ABSTRACT
We report a case of two months old infant diagnosed with acute myocarditis, with a ventricular septal defect (VSD) of 0.9 mm size, admitted to our hospital with gangrene of left foot. A below knee amputation was planned under general anaesthesia with caudal block. Digoxin and diuretics were continued. Induction was done with fentanyl and sevoflurane and supraglottic device was used to secure the airway. Caudal block with bupivacaine was administered.The recovery was satisfactory and postoperative stay was uneventful.
ABSTRACT
Background: Leucorrhea is a major problem in gynecological practice. It can be "physiological" or "pathological." Common pathological causes are infections, cervicitis, atrophy, malignant and premalignant lesions of cervix. Aims: To study the cervical cytology in women with leucorrhoea, to find any relation with age and parity, and evaluate the role of cytology in detecting lesions of cervix. Methods and Material: Observational cross-sectional study. Total 2176 women with leucorrhoea were studied. Cervical scrape smears were taken with Ayre's spatula. Statistical analysis was done wherever applicable. Result/Conclusions: Most common finding in cervical smears in leucorrhoea is Reactive Cellular Changes followed by "Organisms", Candida being the most common. Prevalence of "Epithelial cell abnormality" and squamous cell carcinoma increases with increasing age and parity, whereas prevalence of NILM is associated with younger age and lower parity. Epithelial Cell Abnormalities can also manifest as leucorrhoea. Therefore, regular screening of women with leucorrhoea is must.