Lipomas are familiar and routinely encountered soft-tissue tumors, which are generally asymptomatic; however, when they become too large or when they are present at some unusual locations, such as the hand, they can cause pressure symptoms due to neurological compression. We report the case of a 55-year-old lady with carpal tunnel syndrome due to a giant palmar lipoma. She was successfully treated with tumor excision and nerve decompression, thus highlighting the key points in diagnosis and precautions to be taken during surgery so that untoward complications can be avoided.
{"title":"Giant palmar lipoma with median nerve neuropathy: A case report and review of literature","authors":"Rajiv Kaul, M. Iqbal, Neha Akhoon","doi":"10.25259/fh_44_2024","DOIUrl":"https://doi.org/10.25259/fh_44_2024","url":null,"abstract":"Lipomas are familiar and routinely encountered soft-tissue tumors, which are generally asymptomatic; however, when they become too large or when they are present at some unusual locations, such as the hand, they can cause pressure symptoms due to neurological compression. We report the case of a 55-year-old lady with carpal tunnel syndrome due to a giant palmar lipoma. She was successfully treated with tumor excision and nerve decompression, thus highlighting the key points in diagnosis and precautions to be taken during surgery so that untoward complications can be avoided.","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"123 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819949","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}
JS Sravan, Sibi Vijayakumar, A. Arora, Mrinal Patnaik, Sakshi Priya
The study of microbes in the body of a person after death can be perhaps termed appropriately as Post-mortem Human Microbiology. Microbes can indicate the state of bacteremia at the time of death if the blood samples collected at autopsy are taken in an aseptic way from an appropriate sampling site. The aim of the study was to compare the sampling efficacy of the supraclavicular and infraclavicular approaches for both the left and right subclavian veins and determine the most effective approach among the four options. In this study, post-mortem blood samples were collected from both subclavian veins of 30 dead bodies to evaluate the effectiveness of approaches to subclavian veins. To achieve this, blood was collected from one side of the dead body through the supraclavicular approach and the other side through the infraclavicular approach, noting down the number of attempts which were required to successfully obtain at least 10 mL blood sample which is adequate for post-mortem microbiological examination. The study revealed that the supraclavicular approach is superior to the infraclavicular method. The left supraclavicular approach yielded maximum successful sample collection (100%) and also showed maximum successful single attempt sample collection (53%) compared to the other three approaches. Following recommended aseptic procedures, using the procedure mentioned and obtaining blood samples from the left supraclavicular approach can improve the chances of getting a non-contaminated, adequate sample for Post-mortem Microbiology (PMM).
{"title":"To assess and compare supra-clavicular and infra-clavicular approaches to obtain blood samples from the subclavian vein in cadavers at autopsy","authors":"JS Sravan, Sibi Vijayakumar, A. Arora, Mrinal Patnaik, Sakshi Priya","doi":"10.25259/fh_24_2024","DOIUrl":"https://doi.org/10.25259/fh_24_2024","url":null,"abstract":"\u0000\u0000The study of microbes in the body of a person after death can be perhaps termed appropriately as Post-mortem Human Microbiology. Microbes can indicate the state of bacteremia at the time of death if the blood samples collected at autopsy are taken in an aseptic way from an appropriate sampling site. The aim of the study was to compare the sampling efficacy of the supraclavicular and infraclavicular approaches for both the left and right subclavian veins and determine the most effective approach among the four options.\u0000\u0000\u0000\u0000In this study, post-mortem blood samples were collected from both subclavian veins of 30 dead bodies to evaluate the effectiveness of approaches to subclavian veins. To achieve this, blood was collected from one side of the dead body through the supraclavicular approach and the other side through the infraclavicular approach, noting down the number of attempts which were required to successfully obtain at least 10 mL blood sample which is adequate for post-mortem microbiological examination.\u0000\u0000\u0000\u0000The study revealed that the supraclavicular approach is superior to the infraclavicular method. The left supraclavicular approach yielded maximum successful sample collection (100%) and also showed maximum successful single attempt sample collection (53%) compared to the other three approaches.\u0000\u0000\u0000\u0000Following recommended aseptic procedures, using the procedure mentioned and obtaining blood samples from the left supraclavicular approach can improve the chances of getting a non-contaminated, adequate sample for Post-mortem Microbiology (PMM).\u0000","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"51 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140363435","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}
This study aims to determine the predictive value of serum sodium and potassium levels at the time of admission in assessing the severity of COVID-19. This is a cross-sectional record-based descriptive study conducted at a tertiary care center in the State of Kerala, for six months. 227 COVID cases with electrolyte abnormalities were taken for the study. Serum sodium and serum potassium levels at the time of admission were noted. Details regarding the treatment received and the course of patients in the hospital were recorded. Any progress to severity, such as ICU admission, need for mechanical ventilation, and mortality was duly noted. Mean serum electrolyte levels were calculated. Patients were classified as hyponatremia, hypernatremia, hypokalemia, and hyperkalemia and evaluated for any association with markers of severity. The mean sodium level was 132.47 ± 6.1 mEq/L and the mean potassium level was 3.74 ± 0.73 mEq/L. Of the 227 cases, 179 had hyponatremia (78.9%) and three had hypernatremia (1.3%). Hypokalemia was present in 106 cases (46.7%), and hyperkalemia in 15 cases. Only sodium abnormality was present in 106 (46.7%) patients, only potassium abnormality in 45 (19.8%) patients, and both sodium and potassium were abnormal in 76 (33.5%) patients. Out of 227 hospitalized COVID-19 patients, 56 (24.7%) were transferred to the ICU and 39 (17.2%) needed ventilation. During the course of treatment, 24 (10.6%) out of 227 patients died. A significant association was found between hyponatremia and mortality (p = 0.03). Hyponatremia is the primary electrolyte abnormality in COVID-19 patients and is significantly associated with mortality. Thus, hyponatremia can be used as a marker of severity in COVID-19 cases.
{"title":"Serum sodium and serum potassium levels as a marker of severity in COVID-19 patients","authors":"BH Gayathri, JS Sravan, S. Kumari","doi":"10.25259/fh_23_2024","DOIUrl":"https://doi.org/10.25259/fh_23_2024","url":null,"abstract":"\u0000\u0000This study aims to determine the predictive value of serum sodium and potassium levels at the time of admission in assessing the severity of COVID-19.\u0000\u0000\u0000\u0000This is a cross-sectional record-based descriptive study conducted at a tertiary care center in the State of Kerala, for six months. 227 COVID cases with electrolyte abnormalities were taken for the study. Serum sodium and serum potassium levels at the time of admission were noted. Details regarding the treatment received and the course of patients in the hospital were recorded. Any progress to severity, such as ICU admission, need for mechanical ventilation, and mortality was duly noted. Mean serum electrolyte levels were calculated. Patients were classified as hyponatremia, hypernatremia, hypokalemia, and hyperkalemia and evaluated for any association with markers of severity.\u0000\u0000\u0000\u0000The mean sodium level was 132.47 ± 6.1 mEq/L and the mean potassium level was 3.74 ± 0.73 mEq/L. Of the 227 cases, 179 had hyponatremia (78.9%) and three had hypernatremia (1.3%). Hypokalemia was present in 106 cases (46.7%), and hyperkalemia in 15 cases. Only sodium abnormality was present in 106 (46.7%) patients, only potassium abnormality in 45 (19.8%) patients, and both sodium and potassium were abnormal in 76 (33.5%) patients. Out of 227 hospitalized COVID-19 patients, 56 (24.7%) were transferred to the ICU and 39 (17.2%) needed ventilation. During the course of treatment, 24 (10.6%) out of 227 patients died. A significant association was found between hyponatremia and mortality (p = 0.03).\u0000\u0000\u0000\u0000Hyponatremia is the primary electrolyte abnormality in COVID-19 patients and is significantly associated with mortality. Thus, hyponatremia can be used as a marker of severity in COVID-19 cases.\u0000","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"13 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140364544","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}
Establishing a diagnosis of complex regional pain syndrome (CRPS) is challenging and often requires a multidisciplinary approach. Skeletal scintigraphy (bone scan) can be helpful in diagnosing and staging CRPS. Presented here is an interesting case of the right upper extremity and pectoral region pain, which upon evaluation with skeletal scintigraphy and single photon emission computed tomography with computed tomography (SPECT-CT) turned out to be Pancoast tumor.
{"title":"Diagnostic importance of Bone scan and SPECT-CT in atypical cases of CRPS presenting to pain clinic: A case report","authors":"Suruchi Jain, Anuj Sanchay Jain, Deepa Jain, Pramit Singh, Kumar","doi":"10.25259/fh_19_2024","DOIUrl":"https://doi.org/10.25259/fh_19_2024","url":null,"abstract":"Establishing a diagnosis of complex regional pain syndrome (CRPS) is challenging and often requires a multidisciplinary approach. Skeletal scintigraphy (bone scan) can be helpful in diagnosing and staging CRPS. Presented here is an interesting case of the right upper extremity and pectoral region pain, which upon evaluation with skeletal scintigraphy and single photon emission computed tomography with computed tomography (SPECT-CT) turned out to be Pancoast tumor.","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140285848","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}
Here, we describe three cases of cerebral hemiatrophy, presenting clinically as seizure, contralateral hemiplegia, and cognitive impairment. These patients underwent Magnetic Resonance (MR) imaging along with detailed clinical history for differential diagnosis of cerebral hemiatrophy. Combining clinical and brain imaging findings streamlines diagnosing cerebral hemiatrophy, potentially reducing unnecessary tests and identifying the cause, like Rasmussen’s encephalitis, which can guide treatment (immunotherapy) and improve outcomes.
{"title":"MR Imaging and radiological approach in cases of pediatric hemi-cerebral atrophy: A case series with brief review of literature","authors":"Mukesh Kumar, Jitendra Sharma, Ishudeep Kaur","doi":"10.25259/fh_15_2024","DOIUrl":"https://doi.org/10.25259/fh_15_2024","url":null,"abstract":"Here, we describe three cases of cerebral hemiatrophy, presenting clinically as seizure, contralateral hemiplegia, and cognitive impairment. These patients underwent Magnetic Resonance (MR) imaging along with detailed clinical history for differential diagnosis of cerebral hemiatrophy. Combining clinical and brain imaging findings streamlines diagnosing cerebral hemiatrophy, potentially reducing unnecessary tests and identifying the cause, like Rasmussen’s encephalitis, which can guide treatment (immunotherapy) and improve outcomes.","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"16 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140397991","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}
Anitha Chettiar B, Rajesh Malik, R. Sarawagi, Ankur Patel, Jitendra Sharma, Aman Kumar, Abhinav C Bhagat
The advent of severe acute respiratory syndrome coronavirus (SARS-CoV) during the latter half of 2019 brought a new face to the global medical scenario. With a rising trend in COVID infectivity and the concomitant use of steroids in its management, it emerged as a risk factor for the development of acute invasive fungal infections of the paranasal sinus in these patients. In India, the medical scenario turned towards a rise in the number of fulminant mucormycosis infections in post-COVID patients. This infection caused rapid invasion via the perineural pathway and extensive angioinvasion, which led to an increase in morbidity and mortality. Early diagnosis of this infection became crucial to ward off any preventable complications. This pictorial review focuses on the varied early and late imaging appearances on Computed Tomography (CT) and Magnetic Resonance Imaging (MRI), keeping the focus on MR imaging to make the diagnosis, to know the extent of the infective process, diagnose early complications and for surgical planning.
{"title":"Imaging spectrum of acute invasive sinonasal mucormycosis in patients with COVID-19: A pictorial review","authors":"Anitha Chettiar B, Rajesh Malik, R. Sarawagi, Ankur Patel, Jitendra Sharma, Aman Kumar, Abhinav C Bhagat","doi":"10.25259/fh_6_2024","DOIUrl":"https://doi.org/10.25259/fh_6_2024","url":null,"abstract":"The advent of severe acute respiratory syndrome coronavirus (SARS-CoV) during the latter half of 2019 brought a new face to the global medical scenario. With a rising trend in COVID infectivity and the concomitant use of steroids in its management, it emerged as a risk factor for the development of acute invasive fungal infections of the paranasal sinus in these patients. In India, the medical scenario turned towards a rise in the number of fulminant mucormycosis infections in post-COVID patients. This infection caused rapid invasion via the perineural pathway and extensive angioinvasion, which led to an increase in morbidity and mortality. Early diagnosis of this infection became crucial to ward off any preventable complications. This pictorial review focuses on the varied early and late imaging appearances on Computed Tomography (CT) and Magnetic Resonance Imaging (MRI), keeping the focus on MR imaging to make the diagnosis, to know the extent of the infective process, diagnose early complications and for surgical planning.","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398121","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}
Upasana Yadav, R. Sarawagi, Ankur Patel, Sibi Rahul, Rajesh Malik
Lesions of ovarian or adnexal origin are common in all age groups, but there is significant variability in the interpretation of the words, definitions, and morphologic descriptions by the radiologists and the clinicians. There has also been a paradigm shift in the diagnosis and management of ovarian lesions during the last 20 years. Ovarian-Adnexal Reporting and Data System (O-RADS) by the American College of Radiology (ACR) was introduced in 2018. ORADS US (ultrasonography) serves as a tool to simplify the characterization of adnexal lesions, minimize the use of misleading terminology, and aid in the management of such lesions. It maintains the six risk assessment categories (O-RADS US 0–5) with an increasing predicted risk of malignancy from O-RADS US 1 to 5. In this pictorial essay, we briefly summarize the O-RADS and its descriptors, followed by representative ultrasound images to help clinicians understand what the O-RADS descriptors in the ultrasound report would mean.
卵巢或附件病变常见于各个年龄段的人群，但放射科医生和临床医生对其用词、定义和形态学描述的解释却存在很大差异。在过去的 20 年中，卵巢病变的诊断和处理模式也发生了转变。2018年，美国放射学会（ACR）推出了卵巢-附件报告和数据系统（O-RADS）。ORADS US（超声）作为一种工具，可简化附件病变的定性，最大限度地减少误导性术语的使用，并有助于此类病变的管理。它保留了六个风险评估类别（O-RADS US 0-5），从 O-RADS US 1 到 5，恶性肿瘤的预测风险不断增加。 在这篇图文并茂的文章中，我们简要总结了 O-RADS 及其描述符，随后通过具有代表性的超声图像帮助临床医生理解超声报告中 O-RADS 描述符的含义。
{"title":"Ultrasound assessment of ovarian lesions: O-RADS approach","authors":"Upasana Yadav, R. Sarawagi, Ankur Patel, Sibi Rahul, Rajesh Malik","doi":"10.25259/fh_10_2024","DOIUrl":"https://doi.org/10.25259/fh_10_2024","url":null,"abstract":"Lesions of ovarian or adnexal origin are common in all age groups, but there is significant variability in the interpretation of the words, definitions, and morphologic descriptions by the radiologists and the clinicians. There has also been a paradigm shift in the diagnosis and management of ovarian lesions during the last 20 years. \u0000Ovarian-Adnexal Reporting and Data System (O-RADS) by the American College of Radiology (ACR) was introduced in 2018. ORADS US (ultrasonography) serves as a tool to simplify the characterization of adnexal lesions, minimize the use of misleading terminology, and aid in the management of such lesions. It maintains the six risk assessment categories (O-RADS US 0–5) with an increasing predicted risk of malignancy from O-RADS US 1 to 5. \u0000In this pictorial essay, we briefly summarize the O-RADS and its descriptors, followed by representative ultrasound images to help clinicians understand what the O-RADS descriptors in the ultrasound report would mean.","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398604","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}
Atul Kumar, Ankur Patel, R. Sarawagi, Rajesh Malik, Nadeem Ur Rahman, N. Balaji
The synovium is a specialized tissue lining the synovial joints, bursae, and tendon sheaths of the body. It is affected by various localized and systemic disorders. Synovial diseases can be broadly classified as inflammatory, infectious, degenerative, proliferative, hemorrhagic, and neoplastic. Injuries to other structures within the joint, such as cartilage, may also be caused by pathological processes that affect the synovium. Early detection of synovial diseases is critical to avoid irreversible joint damage. Understanding the typical imaging features of synovial diseases can help in accurate diagnosis and prompt treatment. Therefore, imaging plays a crucial role in detecting synovial diseases at an early stage. This pictorial review highlights the unusual synovial pathologies, such as synovial chondromatosis, pigmented villonodular synovitis (PVNS), giant cell tumor of tendon sheath (GCTT), hemophilic arthropathy, lipoma arborescens, and synovial sarcoma.
{"title":"Uncommon synovial pathologies","authors":"Atul Kumar, Ankur Patel, R. Sarawagi, Rajesh Malik, Nadeem Ur Rahman, N. Balaji","doi":"10.25259/fh_16_2024","DOIUrl":"https://doi.org/10.25259/fh_16_2024","url":null,"abstract":"The synovium is a specialized tissue lining the synovial joints, bursae, and tendon sheaths of the body. It is affected by various localized and systemic disorders. Synovial diseases can be broadly classified as inflammatory, infectious, degenerative, proliferative, hemorrhagic, and neoplastic. Injuries to other structures within the joint, such as cartilage, may also be caused by pathological processes that affect the synovium. Early detection of synovial diseases is critical to avoid irreversible joint damage. Understanding the typical imaging features of synovial diseases can help in accurate diagnosis and prompt treatment. Therefore, imaging plays a crucial role in detecting synovial diseases at an early stage. This pictorial review highlights the unusual synovial pathologies, such as synovial chondromatosis, pigmented villonodular synovitis (PVNS), giant cell tumor of tendon sheath (GCTT), hemophilic arthropathy, lipoma arborescens, and synovial sarcoma.","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140285849","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}
Omphalocele is a rare congenital abdominal wall defect with a reported prevalence of 3.38 per 10,000 pregnancies. It is associated commonly with chromosomal abnormalities (10%–30%) and additional structural abnormalities (55%–58%). Trisomy 13 and 18 are most commonly associated with aneuploidies, which are also associated with umbilical cord cysts and mesomelia.
{"title":"Omphalocele with umbilical cord cyst and mesomelia: A case report","authors":"Ashok Jangda","doi":"10.25259/fh_13_2024","DOIUrl":"https://doi.org/10.25259/fh_13_2024","url":null,"abstract":"Omphalocele is a rare congenital abdominal wall defect with a reported prevalence of 3.38 per 10,000 pregnancies. It is associated commonly with chromosomal abnormalities (10%–30%) and additional structural abnormalities (55%–58%). Trisomy 13 and 18 are most commonly associated with aneuploidies, which are also associated with umbilical cord cysts and mesomelia.","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398617","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}
Due to its strong correlation with age, gender, anthropometric parameters, and geographic location, thyroid gland volume varies widely. Finding the reference range of a healthy individual’s normal thyroid gland volume has become crucial for every community. Thus, the public will be better able to grade goiter, and large-scale iodine monitoring initiatives will be guided by this. Ultrasound (US) eliminates the issues of overestimation of goiter prevalence and significant interobserver variability associated with palpation estimates, as it is more accurate than clinical examination in diagnosing enlarged thyroid glands. This research aimed to use ultrasonography to determine reference ranges for total thyroid volume in the normal adult population in central India and to connect the results with thyroid function tests. A tertiary-care hospital hosted a prospective cross-sectional study. There were 410 healthy subjects in total. B-Grey scale imaging US was utilized to assess the overall thyroid volume by adding the volume of both lobes, which was calculated using the ellipsoid formula. In order to examine thyroid function, blood samples were obtained. Age-appropriate thyroid volume reference values were found. The average thyroid gland volume across all research participants was 6.90 ± 1.74 ml. The gland volume of males was considerably greater (7.30 ± 1.86 ml) than that of females (6.63 ± 1.61 ml) (P<0.001). In both genders, the right lobe’s volume was considerably higher than the left lobe’s (3.76 ± 0.96 ml vs. 3.14 ± 0.89 ml, P < 0.001). There was no discernible relationship between thyroid function tests and gland volume. We made an effort to help set the reference values for our community, but more extensive research is needed to set the thyroid gland volume reference values for the entire country.
{"title":"Thyroid volume and its correlation with thyroid function in Central India","authors":"Alka Agrawal, Gaurav Bhandari, Ashish Sahoo, Priya Solanki","doi":"10.25259/fh_18_2024","DOIUrl":"https://doi.org/10.25259/fh_18_2024","url":null,"abstract":"\u0000\u0000Due to its strong correlation with age, gender, anthropometric parameters, and geographic location, thyroid gland volume varies widely. Finding the reference range of a healthy individual’s normal thyroid gland volume has become crucial for every community. Thus, the public will be better able to grade goiter, and large-scale iodine monitoring initiatives will be guided by this. Ultrasound (US) eliminates the issues of overestimation of goiter prevalence and significant interobserver variability associated with palpation estimates, as it is more accurate than clinical examination in diagnosing enlarged thyroid glands.\u0000This research aimed to use ultrasonography to determine reference ranges for total thyroid volume in the normal adult population in central India and to connect the results with thyroid function tests.\u0000\u0000\u0000\u0000A tertiary-care hospital hosted a prospective cross-sectional study. There were 410 healthy subjects in total. B-Grey scale imaging US was utilized to assess the overall thyroid volume by adding the volume of both lobes, which was calculated using the ellipsoid formula. In order to examine thyroid function, blood samples were obtained. Age-appropriate thyroid volume reference values were found.\u0000\u0000\u0000\u0000The average thyroid gland volume across all research participants was 6.90 ± 1.74 ml. The gland volume of males was considerably greater (7.30 ± 1.86 ml) than that of females (6.63 ± 1.61 ml) (P<0.001). In both genders, the right lobe’s volume was considerably higher than the left lobe’s (3.76 ± 0.96 ml vs. 3.14 ± 0.89 ml, P < 0.001). There was no discernible relationship between thyroid function tests and gland volume.\u0000\u0000\u0000\u0000We made an effort to help set the reference values for our community, but more extensive research is needed to set the thyroid gland volume reference values for the entire country.\u0000","PeriodicalId":517984,"journal":{"name":"Future Health","volume":"14 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398137","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：