Vol. 8, Issue 4, OCT – DEC 2014

Editorial

Teaching Professionalism in Medical Education – Need of The Hour

 KAMRAN KHALID KHAWAJA

Professor of Surgery Fatima Jinnah Medical College / Sir Ganga Ram Hospital, Lahore

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Comparison of Inguinal Hernia Repair Performed under Local and Spinal Anesthesia as A Day-Case Surgery

SAHAR SAEED1, IMTIAZ HUSSAIN2, NAEEM GHAFAR3, AAMER ZAMAN KHAN4

1 Registrar Surgical Unit I, Sir Ganga Ram Hospital, Lahore. 2 Senior Registrar Surgical Unit I, Sir Ganga Ram Hospital, Lahore. 3 Senior Registrar Surgical Unit I, Sir Ganga Ram Hospital, Lahore.  4Professor/Head of Department Surgical Unit I, Sir Ganga Ram Hospital, Lahore.

Correspondence: email: saharsaeeddr@gmail.com. Cell: +966598924187

ABSTRACT

Objectives: The objective of this study is to compare the frequency of inguinal hernia repair performed under local and spinal anesthesia as a day-case surgery.

Study Design: Randomized Controlled Trial

Setting: Surgical Unit-II, Sir Ganga Ram Hospital, Lahore

Subject and Methods: Hundred patients fulfilling the inclusion criteria were selected for study; they were divided into two groups by random number table. In group A hernia repair was done under spinal anesthesia and in group B repair was done under local anesthesia. Spinal anesthesia was given by anesthetist and local anesthesia was given by same team of surgeons. Mesh hernioplasty was performed in all the 100 patients. Patients were discharged when they were pain free {(Visual Analogue Scale (VAS<3)} and passed urine. Total time period from operation till the time of discharge was noted.

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A Comparison of Post-operative Pain After Septoplasty with and without Nasal Packing in Patients Presenting with Nasal Septal Deformities

MUHAMMAD RIAZ, MIRZA MUHAMMAD SARWAR, TAHIR RASHID, USMAN KHALID,

WAQAS JAVAID CHEEMA, SAMI MUMTAZ

Department of ENT, Fatima Jinnah Medical College/Sir Gangaram Hospital, Lahore.

Correspondence : Dr Muhammad Riaz, Assistant Professor of ENT Fatima Jinnah Medical Colloge /Sir Ganga Ram Hospital Lahore . Email: muhammadriazmd@gmail.com

ABSTRACT

Objective: Objective of this study was to compare the post-operative pain after septoplasty with and without nasal packing in patients presenting with nasal septal deformity (NSD).

Methodology: This randomized controlled trial was conducted at Department of Otolaryngology Sir Ganga Ram Hospital, Lahore for a duration of one year in the year 2014. One hundred cases of nasal septal deformity were included in the study through Non-Probability Purposive Sampling. The patients were randomly divided into two groups. In group A, 50 patients underwent septoplasty with nasal packing while in group B, septoplasty without nasal packing was done in 50 patients. Postoperative severe pain (visual analogue scale VAS>7) was noted. The collected data was analysed statistically by using SPSS version 16. Both groups were compared for post-operative pain by using chi-square test. P-value <0.05 was considered as significant.

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An Experience of “Subfascial Endoscopic Perforator Surgery” in Chronic Venous Insufficiency at Sir Ganga Ram Hospital, Lahore

1SHAHZAD ALAM SHAH, 2 MUHAMMAD ASLAM JAVED, 3 MUHAMMAD ARSHAD, 4HINA KHAN

1Assistant Professor FJMC/SGRH,. 2Senior Registrar Department of Surgery SGRH, Lahore. 3Senior Registrar Department of Surgery SGRH, Lahore. 4Senior Registrar Department of Surgery SGRH, Lahore.

Corresponding Author: Shahzad Alam Shah, Assistant Professor of Laparoscopic Surgery, Fatimah Jinnah Medical College/Sir GangaRam Hospital. Email:shahzadalamshah@gmail.com

 ABSTRACT

Background: In varicose veins disease the incompetent perforators has a major contribution in the development of complications. Conventionally, in patients that have associated incompetent perforators require multiple incisions for ligation of these perforators. The advancement in the endoscopic techniques has permitted the use of this modality for perforator surgery.

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Resident Doctors’ Attitude and Perception about Antibiotics usage, and Resistance in a Tertiary Care Hospital, in Lahore

 RIZWAN ZAFAR AHMAD1, NADEEM HAMEED2, FOZIA UMBER QURESHI3, R. ARSHAD4, ASIF HANIF5

1Associate Professor of Medicine SMDC/Shalamar Hospital, Lahore.2Associate Professor Pediatrics, SMDC/Shalamar Hospital, Lahore. 3Associate Professor of Gynecology, SMDC/Shalamar Hospital, Lahore. 4Assistant Professor of Medicine, SMDC/Shalamar Hospital, Lahore. 5Assistant Professor & Head of department Bio-Statistics, GD-PGMI, Lahore.

Correspondence Author:- Dr. Rizwan Zafar Ahmad Email drrzafar@hotmial.com Cell No:- 0300-4759180.

ABSTRACT

The objective of this study was to assess attitude of resident doctors towards antibiotic prescribing patterns, and their perception of antibiotic resistance. This study was conducted in Shalamar teaching hospital Lahore.100 resident doctors were enrolled but 86 residents responded to the questionnaire. 78(90.6%) residents agreed that antibiotics are over prescribed nationally. Only 41(47.6%) residents were satisfied with their current knowledge of antibiotics. 59(68.6%) residents considered antibiotic resistance as a problem. This study provides helpful information for designing strategies to optimize antibiotic usage and to prevent antibiotic resistance.

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The Efficacy, Safety and Complications of Litholapaxy for Bladder Stones

 SAADAT HASHMI, IKRAM ULLAH KHAN, SHERGUL KHAN

Obaid Noor Hospital Mianwali

Correspondence: Saadat Hassan Hashmi, Consultant Urologist Obaid Noor Hospital Mianwali.

Mob: 03009487908 Off: 0459-235325 Email:saadathashmi2@gmail.com

ABSTRACT

Aims and Objectives: The study was conducted to evaluate the efficacy, safety, complications and the results of  Litholopaxy for bladder stones

Study Type; Case Study

Place and Duration of study; Obaid Noor Hospital Mianwali from july 01, 2010 to june 30,2013.

Material & Methods: This was a prospective case study conducted at Obaid Noor Hospital Mianwali in Urology Department. The patients were selected by simple random means. The procedure was based on the principles of endoscopic removal of bladder stones using mauremayer stone punch. The patients were evaluated by detailed history, clinical examination, ultrasonography, radiography, routine urine examination and urine cultur and sensitivity test. We studied the results of 70 patients with bladder stones treated by cystolitholapaxy. The other concomitant pathologies were BPH, Strictur Urethra, and Bladder diverticuli which were treated by TURP and Optical Urethrotomy along with cystolitholapaxy..We also studied the comlications and limitations of the procedure.

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Treatment of Proximal Ureteric Calculi: Extracorporeal Shockwave Lithotripsy or Ureteroscopic Intracorporeal Lithotripsy: Which is Better ?

 ARSHAD SALEEM, M. YOUNIS, JUNAID HABIB KHAN, M. SAFDAR KHAN

Department of Urology, King Edward Medical University Lahore.

Corresponding author: M Arshad Saleem, Assistant Professor Department of Urology KEMU, Lahore.

Email: arsheds@hotmail.com

ABSTRACT

Objective: To determine the efficacy of extracorporeal shockwave lithotripsy versus ureteroscopic intracorporeal lithotripsy with lithoclast for the treatment of proximal ureteric calculi.

Subjects and Methods: The study included 87 patients with 8-15 mm proximal ureteric calculi .ESWL was performed in 45 patients and ureteroscopic lithotripsy in 42 patients. ESWL was performed by Storz Modulith lithotripter on out-patient basis. Ureteroscopy plus pneumatic lithotripsy was performed under anesthesia on in-patient basis.

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Out Come of Modified Duhamel Procedure for Hirschsprungs Disease in Sheikh Zayed Hospital Rahim Yar Khan

1TAHIR MEHMOOD, 2Syed ASIF SHAH, 3MAZHAR RAFI, 4MUSHTAQ AHMED, 5ZAHOOR AHMED, 6M. Saad Zulfiqar, 7Yasir Makki

1Senior Registrar (Pediatric Surgery), Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, 2PGR (Pediatric Surgery), Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, 3FCPS (Pediatric Surgery), Associate Professor, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, 4PGR (Pediatric Surgery), Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, 5PGR (Pediatric Surgery), Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, 6PGR (Pediatric Surgery), Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, 7PGR (Pediatric Surgery), Sheikh Zayed Medical College/Hospital, Rahim Yar Khan

ABSTRACT

Hirschsprung’s Disease (HD) is a congenital condition, which is characterized by the absence of Ganglion cells in submucosal (Meissner’s) plexus and the intermuscular (Auerbach’s) plexus.

Aim: To determine the outcome of modified Duhamel procedure in sheikh zayed hospital Rahim yar khan

Design: This is case series study.

Settings: Department of Pediatric Surgery Sheikh Zayed Medical College Rahim Yar Khan

Period: Seventeen cases were operated from 20th December 2012 to 20th may 2014.

Material and Method: Seventeen (17) cases from both sexes were operated for Hirschsprung’s Disease. All patients were diagnosed cases of rectosigmoid aganglionosis and followed up for a period of one year according to comprehensive Performa. Four parameters like normal stool evacuation, abdominal distention, soiling and stool incontinence were followed then the results were compared with other national and international studies.

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A Comparison of Two Invasive Techniques Unilateral and Bilateral Celiac Plexus Block in The Management of Relieving Pain in Advanced Upper Abdominal Cancer Patients

RIFFAT SAEED, IRAM QAMR, TAHIR NAZEER, ABDUL BARI, GULSHER KHAN, IRFAN ALI, MUHAMMAD NAUMAN AHMAD

Correspondence: Dr. Riffat Saeed, Registrar, Department of Anaesthesia, Shaikh Zayed Hospital, Lahore

Mob: 0333-4188733, Email: zahidhnch@hotmail.com

 ABSTRACT

Objectives: To compare the effectiveness of two invasive techniques of pain relief treatment with celiac block.

Methodology: This is a randomized control trial study, carried out in the Department of Anaesthesiology, Shaikh Zayed Hospital Lahore, during a period of 1 year from January 2012 to January 2013. The data was entered in SPSS version 19 and analyzed. The student t test was applied for induction of hypotension after celiac block and Chi-square test was applied for pain with coin scale. Both male and female patients of 15->65 years of age. The study comprised of 100 patients, 50 in each group. P value <0.05 is considered as significant.

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Correlation Between Serum Ammonia Levels And The Severity of Hepatic Encephalopathy

 MUHAMMAD AYOUB1, RIZWAN ZAFAR AHMAD2, RIZWAN RAUF3, RASHID AHMED4, MUJEEB UR REHMAN ABID BUTT5, OMER SHAHID5, MUHAMMAD NAVEED6

1PGR department of Medicine SMDC/Shalamar Hospital, Lahore. 2Associate Professor of Medicine, SMDC/Shalamar Hospital, Lahore. 3PGR department of Medicine, SMDC/Shalamar Hospital, Lahore. 4Assistant Professor of Medicine, SMDC/Shalamar Hospital, Lahore. 5Professor/Head of Department Medicine, SMDC/Shalamar Hospital, Lahore. 5PGR department of Medicine SMDC/Shalamar Hospital, Lahore. 6Medical Officer SMDC/Shalamar Hospital, Lahore. 

Correspondence Author:- Dr. Rizwan Zafar Ahmad Email drrzafar@hotmial.com Cell No:- 0300-4759180.

 ABSTRACT

Elevated serum ammonia levels are associated with hepatic encephalopathy(HE). This study was designed to evaluate the correlation between ammonia levels and grades of HE. This study was conducted in Shalamar teaching hospital Lahore. 50 patients suffering from liver cirrhosis and presenting with altered sensorium were recruited in the study. Their serum ammonia levels, Child Pugh score, and grades of hepatic encephalopathy were determined, and correlated. Serum ammonia was normal in 18(36%) and it was high in 32(64%) patients. 15(30%) patients had grade I, 16(32%) patients had grade II, 12(24%) patients had grade III and 7(14%) patients had grade IV of hepatic encephalopathy.

Conclusion: There is positive weak correlation between ammonia levels and grades of hepatic encephalopathy. Ammonia is etiologically linked but it is not solely responsible for the increasing severity, of hepatic encephalopathy.

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A Descriptive Case Series Study to Evaluate the Association of Hepatitis C Virus Infection with Insulin Resistance

 GUL MUHAMMAD A, SHAFIQ MUHAMMAD, AMJAD MUHAMMAD, TOOR ISRAR H, KHAN MUHAMMAD I H, HASSAN GHIAS U, NASIR MUHAMMAD B, TAYYAB GHIAS U,

Department Division of Gastroenterology, Medical Unit I, Lahore general hospital/Post Graduate Medical institute, Lahore, Pakistan

Corresponding Author: Dr. Muhammad Asif Gul, Medical unit I, Lahore General Hospital, Lahore, Pakistan

Phone No: 0092-321-9466846, Email ID: Asifgul1@hotmail.com

 ABSTRACT

Context: Hepatitis C virus (HCV) infection is a common problem worldwide, affecting millions of people across all populations. In some previous studies, HCV infection was associated with an increased risk of diabetes mellitus or insulin resistance (IR).Insulin Resistance is calculated by Homeostasis Model Assessment (HOMA).

Aim: The objective of our study was to evaluate the association between HCV and Insulin Resistance (IR)

Setting and Design: A single center, Descriptive case series study which was conducted at Division of Gastroenterology and Hepatology, Medical Unit I, Lahore General Hospital/Post graduate Medical Institute, Lahore.

Material and Methods: Total duration of study was about one year conducted from June 2012 to July 2013.HOMAR IR was calculated in all eligible candidates who had detectable HCV RNA PCR level. The cut off value for HOMA IR was taken as 3.8.

Statistical Analysis: Was performed using SPSS-release 17, standard version.

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Accuracy of Clinical Examination versus MRI in the Diagnosis of Anterior Cruciate Ligament Tears taking Arthroscopic Examination as Gold Standard

1SAIF-UR-REHMAN, 2FAHAD NAZIR, 3MOHAMMAD ZULFIQAR, 4MUHAMMAD SALEEM, 5YAWAR ANIS

1PGR/Medical Officer SGRH, Lahore. 2PGR/Medical Officer SGRH, Lahore. 3PGR SGRH, Lahore. 4SENIOR REGISTRAR SGRH, LAHORE. 5PROFESSOR/HEAD OF DEPARTMENT ORTHOPEADIC FJMC/SGRH, Lahore

Correspondence to: Dr. Saif-ur-Rehman, Post-Graduate Resident, Orthopedic Department, Sir Ganga Ram Hospital Lahore. Email: drsrehman@outlook.com

 ABSTRACT

Objective: To compare the accuracy of clinical examination versus MRI in the diagnosis of ACL tears taking arthroscopic examination as gold standard.

Design: Cross sectional survey.

Place and Duration of Study: This study was conducted in the department of Orthopedics, Sir Ganga Ram Hospital, Lahore from June 2013 to September 2014.

Patients and Methods: In this study, a total of 108 patients suspected of ACL injury presenting in the outdoor of Orthopedic Department, Sir Ganga Ram Hospital, Lahore who subsequently underwent arthroscopy were included. A detailed clinical examination was done to assess ACL status prior to MRI. Findings of clinical examination and MRI were noted. Arthroscopic findings were taken as gold standard and clinical examination and MRI were judged accordingly. A written informed consent was taken from every patient.

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Frequency of H. Pylori in Patients of Dyspepsia Through Biopsy Assessment

MUHAMMAD ASIF GUL, NAJAM-US-SEHAR SAEED, MUHAMMAD RIZWAN, MUHAMMAD AKIF DILSHAD, ANWAAR AHMAD KHAN, ALTAF ALAM

B 8 Near Emergency, Lahore General Hospital Lahore

Correspondence: Dr. Muhammad Asif Gul, Email: asifgul1@hotmail.com, Cell: 03219466846

ABSTRACT

Background: Various problems like gastritis, gastric ulcer, duodenal ulcer and non-ulcer dyspepsia are commonly caused by Helicobacter Pylori. Less developed countries like Pakistan, India and Bangladesh are more prone to this infection as compared to more developed countries as Japan. The infection rate in Pakistan, stating specifically, has been reported to be as high as 90% in adult Pakistani population. Therefore, diagnosis and subsequent eradication of H. pylori may lead to a reduction in morbidity as well as mortality.

Objectives: To determine the frequency of + ve biopsy for presence of H. Pylori when taken from various biopsy sites in patient with dyspepsia.

Methodology: This cross-sectional study was conducted in the department of Gastroenterology & Hepatology, Shaikh Zayed Hospital Lahore. Seventy five patients of dyspepsia were included who were evaluated for initial history and clinical examination. The upper GI endoscopy was performed and biopsies from corpus, antrum and fundus were taken. The data were entered and analyzed using SPSS version 17.0 to demonstrate descriptive statistics through frequency, percentages, mean, SD etc.

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Autopsy Based Epidemiological Study Of Violent Asphyxial Deaths In Punjab

MARIAM ARIF

Assistant Professor, Department of Forensic Medicine & Toxicology, FMH College of Medicine and Dentistry, Lahore.

Correspondence: Dr. Mariam Arif, e-mail: kemc51@yahoo.com

ABSTRACT

Introduction: Large proportion of medico-legal autopsies comprise of deaths due to violence. One of the major contributors to these deaths is violent deaths due to asphyxia.

Objective: This study is therefore aimed to determine the frequency and epidemiology of violent asphyxial deaths autopsied in major mortuaries of Lahore and Multan, to help the process of scientific crime investigation.

Material and Method: The study includes the retrospective evaluation of 119 deaths due to asphyxia out of the total number of autopsies that were conducted in the Forensic Medicine Departments of King Edward Medical University, Lahore and Nishtar Medical College, Multan over a period of two years from January 2012 to December 2013. The parameters studied were cause, manner, type of violent asphyxial death, age and gender of victim.

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Factors Affecting Lower Urinary Tract Symptoms in Elderly Men above 50 years of Age

1SOHAIL HASSAN, 2MOHAMMAD AMER, 3ZAHID SIDDIQUE, 4ADIL KHURSHID, 5MOHAMMAD KALEEM, 6ARIF QAYYUM

1Assistant Professor of Urology, Nawaz Sharif Social Security Hospital, Lahore. 2Assistant Professor of Radiology, Nawaz Sharif Social Security Hospital, Lahore. 3Assistant Professor of Radiology, Nawaz Sharif Social Security Hospital, Lahore. 4Assistant Professor of Urology, Nawaz Sharif Social Security Hospital, Lahore. 5Professor of Urology Nawaz Sharif Social Security Hospital, Lahore. 6Associate Professor of Urology, Nawaz Sharif Social Security Hospital, Lahore.

Correspondance Authror: Dr. Sohail Hassan Email drhassan _99@hotmail.com

 ABSTRACT

Objectives: To find out the correlation of the lower urinary tract symptoms with age, fluid intake, economical status, education and area of residence.

Subjects and Methods:  One thousand males, above 50 years of age, attending their patients at Services Hospital Lahore, were interviewed with a questionnaire. The questionnaire comprises of International prostate symptom score (IPSS) questionnaire, bothersome score chart, quality of life chart and various questions about their age, drinking habits, economical status, education and area of residence. The persons who were known case of Diabetes mellitus, Congestive cardiac failure, Neurogenic bladder, vesical stone or stone in lower ureter, urinary tract infection, urinary bladder growth or patients who were taking medicine which effect urinary system were excluded from the study.

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To Determine the Role of Iodine Polymers (Idomarine) in The Treatment of Oligomenorrhea and Polycystic Ovarian Disease in Students for Sir Syed Medical College for Girls Karachi

ANISA KAMAL1, AFSHEEN MEMON2, SONIA NAQVI3, NARGIS SOMROO4

1Assistant Professor Sir Syed Hospital, 2Senior Registrar Sir Syed Hospital, 3Associate Professor Sir Syed Hospital, 4Head of Department Sir Syed Hospital

Correspondence: Dr. Anisa Kamal, Email: anisakamal5@gmail.com, Cell: 0321-3820895

ABSTRACT

Objective: To determine the role of Iodine Polymers (Idomarine) in the treatment of Oligomenorrhea and Polycystic ovarian disease in Students for Sir Syed Medical College for girls Karachi.

Study Design: Interventional study.

Place and Duration: Outpatient department of Sir Syed Hospital from 1st November 2013 to 30 April 2014.

Methodology: One hundred students were included in the study, after taking an informed consent. Information was gathered and rest assured that they were not taking any medication within last 6 months.

The Investigations carried out included serum fasting insulin levels, thyroid profile, serum F.S.H L.H and prolactin and ultrasound of pelvis. Capsule iodine polymer (Idomarine) 50mg twice daily were prescribed for eight weeks to all the students.

The information about study variables were collected by administrating a predesigned questioner.

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A Comparative Study of Early and Delayed Cord Clamping and its Affect on Neonatal Anemia in Term Babies

 FAIQA SALEEM BAIG1, NADEEM SHAHZAD2, ASIF HANIF3, AISHA MALIK4

1Assistant Professor of Obs & Gyne unit III KEMU /Lady Willingdon Hospital Lahore. 2Assistant Professor of Obs & Gyne unit III KEMU/ Lady Willingdon Hospital. 3Assistant Prof. Biostatistics, Gulab Devi Post Graduate Medical Institute. 4Professor of Obs & Gyne unit III KEMU/ Lady Willingdon Hospital Lahore.

Corresponding author: Dr. Faiqa saleem Baig Assistant professor Unit III KEMU/Lady Willingdon Hospital, Ravi Road Lahore. Contact No. 03334867475 drfaiqabaig@hotmail.com.

 ABSTRACT

Introduction: Controversy exits about the optimal time when to clamp the umbilical cord after the birth of the baby. The most important points of difference relate to maternal and infant safety. In most of the countries, majority of obstetricians and midwives clamp umbilical cord immediately after birth. In poorly resource areas immediate clamping of umbilical cord deprived the infant from increasing its iron stores which are enhancing free of cost. This study was designed to see the effect of early and delayed clamping on neonatal anemia.

Objectives: This study was designed to compare the neonatal anemia in early and delayed cord clamping in term babies.

Methodology: Randomized controlled trial was carried out over a period of six months from 1-7-2013 to 31-12-2013 at Department of Obstetrics and Gynaecology Lady willingdon Hospital Lahore. 420 cases were admitted in the labour ward, fulfilling the including criteria were included in the study. After taking the informed consent patients were divided in two equal groups randomly by using random number table. Haematocrit was noted of infants six hours after birth having early cord clamping within 15 seconds and late cord clamping at one minute after the birth.

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A Report of 150 Cases of Cervical Lymphadenopathy

ASGHAR ULLAH KHAN1, QAISAR KHAN2, INAYAT ULLAH KHAN3, MUHAMMAD ASGHAR KHAN4, AKBAR SHAH4, NASEER AHMED3

1Department of ENT, PIMC/PIMS Hayatabad Peshawar, 2Department of ENT, KGMC/HMC Peshawar, 3Department of ENT, Khyber Teaching Hospital Peshawar, 4Department of surgery, Khyber Teaching Hospital, Peshawar

Correspondence: Asstt. Prof. Asghar Ullah Khan e-mail: drasghar_1962@yahoo.com

ABSTRACT

Background: The head and neck has extremely rich lymphatic drainage, an enlarged neck node is a common clinical observation and the differential diagnosis is wide, ranging from simple benign conditions to malignancy, a systematic approach for its diagnosis is important.

Objective: To find out frequency and pattern of different pathologies involving cervical lymph nodes and proper diagnostic protocol for their early definitive treatment.

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Histological Pattern of Ovarian Tumors in Women Presenting in a Tertiary Care Hospital

MUNAZZA IQBAL1, FARIA FASIH2, FARRUKH KAMAL3

1Associate Professor of Pathology, Fatima Jinnah Medical College / Sir Ganga Ram Hospital, Lahore. 2Demonstrator, Department of Pathology, Fatima Jinnah Medical College / Sir Ganga Ram Hospital, Lahore. 3Professor Pathology Department, Fatima Jinnah Medical College / Sir Ganga Ram Hospital, Lahore

Correspondence Author: Dr. Munazza Iqbal, M.B.B.S, M.PHIL, Associate Professor of Pathology, Fatima Jinnah Medical College, Sir Ganga Ram Hospital, Lahore. Email: khalidmasoodgondal@yahoo.com

ABSTRACT

Background: The risk of having ovarian tumor in female at sometime in her life is 6-7%. Relative frequency of ovarian tumor is different for Western and Asian countries. Identification of various histological patterns is important for correct diagnosis, which further affects treatment and prognosis.

Objective: To evaluate the frequency of histological patterns of ovarian tumors in women presenting in a tertiary care hospital.

Methodology: This descriptive cross-sectional study included 100 cases of ovarian tumors reported in department of pathology, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore. SPSS version 20 was used for analysis of data.

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Frequency of Labour Induction at Term with Sweeping of The Membranes

SHAMILA IJAZ MUNIR1, SHAHINA ISHTIAQ2, SHAGUFTA GULZAR3

1Assistant Professor, King Edward Medical University. 2Assistant Professor, Ziauddin University Karachi. 3Ziauddin University Karachi

ABSTRACT

Objective: To assess the effectiveness of membrane sweeping for induction of spontaneous labour at term.

Material & Methods

Design: A randomized controlled trial

Setting: Dr. Ziauddin Hospital, Karachi, Pakistan

Duration:  August 5, 2012 to August 4, 2013

Sample Size: A total of 210 patients were included.105 patients were subjects and 105 were controls.

Methods: Sweeping of membranes was performed 38 weeks onward till 40 weeks in cases and no intervention was done in controls till 41 weeks.

Main Outcomes Measures

the number of women having successful induction of labour by sweeping of membranes.

the women who did not go in spontaneous labour and required pharmacological method for labour induction.

to compare recruitment to delivery interval in study group.

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Morphological Spectrum of Intranasal Polyps

FARAH KALSOOM1, MUNAZZA IQBAL2, FARRUKH KAMAL3

1Demonstrator, Department of Pathology, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore. 2Associate Professor of Pathology, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore. 3Professor Pathology Department, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore

Correspondence Author: Dr. Munazza Iqbal, M.B.B.S, M.PHIL, Associate Professor of Pathology, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore. Email:khalidmasoodgondal@yahoo.com

ABSTRACT

Introduction: Lesions of the sinonasal/intranasal region are commonly encountered in clinical practice and important from clinical and pathological perspectives as they have varieties of histological patterns. Despite its importance for an accurate diagnosis, histology differences among intranasal polyps and its clinical implications are rarely reported in the literature.

Objective: To determine the Morphological spectrum of intranasal polyps by histopathology in patients presenting in a tertiary care hospital.

Study Design: Descriptive cross sectional study.

Setting: Department of pathology Fatima Jinnah Medical College, Lahore.

Duration: Six months from 18-08-2012 till 18-02-2013.

Methods: 85 patients of all ages and both gender having intranasal polyp presented to the OPD & indoor of ENT department of Sir Ganga Ram Hospital, Lahore were included in the study. All the tissues were fixed in 10% buffered formalin, processed, stained with H & E and studied by the consultant for various histopathological patterns in the department of pathology Fatima Jinnah Medical College, Lahore. Demographic features and consent of the patients were noted.

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