DIFFERENTIAL DIAGNOSIS OF NASAL MASS IN A TERTIARY CARE HOSPITAL OF JHARKHAND

Background: Nasal mass is abnormal growth in the nose, which may be benign or malignant and may be unilateral or bilateral. Nasal masses in most patients present with complaints of nasal obstruction. It may cause nasal discharge, epistaxis and anosmia. A nasal mass can have various differential diagnosis which this study aims to explore. Material and Methods: A retrospective study of histopathologically diagnosed cases of nasal masses for a period 3 years from January 2017 to December 2019. Results: Out of 95 patients 55 (57.89%) male and 40 (42.10%) female, male to female ratio is 1.37:1 with a mean age of 23 years (range= 2-63 years). Most of the cases 94(98.95%) were non-malignant and only 1(1.05%) was malignant (Adenoid cystic carcinoma). Malignancy of sinonasal tract is rare. Conclusion: With this study we can say that nasal masses are more common in males than females, adults age groups affected more than elderly age groups. It is also inferred that most of the nasal masses are benign in nature and very few cases are malignant in nature.

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SPECTRUM OF ACUTE KIDNEY INJURY IN THE MEDICINE WARDS OF A TERTIARY CARE HOSPITAL IN GOA

10.36106/gjra/6902414 ◽

2020 ◽

pp. 69-71

Author(s):

Ana Soraya Monteiro ◽

Edwin Gomes ◽

Tabitha Lobo

Keyword(s):

Acute Kidney Injury ◽

Tertiary Care ◽

Age Groups ◽

Case Series ◽

Kidney Injury ◽

Care Hospital ◽

Health Care Centre ◽

Female Ratio ◽

Direct Injury ◽

Male To Female

Background: Acute kidney injury is characterized by an increase in serum creatinine and/or a decrease in urine output. It can be classified as pre-renal, renal, or postrenal in cause and can be attributed to a local or systemic event - due to direct injury to the kidney or through indirect impediment of renal function. Objective: To determine the prevalence and spectrum of acute kidney injury in the medicine wards of a tertiary health care centre in Goa. Method: A case series was conducted on 100 patients admitted for AKI, or developed it during the hospital stay. Results: AKI was more common in males, with a male to female ratio of 3.5:1, and more prevalent in the age groups of 25-34 and 45-64 years. The dialysis requirement was 28% and mortality was 28.12%. There was no significant association between dialysis and survival rate. Conclusion: Acute Kidney Injury contributes to the morbidity and mortality of hospitalized patients as well as a burden of cost to the community at large. If anticipated, it is easily prevented and if detected early, it can be skilfully treated and reversed.

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COMPARISON OF CLINICO-SOCIAL PROFILE OF PULMONARY AND EXTRA PULMONARY TUBERCULOSIS IN TERTIARY CARE HOSPITAL IN A RURALAREA: A RETROSPECTIVE STUDY

10.36106/ijsr/4605295 ◽

2021 ◽

pp. 70-72

Author(s):

Gaurav Santosh Nemade ◽

Sumit Nitin Dhus ◽

Arushi Ramesh Shetty ◽

Neha Dhananjay Firake

Keyword(s):

Tertiary Care ◽

Care Hospital ◽

Female Ratio ◽

Extra Pulmonary Tuberculosis ◽

Younger Age ◽

Tobacco Addiction ◽

History Of ◽

Early Case ◽

Male To Female ◽

Clinical Characteristic

BACKGROUND AND OBJECTIVES: The burden of tuberculosis (TB) in India is the highest accounting for 26% of the global incidence. A total of 1.4 million people died from TB in 2019 (including 208 000 people with HIV). India accounts for a fourth of the global burden of TB and 29% of global mortality. Therefore, we carried out this study to compare demographic, lifestyle and clinical characteristic between pulmonary TB (PTB) and extrapulmonary TB (EPTB). MATERIALS AND METHODOLOGY:Aretrospective analysis was carried of 348 patients diagnosed in DOTS centre, Pravara Rural Hospital, Loni. Characteristics of demographic and clinical characteristics were obtained from medical case records. RESULTS:Among the 348 cases, 71.3% were PTB and 28.7% were EPTB including, pleural (36%), meningeal (27%) and lymphatic (20%) cases. The male to female ratio in PTB and EPTB are 1.99 and 1.22 respectively. EPTB was more common at younger age (<25 years). Tobacco addiction (10.9%), diabetes mellitus (4.03%), HIV positivity (12.1%) and history of contact with Tb patients (17.7%) were more likely to be associated with PTB. CONCLUSION:Increased awareness of the risk factors may facilitate early case nding and better management outcomes for these patients.

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Dengue Fever : Study of 100 Cases in a Tertiary Care Hospital in Dhaka City

Journal of Medical Science & Research ◽

10.47648/jmsr.2015.v2401.01 ◽

2015 ◽

Vol 24 (Number 1) ◽

pp. 3-7

Author(s):

A H M Karnal ◽

K H Mollah ◽

A Begum ◽

K Khoda ◽

S Tanzeem ◽

...

Keyword(s):

Dengue Fever ◽

Tertiary Care ◽

Hemorrhagic Fever ◽

Viral Disease ◽

Care Hospital ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

Male To Female ◽

Body Ache

Dengue is a rapidly spreading mosquito-borne viral disease worldwide. The endemicity in Bangladesh is also increasing gradually. The study was a prospective observational one, documented the presenting features and outcome of management. It was carried out in Department of Medicine in Holy Family Red Crescent Medical College Hospital, Dhaka from June 2013 to December 2013. Total 100 admitted cases of both sera positive and sera-negative were included in this study. Detailed history was taken, clinical examination and relevant investigations were done. Out of 100 patients 54 (54%) were male and 46 (46%) were female. So male to female ratio was 1.7:1. The age of the patients ranged from 12-75 years. Among them 20-40 years age group was highest 63%. Patients of higher socio-economic group were (69%) more affected. Out of 100 cases 54 had classical dengue fever (DF), 46 had dengue hemorrhagic fever (DHF). Antibody was positive in 81% cases. All patients presented with high fever, headache in 90%, retro-orbital pain in 45%, body ache in 56%, and backache in 48%. Leucopenia found in 60, platelet count <100x1091L was in 57, HCT- normal 17, <20% rise in 48%, ?20% rise in 28%. With proper management all patients were recovered.

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Aural foreign bodies and their management: our experience

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20201076 ◽

2020 ◽

Vol 6 (4) ◽

pp. 646

Author(s):

Padma Harini ◽

Suneel Kudamala

Keyword(s):

Foreign Bodies ◽

Incidental Finding ◽

Tertiary Care ◽

Age Groups ◽

Paediatric Population ◽

Outpatient Department ◽

Tertiary Care Centre ◽

Female Ratio ◽

History Of ◽

Male To Female

Background: Aural foreign bodies (FB) are a common presentation at ENT outpatient department mostly seen in paediatric population. Some are easily managed while others should be dealt with caution and extreme care. The objectives of the study were to analyze the types of aural FB, their incidence in different age groups and evaluate management methods.Methods: This is a prospective descriptive study on patients of all age groups with aural FB presenting to the ENT Outpatient Department in a tertiary care centre for a period of 1 year. The clinical presentation, type of FB, incidence in different age groups and management methods were analyzed. Results: 200 patients aged 2-78 years were evaluated. Age group of under 15 years was most affected (70%). Male to female ratio was 1:1.326. Majority (104 out of 200) presented with a history of FB insertion in the ear while others presented with aural pain and discharge. In 10 cases, ear foreign body was an incidental finding. Most common FB was seeds in children and cotton buds, bird feathers in adults. Most of the cases were managed without anaesthesia with use of headlight. Ear probes were used in 45% cases followed by forceps, suction and syringing in remainder.Conclusions: Most of the aural foreign bodies can be managed in the outpatient department itself without any anaesthesia under direct vision of headlight with the help of simple instruments without any complications.

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A study on clinical characteristics of herpes zoster in a tertiary care center

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20170081 ◽

2017 ◽

Vol 3 (1) ◽

pp. 79

Author(s):

Rachana R. ◽

Shivaswamy K. N. ◽

Anuradha H. V.

Keyword(s):

Herpes Zoster ◽

Clinical Characteristics ◽

Care Center ◽

Tertiary Care ◽

Age Groups ◽

Age Group ◽

Female Ratio ◽

Varicella Zoster ◽

Medical College ◽

Male To Female

Background: Herpes zoster (HZ), also known as shingles, derived from the Latin word Cingulum, for “girdle”. This is because a common presentation of HZ involves a unilateral rash that can wrap around the waist or torso like a girdle. HZ results due to reactivation of an earlier latent infection with the varicella zoster virus (VZV) in dorsal root ganglia. It occurs at all age groups, common over 60 years of age. It is estimated that in non-immune populations, approximately 15 cases per 1000 people occur per year. The objective of the study was to study the clinical characteristics in patients with uncomplicated herpes zoster.Methods: A total of 72 patients attending dermatology OPD at Ramaiah medical college between June 2013 to September 2014 were recruited after obtaining informed consent. A detailed history regarding onset of rash, pain, progression, duration and distribution of the lesions were recorded. Demographic information including age, sex, and any other co morbidities noted. Tzanck smear and serology for HIV was done where-ever necessary.Results: Of the 72 patients, females outnumbered males [M=35(48.61%), F=37 (51.39%)] with male to female ratio of 0.9 to 1. The mean age of presentation was 58±18 years. Majority of the patients (54%) were in the age group of 51 to 70 years followed by 31-50 years (25%). Least number of cases (9%) was in the age group of 21 to 30 years. Of the 72 subjects, thoracic involvement was noted in 30.6%, followed by lumbar (22%), and trigeminal (16%). Cervical (4%) and sacral (2%) involvement was the least. Conclusions: Herpes zoster commonly occurs in old age and the presenting symptom being pain and burning sensation. Thoracic dermatome is the commonest site. Immunocompromised states like diabetes, malignancy and HIV can increase the risk of developing herpes zoster.

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Clinical Spectrum and Neuroimaging Changes in Neurodegenerative Disorder-Experiences in Tertiary Care Hospital of Bangladesh

European Journal of Clinical Medicine ◽

10.24018/clinicmed.2021.2.6.143 ◽

2021 ◽

Vol 2 (6) ◽

pp. 10-14

Author(s):

Gopen Kumar Kundu ◽

Rumana Islam ◽

Noor E-Sabah ◽

ABM Mukib

Keyword(s):

Neurodegenerative Diseases ◽

Tertiary Care Hospital ◽

Neurodegenerative Disorder ◽

Tertiary Care ◽

Clinical Manifestations ◽

Care Hospital ◽

Female Ratio ◽

History Of ◽

The Mean ◽

Male To Female

Neurodegenerative diseases (NDD) are a heterogeneous group of disorders characterized by progressive loss of previously acquired skills that are of varied etiology, clinical manifestations, and natural course. There is a paucity of data on clinical profile of neurodegenerative diseases in our population. We conducted a retrospective study with 68 diagnosed cases of NDD at a tertiary care hospital in Bangladesh. Among them, more than one-third of children were in 1-5 years age group. The mean age was 10.2±3.1 year and male to female ratio was 2:1. Fifty percent of cases had a history of consanguineous parents. Leukodystrophy was most common (30.88%) among NDDs, followed by Wilson disease (26.47), SSPE (22.1%), and Degenerative Ataxia (20.59%). Motor skill regression was the most common presentation (97%), followed by speech regression in 91% and Gait disorder in 83% of children. Seizure was presenting features in 24% of children. Neuroimaging abnormalities were found in 80.88% NDD cases. Among them white matter hyper intensity in 29.41%, cerabeller atrophy in 13.25 %, and cerebral atropy in 11.76% of children. Eye changes were found in about two-thirds (69.12%) of cases of NDD. Among them, optic atrophy was found in 29.41%, and KF rings in 25.00% of cases.

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CLINICO-MYCOLOGICAL PROFILE OF DERMATOPHYTOSIS AND DERMATOMYCOSIS AMONG PATIENTS ATTENDING OUTPATIENT DEPARTMENT IN A TERTIARY CARE HOSPITAL.

10.36106/ijar/8102872 ◽

2021 ◽

pp. 1-3

Author(s):

Kapaganty V Chakradhar ◽

Dilruba Begum ◽

Ruby Devi N ◽

Raya Roja

Keyword(s):

Tertiary Care ◽

Fungal Growth ◽

Trichophyton Mentagrophytes ◽

Skin Lesions ◽

Microsporum Gypseum ◽

Care Hospital ◽

Female Ratio ◽

Hair Samples ◽

Mycological Examination ◽

Male To Female

This study was conducted to determine the common isolates causing dermatophytosis and other fungi causing dermatomycosis in patients presenting with skin lesions with or without involvement of hair and nails. A total of 75 patients were included in the study with 86 distinctive clinical lesions, of which Tinea corporis (46.7%,) was the most predominant followed by T. cruris (22.7%), T. unguium (14.7%) with a male to female ratio of 1.3:1. KOH mounts were made from samples and examined for fungal elements and samples were sent to Microbiology laboratory for culture, and identication among them 77.3% were skin scrapings alone and 14.7% were nail clippings along with skin scrapings and 8% were hair samples along with skin scrapings. Most common isolate was Trichophyton rubrum (40%) followed by Trichophyton mentagrophytes (17.3%), Trichophyton tonsurans (9.3%), Microsporum gypseum (4%) and no fungal growth was found in 17.3% of the samples. The study signies the importance of mycological examination in the diagnosis of dermatophytosis.

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Clinicopathological Variants of Breast Cancer in a Tertiary Care Hospital in Pakistan

Annals of Punjab Medical College ◽

10.29054/apmc/2021.828 ◽

2021 ◽

Vol 15 (1) ◽

pp. 28-31

Author(s):

Raja Najam ul Haq ◽

Keyword(s):

Breast Cancer ◽

Invasive Ductal Carcinoma ◽

Ductal Carcinoma ◽

Lobular Carcinoma ◽

Tertiary Care ◽

Age Groups ◽

Subsequent Treatment ◽

Cancer Type ◽

Care Hospital ◽

Elderly Age

Background: Breast cancer is a growing phenomenon among females which has ever-lasting ramifications on the patient as well as the family. The only way of subjugating breast cancer is through an efficient and effective screening and subsequent treatment process. Objective: This study aimed at identifying the different clinicopathological patterns of breast cancer and the age group most frequently targeted by CA breast. Study Design: A prospective study. Settings: Fauji Foundation Hospital (FFH), Rawalpindi and Foundation University Medical College (FUMC) Pakistan. Duration: Six months from January 2018 to June 2018. Methodology: This study included 224 female patients, irrespective of their nationality by convenience sampling, who underwent any kind of breast surgery. The patients were evaluated according to their age, side of breast involved, site of lump in the breast, histopathology report and type of lesion (inflammatory, benign or malignant). The data was entered and analyzed using IBM SPSS version 25. Results: Our study sample of 224 individuals was found to have about 23 different histopathological variants of breast cancer. Invasive ductal carcinoma was found in almost all age groups and it was also the most common variant (80.8%), followed by invasive lobular carcinoma (4%). Majority of the cases were recorded in the elderly age bracket from 55 to 65 years. Right breast was found to be involved in 53.6% of the cases whereas left breast involvement was at 44.2%. 5 patients had lesions in both of their breasts. Upper outer quadrant was affected in 88% females followed by upper inner quadrant (6.7%). All four quadrants were involved in only 3 patients. Conclusion: This study concluded that invasive ductal carcinoma is the commonest clinical as well as pathological type of CA breast. 181 females out of a total of 224 had invasive ductal carcinoma. Therefore, this particular breast cancer type merits our special attention. Our study further concluded that most of the breast pathologies were found in elderly females aged between 55 and 65 years.

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A clinical study of ventral hernia

International Surgery Journal ◽

10.18203/2349-2902.isj20172791 ◽

2017 ◽

Vol 4 (7) ◽

pp. 2326 ◽

Cited By ~ 2

Author(s):

R. D. Jaykar ◽

A. S. Varudkar ◽

Anirudh K. Akamanchi

Keyword(s):

Risk Factors ◽

Incisional Hernia ◽

Ventral Hernia ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Care Hospital ◽

Female Ratio ◽

Surgical Ward ◽

Ventral Hernias

Background: Ventral hernias are one of the most common problems confronting general surgeons. Incisional hernia is a common long-term complication of abdominal surgery and is estimated to occur in 3% to 13% of laparotomy incisions. Because there is no prospective cohort available to determine the natural history of untreated ventral hernias, most surgeons recommend that these hernias should be repaired when discovered. So, there was a need to study the disease with respect to the various presentations, to gauge the awareness levels of the patients coming to us and also to determine the best modality of treatment in our set-up. This study was done to know the proportion of ventral hernias occurring in both sexes, various age groups, various risk factors and complications of different types of ventral hernias, clinical presentations and their treatment. Methods: This was a prospective study done at our tertiary care hospital between August 2014 and August 2015 (12 months). A total number of 50 cases of anterior abdominal hernias excluding groin hernias, posterior abdominal wall hernia was studied. Data collection included a detailed history and a thorough clinical examination. Data was entered in the proforma, tabulated and analyzed using software package for statistical analysis (SPSS 2015).Results: Ventral hernia constituted 4% of all admissions to the surgical ward. Incisional hernia was the most common amongst the ventral hernias with an incidence of 46%. Infra umbilical midline was the most common site for herniation in 42% of cases followed by umbilical region in 32% of cases. Obesity and constipation were found to be the major predisposing risk factors. Small defects (<2cm) presented early with more complications.Conclusions: In the present study of ventral hernias, 50 cases of ventral hernias that were admitted to Department of Surgery in our tertiary care hospital. Ventral hernia constituted 4% of all admissions to the surgical ward. The male to female ratio was 1:1.9 The mean age was approximately 41 years. Incisional Hernia was strangulated umbilical hernia - intra operative the most common variety.

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An autopsy study on injuries in homicidal deaths due to weapons

Indian Journal of Forensic and Community Medicine ◽

10.18231/j.ijfcm.2021.032 ◽

2021 ◽

Vol 8 (3) ◽

pp. 157-160

Author(s):

Sajeev Slater ◽

Sunil Subramanyam

Keyword(s):

Tertiary Care ◽

Age Groups ◽

Care Hospital ◽

Autopsy Study ◽

Female Ratio ◽

Blunt Force ◽

Adult Age ◽

Male Victim ◽

Medical College ◽

Sharp Force

Homicide is defined as the intentional act of taking another person’s life. This study was conducted in a tertiary care hospital and Medical College at Pondicherry between 2004 to 2019. It included all homicide deaths with weapon autopsied in the department of Forensic Medicine. A total of 74 cases of homicide was identified and studied. The male : female ratio was 4:1. Commonest age group was 21- 30 years of age. 78% of cases had fatal injuries in more than one anatomical region and head was the most targeted region. More than one type of injuries was present in 65% of cases. In this study male victim had mostly sharp force weapon induced injuries and female victims had blunt force weapon induced injuries. It was also found that in age groups less than 10 years and more than 60 years blunt force weapon induced injuries predominated, whereas in other young adult age groups sharp force weapon induced injuries were predominately seen.

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