Study of serum uric acid in a group of insulin dependant diabetes mellitus Iraqi patients

The long duration of insulin dependant diabetes mellitus eventually ends with complications like renal impairment especially if it was badly controlled, the first sign of renal involvement is the elevation of serum uric acid above or near upper normal values[1]. One hundred and thirty type1 diabetic patients were enrolled in the study, they represent a selected sample of patients who attend the Specialized Center for Endocrinology and Diabetes [Baghdad Russafa Directorate] during the period from November 2006 to April 2007 compared with forty healthy individuals as control group of similar age group. The determination of fasting blood sugar, uric acid and blood urea were done by enzymatic colorimetric test following the Procedure performed by manufacturers. The level of serum uric acid and blood urea were normal in all cases of juvenile diabetes but as the duration of the disease increases the values of the serum uric acid started to raise and could be the first sign of renal impairment in diabetic patients even before albuminuria. The concentration of uric acid in the blood is an independent marker of failing kidneys and may even play a causative role in the decline of renal function

Presence of admitting team in emergency department, does it make a difference?

The Emergency Department [ED] Admitting Team was established on the 1st of September 2005 to attend patients admitted to Hamad General Hospital [HGH]. The team followed 1,065 patients for 3 months [September, October and November 2005].The study reports the change noticed during the period, on admission-disposition duration. The majority of patients were males [75%] and non-Qatari [72%], with medical cases more common than surgical cases. For the medical cases, chest infection was the leading cause of admission followed by coronary artery disease, while orthopedic cases followed by acute appendicitis were the main surgical causes of admission. The admitting team was able to cancel 10% of cases as most of them improved while pending admission. In addition, the admitting team facilitated admission of many patients to Intensive Care Units or to Operation rooms. The results were reviewed and the presence of the admitting team in ED was found to be beneficial

Colorectal cancer in Mosul province how does it present

Although colonic cancer incidence in Mosul province is uncommon compared to other countries, but still we see more patients mainly of the young age group with the majority of victims presented acutely with advanced stage, to prove that we must continue to rely on clinical findings for detecting this cancer, to keep colorectal cancer on the differential diagnosis of gastrointestinal symptoms and still careful history and proper physical examination are the usual methods for suspecting colorectal cancer

Methods: a retrospective study of patients with colorectal cancer treated in Mosul hospitals between January 1981 to December 2000 clinical data were carefully analyzed with special attention to clinical presention, management and the characteristics of the cancer

Results: 279 patients with colorectal tumors, included in this study, male patients 169[60.4%], female patients were 110[39.4%], male to female ratio were 1.5411, male patients predominating in all age groups, 193 [69.2%] of patients were below 60 [sixty] years of age, and more than 50% of cancer located distal to splenic flexure. The most common clinical presentation were, abdominal pains, intestinal obstruction, and palpable mass [40. 5%], [32.2%], [26. 5%] respectively. Sixty-eight percent of patients presented with Duke. C [50. 2%], while D [18. 3%], this means late presentation

Conclusion: one third of patient presented acutely as intestinal obstruction and more than two third, in advanced stage, there were definite delays in early detection of colorectal cancer and we must continue to rely on clinical findings at presentation and to keep colorectal cancer on the differential diagnosis of chronic gastrointestinal symptoms

Hydatid disease in Ninevah province

Between January 1992 and January 1994, 313 patients with hydatid disease were admitted to the surgical units of Mosul general teaching and private hospitals of whom 260 cases [83%] were treated surgically. The majority 221 [71%] were females, the youngest was a girl 2 years old, the oldest was a man of 95. The liver was the site of the cyst in 208 [66.4%]. Other sites involved included the lungs in 98 cases [31.3%], Spleen 21 cases [6.7%], peritoneal cavity 8 cases [2.5%], brain 7 cases [2.2%], kidneys 4 cases [1.3%], and breasts, uterus, bones, ribs, and skeletal muscles one case [0.3%] for each. More than fifty [51%] patients presented with a single cyst. The incidence of the disease was high in the third and fourth decade. The clinical diagnosis was confirmed mainly by X-ray of the chest, CT scan of the brain and ultrasonography of the abdomen. Casoni and Ecchinococcus tests were done occasionlly. This study cofirms that hydatidosis is endemic in Ninavah province, no age is exempt from it and no organ or tissue is immune to the disease. Its prevention is one of our public health problems

study of traumatic cases admitted to saddam general hospital in Mosul during 1992

This is a study of different aspects of the problem of urgent traumatic cases admitted to the Accident and Emergency Department Saddam General Hospital, Mosul The study presents Information on the magnitude of the problem facing an accident department. The emphasis is on the pattern of injuries and on those who really need admission. A total number of 2810 traumatic cases were admitted to the Accident and Emergency Department during the period from January 1992 to January 1993. The patients were evaluated and classified according to age, sex, type and cause of injuries, timing of admission and hospital stay. The result shows that the majority of patients were male [72%] with male: female ratio of 2.6:1.0 and children aged below 10 years constituted [31.3%]. The average time of hospitalization was 2.4 days and majority of cases [86.8%] were discharged shortly after arrival. Most of the cases [48%] were due to direct blunt trauma, fall comes next [24.3%] The commonest time of admission was between 3 pm to 12 midnight, and 8 am to 3 pm [52.2%] and [42.2%] respectively. August, September and October were the months of high Incidence [37%]. The implication of these findings on future planning is discussed

Pelvic phleboliths

A radiological assessment was done for 700 patients with an x-ray of the pelvis, 383 males and 317 females. Phleboliths were detected in 146 patients [the incidence being 21%], 73 males [19%] and 73 females [23%]. Significant correlation between the incidence of phlleboliths and advancing age, body weight and fertility was noted

clinicoradiological study of psoriatic arthritis

A clinicocardiological assessment of 100 psoriatic patients, 50 males and 50 females, revealed that 13 patients had psoriatic arthritis. Two modes of presentation of psoriatic arthritis were encountered. One mode was entirely radiological without any clinical clue of the presence of arthritis, in ten patients, and one mode was entirely clinical without any radiological findings, in three patients. The male to female ratio was 9:4 and the mean age was 42.8 years, being 46 years for males and 35.5 years for females. The majority of the arthritis patients had severe cutaneous lesions and there was a preponderance of nail lesions in these patients. The psoriatic skin lesion was of the vulgaris-plaque type in eight patients, of the vulgaris-nummular type in two patients and of the erythrodermic type in three patients