ABSTRACT
Liver plays a central role in the maintenance of haemostasis. Impairment of liver parenchymal cell function disturbs haemostasis resulting in the development of multiple coagulation abnormalities. We wanted to study the coagulation profile and haemostatic dysfunction in liver disease patients so as to prevent bleeding related complications and evaluate the relationship between bleeding tendencies and coagulation profile abnormalities in such patients.METHODSThis was a cross sectional study conducted in the Department of Pathology, JNMC, A.V.B.R.H, Sawangi, Wardha, from August, 2017 to July 2019 among 102 patients of liver diseases. PT, D-dimer, and platelet count were assessed in different liver diseases. Data was entered in MS Excel spreadsheet and analysis was done using Statistical Package for Social Sciences (SPSS) version 21.0. A p value of <0.05 was considered statistically significant.RESULTSA total of 102 patients were included in the study. Mean age of the patients was 40.07 ± 15.21 years. 69.61% patients were males. Fever with abdominal distension was the most common complaint. Mean with SD of Child Pugh score was 8.31±2.3 and Mean with SD of MELD score was 13.1±8.24. For predicting cirrhosis and other chronic liver disorders, out of all coagulation parameters, D-Dimer showed the best diagnostic accuracy.CONCLUSIONSPresent study showed an overall good diagnostic power of coagulation parameters in assessing different liver diseases and also showed that D-dimer may be regarded as a stable and good predictor for chronic liver diseases.
ABSTRACT
Arteriovenous malformations (AVMs) of the scalp are remarkably rare. We report a case of 20 years old female complaining of swelling over right pinna and scalp since 2 years with known history of trauma. This case report represents pathogenesis, clinical features and management of the disease.
ABSTRACT
Background: Preauricular sinuses are common congenital malformations. In most instances the diagnosis and management of condition is straightforward. Methods: The present study was done on 26 patients of preauricular sinus who presented to the Department of ENT, S.S. Medical College & G.M. Hospital, Rewa from August 2012 to July 2013 prospectively. Results: Males and females were equally affected. Most patients i.e. 11 belong to 11-20 year age group with age ranging from 4 year to 60 years. Two cases had genetic history and one case was found to be associated with chronic suppurative otitis media (CSOM). Conclusions: The patients in whom a preauricular sinus is identified, the associated congenital anomalies and family history should be sought. Early identification and spreading of awareness should be done to avoid the complication of recurrent abscess in preauricular region.
ABSTRACT
Aim: The aim of the study was to determine the prevalence of anterior teeth fracture among visually impaired individuals. Materials and Methods: A cross‑sectional study was carried out among 103 blind individuals (70 males and 33 females), with age ranges from 10 years to 29 years, the survey was carried out according to World Health Organization (WHO) criteria and by using WHO classification for teeth fracture. All subjects were divided into two groups on the basis of whether they are partially sighted or totally blind. Data were analyzed using Chi‑square test, with keeping the level of significance at P < 0.05. Results: Overall prevalence of 34.95% of traumatic injuries to anterior teeth was found in the study population with no significant difference between both groups (P < 0.05). Female were having significantly more fracture than males (P < 0.005). Fall being indoor was the most common cause. Permanent maxillary central incisors were most commonly injured with injuries involving enamel and dentin being the most frequently observed. Increased overjet and inadequate lip coverage were significantly associated with the occurrence of trauma (P = 0.0001). Conclusion: The prevalence of dental injuries in a group of individuals with blind. This should alert caregivers to carry out a profound investigation of the events and suggest methods to reduce this type of morbidity.