scholarly journals Clinical Presentation of Cholesteatoma- A Study of 50 Cases

2017 ◽  
Vol 13 (1) ◽  
pp. 66-70
Author(s):  
Md Ahsanuzzaman Khan ◽  
AKM Asaduzzaman ◽  
Md Tauhidul Islam ◽  
Bashir Ahmed ◽  
Mohammad Kamal Hossain ◽  
...  
Keyword(s):  
Middle Ear ◽  
Rural Areas ◽  
Clinical Presentation ◽  
Armed Forces ◽  
Petrous Apex ◽  
Female Ratio ◽  
Conductive Deafness ◽  
Neoplastic Lesion ◽  
Number Of Patients ◽  
Intracranial Complications

Introduction: Cholesteatoma is an abnormal accumulation of keratin-producing squamous epithelium in the middle ear, epitympanum, mastoid or petrous apex. It is a threedimensional epidermoid structure exhibiting independent growth, replacing middle ear mucosa, resorbing and replacing underlying bone. Although it is not a neoplastic lesion, it can be insidious and potentially dangerous to the patient. Objective: To find out the socio-demographic pattern, clinical presentation and complication of cholesteatoma. Materials and Methods: This prospective study of 50 cases was done in the Department of Otolaryngology and Head-Neck surgery, CMH, Dhaka adopting simple random sampling technique from July 2008 to Dec 2009. Data were collected by personal interview and clinical examination in a pre-designed data sheet and were analyzed by SPSS 20. Results: In this study, the highest number of patients (44%) was in the age group 11-20 years with a mean age of 17.2 years. Male were more affected (70%) and the male to female ratio was 2.33:1. Commonest symptom was otorrhoea (100%), followed by hearing impairment (80%), otalgia (16%), postauricular painful swelling (12%) and postauricular discharging sinus (10%). Extracranial complications were in 26% and intracranial complications in 12% of patients in this series. Abscess (temporal lobe + extra dural) were found in 02 cases (10%) by CT scan. A maximum number of patients had moderate conductive deafness (74.47%) followed by mild conductive deafness (19.15%) and only a few with severely mixed deafness (6.38%). Conclusion: Clinical presentation of cholesteatoma in this study was discharge and deafness. The discharge was thick purulent foul smelling, scanty, occasionally blood-stained. Grave intracranial complications in children developed because of illiteracy, poverty, lack of awareness and medical facilities mostly in the rural areas. So early diagnosis and prompt treatment was a necessity. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 66-70

scholarly journals Clinical Profile of Patients Presenting with Carcinoma Stomach in North-East District of Bangladesh

2014 ◽  
Vol 15 (2) ◽  
pp. 118-121
Author(s):  
Aparna Das ◽  
Modhusudan Saha ◽  
Bimal Chandra Shil ◽  
Rubina Yasmin ◽  
Gobinda Banik ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Metastatic Lymph Node ◽  
Outlet Obstruction ◽  
Western World ◽  
Age Group ◽  
Female Ratio ◽  
Upper Gi ◽  
North East ◽  
Number Of Patients ◽  
Carcinoma Stomach

Background: The pattern and incidence of Carcinoma Stomach vary widely in different parts of the world. Overall it is the 2nd most common cause of death but in some Asian countries, it is still the commonest cause of cancer death in patients of > 50 years.Aim: To analyze the clinical presentation and histological findings of patients of carcinoma of the stomach. Methods and materials: This study was done over a period of 2 years between January 2011 and December 2012. Adult patients (Age more than 18 years) of histologically confirmed as having carcinoma stomach were included in the study. Studied variables included age, gender, socioeconomic status, clinical presentations, site of lesion, histopathological subtypes. Diagnostic modalities included abdominal ultrasound, upper GI (gastrointestinal) endoscopy and endoscopic biopsy to confirm the diagnosis. Results: Total number of patients included in this study was 150. The number of patients in <50 years age group and >50 years age group were 50 (33.33%) & 100 (66.66%) respectively. The median age at presentation was 57 years. The peak incidence was in 61-70 years age group. In our study,male: female ratio being 2.3:1. By occupation, farmer 74 (49%), housewife 37(24.6%), serviceholder12(8%), business man 5(10%) and others12 (8%). 71 (47.4%) patients were from lower socioeconomic group, middle74 (49.4%), upper class 5 (3.4%) & only 63 (42%) were literate. The common clinical features were vomiting 28%, abdominal pain 18%, weight loss and anorexia 17.3% , dyspepsia 16% , Anaemia (26% ), Abdominal mass 4%, Metastatic lymph node 4%, Ascites 1.3%. lesions are involved in Cardia 14%, Body &Antrum 6.6%, Antrum 2.6%, Body 23.3%, Fundus 2% and Diffusely in 1.3% cases. Conclusion: As regards to clinical presentation, patients in our country are presenting more with features of gastric outlet obstruction whereas abdominal lump and upper GI bleeding are more common in Western world. If gastric carcinoma is diagnosed at an early stage, patients can have a highly favorable prognosis.DOI: http://dx.doi.org/10.3329/jom.v15i2.20683 J MEDICINE 2014; 15 : 118-121

scholarly journals Outcome of Injection Sclerotherapy for First Degree and Second Degree Haemorrhoids– A Study of 50 Cases

2016 ◽  
Vol 12 (2) ◽  
pp. 98-101
Author(s):  
Md Ershad Ul Quadir ◽  
Md Mahbubur Rahman ◽  
Md Tanvirul Islam ◽  
SM Shakhawat Hosssain
Keyword(s):  
Symptomatic Relief ◽  
Digital Rectal Examination ◽  
Cost Effective ◽  
Armed Forces ◽  
Injection Sclerotherapy ◽  
Female Ratio ◽  
Medical College ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Second Degree

Introduction: Haemorrhoid is the frequent problem in clinical practice of general surgery. Haemorrhoids are dilatation and tortuosity of rectal veins affecting almost 4.5% of the population. Various operative and non operative therapeutic options are in practice to treat haemorrhoids, yet none has been proven cent percent effective. Sclerotherapy is a simple, safe and cost effective procedure that is widely practiced globally to treat haemorrhoids. Many sclerosants are being used with variable efficacies. Objective: To evaluate the outcome of injection Sclerotherapy in first degree and second degree haemorrhoids. Materials and Methods: Fifty patients of both gender having haemorrhoids who attended Outpatient Department (OPD) at BNS Patenga from September 2013 to August 2014 were included in this study. On the basis of history, patients were selected for Digital Rectal Examination (DRE) and proctoscopic examination to confirm the diagnosis. Sclerotherapy was repeated at interval of 6 weeks till symptomatic relief was achieved. Maximum 3 sittings of sclerotherapy were given. Patients were followed up at 3 months interval for 1 year. Results: This prospective study was conducted on 50 cases of first degree and second degree Haemorrhoids. The highest number of patients 21(42%) were in the age group of 21-30 years with majority 38(76%) being male. Male female ratio was 3.16: 1. All the patients presented with painless per-rectal bleeding. Satisfactory results were observed in 29(58%) patients of whom 20(40%) patients were having first degree haemorrhoids and 9(18%) patients were having second degree haemorrhoids. Sclerotherapy was more effective in first degree compared to second degree haemorrhoids patients. Conclusion: Injecting Sclerotherapy is a suitable office procedure for treatment of haemorrhoids. The method is easy, convenient, cheap, well accepted and comfortable for patient. More or less there are no complications and the result is also satisfactory. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 98-101

scholarly journals Histopathological spectrum of vulvar lesions on a remote Indian Island

2021 ◽  
Vol 6 (3) ◽  
pp. 153-159
Author(s):  
Chitrawati Bal Gargade ◽  
Archana Hemant Deshpande ◽  
Seetu Palo
Keyword(s):  
Clinical Presentation ◽  
Wide Spectrum ◽  
Benign Neoplasms ◽  
Benign Lesions ◽  
Duct Cyst ◽  
Neoplastic Lesion ◽  
Number Of Patients ◽  
Histopathologic Diagnosis ◽  
Neoplastic Lesions ◽  
Malignant Lesions

A wide spectrum of normal, benign, premalignant, and malignant lesions may occur on the vulva. Symptoms of vulvar disorders may be non-specific. Empiric treatment of vulvovaginal symptoms is common but usually not helpful. Though the varied clinical presentation and diverse histopathological spectrum of vulvar lesions have amazed Pathologists, only a few studies have been reported in the literature. The present study consists of a histopathological spectrum of vulvar lesions. 1.To evaluate the histopathological spectrum of vulvar lesions. 2. To compare the incidences of non-neoplastic and neoplastic lesions of the vulva. Present study includes all types of vulvar lesion specimens received in the Department of pathology over a period of four years.    All thirty-nine vulvar biopsies received in the Department of Pathology were studied for histomorphologic features. The lesions were categorized as non-neoplastic, neoplastic. The neoplastic ones were further divided into benign, malignant, and premalignant. The age of the women ranged from 15 to 69 years (mean 36.18±12.71) with the maximum number of patients between 30 to 40 years of age. Non neoplastic lesions were more common (22; 56.4%) than the (17; 43.6%) neoplastic lesions. There were 15(38.5%) benign lesions while 2 cases (5.13%) were malignant. Among the non-neoplastic lesions, Bartholin's duct cyst was the most common histopathologic diagnosis (35.9%). The fibroepithelial polyp was the most common benign neoplastic lesion constituting 15.3%.  In the present study nonneoplastic lesions were more common than neoplastic lesions. Among the neoplastic lesions, benign neoplasms were more frequent than malignant lesions.

scholarly journals Updates and Knowledge Gaps in Cholesteatoma Research

2015 ◽  
Vol 2015 ◽  
pp. 1-17 ◽  
Author(s):  
Chin-Lung Kuo ◽  
An-Suey Shiao ◽  
Matthew Yung ◽  
Masafumi Sakagami ◽  
Holger Sudhoff ◽  
...  
Keyword(s):  
Middle Ear ◽  
Management Strategy ◽  
Clinical Presentation ◽  
Management Strategies ◽  
Effective Management ◽  
Comprehensive Understanding ◽  
Middle Ear Cholesteatoma ◽  
Acquired Cholesteatoma ◽  
Intracranial Complications ◽  
Extracranial Complications

The existence of acquired cholesteatoma has been recognized for more than three centuries; however, the nature of the disorder has yet to be determined. Without timely detection and intervention, cholesteatomas can become dangerously large and invade intratemporal structures, resulting in numerous intra- and extracranial complications. Due to its aggressive growth, invasive nature, and the potentially fatal consequences of intracranial complications, acquired cholesteatoma remains a cause of morbidity and death for those who lack access to advanced medical care. Currently, no viable nonsurgical therapies are available. Developing an effective management strategy for this disorder will require a comprehensive understanding of past progress and recent advances. This paper presents a brief review of background issues related to acquired middle ear cholesteatoma and deals with practical considerations regarding the history and etymology of the disorder. We also consider issues related to the classification, epidemiology, histopathology, clinical presentation, and complications of acquired cholesteatoma and examine current diagnosis and management strategies in detail.

scholarly journals Dermatological Patients at the Outdoor of an Upazila Health Complex

1970 ◽  
Vol 17 (2) ◽  
pp. 93-94
Author(s):  
M Rizaul Kabir ◽  
M Abdul Kuddus Khan ◽  
Ananda Kumar Karmakar
Keyword(s):  
Rural Areas ◽  
Skin Diseases ◽  
Family Welfare ◽  
Venereal Diseases ◽  
Female Ratio ◽  
Dermatological Diseases ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Male Patients ◽  
Skin Conditions

In outdoor of Adamdighi Upazila Health & Family Welfare Complex of Bogra district, the attendance of patients suffering from skin and venereal diseases were observed. Out of total 1,54,843 patients, 23,820 patients were suffering from various forms of dermatological diseases. The percentage of patients suffering from skin and venereal diseases were 15.34 %. Female patients were 13,667 in number (57.38%) and male patients were 10,153 in number (42.62%). Male, female ratio is 1.35:1. Most of the patients were suffering from dermatological diseases attending outdoor of the said health complex belong to 14 years and above age group (67.53%). It was observed that though previously most of the rural people neglected their skin diseases, but now a day, a good number of patients of the rural areas are conscious about their skin conditions and attend outdoor of health and family welfare complex.   doi: 10.3329/taj.v17i2.3453   TAJ 2004; 17(2): 93-94

scholarly journals High rate of diabetes in the Asia-Pacific Island: Possible role of rapid urbanization – A hospital based study

2017 ◽  
Vol 6 (2) ◽  
pp. 48-52
Author(s):  
Rhoda K Ila ◽  
Venkat N Vangaveti ◽  
Usman H Malabu
Keyword(s):  
Rural Areas ◽  
Communicable Disease ◽  
Health Planning ◽  
High Rate ◽  
Asia Pacific ◽  
Rapid Urbanization ◽  
Female Ratio ◽  
Pacific Population ◽  
Number Of Patients ◽  
Male Female Ratio

Asia-Pacific countries are experiencing lifestyle-related non-communicable disease crises. Kimbe, one of Papua New Guinea’s provincial capitals is noted as the fastest growing city in the South Pacific subcontinent yet its impact on diabetes mellitus (DM) is not known. To determine pattern of newly diagnosed DM, we conducted a retrospective review of Kimbe General Hospital medical admissions from January 2009 to December 2012. 125 patients were diagnosed with diabetes with male: female ratio of 1.1: 1. Overall, number of patients diagnosed with DM at the hospital increased rapidly from 16 in 2009 to 49 in 2012; p <0.05. Majority of the patients were of young population aged <50 years representing 72 % of the cohort and predominantly of coastal province of origin. Almost 3/4th of the study population was based in Kimbe town and its suburb with only 32 subjects (25.6%) identified as rural residents; p<0.05. This study suggests that subjects living in Asia-Pacific area of rapid urbanization are at higher risk of diabetes compared to residents of rural areas. It highlights the need for adequate health planning and education as part of urbanization program in the DM-prone Asia-Pacific population. Further prospective studies are needed to verify our findings.South East Asia Journal of Public Health Vol.6(2) 2016: 48-52

Clinical Presentation and Management of Patients with Peptic Ulcer Perforation in Kashmir - A Prospective Study

2021 ◽  
Vol 8 (27) ◽  
pp. 2368-2372
Author(s):  
Abdul Rashid Ganaie ◽  
Zuneera Banoo ◽  
Aamir Hussain Hela ◽  
Ishfaq Ahmad Hakeem ◽  
Haseeb Mohammad Khandwaw
Keyword(s):  
Peptic Ulcer ◽  
Clinical Presentation ◽  
Perforated Peptic Ulcer ◽  
Patch Repair ◽  
Medical Illness ◽  
Peptic Ulcer Perforation ◽  
Female Ratio ◽  
Ulcer Perforation ◽  
Plain Chest Radiograph ◽  
Number Of Patients

BACKGROUND Around 4 million people are affected by peptic ulcer diseases worldwide annually. The incidence of around 1.5 % to 3 % has been estimated. Peptic ulcer perforation presents with an overall mortality of 10 %. The management is also associated with significant post-operative morbidity and mortality regardless of whether laparoscopic or open repair is performed. In this study, we wanted to find out the incidence of peptic ulcer perforation and its management. METHODS Our study was a prospective observational study conducted in post graduate Department of Surgery, Government Medical College Srinagar, from October 2018 to November 2020. All patients were evaluated properly with all baseline investigations followed by X-ray chest and abdomen and ultrasonography (USG). RESULTS In our study, 136 patients were diagnosed as cases of peptic ulcer perforation. The maximum number of patients were in age group of 41 - 50 years (27.20 %). The male : female ratio was 14.1 : 1. Abdominal pain was present in all patients as presenting symptom followed by abdominal distension. In this study, 124 patients (91.2 %) had perforation in first part of duodenum, 9 patients (6.6 %) had perforation in prepyloric region and 3 (2.2 %) patients had perforation in body of stomach. Graham’s Patch repair was done in 133 patients, 1 patient underwent primary closure, and 2 patients underwent distal gastrectomy with gastrojejunostomy. CONCLUSIONS Our study shows that young people with perforated peptic ulcer have fewer coexisting medical illness, a lower complication rate and a more favorable outcome as compared to elderly patients with perforated peptic ulcer. A majority of such perforations are in 1st part of duodenum with male preponderance. A plain chest radiograph is sufficient to make diagnosis in the classic case of sudden onset epigastric pain. KEYWORDS Perforation Peritonitis, Management of Peptic Ulcer Perforation, Graham’s Repair, Clinical Presentation of Peptic Ulcer Perforation

scholarly journals Epidemiological Characteristics of Traumatic Spinal Cord Injuries in Multi-Center Retrospective Study in Northwest China, 2017-2020.

2022 ◽  
Author(s):  
Xiaohui Wang ◽  
Chao Jiang ◽  
Jinpeng Du ◽  
Yongyuan Zhang ◽  
Fang Tian ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Retrospective Study ◽  
Rural Areas ◽  
Spinal Cord Injuries ◽  
Northwest China ◽  
Female Ratio ◽  
Conservative Group ◽  
Number Of Patients ◽  
Epidemiological Characteristics ◽  
Rural Patients

Abstract Introduction: Traumatic spinal cord injuries (TSCI) are worldwide public health problems. There has been a lack of extensive multi-center study of TSCI epidemiology in Northwest China in pre- and post-pandemic period of COVID-19. Materials and Methods: A multi-center retrospective study of 14 hospitals of Northwest China was conducted on patients with TSCI between 2017 and 2020. Variables assessed included patient demographics, etiology, segmental distribution, treatment, waiting time for treatment and outcomes.Results: The number of patients with TSCI showed an increasing trend from 2017 to 2019 while there were fewer patients in 2020 than in 2019. The male-to-female ratio was 3.67:1 and the mean age was 48±14.9. The major cause of TSCI was high fall (38.8%), low fall (27.7%), traffic accidents (23.9%), sports (2.6%) and others (7.0%). The segmental distribution showed a bimodal pattern, peak segments were C6 and Tl1, L1(14.7%) was the most frequently injured segments. Incomplete injury (72.8%) occurred more often than complete injury (27.2%). ASIA scale of most patients did not change before and after treatment both in operational or conservative group. 975 patients from urban and 1646 patients from rural areas were conducted, most urban residents could rush to get treatment after injured immediately (<1 h), whereas most rural patients get treatment spend several hours since injured. The rough annual incidence from 2017-2020 are 112.4, 143.4,152.2 and 132.6 per million people calculated by the population-coverage-rate.Conclusion: The incidence of TSCI in Northwest China is high and growing. However, under the pandemic policy reasons, it has decreased in 2020. The promotion of online work may be an effective primary prevention measures for trauma. Also, due to the distance from the hospitals with proper conditions, rural patients need to spend long time to there, the timely treatment of them should be paid attention.

scholarly journals Retrospective study of pattern of treatment in free health camps from 2005 to 2017 in East Singhbhum, Jharkhand, India

2018 ◽  
Vol 7 (1) ◽  
pp. 266
Author(s):  
Ratan Kumar ◽  
Jakka Srinivas Rao ◽  
Chandan Biswas
Keyword(s):  
Retrospective Study ◽  
Rural Areas ◽  
Health Program ◽  
Health Department ◽  
Female Ratio ◽  
Governmental Organization ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
New Generation ◽  
Specific Health

Background: Free health camp is a common objective of non-governmental organization (NGO). Government health department alone or jointly with NGO use to organize free medical camp for some specific health program. This retrospective study of occurrence and proportion of diseases and their pattern of treatment was done for period from 2005 to 2017 with an NGO has been working in East Singhbhum district of Jharkhand.Methods: The data of patients over the age of 05 years attended the free health camp from 2005 to 2017 and consent were provided by NGO concerned in this study. The year wise, block wise number of patient, male/female ratio and list of drugs used in different time were tabulated for analysis.Results: The result of this study has been noted in four different tables which elaborates the total number of patients year wise, block wise, percentage wise, male/female ratio during thirteen years. Another table showed occurrence of diseases/ailments in different period with changing percentage of use the drugs in their treatment.Conclusions: This retrospective study provides a conception about some changes in occurrence of diseases in free medical camp in the rural areas of Jharkhand in thirteen years. These health camps have tried to provide and follow the treatment according to need of the patients with safer, efficacious, economical drugs and with periodical inclusion of new generation drugs.

scholarly journals Clinicopathological Profile of Sino-nasal Masses at a Tertiary Care Hospital: A Descriptive Study

2021 ◽  
Vol 29 (2) ◽  
pp. 133-139
Author(s):  
Nitin Deosthale ◽  
Priyal Patil ◽  
Sonali Khadakkar ◽  
Pavani Garikapati ◽  
Kanchan Dhote ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Histopathological Examination ◽  
Tertiary Care ◽  
Descriptive Study ◽  
Careful Examination ◽  
Care Hospital ◽  
Male Predominance ◽  
Neoplastic Lesion ◽  
Number Of Patients

Introduction The Sino-nasal mass is a common clinical entity. Although it has varied aetiology ranging from non-neoplastic to neoplastic, clinical presentation is overlapping that poses diagnostic dilemma. Objective of the study was to study the clinical profile of Sino-nasal masses in terms of demographic profile, clinical presentation and clinicopathological diagnosis. Materials and Methods A descriptive study was carried out at tertiary care hospital for 2 years. Clinically diagnosed cases of sino-nasal masses were included in the study. Previously treated cases, congenital lesions were excluded. Provisional diagnosis was made based on clinical and radiological evaluation. Diagnosis on histopathological examination was considered as definitive. Results Total of 75 patients were included in the study. Demographic data showed slight male predominance (M:F= 1.08:1), with most patients from age group 31-40 years (26.67%). Nasal obstruction was the most common presenting symptom. The number of patients with non-neoplastic lesion was 48; 17 patients had neoplastic benign lesions while 6 patients had neoplastic malignant lesions. Conclusion Large number of patients presents with trivial symptoms but need careful examination and appropriate diagnosis. Inflammatory lesions outnumbered neoplastic lesions in our study. Clinical suspicion and appropriate investigations can guide in timely intervention and management of these patients reducing the morbidity and mortality in these patients.

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