ABSTRACT
To find out the outcome of thyroid function tests in a tertiary care laboratory and to assess the rationality of thyroid function tests advice. It was a descriptive study which was carried out in a tertiary care laboratory of Rawalpindi. Patient's demographic data and clinical details were recorded. Blood samples were obtained and analysis was done. Results were analyzed on SPSS version 17. One hundred twenty seven samples of both sexes with age range 15-80 years were selected for study and non probability random sampling was done. There were 94 [74%] females and 33 [26%] males. Age range of the patients was 38.8 +/- 14.4 years. Majority of the patients were found to be euthyroid 76.38%. On basis of history, the most common symptom for which thyroid testing was advised was lethargy. For non-specific symptoms, full thyroid profile should not be advised, rather Thyroid Stimulating Hormone [TSH] should be used as a first line screening test. Full thyroid profile is an expensive test and has financial implications on both patients as well as the laboratory, so rational use o thyroid function tests is recommended
ABSTRACT
Dyslipidaemia and hypertension are important predisposing factors leading to cardiovascular diseases. Obesity also increases the risk of hypertension, coronary artery disease and dyslipidaemia. Purpose of this study was to find out a relationship between body mass index and total cholesterol levels in 100 hypertensive patients. Study was performed in Chemical Pathology Department of Army Medical College, Rawalpindi in collaboration with Department of Medicine, Combined Military Hospital, Rawalpindi. It is a cross-sectional study and simple non-probability random sampling was used. Hundred hypertensive patients were included in the study. Data was recorded using a detailed proforma and analysis was done on SPSS version 17. Of the 100 hypertensive patients included in the study, there were 39 males while 61 were females. The mean age was 60.1 +/- 11.5 years. The mean blood pressure was 171 +/- 13.1/105.2 +/- 6.6 mm of Hg. Mean body mass index was 28.6 +/- 3.97. Mean of total cholesterol was 5.7 +/- 0.7 mmol/L in all the patients. Hypertension, dyslipidaemia and increased BMI increase go hand in hand with the risk of cardiovascular disease. Treatment strategies should be adopted to treat hypertension and dyslipidemia aggressively and lifestyle modifications are necessary for reducing BMI
ABSTRACT
To evaluate the role of University of Texas Classification in the management of Diabetic foot. Descriptive study. Surgical unit II Combined Military Hospital Rawalpindi [2003 to 2008] and Department of Surgery Combined Military Hospital Peshawar [July 2008 to Jan 2010]. A total of 300 patients who reported to Surgical Department with a foot ulcer or infection and diagnosed to have Diabetes Mellitus were studied. Patients of both gender and age > 12 years were included. Patients of end stage renal disease, compromised immunity or on steroid therapy were excluded. Detailed history and clinical examination were recorded. Routine investigations including complete blood examination, urine routine examination, renal function tests, x-ray foot, chest x-ray, ECG and pus for culture and sensitivity were recorded. Lesions were classified according to University of Texas classification and treated accordingly. Majority of the patients were of 50 to 70 years ago group. Male to female ratio was 4:1. Big toe was the commonest site followed by fore foot and heel. Patients were classified according to UT classification. Patients were managed with antibiotics, dressings, incision and drainage, debridement, vacuum assisted closure [VAC] with or without skin grafting and amputations of different types. Staphylococcus aureus was the commonest isolate. Our study has shown that UT classification is an effective system of assessing the severity of diabetic foot at the time of presentation and planning its management. Amputation rates, time of healing and morbidity increases with increasing stage and grade