Naso-Maxillary extramedullary plasmacytoma: a case report

We report an early case of extramedullary, right maxillary sinus and nasal, plasmacytoma. The patient was a 27 years old female who presented with nasal bleeding and a nasal mass. Imaging studies showed opacities in the nasal cavity and the maxillary sinus but there was no bone involvement. A biopsy from the nasal mass showed a plasmacytoma. She was investigated to rule out systemic disease. The investigations included; serum electrophoresis, urine analysis for Bence Jones proteins, bone marrow aspirates study and radiological skeletal survey. The results of all investigations were negative. After complete excision of the tumour endoscopically the patient was treated with adjuvant radiotherapy. She remained well, without recurrence or spread of the tumour at 4 years follow up. CT scans pre and postoperatively as well as H and E and Immunohistochemistry slides are presented. To our knowledge, this is the first case to be reported in Sudan

Perception of professionalism among first year medical students in OIU

Since days of Hippocrates, and passing through the Geneva Declaration and Helsinki Convention the eve of the 21st century guidelines and mission statements dominated the medical education and practice. Giving and receiving feedback are critical skills and should be taught early in the process of medical education, yet few studies discuss the effect of feedback curricula for first year medical students. To evaluate the concepts of professionalism among the first year medical students. The Faculty of Medicine and Health Sciences, Omdurman Islamic University where students are taught. The first year medical students at the Faculty of Medicine and Health Sciences, Omdurman Islamic University were taught the Human Rights declaration issued by the United Nations in Dec 1948, The Principals of Islamic Human Rights, basics of medical ethics and

the Doctors Figh and University Requirement course of Islamic studies. A pretested questionnaire, self -administered questionnaire with five Likert scale was distributed. The total number of the first year medical students was 257 but 207[80.5%] successfully completed the questionnaire. A total of 98% strongly agreed that the doctor must be truthful. 90% of the students and agreed that the doctor must be caring, kind and empathetic, respect the others, skilful, dedicated and Also, should comply with the patients' needs [One sample t-test 2-tailed P =0.0001]. However, 23[13.8%] students disagree on the role of the doctor as an advocate for the patient. The students strongly agreed for the importance of working as a team and sparing the patient not to be harmed had any conflict raised [one sample t-test 2-tailed P = 0.0001]. The first year medical students seem to have benefited of the Human Rights declaration issued by the United Nations in Dec 1948, The Principals of Islamic Human Rights, basics of medical ethics and the Doctors Fight and university requirement course of Islamic studies. About 9[5.4%] -24[12.4%] are not clear about the role of the medical professional in the society in advocating for patients

modified apache ii score for predicting mortality of variceal bleeding

Prediction of outcome of based on personal experience is subjective. There is a need for a method of prediction to suit our current state of practice. To evaluate a modified APACHE II system in predicting mortality in acute variceal bleeding. Prospective study conducted from June 2005 through September 2006 in the Ibn Sina Hospital Bleeding Centre ICU. Clinical and laboratory data for 102 patients were allotted a modified APACHE II score, a child-Pugh class and fed to SPSS to calculate predicted mortality. The mean [ +/- SD] age 49.2[ +/- 16.1] years. Male were 79[77.5%]. Patients with liver cirrhosis and periportal fibrosis were 75 [73.5%] and 27 [26.5%]] respectively. The mean predicted mortality was 22.8% while the actual mortality was 26.5% [27] patients. The mean modified APACHE II score among the deceased group was 19.04. Rate of deaths among liver cirrhosis patients was 12 [44.4%] with mean predicted mortality of 27.3%. Deaths among periportal fibrosis occur at mean modified APACHE II score 17.7 and mean predicted mortality of 20%. Seventeen patients had ICU stay >/= 4 days. Ten out of them died [58.8%]. Modified APACHE II score is effective in predicting outcome of patients with variceal bleeding. Score of >/= 15 points and long ICU stay are associated with high mortality