ABSTRACT
Background: Venous thromboembolic (VTE) is a preventable leading cause of morbidity and mortality worldwide and is a cause of sudden death. Awareness of VTE among doctors will reduce the incidence of unexpected deaths in hospitalised patients.Objective: To assess doctors' awareness of venous thromboembolism in our centre.Design: Cross sectional questionnaire based study.Setting: University of Port Harcourt Teaching Hospital; Nigeria.Subjects: One hundred and twenty four doctors attending a hospital grand-rounds session were recruited. Results: The response rate was 82.7% (124 of 150 questionnaires). Almost half (n=57; 46%) correctly identified VTE; but two (1.6%) did not know what VTE was and 27 (21.8%) stated it to be normal haemostasis. Commonly identified risk factors included: increased body mass index 113 (91.1%); diabetes mellitus 105 (84.7%); pregnancy 105 (84.7%); age 104 (83.9%); and immobility 104 (83.9%). Although clinical features were identified; VTE was acknowledged to be asymptomatic by 62 (50%) responders. About 68 (54.8%) did not know of a VTE risk stratification model and only one (0.8%) had used a model in practice. Responders commonly prescribed anticoagulants for prophylaxis. Although most had come across VTE in practice; 15 (12.1%) had not seen a case of VTE.Conclusion: The knowledge of VTE was average. There was a gap between knowledge and practice for this preventable disorder. Patients in our centre were not routinely risk stratified for VTE. Updating of medical knowledge is encouraged
Subject(s)
Awareness , Community Health Workers , Cross-Sectional Studies , Venous ThromboembolismABSTRACT
Hearing loss and visual impairment are not common presentations of Chronic Myeloid Leukemia (CML). We report such a case who presented in the chronic phase with profound hearing loss, visual impairment, progressively enlarging spleen, anaemia, and weight loss. Laboratory evaluation showed Packed Cell Volume – 10%, Total White Cell Count – 1,343 x 109/ L, Platelets – 589 x 109/ L. Blood chemistry showed Uric Acid level of 530mmol/L. Karyotyping showed the Philadelphia chromosome. Chemotherapy was instituted and she improved remarkably with minimal improvement in perception of sound.