ratio ◽  
Medical College

Objective: To evaluate role of ultrasound guided FNAC for the diagnosis of parotid tumor.Methods: This cross sectional study was conducted in 39 patients with parotid tumor admitted in the ENT department of out door of Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital, and Sir Salimullah Medical College and Mitford Hospital Dhaka, during July 2013 to June 2014 were enrolled for surgical management. Conventional FNAC and ultrasound guided FNAC were done in all these patients and they were followed up from the admission upto the post operative tissue diagnosis of parotid tumor in respective pathology departments for histopathological correlation.Results: The highest incidence of parotid tumor was in 4th decade and male to female ratio was almost 1:1. The main clinical feature were 27(69.2%) had firm, 6(15.4%) soft, 1(2.6%) hard and 5(12.8%) over the parotid tail. The validity of histopathology evaluation for pleomorphic in USG FNAC sensitivity 95.7%, specificity 100.0%, accuracy 97.4%, positive predictive values 100.0%, negative predictive values 94.1%. Evaluation for Meucoepidermoid sensitivity 80.0%, specificity 97.1%, accuracy 94.9%, positive predictive values 80.0%, negative predictive values 97.1% in USG FNAC. In USG FNAC for identification Warthin sensitivity 100.0%, specificity 100.0%, accuracy 100.0%, positive predictive values 100.0%, negative predictive values 100.0%. Evaluation for Adenocystic in USG FNAC sensitivity 100.0%, specificity 100.0%, accuracy 100.0%, positive predictive values 100.0%, negative predictive values 100.0%.Conclusion: It can be concluded that Ultrasound guided FNAC has definite value in the diagnosis of tumours and can be regarded as a sensitive and specific imaging modality for pre-operative discrimination of the benign and malignant parotid tumours.Bangladesh J Otorhinolaryngol; April 2015; 21(1): 5-16

scholarly journals A Comparative Study Among Different Invasive Methods For The Diagnosis Of Helicobacter Pylori

1970 ◽  
Vol 5 (1) ◽  
pp. 21-24
Author(s):  
MDU Islam ◽  
SHZ Rahman ◽  
SM Shamsuzzaman ◽  
N Muazzam ◽  
SG Kibria ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Rapid Urease Test ◽  
World Population ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Diagnostic Endoscopy ◽  
Urease Test ◽  
H Pylori

H. pylori infection occurs worldwide. Approximately 50% of the world population is infected with this organism. A cross-sectional study was conducted on 81 dyspeptic patients attending at Dhaka Medical College Hospital, for diagnostic endoscopy. H. pylori infection was measured by three invasive methods: culture, rapid urease test & histopathology. Among study patients maximum (34.57%) H. pylori infected were in 21-30 years age group, bearing male female ratio 1: 92.86. Forty four (54.32%) out of 81 were culture positive, 61 (75.31%) were rapid urease test positive and 62 (76.54%) were histopathology positive. By using 'gold standard' definition, 64 (79.02%) were H. pylori infected, 17 were un-infected. Finally comparing among three invasive methods, all are highly sensitive and specific to diagnose H. pylori infection. DOI: 10.3329/fmcj.v5i1.6809Faridpur Med. Coll. J. 2010;5(1):21-24

scholarly journals Maternal and Foetal Outcome of Eclampsia in Mymensingh Medical College Hospital

2012 ◽  
Vol 1 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Sultana Afroj
Keyword(s):  
Case Fatality ◽  
Cross Sectional Study ◽  
Good Prognosis ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Delayed Treatment ◽  
Medical College ◽  
Risk Of Death ◽  
Foetal Outcome

This prospective cross-sectional study is undertaken to evaluate the maternal and foetal outcome of patients admitted in Mymensingh Medical College Hospital from November 2002 to April 2003. Among 5175 obstetric patients admitted to the hospital, 212 were eclamptic, yielding an incidence of 4.1%. The antepartum, intrapartum and postpartum incidences of eclampsia were 50%, 26.5% and 23.5% respectively. Among the patients with eclampsia, 56.85% had good prognosis without any added complication and 45.85% had complications. The case fatality rate of eclampsia was 5%, which was lower than that of the previous studies. In this study out of 200 patients, foetal death was 23.98%. Changing the ante convulsant from diazepam to magnesium sulfate the incidence of death in eclampsia patients have significantly reduced. But reduction of the risk of death was difficult when patients had developed complications. Most of the patient who died was in complicated group, these complications developed as a result of a delayed treatment. Therefore, efforts should be directed at developing awareness to receive treatment at an appropriate time to reduce the mortality from eclampsia and its complications. DOI: http://dx.doi.org/10.3329/jssmc.v1i1.12169 Journal of Shaheed Suhrawardy Medical College Vol.1, No.1, December 2009 p.14-17

scholarly journals Clinicopathological Study on Hypopharyngeal Carcinoma in Dhaka Medical College Hospital

2016 ◽  
Vol 21 (2) ◽  
pp. 85-89
Author(s):  
Md Nazmul Islam ◽  
Dipankar Lodh ◽  
Mohammad Mamun Siddiqui ◽  
AF Mohiuddin Khan ◽  
Kazi Meherunnesa
Keyword(s):  
Neck Surgery ◽  
Cross Sectional Study ◽  
Neck Mass ◽  
Medical College Hospital ◽  
Hypopharyngeal Carcinoma ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio

A Cross-Sectional Study was carried out from July 2006 to June 2007 at Department of Otolaryngology and Head-Neck Surgery of Dhaka Medical College Hospital, Dhaka. Data was collected from 150 patients with histologically diagnosed Hypopharyngeal carcinoma. Results of this study showed that hypopharyngeal carcinoma affects more in fifth (36.7%) and sixth (27.4%) decades of life. It was found that male were highly predominant to develop hypopharyngeal carcinoma and male female ratio was 9:1. People with lower educational level were found to be affected more by hypopharyngeal carcinoma. In this study 86 percent patients had history of smoking. Mean duration of smoking was 38.0±23.6 years. This study found that the key symptoms of hypopharyngeal carcinoma was dysphagia, pain and neck mass. In this study 83.5 percent patients presented with palpable lymph node and most (76.6%) of them were in level II. Pyriform fossa was found to be the commonest site (83.3%). In this study all malignancy in hypopharynx was histopathologically squamous cell carcinomaBangladesh J Otorhinolaryngol; October 2015; 21(2): 85-89

scholarly journals Pneumothorax in neonates with meconium aspiration.

2019 ◽  
Vol 26 (11) ◽  
pp. 1844-1849
Author(s):  
Muhammad Amin ◽  
Mukhtar Ahmad ◽  
Malik Muhammad Naeem ◽  
Muhammad Amir Ramzan
Keyword(s):  
Cross Sectional Study ◽  
Meconium Aspiration Syndrome ◽  
Pediatric Medicine ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Meconium Aspiration ◽  
Medical College ◽  
Therapeutic Measures ◽  
Age Range

Objectives: Recent years have seen advances in respiratory supports for meconium aspiration syndrome (MAS) but pneumothorax (PTX) still stands a significant indicator of disease severity. This study was aimed to determine the frequency of PTX in newborn with meconium aspiration. Study Design: Descriptive, cross-sectional study. Setting: Department of Pediatric Medicine, Unit 1, Bahawal Victoria Hospital, Bahawalpur, and Department of Pediatric Medicine, Ghazi Khan Medical College/Hospital, Dera Ghazi Khan. Period: 1st June 2017 to 30th September 2018. Material and Methods: A total of 736 patients with meconium aspiration of age 1-28 days and both genders were included. Patients with congenital heart anomalies and preterm infants were excluded. Presence or absence of PTX in each patient was noted. Results: Age range in this study was from 1 to 28 days with mean age of 12.80 ± 6.52 days. Majority of the patients 434 (58.97%) were between 1 to 14 days of age. Out of the 736 patients, 394 (53.53%) were male and 342 (46.47%) were females with male to female ratio of 1.2:1. Frequency of PTX in newborn with meconium aspiration was found in 176 (23.91%) patients. Conclusion: Frequency of PTX in newborn with meconium aspiration is quite high. In every newborn with meconium aspiration, proper management should be done for early prevention as well as taking therapeutic measures in this particular population.

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