Comparative study of non-contrast-enhanced spirat CT scan to ultrasonography in the diagnosis of acute renal colic

To evaluate the sensitivity and specificity of noncontrast spiral CT scan in ureteric colic with comparative evaluation of ultrasonography. Prospective comparative study. This study was conducted at the Dept. of Radiology, Nishtar Medical College and Hospital, Multan from June, 2010 to June 2011. 62 patients with flank pain were examined with both ultrasonography and non contrast enhanced 16 slice spiral CT scan over a period of one year. Both techniques were used to determine the presence, size, and location of ureteric stone, and the presence or absence of secondary signs like ureteral and calyceal dilatation, stranding of perinephric, periureteric fat and soft tissue rim sign. 43 of the 62 patients were confirmed as having ureteric calculi based on stoned recovery or urological intervention. Ultrasound showed 93% sensitivity and 95% specificity in the diagnosis of ureterolithiasis. CT scan showed 91% sensitivity and 95% specificity respectively. hydronephrosis was seen in all patients that were positive for ureteric calculi. Most common site of calculus was distal ureter. Perinephric fluid was demonstrated in three patients. Perinephric stranding was seen in 26 cases, and periureteric stranding in three patients on CT scan. Pathology unrelated to urinary stone disease was demonstrated in six patients. Although both modalities were excellent for detecting ureteric stones, consideration of cost and radiation lead us to suggest that ultrasound be employed first and CT scan be reserved for when ultrasound is unavailable or non-diagnostic

Audit of five years of burn ICU in BMC hospital Quetta

Burns are series form of trauma with grave consequences for the patient and Family, with high morbidity and mortality. Since the establishment of burns ward at Bolan Medical College and Complex Hospital Quetta in 2002, we have been Receiving and managing a great variety of patients with burns from Kerosene oil, Petrol, gas, fire, scalds, chemical and Electric bums, Patients were received from With in [balochistan and sindh] and outside Afghnistan and Iran [Irani Balochistan] and as victims of war on terror from the region as a results on going war. An audit of our patients received from 2004 to 2008 has been presented which Consists of patients out of which 58% were male and 42% were female, Major Pathogens isolated were staphylococcus aurous [MRSA] and pseudomonas. Indicates of infection was high in patients with longer stay and extensive burns out Come of admit patients is also mentioned

Plate augmentation for femoral non-union after intramedullary nailing

This study was conducted to evaluate the clinical results of femoral non-union after intramedullary nailing treated by plate augmentation with or without autogenous bone grafting. a prospective descriptive study from 2004 to 2007, conducted in Orthopaedic unit I, Bolan Medical Complex Hospital, Quetta. We have prospectively analyzed the results of augmentation plate fixation in the treatment of femoral non-union after Intramedullary nailing in 36 patients. The mean age of the patient was3 1.4 years, 34 patients were males' and 2 were females. Age range of the patients was 22 years to 58 years. In 7 patients showing atrophic non-unions, autogenous bone grafting was done. The mean follow up of our patients was 1 year [4-18 months] post-operatively. Solid union was achieved in 34 femoral non-unions, [94.4% union rate]. Two cases showed non-union, requiring further surgery. Plate augmentation is a useful treatment option in the management of non-union of femoral shaft fractures after intramedullary nailing

Orthopedic implant failure a retrospective review of 100 cases

Internal fiuxation with various devices for the repair of fractures is widely used in orthopedic surgery. A stable osteo synthesis obtained which allows early mobilization and promotes fracture healing. however these are not free from complication; many of them are due to poor surgical technique and/or inadequate monitoring. Breakage due to fatigue of the material is riot un common in our setup, where there is no any quality control system. A review of too cases was made who reported to OPD section of department of orthopedic surgery Bolan Medical College Quetta, Initially operated in this department or elsewhere, during the period Jan. 1998 to Dec. 2008. This study shows Plate failure more common than nail failure in long bone fracture of lower limb. In most of failure cases there was significant retrauma during the healing phase. In significant number of case there was inadequate post operative immobilization, in adequate fixation and poor surgical technique