COMPARATIVE STUDY OF DIGITAL X-RAY L-S SPINE AND DEXA L-S SPINE IN THE EVALUATION OF OSTEOPOROSIS

2021 ◽  
pp. 57-59
Author(s):  
Noorul Hasan ◽  
Sameer R. Verma ◽  
Neeraj Prajapati ◽  
Vinod Kumar Mogha

AIMS & OBJECTIVES- The aim of the study was to compare the sensitivity of Digital X-ray of L.S.Spine in relation to DEXA Scan in the detection of reduced bone mass (osteopenia/ osteoporosis) and evaluate the association of osteoporosis/ osteopenia with certain factors like age, height, weight, smoking, alcoholism and awareness. MATERIALS AND METHOD- This Prospective, this prospective observational study included 100 patients of both sexes between 40 – 80 years age , who presented to in the Department of Radiodiagnosis, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly (Uttar Pradesh) with presenting symptoms of non- inammatory low back pain and underwent dexa scan of L.S. Spine and X-Ray of L.S.Spine. A detailed history including demographic feature and social factor (history of smoking and alcoholism and education/ knowledge status). The investigation ndings were recorded and tabulated and data were analyzed statistically. RESULTS- The DXR L.S.Spine shows the sensitivity 75.29%, specicity 78.95%, and accuracy was 77.01% in compression to dexa scan in patients with osteopenia/ osteoporosis. There was negative correlation between weight and height and knowledge of the patient with osteopenia/ osteoporosis and no signicant correlation between history of smoking and alcoholism. CONCLUSION- In conclusion, DXR and DEXA measurements shows fair agreement. Our results suggest DXR to be a promising screening tool for detecting low bone quality or osteoporosis.

2020 ◽  
Vol 42 (3) ◽  
pp. 317-317
Author(s):  
Iqra Zubair Awan Iqra Zubair Awan

This review paper covers one of the most important discoveries of the last century, viz. X-ray diffraction. It has made enormous contribution to chemistry, physics, engineering, materials science, crystallography and above all medical sciences. The review covers the history of X-rays detection and production, its uses/ applications. The scientific and medical community will forever be indebted to Rand#246;ntgen for this invaluable discovery and to those who perfected its application.


2011 ◽  
Vol 4 (3) ◽  
pp. 127-129
Author(s):  
Rohit Sharma ◽  
Vinit Kumar Sharma ◽  
JP Purohit ◽  
Sampan Vishth

ABSTRACT Objective Clinical evaluation of atrophic rhinitis and comparative study of its surgical treatments. Materials and methods This study was carried out in the Department of ORL-HNS, MLB Medical College and Hospital, Jhansi and Department of ORL-HNS, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India from June 2006 to May 2011 including the cases of atrophic rhinitis. A total of 40 patients of atrophic rhinitis were included in this study. Thirty-two patients had modified Young's nostril closure and eight patients had dermofat graft obliteration of nasal cavity. Preoperative and postoperative assessment of nasal mucociliary flow rate were also assessed by saccharine test. Fifteen cases were kept in control group to compare the nasal mucociliary flow rate results. Results The results of both surgical modalities were compared at various intervals for 20 months. Conclusion The patients with history of nasal myiasis and septal perforation do better with partial nostril closure while patients, not having history of maggots and septal perforations, had best results with dermofat graft operation. It was seen that after surgical treatment of atrophic rhinitis, either by nostril closure or dermofat grafting, there was improvement in nasal mucociliary flow or, nearly, all patients were symptomatically improved.


2016 ◽  
Vol 7 (3) ◽  
pp. 121-122
Author(s):  
Robin George Manappallil

According to WHO, Dengue fever (DF) is the most rapidly spreading mosquito-borne viral disease in the world. Dengue Haemorrhagic fever (DHF) is a severe and more serious form of DF, characterised by fever, bleeding manifestations, plasma leakage and thrombocytopenia. This is a case of a 28 year old male, who presented with history of fever and myalgia and was diagnosed to have DF. He had developed acute onset dyspnoea and his chest X-Ray showed right sided pleural effusion. Pleurocentesis revealed haemorrhagic fluid in the absence of trauma.Unprovoked hemothorax as an initial presentation of DHF has rarely been reported.Asian Journal of Medical Sciences Vol.7(3) 2016 121-122


2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Elvin M. Mendez

Abstract Background Allergic rhinitis is the most common allergic disease encountered in a primary care setting. Diagnosis is often made clinically based on response to empiric therapy. However, with long-term treatment failure and/or atypical disease presentation, a differential diagnosis should be considered. The following is a report of an unusual and rare presentation of a subglottic tracheal angiomyomatous hamartoma in an adolescent, treated for many years as allergic rhinoconjunctivitis and asthma. Case presentation A 12-year-old Caucasian was referred to the allergy clinic with a lifetime history of bronchospasms and rhinoconjunctivitis symptoms, treated for many years for asthma and environmental allergies. Cough, posterior nasal drainage, self-described “choking on phlegm,” and a sensation of “a flap in the throat,”, worsened 5 months prior to the initial evaluation. Puncture skin testing for common environmental allergens was negative. Spirometry, performed due to history of chronic cough, showed blunting of the forced expiratory phase. A chest X-ray, immediately ordered to rule out possible extrapulmonary obstruction, showed bilateral bibasilar infiltrates. A noncontrast computerized tomographic scan of the chest, ordered to further elucidate X-ray findings, revealed a subglottic tracheal mass. Following a subsequent transfer and admission to a tertiary hospital center, microlaryngoscopy, bronchoscopy, and microsuspension laryngoscopy were performed to remove the tracheal mass. Pathology confirmed squamous mucosa with polypoid angiomyomatous changes and chronic inflammatory features consistent with angiomyomatous hamartoma. Surgical intervention was successful, and follow-up 1 year postoperatively revealed a healthy, asymptomatic adolescent child with normal lung function. Conclusions Although posterior nasal drainage and cough are typical presenting symptoms in the general patient population, they may be clinically impactful as they could disguise more serious medical conditions. A detailed history and careful physical examination may provide a high index of suspicion of disease, and can help work the differential diagnosis. This case presentation is the first documentation of subglottic hamartoma reported in the pediatric literature with clinical manifestation of environmental allergy and asthma symptoms.


2015 ◽  
Vol 23 (1) ◽  
pp. 7-11
Author(s):  
Saumendra Nath Bandopadhyay ◽  
Dwaipayan Mukherjee ◽  
Diptanshu Mukherjee ◽  
Swagatam Banerjee ◽  
Shubhra Kanti Sen

ABSTRACTIntroductionThe proportion of adults suffering from retropharyngeal abscess (RPA) has increased in comparison to children.Materials and methodsEight cases of adult retropharyngeal abscess were reviewed. The diagnostic criteria were radiological evidence of widening of pre-vertebral soft tissue shadow and presence of pus in the swelling.ResultsSore throat, fever, muffled speech, painful swallow and stiffness of the neck were common presenting symptoms. Lateral X-ray of the neck was diagnostic. Commonest organism isolated was Streptococcus pyogenes. Airway obstruction was the commonest complication.DiscussionMost of the patients had history of trauma prior to the development of RPA. CT scan has an important role in planning the management in addition to lateral X-ray of the neck. Transoral surgical drainage in association with antibiotics is the treatment of choice in abscesses confined to the retropharyngeal space.ConclusionTuberculosis is no longer the commonest cause of adult retropharyngeal abscess. Sore throat or dysphagia, disproportionate to clinical findings in the throat should arouse suspicion of RPA. Early intervention with antibiotics reduces the chances of the development of complications.


2021 ◽  
Vol 14 (8) ◽  
pp. e245210
Author(s):  
Laurie C Finch ◽  
Spiro Gerdzhikov ◽  
Robert Buttery

A young man presented early in the UK’s second COVID-19 pandemic surge with a twelve-day history of fever, dry cough, breathlessness, myalgia and loss of smell and taste. His chest X-ray showed bilateral ground-glass opacities. He was treated for COVID-19 pneumonitis but covered for bacterial infection with antibiotics. He developed shock and respiratory failure, requiring vasopressors and continuous positive airway pressure. He improved but experienced transient visual disturbances and headache. Nasopharyngeal swabs and antibody tests for COVID-19 were negative. Blood cultures grew Haemophilus parainfluenzae. A new murmur prompted an echocardiogram. This confirmed a large, mobile mitral valve vegetation. An MRI of the brain showed bilateral embolic infarcts. He underwent urgent mitral valve repair and made an excellent recovery. Whether COVID-19 caused his presenting symptoms or facilitated the bacteraemia remains unclear. It seems more likely that infective endocarditis masqueraded as COVID-19. Clinicians should be aware of how context of the pandemic can bias diagnostic reasoning.


2011 ◽  
Vol 4 (3) ◽  
pp. 123-126
Author(s):  
Rohit Sharma ◽  
Vinit Kumar Sharma ◽  
JP Purohit ◽  
Sampan Vishth

ABSTRACT Objective Clinical evaluation of atrophic rhinitis and comparative study of its surgical treatments. Materials and methods This study was carried out in the Department of ORL-HNS, MLB Medical College and Hospital, Jhansi and Department of ORL-HNS, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India from June 2006 to May 2011 including the cases of atrophic rhinitis. A total of 40 patients of atrophic rhinitis were included in this study. Thirty-two patients had modified Young's nostril closure and eight patients had dermofat graft obliteration of nasal cavity. Preoperative and postoperative assessment of nasal mucociliary flow rate were also assessed by saccharine test. Fifteen cases were kept in control group to compare the nasal mucociliary flow rate results. Results The results of both surgical modalities were compared at various intervals for 20 months. Conclusion The patients with history of nasal myiasis and septal perforation do better with partial nostril closure while patients, not having history of maggots and septal perforations, had best results with dermofat graft operation. It was seen that after surgical treatment of atrophic rhinitis, either by nostril closure or dermofat grafting, there was improvement in nasal mucociliary flow or, nearly, all patients were symptomatically improved.


1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)


Author(s):  
A. R. Lang

AbstractX-ray topography provides a non-destructive method of mapping point-by-point variations in orientation and reflecting power within crystals. The discovery, made by several workers independently, that in nearly perfect crystals it was possible to detect individual dislocations by X-ray diffraction contrast started an epoch of rapid exploitation of X-ray topography as a new, general method for assessing crystal perfection. Another discovery, that of X-ray Pendellösung, led to important theoretical developments in X-ray diffraction theory and to a new and precise method for measuring structure factors on an absolute scale. Other highlights picked out for mention are studies of Frank-Read dislocation sources, the discovery of long dislocation helices and lines of coaxial dislocation loops in aluminium, of internal magnetic domain structures in Fe-3 wt.% Si, and of stacking faults in silicon and natural diamonds.


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