scholarly journals Diabetic Retenopathy Management - A Case Study

2021 ◽  
pp. 1-4
Author(s):  
Gouri Sakre ◽  
Keyword(s):  
Diabetic Retinopathy ◽  
Blood Sugar ◽  
Vitreoretinal Surgery ◽  
Medical College Hospital ◽  
College Hospital ◽  
Hard Exudates ◽  
Medical College ◽  
Sugar Levels ◽  
The Right

Diabetic retinopathy is a complication of diabetes, caused by high blood sugar levels damaging Retina. It usually takes several years for diabetic retinopathy to reach a stage where it could threaten the sight, if left undiagnosed and untreated. Starting with only a mild vision problem, retinopathy usually appears five years after a type 1 diabetes diagnosis. But it may already be present when type 2 diabetes is diagnosed. We present one such case in a lady of 38 years old, tailor by profession, diagnosed as Type 2 diabetes since 2019, suspected to have had proliferative diabetic retinopathy in January 2020, reported at a Medical College Hospital on 15th December 2020 with periorbital headache for fifteen days. Fundal examination revealed hard exudates and Neo vascularization in both eyes. She was advised Photocoagulation but after her blood sugar was controlled. In the meantime, she was advised to use Nepafenac eye suspension four times daily for pain and redness of the right eye. Investigations had revealed her RBS was 392mg/dl, for which a general physician (internal medicine) was consulted who put her Tab. Metformin 500mg 1-1-1 B/F, Tab. Teneligliptin 20mg 0-1-0 A/F. Unfortunately, 2 months of follow up and diabetes management did not allow her to be taken up for photocoagulation. The institution was firm on their decision to plan her laser photocoagulation for both eyes only when the blood sugar levels come to a range of 140 to 160mg/dl. On 26th March 2021, she was rushed to the Medical College hospital as she complained of loss of vision in the Right eye. The fundus examination revealed multiple dot and blot hemorrhages in both eyes, bleed in oculus dexter and oculus sinister, hard exudates in the right eye that needed Vitreoretinal surgery. Since the Medical College Hospital did not have the Vitreoretinal surgery facility, she was taken to a private dedicated eye hospital, where she underwent laser photocoagulation of left eye on 12/04/21 followed by Vitrectomy of right eye for proliferative diabetic retinopathy on 24th April 2021. There were no postoperative hemorrhages until three days or any other complications after surgery. Now she can recognize some shapes with her right eye by closing left eye.

scholarly journals Sensitivity of Alvarado Score among the Suspected Appendicitis Patients at a Tertiary Level Teaching Hospital

2020 ◽  
Vol 32 (1) ◽  
pp. 45-47
Author(s):  
Md Shamsuzzaman ◽  
Md Alamgir Hossain Sikder ◽  
Quazi Sabran Uddin Ahmed ◽  
Shyamol Chandra Banik ◽  
Kartick Chanda Shaha
Keyword(s):  
Iliac Fossa ◽  
Medical College Hospital ◽  
College Hospital ◽  
Alvarado Score ◽  
Predictive Values ◽  
Suspected Appendicitis ◽  
National Medical College ◽  
Medical College ◽  
National Medical ◽  
The Right

Introduction: The aim of this study was to screening the Sensitivity of Alvarado score among the hospitalized suspected appendicitis patients at Dhaka National Medical College Hospital for determine the diagnostic accuracy. Materials and Methods: It was an observational type of descriptive study, conducted in the Dhaka National Medical College Hospital, Dhaka, during the study period of July 2015 to December 2015. The study was approved by the institutional ethical committee. Results: Most of the appendicitis patients belonged to the between 21-30 years which was 64 (32%). Male appendicitis patients (52%) are more than the female patients (48%). Majority of the patients (69%) complains pain occurs in the Right iliac fossa. The sensitivity of Alvarado scores was 81.60%, specificity 74.58%, accuracy 79.35%, positive and negative predictive values were 87.18% and 65.67% respectively. Conclusion: Alvarado score has more specificity. Medicine Today 2020 Vol.32(1): 45-47

scholarly journals Correlation of Ankle-Brachial Index with Diabetic Retinopathy in Patients of Type 2 Diabetes

2020 ◽  
Vol 35 (4) ◽  
Author(s):  
Abdullah Mazhar ◽  
Tayyaba gul Malik ◽  
Aalia Ali ◽  
Hina Nadeem
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Retinopathy ◽  
Blood Sugar ◽  
Teaching Hospital ◽  
Ankle Brachial Index ◽  
Diabetic Patients ◽  
Duration Of Diabetes ◽  
Sugar Levels ◽  
Relationship Of

Objectives: To find out a relationship of diabetic retinopathy with ankle-brachial (ABI) in patients of type 2 diabetes. Material and Methods It was a cross-sectional observational study carried out in Arif Memorial Teaching hospital and Rashid Latif Medical College from January 2019 to June 2019. 120 patients were selected by purposive convenient sampling from outpatient department of Arif Memorial Teaching hospital. After clinical history, complete ocular examination was performed. Random blood sugar levels were measured using Glucometer. Ankle-brachial index was calculated by dividing the systolic pressure at ankle by the systolic blood pressure at arm. Statistical analysis was done using SPSS 25. Independent sample t test and chi square tests were used to find out the significance of the results. Results: In this study of 120 diabetic patients, 80 (66.7%) were female and 40 (33.3%) were males. Mean Ankle Branchial Index (ABI) of Males was 0.96±0.11 and for females was 0.97±0.14. Among 120 participants of this study, 73 (60.83 %) patients had no signs of diabetic retinopathy, 35 (29.16 %) patients had NPDR and 12 (10%) patients had PDR. ABI was not associated with gender and duration of diabetes. However, there was negative and weak linear relationship between BSR and ABI (r= -0.221). This correlation was higher in diabetics of less than 5 year duration (r=-0.286) than in patients of more than 5 years duration of diabetes (r=-0.129).  Conclusion: Our study indicates that ABI is not significantly related with diabetic retinopathy. However, there is a positive relationship of ABI with high blood sugar levels.

scholarly journals Prevalence, clinical presentation and complications of diabetes mellitus in obstetric patients attending a medical college hospital

2017 ◽  
Vol 6 (9) ◽  
pp. 4028
Author(s):  
Prajakta Ganesh Joshi ◽  
Ganesh Arun Joshi
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Obstetric Care ◽  
Medical College Hospital ◽  
Dietary Advice ◽  
College Hospital ◽  
Medical College ◽  
Medical Disorders ◽  
Obstetric Management ◽  
In Pregnancy

Background: Diabetes mellitus (DM) may be present in the patient before the conception or it may appear during pregnancy. Obstetric management shall ensure prevention of diabetic embryopathy and early detection and management of diabetic complications in pregnancy.Methods: A descriptive observational study was undertaken on participants from a Medical College Hospital. The pre-existing medical disorders, blood sugar, routine antenatal investigations, type of delivery, ultrasound findings, complications of delivery, foetal outcome etc. were recorded. The participants were advised diet, exercise and pharmacotherapy. The intranatal and postnatal events were recorded. The results were compared with related literature.Results: The study had total 89 participants. Five participants (5.6%) had abnormal blood sugar values. Out of these, 2 participants were having pregestational DM and 3 were having gestational DM. Although all the participants who had abnormal blood sugar levels required caesarean section, two could not be operated. One participant with gestational DM who did not follow management advice delivered a macerated still born baby after shoulder dystocia. Another participant having gestational DM, who complied strictly as per dietary advice and exercise, could be managed well without insulin and delivered a healthy baby. The requirement of insulin increased in pregnancy in patients with pregestational diabetes.Conclusions: It is essential to ensure compliance on all three pillars of management of diabetes viz. diet, exercise and insulin during pregnancy. Hence health education for diabetes with special emphasis on obstetric care in pregnancy with diabetes should be promoted. 

scholarly journals Lifestyle Pattern and Knowledge about Diabetes Mellitus

2019 ◽  
Vol 31 (2) ◽  
pp. 102-104
Author(s):  
Kartick Chanda Shaha ◽  
Shima Akhter Khatun ◽  
Nafisa Mustafa ◽  
Farzana Ahmed ◽  
Mohammed Asaduzzaman Khan
Keyword(s):  
Diabetes Mellitus ◽  
Medical College Hospital ◽  
High Rate ◽  
Outpatient Department ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
College Hospital ◽  
Medical College ◽  
Adherence To Diet

Introduction:The aim of the present study was to assess the pattern of lifestyle and knowledge about diabetes mellitus among type 2 diabetic patients at two tertiary level hospitals in Mymensingh Materials and Methods: A descriptive, cross sectional study was conducted from July 2015 to December 2015 among 300 patients attending at Medicine outpatient department of the Community Based Medical College Hospital and Endocrine outpatient department of the Mymensingh Medical College Hospital after obtaining requisite consent from the patients. Data were collected through the interviewing of the patients. The collected data were entered into the computer and analyzed by using SPSS version 20.1. The study was approved by the institutional ethical committee. Results: In a pool of 300 type 2 diabetics, Most of the patients (57.3%) belonged to the middle age group 41-60 years. More than half of the respondents were female (n=223, 74.3%). 97% patients were found to have knowledge about timing of dose regimen. Majority of patient’s (35.7%) knowledge about hypoglycemia was poor. The rate of adherence to diet was 51%. The rate of adherence to exercise was 68.3%. Conclusion: Majority of type 2 DM patients displayed optimal level of diabetes knowledge. There was a high rate of non adherence to diet and exercise recommendations by patients suffering from type 2 diabetes mellitus. So continuous patient education and awareness program are required. Medicine Today 2019 Vol.31(2): 102-104

scholarly journals Correlation of Ankle-Brachial Index with Diabetic Retinopathy in Patients of Type 2 Diabetes

2020 ◽  
Vol 35 (4) ◽  
pp. 276-280
Author(s):  
Syed Abdullah Mazhar
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Retinopathy ◽  
Blood Sugar ◽  
Teaching Hospital ◽  
Ankle Brachial Index ◽  
Systolic Pressure ◽  
Diabetic Patients ◽  
Sugar Levels ◽  
Relationship Of

Objectives: To find out a relationship of diabetic retinopathy with ankle-brachial (ABI) in patients of type 2 diabetes. Material and Methods It was a cross-sectional observational study carried out in Arif Memorial Teaching hospital and Rashid Latif Medical College from January 2019 to June 2019. 120 patients were selected by purposive convenient sampling from outpatient department of Arif Memorial Teaching hospital. After clinical history, complete ocular examination was performed. Random blood sugar levels were measured using Glucometer. Ankle-brachial index was calculated by dividing the systolic pressure at ankle by the systolic blood pressure at arm. Statistical analysis was done using SPSS 25. Independent sample t test and chi square tests were used to find out the significance of the results. Results: In this study of 120 diabetic patients, 80 (66.7%) were female and 40 (33.3%) were males. Mean Ankle Branchial Index (ABI) of Males was 0.96±0.11 and for females was 0.97±0.14.Among 120 participants of this study, 73 (60.83 %) patients had no signs of diabetic retinopathy, 35 (29.16 %) patients had NPDR and 12 (10%) patients had PDR. ABI was not associated with gender and duration of diabetes.However, there was negative and weak linear relationship between BSR and ABI (r= -0.221). This correlation was higher in diabetics of less than 5 year duration (r=-0.286) than in patients of more than 5 years duration of diabetes (r=-0.129).  Conclusion: Our study indicates that ABI is not significantly related with diabetic retinopathy. However, there is a positive relationship of ABI with high blood sugar levels.

scholarly journals Use of Blood and Blood Components In Dhaka Medical College Hospital

2015 ◽  
Vol 26 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Fahmida Sharmin Chowdhury ◽  
Md Ali Ehsan Siddiqui ◽  
Khairul Islam ◽  
Zubaida Nasreen ◽  
Husne Ara Begum ◽  
...  
Keyword(s):  
Whole Blood ◽  
World Health Organisation ◽  
Transfusion Practice ◽  
Medical College Hospital ◽  
World Health ◽  
Blood Component ◽  
Blood Components ◽  
College Hospital ◽  
Medical College ◽  
The Right

Introduction: Use of blood means providing the right blood product, in the right quantity, for the right patient. It can help in bridging the gap between demand and supply of the precious blood or blood products.Objective: The present study was designed to study appropriateness of use of the blood components in different wards in DMCH, to improve the consistency and appropriateness of transfusion practice, to promote the integration of quality management systems into transfusion practice, to reduce the overall number of transfusion-related complications, to increase consumer awareness of the benefits and risks of blood component therapy; and conserve a limited resource.Methodology: This study was done at Transfusion Medicine Department of Dhaka Medical College Hospital in the period between January 2008 to December 2011. Donors of 18 to 55 years of both sexes were selected after reviewing the questionnaire, physical and medical examination and written consent .Blood was collected in different blood bags. Blood components were prepared by centrifugation of whole blood in a refrigerated centrifuge machine. Data was collected using a pretested questionnaire on age, gender, department, haemoglobin levels, indications of blood transfusions, types of product advised, total number of units ordered, cross-matched and transfused. Rational use of blood was assessed by determining prevalence of appropriateness using World Health Organisation’s clinical practical guidelines and transfusion indices. Interviews were done with doctors to assess their knowledge and practices.Result: In 2008, 1231(8.4%) components were prepared against 14560 whole blood. In 2009, 1636 (9.63%) components against 16984 whole blood were prepared. In 2010, 1380 (8.13%) components were prepared against 16980 whole blood. In 2011 1800 (8.91%) components were prepared and supplied to surgery, medicine, gynae, paediatrics, haematology and oncology wards.Conclusion: The hospital was not rationale in use of blood.Bangladesh J Medicine Jan 2015; 26 (1) : 18-24

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