Incidence of intestinal tuberculosis in patients presenting in emergency with intestinal perforation- a review of 1000 patients

Objective: The present study was undertaken to document the presentation of intestinal tuberculosis in patients with intestinal perforation that present to the emergency department of Nishtar Hospital Multan

Study Densign: Observational / Descriptive / cross sectional study

Place and Duration of Study: This study was conducted at Nishter Hospital, Multan. from 2007-2015

Materials and Methods: A proforma was filled which was approved by hospital ethical committee. 1000 patients who were admitted in in A and E department Nishtar Hospital,Multan with intestinal perforation were included in this study

Histopatology specimen were sent. Results were labeled as either presence or absence of intestinal tuberculosis

Results: 1000 patients, complying with the inclusion criteria were included in the study. The mean age of the patients was 45 +/- 5 years. 289 [ 28.9%] were in the age group of 20-30 years of age.312[31.2%] were in the age group 31-40 years.243 [24.3] were in age group [24.3%]. 156 [15.6%] were from age group 51-60

Regarding age, majority of the patients 532 [53.2%] were females, and 468 [46.8%] were males

Duration of symptoms ranged from 1 day to >3 days. 312 [31.2%] had symptoms for 1-2 days. 432 [43.2%] had symptoms for 2-3 days and 256 patients had symptoms for more than 3 days. All had histological evaluation

Conclusion: 23% patients were found to have tuberculosis

Demographic and clinical characteristics of 100 consecutive patients with diabetic foot presented in Nishter hospital Multan

Objective: To study the incidence of infected diabetic foot among diabetic admissions on the surgical floor

Study Design: Quasi-experimental study

Place and Duration of Study: This study was conducted at the Surgical Unit-IV, Nishtar Hospital Multan from June 2013 to March 2016

Materials and methods: The study on diabetic foot management was carried out involving 100 patients with septic foot complications in diabetics

Results: Out of 100 patients, 59 [59%] were male, 41 [41%], were female, 76 [76%] patients were admitted through emergency, 18 [18%] through outpatient department and only 6 [6%] patients were referred from physicians. Family history of diabetes was found in 45% of the patients in both parents. As regards age, most of the patients i.e. 50 [50%] patients were in age group 61-70 years. In 25 [25%] patients left foot was involved, right foot was involved in 55 [55%] patients while in 20 [20%] patients both feet were involved. As regards management of patients, 15 [15%] patients were taking insulin, 30 [30%] were on OHA, 30 [30%] were controlled by diet and remaining 20% had no treatment. Planter infection and infection on dorsal aspect was seen in 30% patients respectively

Conclusion: No aspect of regimen of therapy for diabetics is more important than the proper care of his feet