scholarly journals Successful Pregnancy of a DVR Patient -A Case Report.

KYAMC Journal ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 306-308
Author(s):  
Mst. Stia Sultana ◽  
Md. Saiful Islam ◽  
Monira Akter ◽  
Masuma Khatun
Keyword(s):  
Normal Limit ◽  
Normal Limits ◽  
Double Valve Replacement ◽  
Mitral Position ◽  
Healthy Female ◽  
Minor Ailments ◽  
History Of ◽  
Female Baby ◽  
Surgery Department ◽  
Rheumatic Heart

Mrs Rojina Akter 27 years old lady presented to us with complains of 12 weeks amenorrhea with the history of Rheumatic heart disease(MS-severe with MR Gr-2+ with AR Gr-2) treated surgically with mechanical metallic Double valve Replacement on 7th April 2010 in Cardiac Surgery Department of KYAMCH. It was her second conception.first one was terminated by MR due to fear of cardiac problem out side of this hospital. She also noticed slight breathlessness & palpitation. On examination- she was anxious, her respiratory rate, pulse rate & blood pressure were within normal limits. Her ECG report was within normal limit & colour Doppler Echo study showed normally functioning prosthetic metallic valves in Aortic & Mitral position with normal ejection fraction. Under joint-consultation with Cardiologist & Obstetrician she was advised to continue her pregnancy with careful & regular antenatal check up. During antenatal period she continued her cardiac medications & other supplementary drugs for her pregnancy. Without some minor ailments she continued her pregnancy up to 38 wks, then she delivered a healthy female baby by caesarean section on 6th August 2012 .Now she is well under the supervision of Cardiologist. KYAMC Journal Vol. 3, No.-2, January 2013, Page 306-308 DOI: http://dx.doi.org/10.3329/kyamcj.v3i2.15173

Patient Prosthesis Mismatch in Double Valve Replacement - A Retrospective Study at a Tertiary Care Center in Bangalore

2021 ◽  
Vol 8 (30) ◽  
pp. 2768-2772
Author(s):  
Bharathguru N ◽  
Divya Mallikarjun ◽  
Shreedhar S. Joshi ◽  
Shilpa Suresh ◽  
Giridhar Kamalapurkar
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Tertiary Care ◽  
Effective Orifice Area ◽  
Valve Prosthesis ◽  
Care Hospital ◽  
Double Valve Replacement ◽  
Mitral Position ◽  
Patient Prosthesis Mismatch ◽  
Rheumatic Heart

BACKGROUND Valve replacement has become the mainstay of management for rheumatic heart diseases. However, an important and frequent complication of valve replacement is patient prosthesis mismatch (PPM). The present study was undertaken to evaluate a single institution experience on the clinical pattern and presentation of PPM, and the outcomes of double valve replacement surgery. METHODS This retrospective, regional study was carried out among 316 consecutive patients who underwent concomitant aortic and mitral valve surgery (with or without tricuspid annuloplasty) in this tertiary care hospital. Particulars regarding the clinical profile and procedure details (valve types and sizes and priority of surgery) of these patients were documented from the medical records. RESULTS In this institute, the valves used were predominantly mechanical (92.6 %) when compared to bioprosthesis in 7.4 % (47/632 valves - 23 mitral position and 24 in aortic position). The most common sizes used in the aortic and mitral position were 21 mm & 27 mm respectively. In spite of the seemingly lower sizes used in the patients undergoing double valve replacement (DVR) the incidence of PPM is less owing to the fact that the population under study had a lower body surface area (BSA) and body mass index (BMI) - 1.17 ± 0.3 & 19.86 ± 3.9 respectively. CONCLUSIONS It may be emphasized that if the valve size required to be implanted is derived based on the patient’s BSA and indexed effective orifice area, the incidence of patient prosthesis mismatch can be minimized drastically and with it the in-hospital mortality and morbidity. KEYWORDS Aortic Stenosis, Double Valve Replacement, Mitral Valve, Prosthesis, Rheumatic Heart Disease

scholarly journals Rare Case of Inguinal Hernia in a Female Patient

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 47
Author(s):  
Liaqat Ahmad Malik ◽  
Ajaz Ahmad Malik ◽  
Parvez Mohi u din Dar
Keyword(s):  
Heart Disease ◽  
Inguinal Hernia ◽  
Female Patient ◽  
Rare Case ◽  
Normal Limit ◽  
Lower Abdomen ◽  
History Of ◽  
The Right ◽  
Multiple Drugs ◽  
Rheumatic Heart

75 years was referred from SMHS hospital as a case of left-sided irreducible inguinal hernia. The patient was a known case of rheumatic heart disease on multiple drugs. The patient was having a history of constipation for 4 days and mild pain lower abdomen. All investigations were within normal limit and patient was afebrile. The abdomen was soft, nondistended. There was mild tenderness over the right inguinal region and a soft boggy swelling was palpable. It was nonreducible.  JMS 2018;21(1):47

scholarly journals Giant Ovarian Mucinous Cystadenoma Complicating Term Pregnancy

2018 ◽  
Vol 56 (210) ◽  
pp. 629-632
Author(s):  
Sangeeta Kaushal Mishra ◽  
Manoj Yadav ◽  
Sripad J Walavalkar
Keyword(s):  
Ovarian Cyst ◽  
Elective Surgery ◽  
Mucinous Cystadenoma ◽  
Expectant Management ◽  
Breech Presentation ◽  
Normal Vaginal Delivery ◽  
Local Health ◽  
Healthy Female ◽  
History Of ◽  
Female Baby

  Huge ovarian cyst are found in less than 1% of all ovarian cyst in pregnancy and are associated with poor feto-maternal outcome. A 28 years old G2P1 with history of normal vaginal delivery 3 years back was referred from local health post with complains of intermittent pain abdomen at 29 weeks. Her scan showed huge ovarian cyst of 18.9×17.6 cm with multiple thick septation. Woman was conservatively managed till term and elective surgery was planned however she presented in labour with breech presentation at 39 weeks and 4days. Emergency lower segment caesarian section along with left sided salpingo–oophorectomy was done along with delivery of 2.5 kg healthy female baby. Histopathology was suggestive of mucinous cystadenoma of ovary. Although antepartum removal of ovarian cyst has been recommended to ensure good pregnancy outcome, expectant management and timed intervention can be adopted for pregnancy with huge ovarian cysts.

Relationship between a Mild α1 Proteinase Inhibitor Deficiency and Respiratory Symptoms in a Family

1995 ◽  
Vol 32 (6) ◽  
pp. 545-549 ◽  
Author(s):  
Guillemette Huet-Duvillier ◽  
Malika Balduyck ◽  
Yves Watrigant ◽  
Richard Sesboue ◽  
Carole Thiebaut ◽  
...  
Keyword(s):  
Proteinase Inhibitor ◽  
Respiratory Symptoms ◽  
Normal Limit ◽  
Normal Range ◽  
Pancreatic Elastase ◽  
Inhibitory Capacity ◽  
Normal Limits ◽  
The Family ◽  
History Of ◽  
Pi Deficiency

A 34-year-old man with pulmonary emphysema was found to have a mild α1 proteinase inhibitor (α1 PI) deficiency. α1 PI status was investigated in this patient and in 35 members of his family. The α1 PI investigations included α1 PI concentration and phenotype and serum inhibitory capacity for trypsin and pancreatic elastase. Fifteen members of the family had α1 PI concentration and inhibitory capacities below the lower normal limit. Five of these members were characterized by the heterozygous MP phenotype and the 10 others by an apparently homozygous M phenotype, in which the M allele may be associated with another unidentified deficiency allele. Two members of the family had α1 PI concentration and elastase inhibitory capacity below the lower normal limits and trypsin inhibitory capacity within the normal range. They were both characterized by the MP phenotype. Six of these 17 members (three of PI type M and three of PI type MP) showed chronic pulmonary symptoms, whereas among the 19 α1 PI non deficient members, no member had a history of significant pulmonary symptoms.

scholarly journals A case of congenital maldisposition of pelvic peritoneum & chronic retention of urine at term pregnancy

2014 ◽  
Vol 42 (3) ◽  
pp. 89-91
Author(s):  
N Banu ◽  
J Ferdouse
Keyword(s):  
Term Pregnancy ◽  
Lower Segment ◽  
Fetal Head ◽  
Pelvic Organs ◽  
Abdominal Organs ◽  
Pelvic Peritoneum ◽  
Healthy Female ◽  
Chronic Urinary Retention ◽  
History Of ◽  
Female Baby

Mal disposition of peritoneum over abdominal organs were reported both in cadaver & in diseased persons; but no report was found particularly about mal disposition of pelvic peritoneum. We are sharing our experience of a rare cause of chronic urinary retention due to abnormal disposition of pelvic peritoneum, diagnosed incidentally during lower segment ceaserian section. A 23 years young lady admitted at her term pregnancy as a case of prolong labour with failure of descend of fetal head. A healthy female baby was delivered by ower segment ceaserian section. But the procedure was not so smooth, though she had no risk factors for adhesive disease or past abdominal surgery. The bladder was hugely distended & atonic without any sign of obstructed labour. The peritoneal reflection was near fundus of the uterus; that’s why the bladder was pulled up along with the growing uterus. On further inquiry, she gave the history of incomplete voiding from her 28th weeks of pregnancy. The peritoneum over other pelvic organs was also found loosely attached. The abnormal disposition of peritoneum over bladder & uterus is absolutely benign congenital malformation; but the condition is not free from complication. DOI: http://dx.doi.org/10.3329/bmj.v42i3.19003 Bangladesh Med J. 2013 Sept; 42 (3): 89-91

scholarly journals Successful Outcome Following Hysteroscopic Septoplasty in a Woman with Seven Consecutive Pregnancy Losses

2021 ◽  
pp. 1-4
Author(s):  
Jesmine Banu ◽  
Mumtahena Amir ◽  
Shakeela Ishrat ◽  
Sadia Afrin Munmun ◽  
Nighat Sultana
Keyword(s):  
Reproductive Tract ◽  
Elective Caesarean Section ◽  
First Trimester ◽  
Successful Outcome ◽  
Healthy Female ◽  
Endocrine Parameters ◽  
History Of ◽  
Consecutive Pregnancy ◽  
Recurrent Abortions ◽  
Female Baby

Anomalies of the reproductive tract are common and present in about 3%–5% of the general population and in about 3% of infertile women. In general, they are asymptomatic, but they can also be associated with recurrent abortions or infertility. This is the case of a 27-year-old nulliparous woman presenting with the history of seven consecutive first trimester spontaneous abortions. Since her marriage 10 years back she conceived on repeated times but all the pregnancies ended in spontaneous miscarriage at around 10–12 weeks. Hysterosalpingography revealed a bicornuate/septate uterus. Hysteroscopic septoplasty with concurrent laparoscopy was planned after normalization of the endocrine parameters. She conceived spontaneously 7 months after the surgery. She had luteal phase support with progesterone, cervical cerclage and management of gestational diabetes, and pregnancy-induced hypertension. At 37 weeks of gestation, elective caesarean section was done with the delivery of a healthy female baby.

Spontaneous Haemophilia in a Female

1960 ◽  
Vol 04 (03) ◽  
pp. 369-375 ◽  
Author(s):  
E. H Braun ◽  
David B. Stollar
Keyword(s):  
Family History ◽  
Bleeding Time ◽  
Dental Extraction ◽  
White Girl ◽  
Complete Family ◽  
Normal Limits ◽  
Sex Chromatin ◽  
History Of ◽  
Generation Test

SummaryA case of haemophilia in a young white girl is described. There was a history of bleeding from birth. The thromboplastin generation test was grossly abnormal and A. H. G. levels were below 1%. Bleeding time and capillary morphology was within normal limits. Dental extraction after transfusion caused almost uncontrollable haemorrhage.A complete family history was obtained for four generations. There was no case of a “bleeder” amongst these.The girl’s apparent sex was confirmed by sex chromatin studies.

Intradural Dirofilariasis in a Dog with Chronic Cervical Pain

2017 ◽  
Vol 53 (1) ◽  
pp. 59-63
Author(s):  
Kathleen Ann Bonawandt ◽  
Jason M. Berg ◽  
Richard J. Joseph ◽  
Joseph D. Stefanacci
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Spine ◽  
Magnetic Resonance ◽  
Spinal Pain ◽  
Resonance Imaging ◽  
Male Adult ◽  
Normal Limits ◽  
History Of ◽  
C2 Vertebra ◽  
Intradural Extramedullary

ABSTRACT A 7 yr old female spayed Yorkshire terrier was referred to the author's institute for a 5 mo history of recurrent cervical spinal pain. Neurologic examination did not reveal any deficits. Hematologic and serum analyses were within normal limits. Thoracic radiographs that incorporated the cervical spine did not show structural abnormalities. Magnetic resonance imaging of the cervical spine demonstrated a contrast enhancing, intradural extramedullary lesion at the level of the C2 vertebra. Hemilaminectomy was performed, during which a long, narrow nematode was visualized upon opening of the dura mater. The parasite was alive when removed during surgery, and the dog recovered with complete resolution of symptoms. The parasite was submitted and confirmed as a male adult Dirofilaria immitis. This is a novel case of an intradural D. immitis infection in the dog with a magnetic resonance imaging description of spinal D. immitis.

scholarly journals Acute Iodine Toxicity from a Suspected Oral Methamphetamine Ingestion

2014 ◽  
Vol 7 ◽  
pp. CCRep.S20086 ◽  
Author(s):  
Marilyn N. Bulloch
Keyword(s):  
Case Report ◽  
Gastrointestinal Symptoms ◽  
Liver Function Tests ◽  
Oral Ingestion ◽  
Methamphetamine Abuse ◽  
Normal Limits ◽  
Naturally Occurring ◽  
History Of ◽  
Systemic Symptoms ◽  
Iodine Toxicity

Background Iodine is a naturally occurring element commercially available alone or in a multitude of products. Iodine crystals and iodine tincture are used in the production of methamphetamine. Although rarely fatal, iodine toxicity from oral ingestion can produce distressing gastrointestinal symptoms and systemic symptoms, such as hypotension and tachycardia, from subsequent hypovolemia. Objective The objective of this case report is to describe a case of iodine toxicity from suspected oral methamphetamine ingestion. Case Report A male in his early 20′s presented with gastrointestinal symptoms, chills, fever, tachycardia, and tachypnea after orally ingesting a substance suspected to be methamphetamine. The patient had elevated levels of serum creatinine, liver function tests, and bands on arrival, which returned to within normal limits by day 4 of admission. Based on the patient's narrow anion gap, halogen levels were ordered on day 3 and indicated iodine toxicity. This is thought to be the first documented case of iodine toxicity secondary to suspected oral methamphetamine abuse. Conclusion Considering that the incidence of methamphetamine abuse is expected to continue to rise, clinicians should be aware of potential iodine toxicity in a patient with a history of methamphetamine abuse.

A Case Report of Delirium Induced by Herbal Laxative Senna

2021 ◽  
Vol 11 (6) ◽  
pp. 231-233
Author(s):  
Nimitha K J ◽  
Porimita Chutia ◽  
Pooja Misal
Keyword(s):  
Case Report ◽  
Serum Sodium ◽  
Elderly Population ◽  
Oral Intake ◽  
Mental Illnesses ◽  
Electrolyte Imbalance ◽  
Normal Limits ◽  
Icd 10 ◽  
Current Scenario ◽  
History Of

Constipation is one major complaint in elderly population. It may be due to physiological and anatomical reasons of aging, but it can be also due chronic medical and mental illnesses and due to use of multiple medications. Constipation itself is a precipitating factor for delirium. Drugs used for constipation can also be the culprit. A 64-year-old female who had a history of hypertension and chronic constipation presented with symptoms of confused and altered behavior, decreased oral intake, decreased sleep. On history taking it was known that she was using Herbal medication containing senna glycoside and other compounds since 8-9months. On examination she had signs of dehydration, disoriented and attention was impaired. On investigation her serum sodium was 122.6 mmol/ and other investigations were within normal limits. She was diagnosed as a case of Delirium according to ICD-10 criteria. Her dehydration was corrected by giving intravenous fluids and serum sodium level was corrected using salt capsules 2 tablets thrice daily. For disturbed sleep she was prescribed Tab Melatonin 10mg at bedtime and constipation was treated with per rectal enema and syrup lactulose 30ml at bedtime. Patient improved in 1 week time. Senna a herbal laxative used to treat constipation. It can alter intestinal electrolyte transportation and irritates intestinal mucosa. It is due to increased peristalsis and increased defecation and even diarrhea Prolonged use can cause dehydration, electrolyte imbalance and delirium. Senna, an over-the-counter laxative with FDA approval is a matter of concern in the current scenario. This case report warns into the judicious use of laxatives containing senna in elderly population. Key words: Delirium, Herbal Laxative, Senna, Constipation.

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