Nonalcoholic fatty liver disease in nonworking / dependent class using ultrasonography and liver function tests: as a cost effective tool

Objective: To evaluate utility of gray scale abdominal ultrasound and liver function tests in the prevalence of Nonalcoholic Fatty Liver Disease in non-working / dependent class of Faisalabad

Study Design: Screening study

Setting: Department of Radiology Allied Hospital, Faisalabad

Duration of Study: 6 months, from December 1 2012 to July 2013

Sample Size: 300. Study Participants -Demographics

Material and Methods: Patients, who denied regular alcohol drinking, were included in the study. A pre-designed study pro forma was filled with relevant parameters i.e. body mass index [BMI], ultrasound, and LFT, s, WHR, lipid profile, clinical assessments were carried out in all cases along with real-time gray scale abdominal ultrasonography as established diagnostic tool. We compared the results of LFT, s and hepatic ultrasound of suspected and non-suspected and are statistically analyzed by SPSS 12

Results: Out of three hundred patients, 200 [67%] female and 100 [33%] were male suspected. Mean age of the patients was 38.93 +/- 8.57 years. The prevalence of fatty liver in males younger than 35 years old was significantly higher [71.7%] where as it markedly increased in females younger than 48 years [65.25%]. Multiple factors analysis reveals that the prevalence of fatty liver was positively correlated to several risk factors, including female, age [>50yr], hyperlipidemia, impaired glucose tolerance/diabetes mellitus, hypertension and overweight/obesity. Fifty one [54%] patients with symptoms like obesiy, fatigue, generalized, weakness, and pain RUQ had fatty liver where as 23.2% had raised Liver enzymes, 20.0% with cholelithiasis and 16.92% with D.M

Conclusions: Routine hepatic ultrasonography and LFT in every suspected patient with symptoms of fatigue, generalized weakness, and pain in RUQ, is able to detect NAFLD as it is cheap and easily available facility in our country

Cranial CT in the evaluation of coup and countercoup head injuries

Objective: To describe the role of Cranial Computed Tomography [CT] in the evaluation of Coup and Countercoup head injuries with its outcome

Study Design: A comparative cross-sectional study

Settings: Radiology Department of PMC/Allied Hospital Faisalabad. Duration: 09 months, October 2012 to June 2013

Sample Size: 150 patients

Materials and Methods: The patients with coup and countercoup head injuries were studied and divided into two groups: Coup injuries [n=117], countercoup injuries [n =33] .The groups were comparable with respect to age, Glasgow Coma Scale [GCS] and outcome. Site of primary impact was determined by CT scan pattern

Results: The mortality rates in each group were compared with respect to age, GCS and CT pattern. Significance was calculated using Chi-Square test. There was a statistically significant difference in mortality between patients with coup injuries [p

Conclusion: Presence of a countercoup component on CT scan may show a worse outcome in head injuries and may warrant closer monitoring and more aggressive management of these patients

Gray scale trans-abdomino-thoracic ultrasonography inevaluation of dengue hemorrhagic fever

Objective: To evaluate ultrasound findings inDengue Haemorrhagic Fever [DHF] and further topredict severity of DHF

Study design: Crosssectional study

Settings: Allied HospitalFaisalabad

Duration of study: 1st July 2011 to 30thNovember 2011

Sample size: 50 Patient

Materialand Methods: Ultrasound was performed on 50patients of ages between 6-59 years with clinicalsuspicion of DHF. Serological tests IgM and IgG onELIZA were performed to confirm the diagnosis,ultrasound was done on 2nd to 08th day all confirmedserologically 50 positive of DHF. These 50 patientdivided into two groups as DHF [Group-I] mild type45 patients and severe type of DHF [Group-II] 05Patient

Result: Group-I patients ultrasoundrevealed gall bladder wall thickening 86.6%,Pericholecystic fluid 44.4%, hepatomegaly 26.6%,splenomegaly 22.2%, ascites17.7%, right pleural effusion 8.8%, left pleuraleffusion nil and pancreatic enlargement 6.6%. InGroup-II ultrasonography revealed gall bladder wallthickening 100%,Pericholecystic fluid 60.0%,hepatomegaly 60.0%, splenomegaly 40.0%, ascites60.0%, right pleural effusion 60.0%, left pleuraleffusion 20.0%, pericardial effusion 20.0%,pancreatic enlargement 40.0% and 60.0% patientwith fulminant hepatic failure

Conclusion: Transabdomino-thoracic sonography can be used asadjunct modality in patients with suspected DHF todetect early signs suggestive of the disease prior toobtaining serologic confirmation test results,especially in a dengue fever epidemic area and alsouseful tool to predict severity of the disease

Circumcision: complications associated with the plastibell device and conventional dissection surgery: a trial of 200 neonates

To evaluate two methods of circumcision in terms of the incidence of complications in neonates and operative time required for these two procedures. Comparative study. At private hospital.Duration:2 years between 2007-2009. 200 neonates equal to or less than 04weeks of age were included in the study. They were randomly divided for one of the two techniques and complications between the two groups were assessed along with time period required for these two procedures. The overall rates of complications in CDS and PD groups were 8% and 3.0%, respectively. The p value for all the qualitative variables was more>0.5.which is insignificant. It shows that there is no significant difference in terms of frequency of complications in both groups. The average procedure time for PD and CDS methods was between 4-7 minutes and 15-22 minutes respectively and for this quantitative variable .p value was 0.0005.This shows a significant difference in operating time between the two procedures. The results of this study suggest the PD method is a safe and rapid procedure as compared to CDS for neonates