scholarly journals STUDY ON CARDIAC MANIFESTATIONS AND ELECTROCARDIOGRAPHIC CHANGES IN SNAKE ENVENOMATION.

2020 ◽  
pp. 172-174
Author(s):  
Aravind Reddy. Gangula ◽  
M Manasa
Keyword(s):  
General Medicine ◽  
Tertiary Hospital ◽  
Medical Problem ◽  
Cross Sectional Study ◽  
Warning Signs ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Snake Envenomation ◽  
Electrocardiographic Changes ◽  
Cardiac Manifestations

Snake bite is an occupational disease of farmers, plantation workers herdsmen, fishermen, snake workers and other food producers.It is therefore a medical problem that has significant implications for the nutritional and Economy of the countries. Snake envenomation is a common presentation in rural tertiary hospitals . The clinical profile of snake envenomation has been well established. However data on Electrocardiographic changes in snake envenomation particularly patients presenting to SouthIndian rural tertiary hospital are scant Aims and objectives: To study on the cardiac manifestations and electrocardiographic findings of patients with snake envenomation. Place of study : Department of General medicine,kamineni Institute of Medical sciences, Narketpally. Duration of study- sep 2018 to sep 2020. Study design – Cross sectional study. Sample size – 60. The clinical profile of snake envenomation is varied, in its severity and type of species, hence the ECG may be cheap and simple tool to detect warning signs early to initiate timely and appropriate management .

scholarly journals Profile of Electrocardiographic Changes in Scorpion -Envenomation

2021 ◽  
pp. 73-75
Author(s):  
Aditya Samitinjay ◽  
Natasha Rao ◽  
Srujan Reddy L
Keyword(s):  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Warning Signs ◽  
Ecg Changes ◽  
Cross Sectional ◽  
Scorpion Envenomation ◽  
Simple Tool ◽  
South Indian ◽  
Tertiary Hospitals ◽  
Electrocardiographic Changes

Patients presenting with alleged scorpion envenomation is a common presentation in rural tertiary hospitals. The clinical prole of scorpion envenomation has been well established. However, data on the electrocardiographic changes in scorpion envenomation, particularly of patients presenting to a south Indian rural tertiary hospital are scant. In this cross-sectional study of 90 patients presenting to our hospital, we describe the electrocardiographic ndings of patients with scorpion envenomation. Data on correlation between severity of scorpion envenomation and ECG changes are also presented. The clinical prole of scorpion envenomation is varied, in its severity and by the type of scorpion, hence, the ECG may be a cheap and simple tool to detect warning signs early to initiate timely and appropriate management

Study of Clinical Profile and Outcome of Metabolic Encephalopathy in Patients Admitted at HSK Hospital, Bagalkot, Karnataka

2021 ◽  
Vol 8 (33) ◽  
pp. 3134-3138
Keyword(s):  
General Medicine ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Clinical State ◽  
Common Symptom ◽  
Cross Sectional ◽  
Altered Level ◽  
Metabolic Encephalopathy ◽  
Altered Sensorium ◽  
Cirrhosis Of Liver

BACKGROUND Metabolic encephalopathy (ME) is one of the most frequently encountered and broadly defined diagnoses by the physicians in the intensive care setting. ME is a clinical state characterized by cerebral dysfunction in the absence of structural brain disease. The causes are many and often multifactorial. The purpose of study was to evaluate various causes, clinical profile, and outcome in patients with ME. METHODS This is a hospital based, observational, cross sectional study, conducted in ICU of Department of General medicine, S.N. Medical College, Bagalkot. Patients with head trauma, organic causes of altered sensorium, psychiatric conditions were excluded. RESULTS Mean age was 51.22 ± 17.24 years. Majority were males. Diabetes was the most common comorbidity found followed by cirrhosis of liver and hypertension. Septic causes were found to be the most common aetiology. 80.7 % recovered from the disease and death was noted in 19.3 % patients. CONCLUSIONS All the patients with ME had altered level of consciousness with fever being the most common symptom. Most of them were males, most common aetiology was septic cause, and recovery was seen in about 80.7 % of patients. KEYWORDS Metabolic Encephalopathy, Altered Sensorium, Sepsis

scholarly journals Clinical Profile of Paediatric Head and Neck Cancers at a Tertiary Hospital in Tanzania

2020 ◽  
Vol 3 (1) ◽  
pp. 11-20
Author(s):  
Zephania Saitabau Abraham ◽  
Enica Richard Massawe ◽  
Aveline Aloyce Kahinga ◽  
Kassim Babu Mapondella ◽  
Willybroad Augustine Massawe ◽  
...  
Keyword(s):  
Head And Neck ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Head And Neck Cancers ◽  
Clinical Profile ◽  
Childhood Cancers ◽  
Cross Sectional ◽  
Paediatric Patients ◽  
Clinical Stages ◽  
Night Sweats

Background Paediatric head and neck cancers represent an important group of childhood cancers that require maximum attention at large. They are often diagnosed at advanced clinical stages at Muhimbili National Hospital (MNH). Objective To describe the clinical profile of paediatric head and neck cancers at a tertiary hospital in Tanzania Method A hospital based descriptive cross-sectional study was conducted involving 180 paediatric patients. Data were analyzed using SPSS program version 21. Results A total of 180 paediatric patients were recruited where 61.1% were males and 38.9% were females. Majority belonged to the age group 0-5 years (53.9%). A total of 10 primary anatomical sites were found with the neck (cervical lymph node) predominating (36.1%), followed by the orbit/eye (34.4%) and the least anatomical sites were oral cavity (1.1%) and parapharyngeal space (0.5%). Leukocoria (93.9%), red eye (93.9%) and orbital cellulitis (77.6%) predominated in retinoblastoma but in patients with lymphomas, predominant features were night sweats (100%), weight loss (100%) and fevers (95.8%). Conclusion The clinical profile depicted in this study appears to correlate with advanced clinical stages. Keywords: Paediatric; Head; Neck Cancers; Muhimbili; Tanzania

scholarly journals Clinical profile and outcome of the patients admitted in PICU in tertiary hospital.

2021 ◽  
Vol 28 (04) ◽  
pp. 548-551
Author(s):  
Maria Saleem ◽  
Asim Khurshid ◽  
Amna Wajdan ◽  
Muhammad Salman Zafar
Keyword(s):  
Intensive Care ◽  
Pediatric Intensive Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Respiratory Disorders ◽  
The Mean ◽  
Seriously Ill Patients ◽  
Study Setting

Objectives: To analyze the clinical profile, etiologies and outcome of seriously ill patients admitted in Pediatric Intensive Care Unit (PICU). Study Design: Cross Sectional study. Setting: PICU of Nishtar Medical Hospital, Multan, Pakistan. Period: January 2018 to December 2018. Material & Methods: During the study period, a total of 150 children, aged 1 to 12 years, with better prognosis and post-surgical cases requiring intensive care were registered. Age, gender, cause for hospitalization (clinical, surgical or emergency), length of PICU stay, diagnosis and outcome were recorded for all patients. Results: During the year of the study, 83 (55.3%) children were noted to be male. The mean age was 56.9+12.5 months. Mechanical ventilation was done in 62 (41.3%) patients. Major indications for admission to the PICU were respiratory disorders (21.5%), followed by sepsis (11.4%) and meningitis (8.1%). Majority, 80 (53.3%) patients improved and were shifted to ward and later discharged while 27 (18.0%) expired. Conclusion: Most of the children admitted in the PICU were male, aged below 5 years. Most common indication for admission in the PICU were respiratory disorders followed by sepsis and meningitis.

scholarly journals A Clinico-Aetiological Study of Prolonged Fever at a Tertiary Care Centre in Patna, Bihar

2021 ◽  
Vol 10 (9) ◽  
pp. 595-599
Author(s):  
Arshad Ahamad ◽  
Praveen Kumar ◽  
Kalpana Chandra ◽  
Amit Kumar Mishra ◽  
Manoj Kumar Choudhary ◽  
...  
Keyword(s):  
Inflammatory Diseases ◽  
Monsoon Season ◽  
Tertiary Care ◽  
General Medicine ◽  
Medical Problem ◽  
Cross Sectional Study ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Prolonged Fever

BACKGROUND Prolonged fever can be defined as fever of more than 14 days duration. It can be caused by infection, non-infectious inflammatory diseases, malignancy, miscellaneous causes and undiagnosed causes. The present study was undertaken to study the clinical profile as well as aetiology of prolonged fever. METHODS A cross sectional study was conducted among patients of prolonged fever admitted in general medicine ward at IGIMS, Patna, Bihar. Patients were selected as per inclusion and exclusion criteria. A detailed history was taken followed by physical examination, systemic examination and investigations to find out the underlying aetiology. RESULTS Male patients were more than females. Most commonly affected age group was of 21 to 30 years comprising 25 patients followed by 13 patients in less than 20 years age group, 11 patients in 41 – 50 years age group, 10 patients in 51 – 60 years age group, 8 patients in 31 – 40 years age group, 7 patients in 61 - 70 years age group and 6 patients in > 70 years age group. Maximum patients were in post monsoon season comprising 35 patients followed by 18 patients in summer, 17 patients in rainy and 10 patients in winters. Patients most commonly presented within 2 to 4 weeks of fever comprising 39 patients. All patients were having fever. Other symptoms present were cough / dyspnoea in 24 patients, weakness / body ache in 15 patients, abdominal pain in 14 patients, headache / irritability in 11 patients, arthralgia in 9 patients and altered sensorium in 2 patients. Most common aetiological diagnosis was tuberculosis in 32 patients followed by connective tissue disease (CTD) in 9 patients, liver abscess in 8 patients and haematological malignancy in 7 patients. CONCLUSIONS Prolonged fever is a common but difficult medical problem commonly caused by infection predominantly tuberculosis. KEY WORDS Pyrexia, PUO, Prolonged Fever

scholarly journals Difference in the general medicine in-training examination score between community-based hospitals and university hospitals: a cross-sectional study based on 15,188 Japanese resident physicians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuji Nishizaki ◽  
Keigo Nozawa ◽  
Tomohiro Shinozaki ◽  
Taro Shimizu ◽  
Tomoya Okubo ◽  
...  
Keyword(s):  
Physical Examination ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Medical Interview ◽  
Sectional Study ◽  
University Hospitals ◽  
Community Based ◽  
Cross Sectional ◽  
Clinical Competencies ◽  
Clinical Procedures

Abstract Background The general medicine in-training examination (GM-ITE) is designed to objectively evaluate the postgraduate clinical competencies (PGY) 1 and 2 residents in Japan. Although the total GM-ITE scores tended to be lower in PGY-1 and PGY-2 residents in university hospitals than those in community-based hospitals, the most divergent areas of essential clinical competencies have not yet been revealed. Methods We conducted a nationwide, multicenter, cross-sectional study in Japan, using the GM-ITE to compare university and community-based hospitals in the four areas of basic clinical knowledge“. Specifically, “medical interview and professionalism,” “symptomatology and clinical reasoning,” “physical examination and clinical procedures,” and “disease knowledge” were assessed. Results We found no significant difference in “medical interview and professionalism” scores between the community-based and university hospital residents. However, significant differences were found in the remaining three areas. A 1.28-point difference (95% confidence interval: 0.96–1.59) in “physical examination and clinical procedures” in PGY-1 residents was found; this area alone accounts for approximately half of the difference in total score. Conclusions The standardization of junior residency programs and the general clinical education programs in Japan should be promoted and will improve the overall training that our residents receive. This is especially needed in categories where university hospitals have low scores, such as “physical examination and clinical procedures.”

Sonographic Assessment of Renal Volume in Normotensive Pregnant Women and Women With Pregnancy-Induced Hypertension in Enugu Metropolis

2021 ◽  
pp. 875647932110210
Author(s):  
Idigo Felicitas Ugochinyere ◽  
Nwankwo Sylvia Chiamaka ◽  
Abonyi Everistus Obinna ◽  
Anakwue Angel-Mary Chukwunyelu ◽  
Agbo Julius Amechi
Keyword(s):  
Reference Range ◽  
Interobserver Variability ◽  
Correct Diagnosis ◽  
Negative Relationship ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Renal Volume ◽  
Cross Sectional ◽  
Significant Difference ◽  
Induced Hypertension

Objective: Renal volume (RV) assessment during obstetric sonography is rarely considered in our locality. Understanding the changes in RV in both normotensive pregnant (NP) and pregnancy-induced hypertensive (PIH) women is important in making correct diagnosis regarding pregnancy outcome. This study is aimed at determining the RV in NP and PIH women and correlating RV with fetal gestational age (FGA), body mass index (BMI), and parity in NP women. Materials and Methods: This cross-sectional study involved 450 patients recruited at a Tertiary Hospital. A pilot study was done to determine the interobserver variability in RV measurement. RV was calculated using the following formula: L × W × AP × 0.523. Parity, BMI, and blood pressure were documented, while FGA was calculated as an average of FGAs obtained from the measurements of fetal biometric parameters. Results: Mean RV of PIH women was significantly higher than that of NP women ( P < .05). RV shows a positive significant relationship with BMI and FGA, while it shows a negative relationship with parity in NP ( P < .05). Conclusion: Reference range values of RV were generated for clinical use in our locality, while there is statistically significant difference between RV in NP and PIH women.

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