International Medical Journal

Journal ID : IMJ-07-01-2022-1173

Total View : 356

Title : Abnormalities of thyroid function in patients with septicemia.

Abstract : To determine the frequency of thyroid function abnormalities in patients with septicemia. Faisal Hospital Karachi from July to December 2021. This crossectional study was conducted in the medical wards and Intensive care unit of Faisal Hospital Karachi. Total 100 consecutive patients of either gender age 14 years and above admitted with the diagnosis of septicemia were included and venous blood sample was collected for determination of Free T4 (FT4), Free T3 (FT3), and Thyroid stimulating Hormone (TSH) levels within 24 hours of admission. Those who have known thyroid illness, having history of thyroidectomy, pregnancy, and puerperium and on medications causing alteration of thyroid function were excluded. Statistical Package for Social Sciences (SPSS) version 25 was used for the data analysis. Mean age of the participants was 48.9+ 20.3 years and 48% were male and 52% were females. Around 86% had FT3 lower than 1.4pg/ml, 56% had FT4 lower than 0.8ng/dl and 64% had normal TSH. Around 50% of the participants were expired in this study. In expired patients 44(51.2%) had low freeT3, 36(64.3%) had low T4 and 8 (25%) had low TSH. This study demonstrate that TSH levels are within normal range in most patients while FT3 and FT4 are markedly low, and among those who died more than 50% had low T3 and T4. Thyroid dysfunctions are common among female septic patients as compared to males. There is an association in between abnormal thyroid functions and the mortality in septic patients so these patients should have to be treated appropriately..
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International Medical Journal

Journal ID : IMJ-07-01-2022-1172

Total View : 362

Title : CLINICAL EXAMINATION , A CORNERSTONE IN DIAGNOSIS OF ACUTE APPENDICITIS – AN INSTITUTIONAL SURVEY

Abstract : Acute abdomen is a common presentation in the emergency department. Acute appendicitis is one of the commonest causes of acute abdomen. Historically, appendicitis has been diagnosed only based on clinical symptoms and signs, and with further advancements aided by laboratory variables such as leukocytes, neutrophils, and CRP. The classical presentation of pain in periumblical region shifting to right iliac fossa with tenderness at McBurney’s point is present in only 50% of cases. The signs and symptoms differ to a great extent according to the position of appendix. The present study was done at our tertiary care center as an attempt to easing the diagnosis of acute appendicitis and to compare clinical examination findings and intra-operative findings. This Descriptive Cross Sectional Study was carried out at a tertiary care hospital and research centre in a Sub-Urban area of Pune to Study The Correlation Of Clinical Signs And Symptoms Of Acute Appendicitis With USG Findings And Intra-Operative Position Of Appendix. The proposal for the study was submitted to the institutional ethics committee and study was undertaken after approval between July 2019 to September 2021. In our study the correlation between the position of appendix between clinical examination and intra-operative findings were found to be statistically significant. Thus the accurate localization of position of appendix requires an amalgamation of all modalities namely clinical examination, ultrasonography and intra-operative findings and not just one isolated modality , thereby reducing the complications associated with a missed diagnosis as well as avoiding unnecessary surgery in false positive cases ultimately reducing morbidity associated with this very much treatable condition..
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International Medical Journal

Journal ID : IMJ-07-01-2022-1171

Total View : 373

Title : A study of correlation of signs and symptoms of acute appendicitis with USG findings and intra-operative position of appendix

Abstract : Acute appendicitis is one of the commonest causes of acute abdomen. The signs and symptoms differ to a great extent and even though the diagnosis is essentially clinical, ultrasound is essential in diagnosing abnormal positions and for pregnant women presenting with acute appendicitis. This present observational cross-sectional study was conducted at Dr. D. Y. Patil Medical college, hospital & Research Centre as an attempt to easing the diagnosis of acute appendicitis. Majority of the patients (36.36%) belonged to the age group of 18-25 years. There were 46.36% male patients while female patients constituted 53.64% of the study group. The most common site of pain was right iliac fossa (61.82%). In our study, the most common position of appendix Intra-Operatively was retrocecal (78.18%) of cases. In our study, on comparison between the ultrasound position and intraoperative position of appendix, the USG had a sensitivity of 100% in paracecal, preileal and subhepatic positions of appendix, 88.9% sensitivity in postileal position, 74% sensitivity in retrocecal position of appendix and 66.7% sensitivity in pelvic position of appendix. On comparison of ultrasound findings and pre-operative clinical findings and intra-operative findings, ultrasound diagnosed appendicitis whether complicated or uncomplicated in 86 cases (78.18 %) whereas gave a normal report in 24 cases (21.81%). We conclude that the accurate localization of position of appendix requires an amalgamation of all modalities namely clinical examination, ultrasonography and intra-operative findings and not just one isolated modality, thereby reducing the complications associated with a missed diagnosis as well as avoiding unnecessary surgery in false positive cases ultimately reducing morbidity associated with this very much treatable condition..
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International Medical Journal

Journal ID : IMJ-07-01-2022-1170

Total View : 413

Title : A prevalence of hypertension in 5-15yrs age of school going children in and around Kanchipuram

Abstract : In the present study was to investigate that the prevalence of hypertension in 5-15yrs age of school going children in and around Kancheepuram. Hypertension is one of most important and common cause of morbidity and mortality in the world. It plays an important role development of ischemic heart disease, cerebrovascular disease, cardiac and renal failure. This study was Cross Sectional, Descriptive and analytical study conducted by department of community medicine in rural and urban school going children in an around Kanchipuram from October 2017 to October 2018. The prevalence of hypertension was studied in three groups namely Normal, Pre hypertension and hypertension Out of 1020 school going children’s. 40 had Hypertension, 69 belonged to Prehypertension and 911 belonged to Normal. In the present study we conclude that the risk of hypertension in obese children six times more compared with overweight students..
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International Medical Journal

Journal ID : IMJ-06-01-2022-1167

Total View : 404

Title : Prevalence of Hepatitis B and C in Malakand division, Khyber-Pakhtunkhwa, Province of Pakistan

Abstract : The aim of this study was to find the Prevalence of Hepatitis (B, C) in Malakand division, Khyber-Pakhtunkhwa (KPK) province of Pakistan. Cross sectional retrospective study was conducted. The blood sample of all patients who come for their treatment at Anwar Hospital, Saidu Sharif Swat, KPK, Pakistan from January 2021 to 9 June 2021 was screened using own testing facility at hospital. Screening of all Patients for Hepatitis (B, C) was done using Polymerase Chain Reaction (PCR). The blood of 1155 patients was screened in this study. The prevalence of hepatitis B was 50.83% and hepatitis C prevalence was 35.63%. The highest prevalence was recorded for HBV 152/299 followed by HCV 305/856 in patients between 19-70 age group. The success of these viruses may be mainly determined by changes in population habits. As a result, public health must assess and minimize disease burden and transmission, including routine HBV and HCV infection screening for all individuals. Previous studies claimed a decline in positivity and this study investigated the recent trends in positivity. As indicated by this examination the prevalence of HBV and HCV is high because of unawareness that how it spread among the general population of Malakand division..
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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023