Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.og1
S. Khatri, B. Bhati, J. Choudhary, Nirupama Choudhary
Sawai Khatri, Balgopal Singh Bhati, Jogesh Choudhary, Nirupama Choudhary Senior Resident, Department of Obstetrics & Gynaecology, Government Medical College, Barmer, Rajasthan, India, Assistant Professor, Department of Obstetrics & Gynaecology, Government Medical College, Pali, Rajasthan, India, Junior Resident, Department of Obstetrics & Gynaecology, Government Medical College, Barmer, Rajasthan, India.
{"title":"Assessment of Quality of Life among Post-Menopausal Women Visited in Tertiary Care Hospital in Barmer (Rajasthan)","authors":"S. Khatri, B. Bhati, J. Choudhary, Nirupama Choudhary","doi":"10.21276/ajmr.2019.8.3.og1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.og1","url":null,"abstract":"Sawai Khatri, Balgopal Singh Bhati, Jogesh Choudhary, Nirupama Choudhary Senior Resident, Department of Obstetrics & Gynaecology, Government Medical College, Barmer, Rajasthan, India, Assistant Professor, Department of Obstetrics & Gynaecology, Government Medical College, Pali, Rajasthan, India, Junior Resident, Department of Obstetrics & Gynaecology, Government Medical College, Barmer, Rajasthan, India.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115814161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.tb1
M. Mahich, G. Rathi, M. Agrawal
Background: Lung tumours often present as masses or nodules situated beyond the range of even new-generation fibreoptic bronchoscopes. The aim of this study to compare diagnostic yield of TBNA with CDP for diagnosis of Bronchogenic carcinoma. Subjects and Methods: The study was carried out and data were gathered in a prospective fashion and all the data were reviewed retrospectively. All the suspected patients were diagnosed on the basis of clinical, radiological and video bronchoscopic examination (CDP+TBNA); and further diagnosis was confirmed on the basis of histological and / or cytological examination. Results: In the present study, after TBNA & CDP, the overall diagnostic yield for carcinoma was 93% (28/30). CDP was diagnostic in 100% cases of EML and only 70% in SPD. TBNA provided an additional diagnostic yield of 30% in Cases of SPD where CDP was not possible for taking samples, which is seen to be statistically significant (p = 0.02). Conclusion: We conclude that TBNA is a safe procedure that should be routinely used to increase diagnostic yield in patients with EML or SPD.
{"title":"The Utility of Transbronchial Needle Aspiration and Conventional Diagnostic Procedures in the Diagnosis of Bronchogenic Carcinoma","authors":"M. Mahich, G. Rathi, M. Agrawal","doi":"10.21276/ajmr.2019.8.3.tb1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.tb1","url":null,"abstract":"Background: Lung tumours often present as masses or nodules situated beyond the range of even new-generation fibreoptic bronchoscopes. The aim of this study to compare diagnostic yield of TBNA with CDP for diagnosis of Bronchogenic carcinoma. Subjects and Methods: The study was carried out and data were gathered in a prospective fashion and all the data were reviewed retrospectively. All the suspected patients were diagnosed on the basis of clinical, radiological and video bronchoscopic examination (CDP+TBNA); and further diagnosis was confirmed on the basis of histological and / or cytological examination. Results: In the present study, after TBNA & CDP, the overall diagnostic yield for carcinoma was 93% (28/30). CDP was diagnostic in 100% cases of EML and only 70% in SPD. TBNA provided an additional diagnostic yield of 30% in Cases of SPD where CDP was not possible for taking samples, which is seen to be statistically significant (p = 0.02). Conclusion: We conclude that TBNA is a safe procedure that should be routinely used to increase diagnostic yield in patients with EML or SPD.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130370101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.rd1
Praveen Kumar Monagari
Background: Mesenteric ischaemia comprises a complex, heterogeneous group of disorders that result in inadequate blood supply to the small or large bowel. The present study was conducted to assess the cases of mesenteric ischemia with MDCT. Subjects and Methods: The present study was conducted on 56 cases of mesenteric ischemia of both genders. 128 detector rows Siemens definition AS scanner was used for taking MDCT. Results: Out of 56 patients, males were 32 and females were 24. 26 cases were acute and 30 were chronic patients. The difference was non- significant (P- 0.5). MDCT shows bowel distention in 43 cases, bowel wall thickening in 37, SMA dissection in 48, pneumatosis in 13, SMA thrombosis in 17 and pneumoporta in 17 cases. The difference was significant (P< 0.05). Conclusion: Authors found that MDCT is a newer and best diagnostic tool for the detection of mesenteric ischaemia. Bowel changes are well and accurately seen with MDCT. scanners, a collimation of 0.625 mm and a detector pitch of 1.0–2.0 were used. Sagittal images were obtained for assessing the origin of the mesenteric arteries and their variation. Results were subjected to statistical analysis. P value less than 0.05 was considered significant.
{"title":"Assessment of Cases of Cases of Mesenteric Ischaemia with MDCT","authors":"Praveen Kumar Monagari","doi":"10.21276/ajmr.2019.8.3.rd1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.rd1","url":null,"abstract":"Background: Mesenteric ischaemia comprises a complex, heterogeneous group of disorders that result in inadequate blood supply to the small or large bowel. The present study was conducted to assess the cases of mesenteric ischemia with MDCT. Subjects and Methods: The present study was conducted on 56 cases of mesenteric ischemia of both genders. 128 detector rows Siemens definition AS scanner was used for taking MDCT. Results: Out of 56 patients, males were 32 and females were 24. 26 cases were acute and 30 were chronic patients. The difference was non- significant (P- 0.5). MDCT shows bowel distention in 43 cases, bowel wall thickening in 37, SMA dissection in 48, pneumatosis in 13, SMA thrombosis in 17 and pneumoporta in 17 cases. The difference was significant (P< 0.05). Conclusion: Authors found that MDCT is a newer and best diagnostic tool for the detection of mesenteric ischaemia. Bowel changes are well and accurately seen with MDCT. scanners, a collimation of 0.625 mm and a detector pitch of 1.0–2.0 were used. Sagittal images were obtained for assessing the origin of the mesenteric arteries and their variation. Results were subjected to statistical analysis. P value less than 0.05 was considered significant.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121850750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.pe1
G. Kumar, Gunvanti Meena, Bhagwati Lal Bhati
Background: Maternal anemia leads to many adverse effects on the fetuses fetal complications. The mechanisms leading to increased morbidity include a decreased oxygen delivery capacity and the dysfunction of enzymes. The aim of this study to relationship between iron status of pregnant mothers and their newborns using a combination of several hematological parameters. Subjects and Methods: A hospital based descriptive type of observational study done on 50 singleton primi pregnant women at term gestation (37-42 weeks) admitted to labour room in government Medical College and general Hospital, Dungarpur (Raj.). General physical examination was done meticulously to assess maternal conditions regarding anemia such as nutritional status, pallor, edema and glossitis. Results: Our study showed that the male to female ratio was 1.28:1. Normal birth weight in baby was seen in 80% of cases. The spearman correlation of hemoglobin concentration was statistical significant in the newborns of mothers with hemoglobin concentration ( 𝑟 2 = 0.14, 0.50, 0.61 respectively and 𝑃 = 0.0076**, 0.009** & 0.02** respectively). The newborns ferritin level has significant correlation with hemoglobin ( 𝑟 2= 0.142, 𝑃 <0.001) and ferritin ( 𝑟 2= 0.253, 𝑃 < 0.001) levels of their mothers. Conclusion: we can conclude that maternal anemia may have an effect on the iron stores of newborns.
{"title":"Correlation between Iron Profile of Pregnant Women and Their Newborns: A Cross Sectional Study","authors":"G. Kumar, Gunvanti Meena, Bhagwati Lal Bhati","doi":"10.21276/ajmr.2019.8.3.pe1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.pe1","url":null,"abstract":"Background: Maternal anemia leads to many adverse effects on the fetuses fetal complications. The mechanisms leading to increased morbidity include a decreased oxygen delivery capacity and the dysfunction of enzymes. The aim of this study to relationship between iron status of pregnant mothers and their newborns using a combination of several hematological parameters. Subjects and Methods: A hospital based descriptive type of observational study done on 50 singleton primi pregnant women at term gestation (37-42 weeks) admitted to labour room in government Medical College and general Hospital, Dungarpur (Raj.). General physical examination was done meticulously to assess maternal conditions regarding anemia such as nutritional status, pallor, edema and glossitis. Results: Our study showed that the male to female ratio was 1.28:1. Normal birth weight in baby was seen in 80% of cases. The spearman correlation of hemoglobin concentration was statistical significant in the newborns of mothers with hemoglobin concentration ( 𝑟 2 = 0.14, 0.50, 0.61 respectively and 𝑃 = 0.0076**, 0.009** & 0.02** respectively). The newborns ferritin level has significant correlation with hemoglobin ( 𝑟 2= 0.142, 𝑃 <0.001) and ferritin ( 𝑟 2= 0.253, 𝑃 < 0.001) levels of their mothers. Conclusion: we can conclude that maternal anemia may have an effect on the iron stores of newborns.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130263248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.me7
Dilip M Pancholi, Shyam Shah, K. Joshi
Background: Anemia is a common extra-articular manifestation in rheumatoid arthritis patients. Its severity roughly parallels the activity of the disease1-2. Chronic disease and iron deficiency are considered to be the most significant causes of anemia 3-5. Anemia of chronic disease is usually confused with iron deficiency anemia due to the low level of iron in blood in both forms of anemia. Subjects and Methods: This study was conducted in Department Of Medicine, C. U. Shah Medical College, Gujarat, India. 68 total number of population were included in this study. The duration of study was over a period of six month. Results: In our study, 68 total numbers of cases were included. Among all cases 58.8 % were male & 41.2% were female. In the present study, 41.2% cases were belongs to 31-40 age group followed by 41-50(35.2%), <30 (11.7%) &>50 (11.7%) age group. This study suggested type of anemia which was found 76.5%Normocytic Normochromic followed by Microcytic Hypochromic 23.5%. Conclusion: Therefore, it can be concluded from the present study that normocytic normochromic anemia is the most common morphological type of anemia in patients with rheumatoid arthritis. And there is a positive correlation between serum ferritin and BMIS in RA patients presenting with anemia. The results of this study also revealed that serum ferritin is an useful index of iron stores in rheumatoid arthritis. Marrow
{"title":"Study of Various Morphological Types of Anaemia in Patients With rheumatoid Arthritis and Comparison of Serum Ferritin with Bonemarrow Iron Stores in These Patients.","authors":"Dilip M Pancholi, Shyam Shah, K. Joshi","doi":"10.21276/ajmr.2019.8.3.me7","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.me7","url":null,"abstract":"Background: Anemia is a common extra-articular manifestation in rheumatoid arthritis patients. Its severity roughly parallels the activity of the disease1-2. Chronic disease and iron deficiency are considered to be the most significant causes of anemia 3-5. Anemia of chronic disease is usually confused with iron deficiency anemia due to the low level of iron in blood in both forms of anemia. Subjects and Methods: This study was conducted in Department Of Medicine, C. U. Shah Medical College, Gujarat, India. 68 total number of population were included in this study. The duration of study was over a period of six month. Results: In our study, 68 total numbers of cases were included. Among all cases 58.8 % were male & 41.2% were female. In the present study, 41.2% cases were belongs to 31-40 age group followed by 41-50(35.2%), <30 (11.7%) &>50 (11.7%) age group. This study suggested type of anemia which was found 76.5%Normocytic Normochromic followed by Microcytic Hypochromic 23.5%. Conclusion: Therefore, it can be concluded from the present study that normocytic normochromic anemia is the most common morphological type of anemia in patients with rheumatoid arthritis. And there is a positive correlation between serum ferritin and BMIS in RA patients presenting with anemia. The results of this study also revealed that serum ferritin is an useful index of iron stores in rheumatoid arthritis. Marrow","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"10 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124428189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.fm1
Ramratan Bishnoi, Gurusharan Koodi
{"title":"A Prospective Study to the Morphological Variation on Radiological Examination (In Form of Appearance of Ossification Centers in Carpal Bones) in Boys and Girls of Age Group 5 to 12 Years of the Western Rajasthan (Jodhpur) Region","authors":"Ramratan Bishnoi, Gurusharan Koodi","doi":"10.21276/ajmr.2019.8.3.fm1","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.fm1","url":null,"abstract":"","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116647480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.og03
S. Bishnoi, R. Bishnoi, B. Bhati
Background: Polyhydramnios is the term for abnormal increase in the amniotic fluid. The aim of this study to find out the incidence of congenital malformation in pregnancies with polyhydramnios.. Subjects and Methods: This analytical study was conducted on 100 unselected pregnancies attending the antenatal clinic in Department of Obstetrics and Gynecology department of government Medical College and Bangur Hospital Pali, Rajasthan. Pregnancy outcome were recorded for the patients who were classified as having an excess amount of amniotic fluid. Those cases with gross congenital anomalies incompatible with life were advised termination of pregnancy after explaining the risk of procedure. Labor was induced by various methods. The fetal outcome was recorded. Results: In our study there were several confounding factors affecting the occurrence of polyhydramnios. Out of 100 cases 22 (22%) were placental abruption, body weight gain of >20 kg were present in 30 cases (30%). 28 cases (28%) were not associated with any confounding factors. Out of which 21% cases were of preterm labor, 6% were of acute abdominal pain, 7% were of PROM, 4% were of IUFD, 4% were of cord prolapsed, 5% were of PPH, 53% cases were not associated with any maternal complications. Conclusion: We concluded that amniotic fluid index is the guiding tool for early diagnosis of congenital anomalies and early obstetrics intervention. This further helps in reducing the rate of maternal complications of polyhydramnios.
{"title":"To Find Out the Incidence of Congenital Malformation in Pregnancies with Polyhydramnios: A Hospital Based Observational Study","authors":"S. Bishnoi, R. Bishnoi, B. Bhati","doi":"10.21276/ajmr.2019.8.3.og03","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.og03","url":null,"abstract":"Background: Polyhydramnios is the term for abnormal increase in the amniotic fluid. The aim of this study to find out the incidence of congenital malformation in pregnancies with polyhydramnios.. Subjects and Methods: This analytical study was conducted on 100 unselected pregnancies attending the antenatal clinic in Department of Obstetrics and Gynecology department of government Medical College and Bangur Hospital Pali, Rajasthan. Pregnancy outcome were recorded for the patients who were classified as having an excess amount of amniotic fluid. Those cases with gross congenital anomalies incompatible with life were advised termination of pregnancy after explaining the risk of procedure. Labor was induced by various methods. The fetal outcome was recorded. Results: In our study there were several confounding factors affecting the occurrence of polyhydramnios. Out of 100 cases 22 (22%) were placental abruption, body weight gain of >20 kg were present in 30 cases (30%). 28 cases (28%) were not associated with any confounding factors. Out of which 21% cases were of preterm labor, 6% were of acute abdominal pain, 7% were of PROM, 4% were of IUFD, 4% were of cord prolapsed, 5% were of PPH, 53% cases were not associated with any maternal complications. Conclusion: We concluded that amniotic fluid index is the guiding tool for early diagnosis of congenital anomalies and early obstetrics intervention. This further helps in reducing the rate of maternal complications of polyhydramnios.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134097165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.fm4
P. Kumari, Aman Kumar, Sanjeev Kumar, Saroj Kumar Ranja
Background: Sex determination from skull morphology is important in medico-legal cases. The foramen magnum is an important structure of the skull base and is of particular interest for forensic experts. Aim : In this study the foramen magnum was analyzed for sex differences using standard osteometric techniques for the North Indian Population. Subjects and Methods: This study included 100 completely ossified dry human skull (M=F) in good condition with a record of sex. The cranial base was visually assessed for foramen magnum shape. Morphometry was determined using vernier caliper and the differences amongst gender were ascertained. Results: Oval shape was the most common followed by round, tetragonal and pentagonal in both sex. The results demonstrated that sexual dimorphism is present in the foramen magnum. APD and TD were higher in male skulls than females. Conclusion: In incomplete skeletons, metric analysis of the foramen magnum may provide a statistically useful indication as to sex of the unknown skull.
{"title":"Evaluation of Sexual Dimorphism of Foramen Magnum: A Morphometric Study","authors":"P. Kumari, Aman Kumar, Sanjeev Kumar, Saroj Kumar Ranja","doi":"10.21276/ajmr.2019.8.3.fm4","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.fm4","url":null,"abstract":"Background: Sex determination from skull morphology is important in medico-legal cases. The foramen magnum is an important structure of the skull base and is of particular interest for forensic experts. Aim : In this study the foramen magnum was analyzed for sex differences using standard osteometric techniques for the North Indian Population. Subjects and Methods: This study included 100 completely ossified dry human skull (M=F) in good condition with a record of sex. The cranial base was visually assessed for foramen magnum shape. Morphometry was determined using vernier caliper and the differences amongst gender were ascertained. Results: Oval shape was the most common followed by round, tetragonal and pentagonal in both sex. The results demonstrated that sexual dimorphism is present in the foramen magnum. APD and TD were higher in male skulls than females. Conclusion: In incomplete skeletons, metric analysis of the foramen magnum may provide a statistically useful indication as to sex of the unknown skull.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115886329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.sg6
Vikas Chalotra, P. Bansal, Natasha Nuna, S. Joshi, Sarbjeet Singh, Aman Bharti
Jejunal diverticular perforation is a rare complication of jejunal diverticular disease and few cases have been reported in the literature. Jejunal diverticula have a prevalence of approximately 1% in the general population. Pathophysiology of chronic symptoms is related to either intestinal dyskinesia or bacterial overgrowth from blind loop syndrome due to stasis in diverticular lumen. Patients may develop malabsorption, steatorrhea, and megaloblastic anaemia from vitamin B12 deficiency. Conventional enteroclysis and CT enteroclysis is beneficial for diagnosis of jejunal diverticular disease. Jejunal diverticular perforation is very rare. Clinically, the diagnosis is challenging and mimics with other causes of acute abdomen. Presentation varies widely from asymptomatic to non specific symptoms to acute abdomen with catastrophic consequences. Here, we present a rare case of jejunal diverticular perforation.
{"title":"Jejunal Diverticulosis: Presenting As Peritonitis","authors":"Vikas Chalotra, P. Bansal, Natasha Nuna, S. Joshi, Sarbjeet Singh, Aman Bharti","doi":"10.21276/ajmr.2019.8.3.sg6","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.sg6","url":null,"abstract":"Jejunal diverticular perforation is a rare complication of jejunal diverticular disease and few cases have been reported in the literature. Jejunal diverticula have a prevalence of approximately 1% in the general population. Pathophysiology of chronic symptoms is related to either intestinal dyskinesia or bacterial overgrowth from blind loop syndrome due to stasis in diverticular lumen. Patients may develop malabsorption, steatorrhea, and megaloblastic anaemia from vitamin B12 deficiency. Conventional enteroclysis and CT enteroclysis is beneficial for diagnosis of jejunal diverticular disease. Jejunal diverticular perforation is very rare. Clinically, the diagnosis is challenging and mimics with other causes of acute abdomen. Presentation varies widely from asymptomatic to non specific symptoms to acute abdomen with catastrophic consequences. Here, we present a rare case of jejunal diverticular perforation.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122453858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.21276/ajmr.2019.8.3.me5
Amandeep Singh, Chc Guruharasahai Ferozepur Punjab India Medical Officer, Sanaullah Pathan, H. Pal, Chc Guruharasahai Ferozepur Punjab India Medical Officer
Background: Type 2 diabetes mellitus represents approximately 90% of all cases of diabetes. Nonvascular complications include gastrointestinal, genitourinary, dermatologic, infectious periodontal disease and rheumatological. Diabetic amyotrophy is characterized by muscle weakness and wasting, and by diffuse, proximal lower limb muscle pain, and asymmetrical loss of tendon jerks. There have been not much studies on diabetes and its association between rheumatological manifestations. Therefore, the present study was conducted with the aim to determine the correlation between rheumatological manifestations and diabetes complications and indices. Subjects and Methods: The present cross sectional study enrolled 100 subjects reporting to Department of Medicine, Rajindra Hospital/ Government Medical College, Patiala. Complete blood count, erythrocyte sedimentation rate, rheumatoid factor, serum uric acid were done. The rheumatoid factor upto 20 IU/dl and serum uric acid upto 7 mg/dl was taken as normal. X-rays of hand, shoulder, knee, spine and other involved joints wherever necessary were done. Examination of musculoskeletal system was performed. All the data thus obtained was arranged in a tabulated form and analyzed using SPSS software. Student t test was used for statistical analysis. Probability value of less than 0.05 was considered as significant. Results: Mean value of HbA1C of patients with rheumatological manifestations was 8.43 ±1.14 whereas Mean value of HbA1C of patients without rheumatological manifestations was 7.10±0.93. On statistical analysis significant association between rheumatological manifestations and HbA1c was found. On statistical analysis positive association between rheumatological manifestations and retinopathy was noted. Conclusion: Positive association of retinopathy and neuropathy was seen in our study with rheumatological manifestations in T2DM. So, screening of diabetic patients for the presence of rheumatic complications is needed, since early recognition of these lessens the chances of irreversible damage.
{"title":"The Correlation between Rheumatological Manifestations and Diabetes Complications and Indices","authors":"Amandeep Singh, Chc Guruharasahai Ferozepur Punjab India Medical Officer, Sanaullah Pathan, H. Pal, Chc Guruharasahai Ferozepur Punjab India Medical Officer","doi":"10.21276/ajmr.2019.8.3.me5","DOIUrl":"https://doi.org/10.21276/ajmr.2019.8.3.me5","url":null,"abstract":"Background: Type 2 diabetes mellitus represents approximately 90% of all cases of diabetes. Nonvascular complications include gastrointestinal, genitourinary, dermatologic, infectious periodontal disease and rheumatological. Diabetic amyotrophy is characterized by muscle weakness and wasting, and by diffuse, proximal lower limb muscle pain, and asymmetrical loss of tendon jerks. There have been not much studies on diabetes and its association between rheumatological manifestations. Therefore, the present study was conducted with the aim to determine the correlation between rheumatological manifestations and diabetes complications and indices. Subjects and Methods: The present cross sectional study enrolled 100 subjects reporting to Department of Medicine, Rajindra Hospital/ Government Medical College, Patiala. Complete blood count, erythrocyte sedimentation rate, rheumatoid factor, serum uric acid were done. The rheumatoid factor upto 20 IU/dl and serum uric acid upto 7 mg/dl was taken as normal. X-rays of hand, shoulder, knee, spine and other involved joints wherever necessary were done. Examination of musculoskeletal system was performed. All the data thus obtained was arranged in a tabulated form and analyzed using SPSS software. Student t test was used for statistical analysis. Probability value of less than 0.05 was considered as significant. Results: Mean value of HbA1C of patients with rheumatological manifestations was 8.43 ±1.14 whereas Mean value of HbA1C of patients without rheumatological manifestations was 7.10±0.93. On statistical analysis significant association between rheumatological manifestations and HbA1c was found. On statistical analysis positive association between rheumatological manifestations and retinopathy was noted. Conclusion: Positive association of retinopathy and neuropathy was seen in our study with rheumatological manifestations in T2DM. So, screening of diabetic patients for the presence of rheumatic complications is needed, since early recognition of these lessens the chances of irreversible damage.","PeriodicalId":407051,"journal":{"name":"Asian Journal of Medical Research","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130995081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：