Femoral artery pseudoaneurysm: Colour and duplex doppler evaluation

Pseudoaneurysm is an uncommon complication that usually results from an arterial puncture and presents as a focal pulsatile mass, clinical differentiation of which may be quite difficult from transmitted pulsation. Early diagnosis and prompt surgery is required because it has a potential to expand and rupture leading to massive blood loss. Although angiography provides a definite diagnosis yet the finding may be very subtle. This is the case report of a patient who developed a pseudoaneurysm of the femoral artery which was diagnosed with the aid of colour Doppler imaging and later confirmed on surgery. Colour Doppler is a new useful imaging modality which simultaneously shows flow throughout the field and structure in a two-dimensional image

problem of drug default in the treatment of pulmonary tuberculosis

Two hundred patients [99 male and 101 females] attending Outpatient Department of Chest Diseases Unit of Nishtar Hospital, Multan were selected and followed up for 12 months in order to study various factors responsible for default of drug intake. The study lasted 2 years. Over all default at 12 months was 73%. It was noted that irregular supply of drugs in the Out Patient Department [OPD] was responsible for 29% default. Lack of confidence in doctor, neglect by patient, absence of symptoms and long duration of treatment were other factors contributing towards non-compliance. These factors, in turn, were operative due to lack of proper health education and motivation. When considered together, these factors contribute to 25% of default. Patients from rural overs showed higher default. Educational status revealed no difference in drug intake in educated and illiterate patients. At 3 months of follow-up, default rate was 43.5% and after 12 months default the rate was 73%