A PROSPECTIVE STUDY ON CLINICAL PROFILE OF DEVIATED NASAL SEPTUM AND EFFICACY OF SEPTOPLASTY

2021 ◽  
pp. 56-57
Author(s):  
T. Anandachockaling am ◽  
J. Balasubramani
Keyword(s):  
Nasal Septum ◽  
Clinical History ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
College Hospital ◽  
Medical College ◽  
Subjective Scale ◽  
Single Center Study ◽  
Detailed Clinical History ◽  
A Prospective Study

Deviated nasal septum is one of the most common ENTnding . we did this study to nd out the clinical prole of deviated nasal septum Materials and methods: This study is a prospective, observational,single-center study .The study was conducted in Government sivagangai medical college hospital , sivagangai , tamil, India. A detailed clinical history was taken and clinical examination of the patient was carried out. Sixty symptomatic patients were taken up. Patient scored their symptom-related severity using a Likert scale preoperatively. All patients underwent conventional septoplasty. Postoperatively,their symptoms were scored on 30th, 45th, and 90th day. Results: Preoperative and Postoperative values were analyzed.Statistically signicant improvement was observed in the entire population: Nasal obstruction (p<0.001), headache(p<0.001), nasal discharge (p<0.001), facial pain (p<0.001),and hyposmia (p<0.001). Patient satisfaction was high and they used fewer nasal medications. Conclusion:After surgical correction of the septum and analysis of the subjective scale showed improvement in all symptoms.

scholarly journals A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery

2017 ◽  
Vol 10 (2) ◽  
pp. 70-73
Author(s):  
Mohan Mogarnad ◽  
Vandana Mohta
Keyword(s):  
Nasal Septum ◽  
Clinical History ◽  
Likert Scale ◽  
Clinical Profile ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Medical College ◽  
Subjective Scale ◽  
Septal Surgery ◽  
Detailed Clinical History

ABSTRACT Aim To study the clinical profile of deviated nasal septum and to assess the subjective efficacy of the surgical outcome using Likert scale. Materials and methods This study is a prospective, observational, single-center study from October 2013 to May 2015. The study was conducted in Sri Siddhartha Medical College, Tumkur, Karnataka, India. A detailed clinical history was taken and clinical examination of the patient was carried out. Sixty symptomatic patients were taken up. Patient scored their symptom-related severity using a Likert scale preoperatively. All patients underwent conventional septoplasty. Postoperatively, their symptoms were scored on 30th, 45th, and 90th day. Results Preoperative and Postoperative values were analyzed. Statistically significant improvement was observed in the entire population: Nasal obstruction (p<0.001), headache (p<0.001), nasal discharge (p<0.001), facial pain (p<0.001), and hyposmia (p<0.001). Patient satisfaction was high and they used fewer nasal medications. Conclusion After surgical correction of the septum and analysis of the subjective scale, i.e., Likert scale showed improvement in all symptoms. The principal benefits of septal surgery relate to improvement in nasal symptoms. How to cite this article Mogarnad M, Mohta V. A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery. Clin Rhinol An Int J 2017;10(2):70-73.

scholarly journals A CLINICAL STUDY OF PATIENTS WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

2017 ◽  
Vol 10 (7) ◽  
pp. 373 ◽  
Author(s):  
Karthik Rao ◽  
Gurukanth Rao ◽  
Navin Patil ◽  
Balaji Ommurugan ◽  
N R Rao ◽  
...  
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Tertiary Care ◽  
Clinical History ◽  
Sustained Remission ◽  
Care Hospital ◽  
College Hospital ◽  
Thrombocytopenic Purpura ◽  
Medical College ◽  
Immune Globulins ◽  
Detailed Clinical History

OBJECTIVE To study the incidence, age and sex distribution among adults, various modes of presentation, correlation between thrombocytopenia and bleeding manifestations and various modalities of treatment of Idiopathic Thrombocytopenic Purpura in a tertiary care hospital in India.MATERIALS AND METHODSProspective study consisting of 4o cases of ITP admitted to Kasturba Medical College Hospital, Manipal from November 2005 to March 2007. Patients above 14 years of age admitted with thrombocytopenia in this institution were screened based on detailed clinical history, physical examination and laboratory investigations.RESULTSThe maximum incidence was in the 3 rd decade of life accounting for 27.5% of the patients. Ratio of male to female was 1:1.9 with female preponderance. Females in 3 rd decade had maximum incidence while males in 4th decade have maximum incidence. Majority 12 (85.71%) of male patients and 15(57.69%) of female patients  developed purpura during the course of disease. The mean count was 17.8X109/L with range between 2.0 X109/L to 76 X109/L. Cutaneous bleeding spots were found to be assosiated with counts above 25000X109/L and hematuria with lowest counts around 4000 X109/L. 20 (50%) of the above 40 patients responded to corticposteroids alone and did not have any further relapse. Among the remaining patients 3 (7.5%) had a relapse of symptoms within next 6 months and responded to repeat prednisolone started at 1mg/kg. 2 (5%) patients were given steroids tapering dose with IV Immune globulins for initial 5 days as therapy to which they responded.CONCLUSIONIdiopathic thrombocytopenia is 1.9 times more common in females than males. Most common presentation is bleeding spots over body. Bleeding manifestations are more common with thrombocytopenia less than 30000/mm3. Corticosteroids are the mainstay in treatment. Complete remission is seen in up to 57.5% of the patients. Splenectomy is the second modality of treatment in ITP. Complete and sustained remission is seen 75% of patients.  

scholarly journals Clinical features & outcome of dengue cases at a tertiary care centre

2021 ◽  
Vol 53 (1-2) ◽  
pp. 3-7
Author(s):  
Md Nazrul Islam ◽  
Sabikun Nahar Chowdhury ◽  
SK Moazzem Hossain ◽  
Arina Shorani Mousi
Keyword(s):  
Tertiary Care ◽  
Public Health Problem ◽  
Clinical History ◽  
Complete Recovery ◽  
Medical College Hospital ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Medical College ◽  
Atypical Manifestations ◽  
Detailed Clinical History

Background: Dengue is a very common seasonal public health problem causing significant mortality every year. In 2019 an outbreak occurred in Bangladesh. Few new manifestations and multi organ involvement were found. Objective: The objective of the study was to see the clinical and laboratory manifestations and outcome of dengue fever in a medical college hospital. Methods: It was an observational study in a medical college hospital in Bangladesh. Study period was one year. The patients were confirmed cases of dengue. Apart from detailed clinical history, examination of patient, relevant investigations and follow up was done until discharge. Result: Total number of cases was 98. Out of them 62 (63.2%) were male and 36 (36.73%) were female. Fever was most common (100%) manifestation and duration of fever ranged from 5 to 8 days with a mean duration of 6.3 (± 1.0) days. Among other symptoms generalized body ache was most common (63, 64.3%). Generalized weakness was present in 60 cases (61.2% cases) Bleeding manifestations was present in 41 cases; abdominal manifestations were found in 11 cases. Blood for NSI was positive in 94 (95.9%) cases; most cases (71, 72.4%) became positive between 2nd to 4th day. Ninety (91.9%) cases developed thrombocylopcnia and it started at 5th day in 45 (45.9%) cases. Blood transfusion was given in 12 (12.2%) cases & Platelet transfusion was given in 3 (3.1%) cases. Complete recovery was in 96 (98%) cases and Death occurred in 2 (2.0%) cases. Conclusion: Bleeding was a dominant presentation. Some atypical manifestations like gastro intestinal features were also observed. These findings will help physicians in early diagnosis of dengue. Bang Med J Khulna 2020: 53 : 3-7

Etiological Profile of Children with Global Developmental Delay: A Single Center Study

2018 ◽  
Vol 17 (03) ◽  
pp. 111-117
Author(s):  
Pallavi Sachdeva ◽  
Sadasivan Sitaraman ◽  
Priyanka Minocha ◽  
Rohit Jain ◽  
Anita Choudhary ◽  
...  
Keyword(s):  
Developmental Delay ◽  
Diagnostic Yield ◽  
Clinical History ◽  
Global Developmental Delay ◽  
Genetic Studies ◽  
Medical College ◽  
Single Center Study ◽  
Detailed Clinical History ◽  
Common Etiology ◽  
Development Quotient

AbstractGlobal developmental delay (GDD) is a relatively common pediatric issue. It can have plethora of causes. Early intervention in these children by finding the cause of developmental delay is often challenging but can definitely improve ultimate developmental outcome. The study was undertaken to study the clinical profile of children with GDD to assess the etiology of delay in these children. The study was performed in the Department of Pediatrics, SMS Medical College, Jaipur, from June 2014 to May 2015. One hundred sixty-eight children with GDD attending the child development clinic with age ≤ 5 years and development quotient < 70% were enrolled. After detailed clinical history and thorough examination, specific investigations were obtained. Data analysis was done to determine the underlying etiology. Out of 168 children studied, etiology was detected in 155 (92.3%). Most common etiology was perinatal insult (63.1%) followed by genetic (8.93%), postnatal (7.14%), metabolic (5.95%), mixed (2.98%), cerebral dysgenesis (2.38%), and congenital infections (1.79%). Microcephaly was present in 100 children. Most common etiology was found to be perinatal insult, which is a preventable cause to much extent. Newer and sophisticated investigations such as metabolic profile, genetic studies should be incorporated in the planned investigations to increase the diagnostic yield.

scholarly journals Efficacy of septoplasty with endoscopic osteomeatal clearance in the management of headaches due to chronic sinusitis secondary to Deviated nasal septum

2016 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Binu Babu ◽  
Anjana Mary Reynolds ◽  
Gopinathan Pillai N.
Keyword(s):  
Nasal Septum ◽  
Chronic Sinusitis ◽  
Visual Analogue Score ◽  
Symptomatic Improvement ◽  
Deviated Nasal Septum ◽  
College Hospital ◽  
Operative Morbidity ◽  
Medical College ◽  
Minimally Invasive Surgical ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Deviated nasal septum (DNS) is a common condition which affects most children and adults. Several surgical procedures are available for DNS. Endoscopic septoplasty is a minimally invasive surgical technique which can minimise trauma to the nasal septum and decrease post-operative morbidity. The present study was aimed to study the efficacy of septoplasty with endoscopic osteomeatal clearance, on headache due to sinusitis secondary to DNS<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> The study was longitudinal in nature and involved patients undergoing septoplasty with endoscopic osteomeatal clearance at Government Medical College Hospital, Kottayam, Kerala, India. Patients with significant nasal obstruction due to DNS, and having recurrent sinusitis causing headache, were included into the study. Patients were discharged after 3 days and were called up for review at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year and evaluated for change in headache as assessed by visual analogue score (VAS). </p><p class="abstract"><strong>Results:</strong> A total of 50 participants were enrolled into the study over a period of 2 years. Maxillary sinus was involved in almost 96% of the cases while frontal sinus was affected in 46% and ethmoid sinus in 50% of participants. Seventy four percent participants had subjective symptomatic improvement at 2 weeks after surgery. The mean (SD) VAS score pre-operatively was 6.54 (1.5) and it improved to 4.18 (1.8) at 2 weeks following surgery (p &lt;0.05)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Septoplasty with endoscopic osteomeatal clearance is a procedure which is highly efficacious and well tolerated in treating headache due to sinusitis secondary to DNS<span lang="EN-IN">.</span></p>

scholarly journals Study of etiological factors in unilateral maxillary chronic sinusitis

2016 ◽  
Vol 3 (1) ◽  
pp. 88
Author(s):  
D. Chandrika ◽  
Anantharaju G. S.
Keyword(s):  
Maxillary Sinusitis ◽  
Clinical History ◽  
Causative Factor ◽  
Successful Outcome ◽  
Dental Infection ◽  
Deviated Nasal Septum ◽  
Detailed Clinical History ◽  
Chronic Maxillary Sinusitis ◽  
Symptoms And Signs

<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis is an extremely prevalent disorder which has significant effect on quality of life of affected individual. Varied symptomatology and varied etiology of unilateral chronic maxillary rhinosinusitis requires a comprehensive approach by otorhinolaryngologist. The objectives of the study were to evaluate the causative factor of unilateral chronic maxillary sinusitis and to study clinical presentation of unilateral chronic maxillary sinusitis<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> 50 patients with symptoms and signs suggestive of unilateral chronic maxillary sinusitis were evaluated. All were subjected to detailed clinical history, ENT examination including complete orodental examination, diagnostic nasal endoscopy, intra oral peri apical radiographs, CT scan of para nasal sinuses<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> Of total of 50 patients studied, gross deviated nasal septum (DNS) is commonest cause of chronic unilateral maxillary sinusitis followed by dental infection of upper premolars<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> This study was carried out with an effort to find out etiology of unilateral chronic maxillary sinusitis as identification of etiology will help in successful outcome of the treatment<span lang="EN-IN">.</span></p>

scholarly journals CLINICAL PROFILE OF CHRONIC RHINOSINUSITIS: A STUDY IN CENTRAL INDIA

2021 ◽  
pp. 104-106
Author(s):  
Tanvi Rekhade ◽  
A.Z. Nitnaware ◽  
Seema Patel ◽  
R.T. Pawar ◽  
Ashish Keche
Keyword(s):  
Quality Of Life ◽  
Chronic Rhinosinusitis ◽  
Nasal Septum ◽  
Nasal Polyps ◽  
Central India ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Northern India ◽  
Causative Factors

Chronic Rhinosinusitis (CRS) has heavy implications on the quality of life and has a prevalence of about 46.1 % in northern India with similar pattern across the country.This research has been undertaken to study the presentation and causative factors for CRS in central India. Data of 100 patients diagnosed as CRS was studied. Patients presented with nasal obstruction and nasal discharge at large. Nasal polyps were seen in 37% cases. The most common associated etiopathological factor was anatomical obstruction due to deviated nasal septum.

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals Clinical spectrum of facial hypermelanosis: a descriptive study from a tertiary care centre

2020 ◽  
Vol 6 (2) ◽  
pp. 212
Author(s):  
Mohammed Thoyyib ◽  
Roshni Menon ◽  
Brinda G. David
Keyword(s):  
Tertiary Care ◽  
Clinical History ◽  
Climatic Conditions ◽  
Research Centre ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Pigmentary Disorders ◽  
Number Of Patients ◽  
The Face ◽  
Detailed Clinical History

<p class="abstract"><strong>Background:</strong> Facial melanosis (FM) which refers to brown, black or blue pigmentation over the face is a common cosmetic concern in Indian patients. This increased incidence could be due to remarkable diversity of Indian ethinic population. Pigmentary disorders of the face are a great cosmetic and psychological concern for the patients.</p><p class="abstract"><strong>Methods:</strong> This is an extensive descriptive clinico epidemiological study comprising of 1024 patients, conducted at Sri Venkateshwara Medical College Hospital and Research Centre, Puducherry, for a period of one and a half years. A detailed clinical history and examination was done, and all the clinical photographs and data were recorded. Necessary investigations like skin biopsy and patch testing was done wherever required.<strong></strong></p><p class="abstract"><strong>Results:</strong> The maximum number of patients belong to the age group of 21-35 years with a female predominance (67.2%). Among patients of FM, post inflammatory pigmentation (35.3%) was the most common comprising of 362 patients, followed by melasma (17.2%), periorbital melanosis (15.7%), seborrheic melanosis (7.5%) followed by other causes.</p><p><strong>Conclusions:</strong> FM is common in Indian skin, several of which have overlapping features, and some have defined clinical classification. Additionally, climatic conditions, cosmetic usage and social parameters predispose to the increased incidence of FM.</p>

scholarly journals A PROSPECTIVE STUDY ON CLINICO-PATHOLOGY OF VARICOSE VEINS AND ITS' SURGICAL MANAGEMENT

2020 ◽  
pp. 1-10
Author(s):  
Om Prakash ◽  
K. Govardhanan
Keyword(s):  
Prospective Observational Study ◽  
Varicose Veins ◽  
College Hospital ◽  
Medical College ◽  
Experienced Radiologist ◽  
Associated Symptoms ◽  
Observational Study Design ◽  
The Government ◽  
A Prospective Study ◽  
Symptoms And Signs

Background: Varicose veins primarily considered to be a cosmetic problem have been widely mistaken to be medically unimportant and given low priority for treatment. The associated pain, swelling, open ulceration and other morbidities increase cost of its management. The debilitation adds on to the time lost from work and wages. Aim: To study the aetiogenesis, pathology, presentation, complications, and management of varicose veins in the study populations. Methods: The current study followed a prospective observational study design among 60 patients visiting Meenakshi Medical College Hospital and Research Institute with symptoms and signs of varicose veins and clinically diagnosed as having varicose veins. Various presentations and complications and treatments were noted and finally followed up for minimum of 6 months. Results and Conclusion: It is found that varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. The incidence is on the rise. It is more common in middle- aged group and in males. Patients presented with spectrum of symptoms and signs, dilated and tortuous veins being more common presentations. Long saphenous system is the most common venous system affected. Ankle (lower perforator being the most common incompetent perforators. The outcome of cases of primary varicose vein depends on a thorough and complete clinical examination and duplex scan by an experienced radiologist. Operative line of treatment is a primary procedure in the management of varicose veins of lower Stripping of LSV up to knee and non-stripping of SSV is associated with less morbidity. Accurate assessment reduces the risk of recurrent varicose veins. There must be ample support from the Government so that even the poor will be benefited from the newer modality of treatment of varicose veins.

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