ABSTRACT
Objective: To validate diagnosis of acute appendicitis using grey scale ultrasound. Study Design: Cross sectional validation
Material and Methods: All the patients were referred to the sonography section of Emergency Radiology Department for suspected diagnosis of acute appendicitis. All patients of suspected appendicitis had ultrasound of abdomen. Indication of any above stated criteria resulted in appendicectomy of the patient. Patients were operated by conventional method of appendicectomy. Results regarding appendix by ultrasonography and surgical outcome were recorded on the proforma. Data entry and analysis were done by using SPSS 21. Place and Duration of Study: The study was conducted at Radiology Department, Armed Forces Institute of Radiology and Imaging [AFIRI] Rawalpindi, from Mar 2013 to Aug 2013
Results: Mean age of patients was 21.39 +/- 4.332 years. There were 77 [48.1%] male and 83 [51.9%] female patients. Clinically, there were 126 [79%] patients positive for appendicitis and on ultrasound findings 121 [76%] patients had appendicitis. Surgical outcome showed 125 [78%] patients as positive. Sensitivity and specificity of ultrasound for the diagnosis of appendix was 87.20% and 65.71%. While positive predictive value [PPV] and negative predictive value [NPV] of ultrasonography was 90.80% and 58.97% respectively. Overall diagnostic accuracy of ultrasound was 82.5%
Conclusion: In patients who present with clinically suspected acute appendicitis, imaging with ultrasound was effective technique to confirm the clinical diagnosis
ABSTRACT
Objective: The purpose of this study was to determine the frequency of different diseases among Pakistani Hajj pilgrims attending the medical facilities of Pakistan Hajj Medical Mission during Hajj 2016 [1437 hijri]. Study Design: A descriptive cross sectional study. Place and Duration of Study: Pakistan Hajj Medical Mission hospitals and dispensaries at Makkah Mukkarrmah, Medina Munawwarah and Jeddah, from 10[th] Aug 2016 to 5[th] Oct 2016
Material and Methods: All Pakistani Hajj pilgrims reporting to various Pakistan Hajj Medical Mission Hospitals and dispensaries at Makkah, Medina and Jeddah were included in the study. A universal sample of all patients reporting to the Hajj medical mission [A total of 184,496 OPD visits] was used. The patient were initially assessed in Emergency Reception[ER] by medical officers and then referred to respective specialists if required. A specially designed proforma having information regarding name, age, disease and its duration was prepared and filled for each patient separately. A second hospital/dispensary visit of the Hajj pilgrim was considered separately on a new proforma. SPSS version 17 was used to analyze the data
Results: There were a total of 184,496 OPD [Out Patient Department] visits by Pakistani Hajj pilgrims during the study period. Age of the patients ranged from 20-96 years, 74.5% [n=137, 449] were male and 25.5% [n=47047] were female. Number of patients suffering from various diseases and their percentage in order of frequency was; respiratory diseases 29% [n=53187], musculoskeletal disorders 18% [n=33838], gastrointestinal diseases 15% [n=26696], Ear Nose and Throat [ENT] diseases 8% [n=14448], skin disorders 6% [n=10937], eye disease 3% [n=4530], mouth and dental diseases 3% [n=6101], wounds, fractures and burns 3% [n=6186], cardiovascular diseases 2% [n=4433], gynecological disorders 2% [n=4357], infectious disease 1% [n=1055], minor surgeries <1% [n=620], psychiatric disorders <1% [n=40] and other miscellaneous complaints 5% [n=9889]
Conclusion: Respiratory illness was the commonest disease among Pakistani Hajj Pilgrims while musculoskeletal and gastrointestinal complaints were also high. This study helps to identify the common diseases encountered during Hajj Medical Mission and may aid in the better preparedness of such missions in future