ABSTRACT
Background: the endocrine system releases hormones that help control body functions including the body's ability to change calories into energy that powers cells and organs. The endocrine system influences heart beats, bones and tissues growth. It plays an important role in controlling blood glucose. Moreover, it is associated with many disorders including thyroid disorders, growth disorders, and sexual dysfunction. All endocrine glands release hormones into bloodstream
Objective: The objective of this study was to define the types of diseases seen at the only endocrine clinic in King Khalid University Hospital [KKUH]
Methods: we retrospectively analyzed the diagnosis data of all patients attending the endocrinology clinic of the University Hospital in AL Riyadh city over a 7 weeks' period
Results: The majority of cases had thyroid related diseases [48.6%] while 12.8% had gonadal and growth diseases, 9.2% had Lipid, 7.3% had pituitary diseases, 5.5% were for wrong referrals, 5.5% and 4.9% had adrenal and vitamin D deficiency related diseases respectively. The lowest percentages were 3.7% for parathyroid and 2.8% for metabolic bone diseases
Conclusion: Thyroid related disorders were found to be the most common endocrine disorders presented to KKUH. Almost half of the patients had thyroid related disorders, accordingly we highly recommend that extensive efforts should be in place to recruit experienced residents as well as continuously and efficiently train existing ones on Thyroid related diseases
ABSTRACT
Background: Proper postoperative pain management, which can be advanced using a multimodal approach, results in pain relief with minimal side effects. Newer recovery protocols, along with minimally invasive surgeries add to the better management of post-operative complication. Many factors play a role in failure of proper postoperative pain management, which mainly include insufficient education, fear of complications associated with analgesic drugs, poor pain assessment and inadequate staffing
Methodology: we conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE from January 1987 to March 2017. The following search terms were used: post-operative pain mechanism, post-operative pain management, non-opioid pain management
Aim of the work: In this study we aimed to understand the mechanism and the management of post-operative pain, along with shining some light upon the recent advances
Conclusion: Various combinations and modalities of pain management exist, and their use depends largely on the case, the patients, and their perception of pain. Enhanced recovery protocols have significantly improved perioperative and postoperative pain management, making the decrease in opioids need a priority