Vol. 8, Issue 1, JAN – MAR 2014

EDITORIAL

Role of ZINC in Dermatology

 TARIQ RASHID, SANA YOUNAS

Dermatology Department FJMC/SGRH

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Outcome of Chemical Versus Surgical Sphincterotomy in Patients with Chronic Anal Fissure

IMTIAZ HUSSAIN, AAMER ZAMAN KHAN, FAROGH ZAHRA, BAKHAT YAWAR

PGR/MO Surgery Sir Ganga Ram Hospital, Lahore. Professor/Head of Department Surgery F. J Medical College/Sir Ganga Ram Hospital, Lahore. Assistant Professor Surgery F.J Medical College/Sir Ganga Ram Hospital, Lahore.4TH Year Student King Edward Medical University, Lahore.

Correspondence Author:- Dr. Imtiaz Hussain Post Graduate Registrar/Medical Officer Sir Ganga Ram Hospital, Lahore. Email:- imtiazhussaindr@gmail.com. Cell No:-+9203216303551.  

ABSTRACT

Objectives: To compare the outcome of chemical versus surgical sphincterotomy in patients with chronic anal fissure.

Study Design: Observational Comparative Study.

Setting: Department of Surgery, Sir Ganga Ram Hospital, Lahore.

Subject and Methods: 74 patients who presented with chronic anal fissure at the surgical outdoor of Sir Ganga Ram Hospital, Lahore and who met the inclusion criteria were enrolled in the study after written informed consent. Patients were randomly divided into two groups. Group-A (n=37) was subjected to chemical sphincterotomy while Group-B (n=37) underwent lateral internal sphincterotomy. Patient’s demographic data along with treatment outcome was noted.

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BIncidence of Hepatitis B in patients screened before Felxible Nasolaryngoscopy in Mayo Hospital, Lahore

 AZHAR HAMEED, BAKHT AZIZ, MOHIB ULLAH MUSHWANI

 ABSTRACT

Purpose: To assess the incidence of hepatitis B infection in patients before flexible fiberoptic nasolaryngoscopy for dysphonia.

Materials and Method: This prospective cross-sectional study was conducted at Mayo hospital Lahore from May 2013 to May 2014. All dysphonic patients who fulfilled inclusion criterion for flexible nasolaryngoscopy were screened for HepatitisB as part of infection surveillance& control. A proforma was designed for collection of data and consent was obtained from all patients before inclusion in study. Every patient was serologically screened by rapid chromatography immunoassay (ICT) for qualitative detection of hepatitis B antibodies in patients before fiberoptic nasolaryngoscopy.

Setting:ENT Unit-1 Mayo Hospital affiliated with King Edward Medical University, Lahore

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Factors Influencing Neoadjuvant Chemotherapy Response in Breast Cancer

 *RAJIA LIAQAT, ASIMA NAZ, TOOBA FATEEN, BILQUEES SULEMAN, QASIM AHMED

*Address for correspondence Rajia Liaqat Assistant Professor University of Lahore.

ABSTRACT

Background: Breast cancer is a major public health issue globally leading to more than a million deaths annually worldwide. For carcinoma of breast, factors as age of the patient, menopausal status, tumor size, tumor type, tumor grade, estrogen receptor status (ER), progesterone receptor status (PR) and HER2neu expression are important prognostic indicators.

Objective: Objective of this study was to observe the response of neoadjuvant chemotherapy on breast tumor and lymph nodes and to identify the clinical and pathological factors.

Patients and Methods: This was a descriptive case series conducted in Pathology department, Shaukat Khanum Memorial Cancer Hospital and Research Center Lahore for eight months. Total 55 patients with biopsy proven breast cancer were taken. Data regarding tumor size, tumor type, tumor grade, hormone receptor status (ER status, PR status) and others including age of the patient, menstrual status and HER2neu status was collected on proforma. Lumpectomy and mastectomy specimens of these patients after they have received neoadjuvant chemotherapy were taken. Data were entered and analyzed on SPSS version 10.

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Incidence and Presentation of Molar Pregnancy at Bahawal Victoria Hospital, Bahawalpur

 TASNEEM AKHTAR, NOREEN AKMAL, SADIA SHAKIL, SAMINA AKRAM

For Correspondence: DR Tasneem Akhtar, Assistant Professor, Department of Obstetrics and Gynaecology Unit II, Quaid e Azam Medical College/ Bahawal Victoria Hospital, Bahawalpur

Email  dr.tasneemakhtar@yahoo.com

 ABSTRACT

Background: Gestational Trophoblastic Disease (GTD) forms a group of disorder including hydatidiform mole, invasive mole, choriocarcinoma and placental-site trophoblastic tumor. The objective of this study was to find out the incidence and clinical presentation of GTD at our institution.

Patients and Methods: One year retrospective, descriptive study conducted at Gynae Unit-II of Bahawal Victoria Hospital, Bahawalpur, from 1st Januay 2013 to 31st December 2013. Complete blood picture, blood grouping, serum β-hCG level, ultrasonograpghy and chest X-ray were done. The patients presented with various forms of GTD were noted for histopathology, incidence and clinical presentation.

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Incidence of Alleged Sexual Assault Cases in Lahore: It’s Medicolegal and Social Aspects

 MAQSOOD1, MARIAM ARIF 2, M. KASHIF BUTT 3

Associate Professor, SMDC, Lahore1, Forensic Medicine & Toxicology department; Assistant Professor FMH College of Medicine and Dentistry, Lahore2; Assistant Professor SMDC, Lahore3

Corresponding Author: Dr. M. Maqsood, Associate Professor, SMDC, Lahore. E-mail: dr.maqsood@live.com

 ABSTRACT

Introduction: Among all the crimes, sex related crimes are the most heinous and humiliating.

Objective: The aim of our study was to ascertain incidence of sexual violence in Lahore and to analyze the data with respect to epidemiological and demographic characteristics, relationship between victim and assailant, time of reporting of cases, pattern of physical injuries and evidence collection from victims of sexual violence.

Material and Method: This retrospective study was conducted on 27 cases of sexual assault brought to Forensic Medicine Department of King Edward Medical University, Lahore from January 2012 to December 2013 for medicolegal examination. Details pertaining to age, sex, religion, socioeconomic status, site of incident, time interval between incidence and medical examination, number of assailants, relationship with assailants, findings of genital examination and results of evidence collected were noted. Data was analyzed using SPSS version 20.

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Follow up Assessment of 60 Cases of Endoscopic Nasal Surgery

 TAHIR RASHID, MIRZA M SARWAR , SAMI MUMTAZ

Dept of Ear, Nose, Throat, Head and Neck Surgery, FJMC/Sir Ganga Ram Hospital Lahore, Pakistan.

Correspondence to: Tahir Rashid, 107 Q Model Town, Lahore.tahir1964@hotmail.com.

 ABSTRACT

Endoscopic sinus surgery has emerged as a mainstay in the surgical management of chronic sinus disease and nasal polyps. A prospective study of 60 patients who underwent endoscopic sinus surgery was undertaken at the department of Ear Nose Throat Head and Neck Surgery, Fatimah Jinnah Medical College /Sir Ganga Ram Hospital, Lahore, during the period of Jan 2012- March 2014. All patients underwent detailed history and examination including CT scans. Following parameters were studied indications for surgery, post operative complications and follow up outcomes.

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Vancomycin and Ampicillin Resistance in Enterococcus: A Six Month Study of Urine Cultures at Sheikh Zayed Hospital, Lahore

ANWAAR BASHEER, MATEEN IZHAR

Department of Microbiology, Sheikh Zayed Hospital, Lahore

Correspondence: Dr Anwaar Basheer. Assistant Professor, Department of Microbiology, Sheikh Zayed Hospital, Lahore. Email:anwaarbasheer@hotmail.com

ABSTRACT

Objective : To study the frequency of Vancomycin and Ampicillin resistance enterococci isolated from urine culture specimens alongwith their antimicrobial susceptibility patterns.

Study Design : Retrospective study

Place and duration of Study : Department of Microbiology, Sheikh Zayed Hospital, Lahore from 1 June to 30 November 2013.

Material and Methods : All samples received for urine culture, from which vancomycin- and ampicillin-resistant Enterococci were isolated, were included in the study and an analysis was made of their antimicrobial susceptibility patterns.

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Comparison of Single Layer Interrupted Extramucosal Anastomsis with Double Layer Continuous Anastomosis Among Patients with Benign Small Intestinal Pathology

MUHAMMAD SHABBIR AHMAD1, ZAHID SATTAR2, MUHAMMAD KAREEMULLAH3, ASIF HANIF4

1Assistant Prof. Surgery: Jinnah Hospital / Allama Iqbal Medical College Lahore, 2Assistant Prof. Surgery: Sahiwal Medical college, Sahiwal, 3Assistant Prof.  Surgery: Lahore General Hospital, Lahore / PGMI, 4Assistant Prof. and HOD Biostatistics: Gulab Devi PGMI

Corresponding Author: Dr. Shabbir Ch. drshabbirch@yahoo.com

ABSTRACT

Objective: To compare outcome of single layer interrupted extramucosal anastomsis with double layer continuous anastomosis among patients with benign small intestinal pathology such as perforation, tuberculosis, trauma or typhoid.

Methodology: This prospective randomized controlled trial was conducted at Surgical floor LGH/PGMI. The study was completed in six months using non-probability consecutive sampling. Two hundred patients with benign intestinal pathology requiring intestinal anastomosis were divided in two groups, 100 patients in each group were taken in group A patients were managed with single layer extramucosal interrupted anastomosis and in group B patients were treated with underwent double layer continuous anastomosis. Variable like leakage was described by frequency distribution table, Chi-square test was applied as a test for significance & p-value ≤ 0.05 was considered significant.

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“Comparison of Octreotide and Terlipressin Efficacy in Prevention of Early Variceal Rebleed after Endoscopic Variceal Band Ligation’’

MUHAMMAD KASHIF, MUHAMMAD KHURRAM SALEEM, ABBAS RAZA, ARIF MAHMOOD SIDDIQUI

1Registrar Medicine Medical Unit II Jinnah Hospital Lahore, calmkashif@gmail.com Mobile No: 03334227290, 2Assistant Professor of Medicine CMH Lahore Medical College, Combined Military Hospital Lahore, drkhurram_77@yahoo.com Mob No: 03334822143, 3Associate Professor of Medicine Medical Unit II Jinnah Hospital Lahore, mabbas95@hotmail.com Mobile No: 03004854228, 4Head of Department Medical Unit II, Jinnah Hospital Lahore, rdsidiqi@gmail.com Mobile No: 03334232211

 ABSTRACT

Objectives: Terlipressin and octreotide are both used as adjuvant therapy to endoscopic variceal band ligation however data is scarce on the head-to-head efficacy of terlipressin and octreotide in prevention of early variceal rebleed. The aim of this study was to compare the efficacy of terlipressin with octreotide as an adjuvant therapy to endoscopic variceal band ligation in patients with esophageal variceal bleeding.

Methods: This study (a comparative interventional study) was conducted in Medical Unit II, Jinnah hospital Lahore from December 2012 to June 2013 and 150 patients were included in this study. Cirrhotic patients with esophageal variceal bleed were randomized on admission to receive octreotide (group A) or terlipressin (group B) after endoscopic variceal band ligation. The two groups were compared for prevention of early variceal rebleed.”Control of variceal bleed” was the measure of efficacy of terlipressin and octreotide.

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Correlation of Left Atrial Size with Mitral Valve Area & Atrial Fibrillation in The Patients of Mitral Stenosis An Echocardiographic Based Study

USMAN JAVED IQBAL1, MAJID KALEEM2, ASIF HANIF3, M.IMRAN HANIF2

Department of Cardiology & Research Center Gulab Devi Chest Hospital, 1B.Sc (Hons) Cardiac Perfusion, MPH*, 2Assistant Professor Cardiology, Gulab Devi PGMI Lahore, 3Assistant Professor, HOD Biostatistics, Gulab Devi PGMI Lahore

ABSTRACT

Background: Valve stenosis is a common heart disorder and an important cause of cardiovascular morbidity and mortality. Rheumatic heart disease (RHD) is the most common cause of mitral stenosis (M.S). It is most common in females as compared to males. Enlarged left atrium is the feature of mitral stenosis. In view of the associated lower survival valve diseases thus represent an important public health problem.

Objective: To see how many patients of mitral stenosis have atrial fibrillation (A.F) and what is the relationship between left atrial size and mitral valve area.

Methodology: This study was performed in the cardiology department of Gulab Devi Chest Hospital. We took the data of 50 patients. SPSS version 16.0 was used to evaluate the data. Descriptive statistics, bar charts and Pearson correlation test was used.

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Bony Spurs on Femur: A Morphological Study of Dried Pakistani Femora

ALIYA ZAHID1, MUHAMMAD WAJAHAT KHAN2, BRISHNA KHAN3

1Associate Professor Anatomy,  AIMC, Lahore, 23rd yr MBBS Student, Central Park Medical College, Lahore, 32nd yr MBBS student, Shalamar Medical and Dental College, Lahore.

Address for Correspondance: Dr Aliya Zahid (03334219025), draliyaimtiaz@gmail.com, 27 A1 Johar Town Lahore.

ABSTRACT

Formation of new bone or bone spurs usually occur at two main sites: the joint margin (osteophytes) and ligament/ tendon insertions (enthesophytes) in degenerative joint disorders. Both osteophytes and enthesophytes are thought to be the skeletal responses to stress. An osteophyte is a bony spur that is formed as the lateral outgrowth of bone at the margin of the articular surface of a synovial joint. The osteophytes formation is an adaptive reaction as a result of joint instability commonly seen in degenerative disorders of joints. An enthesophyte is a bony spur formed at a ligament or tendon insertion into bone, and often develops in parallel with osteophytes at the periphery of articular cartilage.

Type of Study: Descriptive cross sectional study

Objectives: To find out the incidence of bony spurs on femora of Pakistani population

Materials and Methods:  Present study was conducted on dried Pakistani femora in the Anatomy Departments of Allama Iqbal Medical College, Lahore and Khawaja Muhammad Safdar Medical College, Sialkot. For this purpose,177 dried adult femora were included. They were closely observed for the presence of bony spurs .

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Analysis of Violent Asphyxial Deaths in Lahore

  1. KASHIF BUTT1, 2M. MAQSOOD, MARIAM ARIF3

Forensic Medicine & Toxicology department ; Assistant Professor SMDC, Lahore. Associate Professor SMDC, Lahore. Assistant Professor FMH College of Medicine and Dentistry, Lahore

Corresponding Author: Dr.M. Kashif Butt, Assistant Professor, e-mail: drkashifpak@yahoo.com

 ABSTRACT

The term asphyxia is used to describe a condition in which the supply of oxygen at the level of mouth, nose, neck or chest externally or to blood and body tissues internally is reduced by any interference with respiration. A retrospective study was conducted in Forensic Medicine and Toxicology Department of King Edward Medical University, Lahore from January 2012 to December 2013.The aim of the study was to determine the incidence of asphyxial deaths in Lahore. During this period, out of 1686 medico legal autopsies conducted, 67 deaths were caused by violent asphyxia having incidence of 3.98%. There were 37 males (55.2%) and 30 females (44.8%). Highest incidence was seen in age group 21-30 years (41.8%). Male predominance was seen in all asphyxial deaths except strangulation. Strangulation (41.8%) and hanging (35.82%) were the leading causes of asphyxia deaths. Homicidal deaths (59.7%) were most common followed by suicidal (35.82%) and accidental deaths (4.48%) respectively. A well designed comprehensive program is required to identify the causative factors and prevention of suicidal behaviors

 Key words: Violent asphyxial deaths, hanging, strangulation, homicide, suicide

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Per Cutaneous Plating Through Multiple Stab Incisions in Comminuted Fractures of The Tibia-A New Technique

MUHAMMAD IQBAL*, FAISAL NAZEER HUSSAIN, MUHAMMAD USMAN UL HAQ, ABU BAKAR SIDDIQ.

1Assoc Prof. Orthopedics, General Hospital, PGMI, 2Assoc Prof. Avicenna Medical College, Lahore

Correspondence: *Muhammad Iqbal Assoc Prof. Orthopedics, General Hospital, PGMI, Lahore. Email: iqbalorthodr@yahoo.com

ABSTRACT

Introduction: A study to assess the role of minimally invasive plate osteosynthesis (MIPO) in the treatment of 24 adult patients of comminuted fractures of the tibia is presented.

Materials & Method: It was a prospective and interventional study of clinical cases being operated with minimally invasive plate osteosynthesis. However a new technique with multiple stab incisions was used.

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Frequency of True Positive Cases of Left Ventricular Hypertrophy on Electrocardiography Taking Echocardiography as Gold Standard

 AHMAD HASAN, ZEESHAN GHOUS, SYED TAHSEEN SHAHZAD, UZMA SAJJAD, ZAIN TARIQ, ZUBAIR AKRAM

Department of Cardiology, Jinnah Hospital, Lahore

Correspondance to ahnmalik@hotmail.com. Ph. No# 03214937381

 ABSTRACT

Aims and Obkectives: Left Ventricle of heart, being a muscular organ is capable of undergoing hypertrophy, defined as an increase in the mass of the left ventricle (LVH). LVH can be diagnosed by radiography, echocardiography and electrocardiography. The first two need expertise, not readily available and expensive so the objective is to find out how much we can solely rely on the electrocardiography for the diagnosis of LVH.

Study Design: Non probability purpose sampling.

Duration: Jan 2012 to Dec 2012 in the cardiology department of Jinnah Hospital Lahore.

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Diagnostic Laparoscopy as a Gold Standard Investigation in Sub-Fertility

1ANISA KAMAL, 2SONIA NAQVI, 3SARDAR MUHAMMAD AL-FAREED ZAFAR, 4IRUM AFZAL, 5FAREEDA ASIF, 6SHAFIQ AHMAD

1Assistant Professor obstetric and gynaecology Sir Syed Hospital, 2Associate Professor Obstetrics and gynaecology Sir Syed Hospital, Cell # 0300 8248208, Email: sonia_naqvi@hotmail.com, Professor Gynecology FJMC/SGRH Lahore 3Senior Registrar, Health Care Centre (Pvt.) Ltd. Peshawar, 4Registrar, Health Care Centre (Pvt.) Ltd. Peshawar, 5Professor, Health Care Centre (Pvt.) Ltd. Peshawar

Correspondence: Dr. Anisa Kamal, Assistant Professor obstetric and gynaecology Sir Syed Hospital

Email: anisakamal5@gmail.com, Cell # 0321 3820895

ABSTRACT

Objective: Diagnostic Laproscopy as a Gold standard investigation in patients with sub-fertility.

Study Design: Retrospective descriptive study.

Place and duration: Health Care Centre (Pvt.) Ltd. Peshawar from 2nd May 2012-15th August 2012.

Material and Methods: We reviewed case records of all the patients who underwent diagnostic laparoscopy for their sub-fertility. Data was collected from patients case records between 2 May 2012 to 15 August 2012 in department of obstetrics and gynaecology Health Care Centre (Pvt.) Ltd. Peshawar.

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Liver Involvement in Patients with Dengue

 ASMA MUNIR1, MONA AZIZ2, QASIM ZAFAR3, ATIYA MAHBOOB4, RABAIL JAVED5, MANAAL AFZAAL6

1Consultant Haematologist, 2Professor, Department of Haematology, Shaikh Zayed Medical Institute, Lahore, 3Final year student at Lahore & Medical College, Lahore. 4Professor, Department of Dermatology, Shaikh Zayed Medical Institute, Lahore. 5Research Officer, PMRC, Shaikh Zayed Medical Institute, Lahore. 6Senior Registrar, Department of Dermatology, Shaikh Zayed Medical Institute, Lahore

ABSTRACT

Background: Dengue is a global health problem, endemic to most tropical and subtropical countries. Liver involvement in dengue fever is not uncommon. It is one of the predicting factors of severe dengue.

Objective: To evaluate the impact of dengue virus infection on liver function tests (LFTs) of patients with dengue fever.

Design: Prospective, follow up study

Place and duration of study:  Department of Medicine, Shaikh Zayed Medical Institute, Lahore from 5th October, 2010 to 20th November, 2010.

Patients and methods: Forty-seven serologically confirmed cases were categorized into, dengue fever(DF),  dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS) according to WHO guidelines and evaluated daily for 7 days to see the serial changing pattern of LFTs including serum total bilirubin (ST bilirubin), albumin, aspartate and alanine aminotransferases (AST and ALT)  and alkaline phosphatase (ALP). Based on the levels of aminotransaminases degree and severity of liver damage were classified into grades A to D and severe dengue.

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To Study the Role of Infectious Agents in Gallstones Formation in Different Age Groups

HURRIAT AFZAL, SUMERA ASHFAQ. NADIA FAROOQ, IMTIAZ HUSSAIN

*Assistant Professor FJMC/SGRH, Lahore. **PGR Surgery SGRH, Lahore. *** Senior Registrar Surgery SGRH, Lahore. ****PGR/MO Surgery SGRH, Lahore.

Correspondence Author:- Dr Hurriat Afzal Assistant Professor Department of Surgery, Fatima Jinnah Medical College/Sir Ganga Ram Hospital Lahore.

ABSTRACT

Background: Gallstone disease remains one of the most common medical problems leading to surgical intervention. Infection plays a role in the development of these stones.

Aims and Objectives: Study was designed to find out role of infectious agents in gall stone formation in women with different age groups.

Methodology: Case control study of six months was conducted in Surgical Ward of Sir Ganga Ram Hospital Lahore. 100 women with confirmed upper abdominal ultasonography for gall stone diagnosis were included in the study. Patients were divided into 3 groups based on their age range 25-39 years (group 1), 40-50 years (group 2) and > 50 years (group 3). Patients were considered to be in the perimenopausal period, based on irregular menstruation or its cessation, vasomotor symptoms and decreasing estrogen levels. The subjects were not taking any medication, including hormone replacement therapy. Detailed information was filled in proforma.

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Diagnostic Accuracy of Doppler Ultrasound for Antenatal Detection of Morbidly Adherent Placenta

AFIA, AFSHAN SAEED USMANI, TASHEER RANA, BUSHRA BANO

PGR. Gynaecology SGRH, Lahore, WMO  Gynaecology SGRH, Lahore, Assistant Professor Radiology FJMC/SGRH Lahore, Senior Registrar Gynaecology , SGRH, Lahore.

Correspondence Author:- Dr. Afia PGR Gynaecology, Sir Ganga Ram Hospital, Lahore.

ABSTRACT

Introduction: The incidence of the morbidly-adherent placenta, previously thought to be very uncommon, is rising in contemporary obstetrical practice and obstetricians must be cognizant of this. Massive obstetric haemorrhage, particularly at delivery, is the principal clinical problem and the condition is associated with a risk of maternal and perinatal mortality of upto 10%. Imaging plays an important role in the antenatal detection of this condition.

Objective: To determine the diagnostic accuracy of Doppler ultrasound for antenatal detection of morbidly adherent placenta in patients presenting with placenta previa major degree taking surgical evidence as gold standard.

Study Design: Cross sectional study

Settings: The study was conducted in Obstetric and gynaecology unit 1, Sir Ganga Ram Hospital Lahore

Duration of Study: Jan 2013 to June 2013

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Liver Involvement in Patients with Dengue

 ASMA MUNIR1, MONA AZIZ2, QASIM ZAFAR3, ATIYA MAHBOOB4, RABAIL JAVED5, MANAAL AFZAAL6

1Consultant Haematologist, 2Professor, Department of Haematology, Shaikh Zayed Medical Institute, Lahore, 3Final year student at Lahore & Medical College, Lahore. 4Professor, Department of Dermatology, Shaikh Zayed Medical Institute, Lahore. 5Research Officer, PMRC, Shaikh Zayed Medical Institute, Lahore. 6Senior Registrar, Department of Dermatology, Shaikh Zayed Medical Institute, Lahore

ABSTRACT

Background: Dengue is a global health problem, endemic to most tropical and subtropical countries. Liver involvement in dengue fever is not uncommon. It is one of the predicting factors of severe dengue.

Objective: To evaluate the impact of dengue virus infection on liver function tests (LFTs) of patients with dengue fever.

Design: Prospective, follow up study

Place and duration of study:  Department of Medicine, Shaikh Zayed Medical Institute, Lahore from 5th October, 2010 to 20th November, 2010.

Patients and methods: Forty-seven serologically confirmed cases were categorized into, dengue fever(DF),  dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS) according to WHO guidelines and evaluated daily for 7 days to see the serial changing pattern of LFTs including serum total bilirubin (ST bilirubin), albumin, aspartate and alanine aminotransferases (AST and ALT)  and alkaline phosphatase (ALP). Based on the levels of aminotransaminases degree and severity of liver damage were classified into grades A to D and severe dengue.

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Role of Surgery in Pulmonary Actinomycosis. A Case Report

IKRAM UL HAQ CHAUDHRY, ZAHRAH ALHAJJI, IRFAN SAJID KHAN, MOHD ALGHAMDI, SAUD MOTRAFI, HADI MUTAIRI

Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Corresponding author: Ikram ul haq Chaudhry (drihc@hotmail.co.uk)

ABSTRACT

Actinomycoces is a microaerophillic anerobe bacteria which causes granulomatous infection. Actinomycosis can involve any part of the body. Thoracic actinomycosis is the second common site after the cervicofacial. Patients with pulmonary actionomycosis usually presents with history of chest pain, cough, fever, shortness of breath on exertion, and sometimes with massive heamoptysis. We present a case of pulmonary actinomycosis who presented with hemoptysis and was treated successfully with surgical resection followed by antimicrobilal therapy.

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Patient with Epidermolytic Ichthyosis & Pulmonary Emphysema

A Case Report and Review of Literature

ATIYA MAHBOOB1, MANAAL AFZAAL2, MUHAMMAD NAVEED3, ALINA KHAN4

1Professor, Dept of Dermatology, Shaikh Zayed Hospital, Lahore, 2Senior Registrar, Dept of Dermatology, Shaikh Zayed Hospital, Lahore, 3MCPS trainee, Dept of Dermatology, Shaikh Zayed Hospital, Lahore, 4MD student, Dept of Dermatology, Shaikh Zayed Hospital, Lahore

ABSTRACT

We report a case of 45 years old male who was admitted to medical ward through emergency at Shaikh Zayed medical complex, Lahore with complains of dyspoea on exertion for three days. He also had generalized fish like scales, verrucous hypekeratosis on limbs, palmoplanter keratoderma and occasional localized blister formation since birth. Clinical findings and laboratory investigations confirm the diagnosis of epidermolytic ichthyosis & pulmonary emphysema. Family history was not positive for any skin and chest problem.

Key words: Epidermolytic ichthyosis, Pulmonary emphysema

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