scholarly journals Epistaxis in the University of Port Harcourt Teaching Hospital: Aetiological Profile and Management

2020 ◽  
pp. 90-96
Author(s):  
Ibekwe Matilda Uju ◽  
O. Ikenga Victor
Keyword(s):  
Social Sciences ◽  
Teaching Hospital ◽  
Favourable Outcome ◽  
Treatment Modalities ◽  
Female Ratio ◽  
Port Harcourt ◽  
The University ◽  
Age Range ◽  
Male To Female ◽  
Nose And Throat

Background: Bleeding from the nose is one of the commonest emergencies that could present in a typical ear, nose and throat clinic. It is often a frightful experience for both the patient and relations, especially in severe cases. Aim: To determine the aetiological profile, the management and outcome in patients that presented with epistaxis in University of Port Harcourt teaching hospital.  Patients and Methods: This was a retrospective study of patients with complaints of epistaxis that were managed within the period of January 2006 to January 2018 in the Ear, Nose and Throat (ENT) department, including referrals from the accident & emergency department and children emergency ward. Data on demographics, aetiology, associated clinical features, treatment modalities and outcome of such treatments were all collated. These were analyzed using IBM statistical package for social sciences SPSSversion 20and results presented in simple descriptive tables. Results: There were altogether 196 patients studied, 95 males and 101 females, giving a male to female ratio of 1:1.06.  The age range was from 1 to 81 years. Age group 30-39 was the most affected with 22.29% Aetiological factors were; hypertension in 9.2% trauma in 11.2%, idiopathic in most; 58.2%, chronic rhinosinusitis in 18.4%. Conservative medical therapy was the commonest treatment modality; 68.38%. Anterior nasal packing in 26.5% while 4.1% had posterior packing. Anterior aspect of the nose was the commonest site of bleed recorded in 160 cases. All the patients had a favourable outcome. Conclusion: Epistaxis in this environment still presents as a common emergency and in the majority of the case, the cause is not known, however, trauma appears to be one of the commonest cause implicated in our setting. The young adults appear to be the ones mainly affected.

scholarly journals Prevalence and Types of Skin Diseases Seen among Children Attending the Children’s Outpatient Clinic in a Tertiary Care Hospital in Southern Nigeria- A Descriptive Study

2021 ◽  
pp. 39-46
Author(s):  
Uju S. Azubogu ◽  
Inumanye Ojule
Keyword(s):  
Study Design ◽  
Teaching Hospital ◽  
Outpatient Clinic ◽  
Skin Diseases ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Port Harcourt ◽  
The University

Aims: To determine the prevalence and types of skin diseases seen among children attending the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital (UPTH). Study Design:  A descriptive Cross sectional study design was used. Place and Duration of Study: The study was conducted in the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital from June to August 2020 (3 months). Method: It involved 370 children aged less than 18 years.  A semi structured interviewer-administered questionnaire was used to obtain all relevant data. This was followed by dermatological examination of the children to make diagnosis of skin diseases. Laboratory confirmation was carried out where necessary. Results: The study participants consisted of 370 children aged 1 month to 17 years with a mean age of 8.4±5.9 years. The male to female ratio was 0.9:1 and the overall prevalence of skin diseases among the children studied was 23.7%. The three most common aetiologic categories of skin diseases seen were:  Infective (13.5%), Inflammatory (5.7%) and infestations (3.5%). The five most common skin diseases identified included: Impetigo (4.1%), Scabies (3.5%), Atopic dermatitis (3.0%), Tinea capitis (2.7%) and Pityriasis versicolor (2.4%). Conclusion: Skin diseases are common among children attending the children’s outpatient clinic in our hospital with Infective skin diseases predominating. Greater efforts need to be put into the treatment, prevention and control of these skin diseases in order to limit morbidity and mortality.

scholarly journals Removal of entrapped rings from swollen fingers by a non destructive technique

2019 ◽  
Vol 7 (8) ◽  
pp. 3162
Author(s):  
Richard C. Echem ◽  
Phillip D. Eyimina ◽  
Vincent U. E. Adiela
Keyword(s):  
Social Sciences ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Common Complication ◽  
Port Harcourt ◽  
Distal Aspect ◽  
Electric Cables ◽  
A Prospective Study ◽  
The University ◽  
Non Destructive

Background: Ring entrapment is uncommon in our environment. It is necessary to remove entrapped rings and the removal techniques could be either destructive or non-destructive. The aim of this study is to present a non-destructive method of entrapped ring removal.Methods:   A prospective study of patients who presented to the University of Port Harcourt Teaching Hospital, Port Harcourt between 1st October 2007 and 30th September 2018, with entrapped finger ring(s). The authors developed a non-destructive technique of entrapped ring removal utilizing 1.5-2.5 mm electric cables. The cables are passed under the ring and looped over it. The surgeon and his first assistant applies traction towards the distal aspect of the finger through the cables while moving the cables from side to side around the finger, with the second assistant maintaining a counter-traction.  Data obtained was analyzed using IBM’s Statistical Package for Social Sciences (SPSS) version 23.Results:  During the period, there were 25 patients who had entrapped ring(s) in their fingers. Mean age was 22.92±9.33 years. There were 10 males and 15 females. Mean duration of ring entrapment was 5.72±4.57 days. Mean duration of ring removal was 63.6±46.58 seconds. Abrasion was the most common complication following initial removal attempts as well as this technique. The entrapped rings were all successfully removed.Conclusion: The electric cable technique is a simple, inexpensive and readily available method of entrapped ring removal. 

scholarly journals Histomorphological and Immunohistochemical Study of Extra Nodal Lymphoma

2021 ◽  
Vol 8 (2) ◽  
pp. A50-55
Author(s):  
B R Vani ◽  
Sandhyalakshmi B N ◽  
Netra M Sajjan ◽  
Panduranga C ◽  
Deepak Kumar B ◽  
...  
Keyword(s):  
Morphological Diversity ◽  
Treatment Modalities ◽  
Cell Phenotype ◽  
Anatomical Location ◽  
Anatomic Site ◽  
Female Ratio ◽  
Poorly Differentiated Carcinoma ◽  
Poorly Differentiated ◽  
Age Range ◽  
Male To Female

Background: NHL are heterogeneous group of hematolymphoid malignancy occurring in nodal and extra nodal sites. Extra nodal lymphoma (ENL) is distinct from nodal lymphomas due to varied anatomical location, morphological diversity. Methods: A retrospective observational study was conducted in the department of pathology from January 2011 till December 2019. Clinical details and other investigations were recorded. Gross morphological features were noted. Slides are reviewed microscopically and blocks were subjected to IHC for further typing cases were selected as per Dawson et al criteria. Result: During study period, ENL constituted 25 cases (29.4%) of the 85 cases of all NHL. Age range is 05 to 63 years with a mean age of 42.5 years. Male to female ratio is 2.2 :1.Head and neck is the most common site of ENHL constituting 19 cases(76%), next commonest location is in the GIT with 3 cases (12%). We had one each case of ENHL in testis, breast and spine (4% each). On IHC, 92% cases (23 cases) exhibited   B cell phenotype and the remaining 08 % (02 cases) were of T cell phenotype. Conclusion: Lymphomas in the extra nodal sites are rare but has the propensity to occur in any anatomic site. Hence a differential of lymphoma to be considered in extra nodal site. Histology with IHC enables to differentiate from poorly differentiated carcinoma as the treatment modalities and prognosis varies.

Vernal Keratoconjunctivitis in Nigerians: 109 Consecutive Cases

2003 ◽  
Vol 33 (4) ◽  
pp. 242-245 ◽  
Author(s):  
Catherine U Ukponmwan
Keyword(s):  
Vernal Keratoconjunctivitis ◽  
Common Symptom ◽  
Atopic Diseases ◽  
Self Medication ◽  
Female Ratio ◽  
Benin City ◽  
History Of ◽  
The University ◽  
Age Range ◽  
Male To Female

Vernal keratoconjunctivitis was the most common conjunctival disease seen over a 2 year period (January 1997–December 1998) at the University of Benin Teaching Hospital, Benin City, Nigeria. One hundred and nine consecutive patients were seen with vernal keratoconjunctivitis. There was a male to female ratio of 1:1.3. The age range of the patients was 5 months to 38 years with a mean age of 15.5 ± 8.3 years (SD). Of the patients 54.1% were children. Itching was the most common symptom, followed by redness, tearing, aching eye and photophobia. Ninety patients (82.6%) had predominantly tarsal papillae, while the others had mixed and limbal papillae. A history of atopic diseases such as asthma and rhinitis was present in only five patients (4.5%). There was no patient with corneal ulcer or scarring. Although the complications were few, health education of the patients about the dangers of self medication with steroids should be emphasized.

scholarly journals Tuberculosis in Children Aged 0-5 Years at the University of Port Harcourt Teaching Hospital (UPTH), Nigeria - How Common is HIV in Children with Tuberculosis

2019 ◽  
pp. 1-8
Author(s):  
N. I. Paul ◽  
B. A. Alex- Hart ◽  
R. O. Ugwu
Keyword(s):  
Treatment Outcome ◽  
Hiv Infection ◽  
Teaching Hospital ◽  
Gastric Lavage ◽  
P Value ◽  
Female Ratio ◽  
Port Harcourt ◽  
Risk Of Progression ◽  
The Common ◽  
The University

Background: Tuberculosis (TB) is a leading cause of death in young children and the risk of progression from infection to disease is higher in the very young especially among those with Human Immunodeficiency Virus (HIV) infection. This study therefore aimed to examine the method of TB diagnosis and how common HIV infection is among children 0-5 years with tuberculosis at the University of Port Harcourt Teaching Hospital (UPTH). Methods: Information of children aged 0-5 years from 1st January, 2011 to 31st December 2014 were retrieved from the TB register of the Directly Observed Treatment Short course (DOTS) clinic of UPTH. This included the age, sex, HIV status, Sputum AFB status, method of diagnosis of tuberculosis and the treatment outcome of the patients. Ethical approval for the study was obtained from the Research and Ethics committee of the University of Teaching Hospital. Results: Three hundred and thirty five children were treated for TB and 179 (53.43%) of them were aged 0-5 years. There were 93 (51.96%) males and 86 (48.04%) females, with male: female ratio of 1.08:1.  Their mean age was 1.96 ±1.45. The sputum or gastric lavage of 21 (11.73%) were positive for acid fast bacilli (AFB). The common method of TB diagnosis was clinical/ radiological method and this constituted 158 (88.27%) of the patients with TB. Ninety (50.28%) children with TB were less than one year of age and there was no statistical significant relationship between age and method of TB diagnosis (x2 = 2.78, p = 0.249). More males 93 (51.96%) than females 86 (48.04%) had TB but more females 13 (61.90%) than males 8 (38.10%) were AFB positive, however, these were not statistically significant. (x 2  = 1.26 p-value = 0.262). Seventy two (40.22%) of the children with TB were HIV positive. One hundred and thirty five (75.42%) of the children recovered following treatment while 44 (24.58%) were referred to Dots centres closest to the patients. No child died. Conclusion: The prevalence of TB among under-fives especially among infants is high. Clinical and radiological methods were the common methods of TB diagnosis. HIV prevalence among children with TB was lower than expected by the authors, however, the treatment outcome was good. Re-training of clinicians to improve their expertise on clinical diagnosis of TB and a more in depth search of TB in the community among children 0-5 years who are HIV sero-negative with persistent cough is advocated.

scholarly journals Management and Outcome of Rhinosinusitis in Nigeria

OTO Open ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 2473974X1668554 ◽  
Author(s):  
Olushola Abdulrahman Afolabi ◽  
Biodun Sulyman Alabi ◽  
Habeeb Kayodele Omokanye ◽  
Samuel O. Ayodele ◽  
Segun Segun-Busari ◽  
...  
Keyword(s):  
Endoscopic Examination ◽  
Sinus Surgery ◽  
Nasal Discharge ◽  
Duration Of Symptoms ◽  
Female Ratio ◽  
Ethical Approval ◽  
The University ◽  
Male To Female ◽  
Nose And Throat

Objective The aim of this study is to present the management and outcome of treatment of rhinosinusitis in Nigeria. Study Design A retrospective review of the case notes of patients with rhinosinusitis between January 2009 and December 2014. Setting Study at the University of Ilorin Teaching Hospital, Nigeria, using retrieved case notes after ethical approval was received. Subjects and Methods The information retrieved included sociodemographic data, clinical presentation, duration, endoscopic examination, and other clinical management protocols with follow-up. All information was entered into SPSS version 20 and analyzed descriptively, and results are presented in tables and figure. Results A total of 5618 patients were seen in the ear, nose, and throat clinic over the 6-year period. Of the patients, 445 had rhinosinusitis, and only 410 had complete data for analysis. Patient age ranged from 2 to 75 years (mean ± SD, 31.8 ± 1.2 years). The male to female ratio was 1.2:1. The duration of symptoms varied from 3 days to 10 years, with 78.7% having symptoms between 3 and 120 months. About 82.4% had nasal discharge, 51.3% had sneezing, 78.9% had alternating nasal obstruction, and 49.3% had nasal itch. Of the patients, 61.4% had a predisposition, of which 30.9% were allergic, 23.3% were infective, and 7.2% were vasomotor. Ethmoidal-maxillary sinuses were commonly affected radiologically. About 63% of patients had medical treatment, and only 28.7% had surgical intervention, of which 37% were scheduled for surgical treatment and 7.3% refused. Improved symptoms were noticed in 72.6% of patients, and 1.4% reported no improvement. Conclusion Rhinosinusitis is still common, affecting active males economically with more chronic cases and more allergic predisposition. Early medical management is still effective, and endoscopic sinus surgery is now a better surgical option with better outcome in 72.6%.

scholarly journals COVID-19 Disease in the Paediatric Population: A Cross Sectional Study at the University Teaching Hospital in Port Harcourt, Southern Nigeria

2021 ◽  
pp. 15-20
Author(s):  
L. E. Yaguo-Ide ◽  
G. K. Eke
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Causative Organism ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Corona Virus ◽  
Port Harcourt ◽  
The University

Background: Globally, there has been a destruction of human lives, economies and health systems by the novel corona virus pandemic. Presently there is no known certain cure, although a number of vaccines have been proposed to prevent the corona virus disease 2019 (COVID-19) which was first seen as increasing number of pneumonia cases in Wuhan, China, with severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) as the causative organism. Objectives: To screen paediatric patients for COVID-19 at the University of Port Harcourt Teaching Hospital and to know their pattern of presentation. Materials and Methods: Descriptive cross-sectional study, not controlled, over a period of six weeks, using interviewer administered structured questionnaire which was adapted and used at the Accident and Emergency Department for patients triaging as a COVID-19 Risk assessment tool. No action was required for a score of 0-7, while admission into COVID-19 holding area following review by IDU was recommended for a score 8 ≥17. All children brought into the department, requiring treatment were screened. Results: There were 131 patients, 74 (56.5%) males and 56 (42.7%) females, with a mean age 7.2 ± 5.41 years. Male: Female ratio was 1.3:1. Four children (3%) had a total score of ≥ 8, while half of them (n=2; 50%) tested positive for COVID-19, giving a disease prevalence of 1.5%. Both cases were females; fever and difficulty in breathing were the commonest symptoms. No mortality was recorded. Conclusions: COVID-19 prevalence is low in children, and they have a good outcome. A community-based study is recommended.

scholarly journals Clinicopathological features and management of gastric cancer in Port Harcourt

2020 ◽  
Vol 7 (2) ◽  
pp. 328
Author(s):  
Amabra Dodiyi Manuel ◽  
Okigbeye Danagogo
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Curative Surgery ◽  
Female Ratio ◽  
Common Cancer ◽  
Port Harcourt ◽  
Choice Of Treatment ◽  
Age Range ◽  
Male To Female ◽  
Extent Of Disease

Background: Gastric cancer is a relatively common cancer and has been documented as the 5th commonest cancer worldwide and the 3rd leading cause of cancer death. Surgery is the treatment of choice for operable cases while chemotherapy. It has a poor prognosis with a relative overall 5-year survival rate of 18%.Methods: This is a retrospective study of all patients that presented with gastric cancer to University of Port Harcourt Teaching Hospital between 1st January 2008 to 31st December 2017. Data were extracted and analyzed using the Statistical Package for Social Sciences (SPSS).Results: There were 14 males and 12 females seen within the study period making a male to female ratio of 1.2:1. Their ages ranged from 35 to 75 years with a mean of 54.7±4.8 years. The peak age incidence is in the 61-70-year age range. Four patients had curative surgery (D2 sub total gastrectomy) while 6 patients (23.1%) had D1 sub total gastrectomy. Post-operative complications occurred in 7 patients (26.9%). And the commonest was surgical site infection, seen in 4 patients (15.4%). Three patients died giving a mortality rate of 11.5%.Conclusions: Most patients with gastric cancer present with advance disease. The choice of treatment should be based on patient’s fitness, survival benefit and after an accurate assessment of extent of disease.

scholarly journals Pattern and Outcome Dermatological Admission at the University of Port Harcourt Teaching Hospital Rivers State

2021 ◽  
pp. 53-58
Author(s):  
D. Altraide Dasetima ◽  
Otike-Odibi Bolaji
Keyword(s):  
Teaching Hospital ◽  
Skin Diseases ◽  
Tertiary Institution ◽  
Female Ratio ◽  
Surgical Subspecialty ◽  
Port Harcourt ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Medical Wards ◽  
The University

Introduction: Dermatology is primarily an outpatient clinical and surgical subspecialty, but a substantial number of patients need in patient care for adequate management. In recent years, there is a rise in the number of inpatient dermatological admissions and an increase in spending. Rarely, skin diseases can be fatal. Aims and Objectives: To analyze the disease patterns and clinical outcomes of dermatological patients admitted on the medical wards of a tertiary institution in southern                                     Nigeria. Materials and Methods: This study involves a retrospective analysis of the admission records of consecutive in patients with a dermatological diagnosis admitted at the university of Port Harcourt teaching hospital from January 2014 to July 2020. The data obtained were statistically analysed with emphasis on the patient’s demographic profile, clinical diagnosis, final outcome, and duration of admission. Results: A total of 68 patients were admitted into our center during this time. Female outnumbered males with male female ratio of 1: 2.2. Infections (53 patients, 77.9%) were the most frequent reason for admission, followed by autoimmune disorders (5 patients, 7.4%), inflammatory causes, drug reactions and cutaneous manifestation of inter diseases had 3 patients each (4.4%). A patient was classed as idiopathic (1.5%).

scholarly journals Obstructed Labour and Maternal Outcome at the Intensive Care Unit of the University of Port Harcourt Teaching Hospital: A Ten Year Review

2020 ◽  
pp. 87-88
Author(s):  
S. Eli ◽  
E. Nonye- Enyida ◽  
D. G. B. Kalio ◽  
D. S. Abam ◽  
K. Okagua
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Teaching Hospital ◽  
Skilled Birth Attendant ◽  
Favourable Outcome ◽  
Maternal Outcome ◽  
Maternal Deaths ◽  
Obstructed Labour ◽  
Port Harcourt ◽  
The University

Introduction: Obstructed labour is a major cause of maternal mortality. Admissions into the intensive care unit (ICU) especially for post-delivery monitoring and treatment of patients with obstructed labour entails critical care for favourable outcome for the mother. Aim: To evaluate the maternal outcome of mothers admitted into the intensive care unit who had obstructed labour at the University of Port Harcourt Teaching Hospital (UPTH). Methodology: The study was a retrospective study of all the cases of obstructed labour admitted into the ICU of UPTH between 1st January, 2007 to 31st December, 2016. Information were retrieved from the patients case note and analyzed using SPSS version 20. Results: A total of 1549 patients were admitted into the ICU for the period under review, of which 218(14.1%) were obstetric admissions. One hundred and forty were unbooked mothers while 78 were booked. The mean age was 30 ± 2 years and the modal parity was 2. All the 64 cases of obstructed labour were unbooked mothers and comprised 29.4% of the obstetric admissions. The number of maternal deaths from obstructed labour were 23, which comprised of 10.6% of the obstetric admissions. Conclusion: The study revealed that the maternal deaths following obstructed labour admitted into the ICU was high. The reason is that these patients present late. There is therefore need for patients at risk of obstructed labour to register for antenatal care early and delivery conducted by skilled birth attendant for improved outcome.

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