Liverabscss in Srinagrind Hospital

Liver abscess is a common disease in Thailand.  Most of liver abscesses are pyogenic or amoebic in orgin. However pyogenic abscess cause by Pseudomonas pseudomaillei (Melioidosis abscess) is among the most common pathogen in  Northeast Thailand.  Antibiotic treatemtn of melioidosis liver abscess is generally different from other pyogenic abscess.  The criteria to differentiation between amoebic, melioidosis and other pyogenic liver abscess is important in clinical practice especially in Northeast of Thailand, where the incidence of melioidosis is hith.

Etiology of dyspepsia in Srinagarind Hospital : a prospective data analysis

 Dyspepsis is an extremely common presenting symptom with a prevalence in the community of approximately 30% and may be an early symptom of a serious illness.  This prospective data analysis aims to determine the etiology of the patient who present with dyspepsia in Srinagarind Hospital.  208 patients were studied with completed a structured history questionnaire and completed investigation with complete blood count, stool examination, liver function test, HbsAg, HbsAb, ultrasonography of the abdomen and endoscopy.  The most common cause is non-ulcer dyspepsia (53.27%).  There were peptic ulcer disease in 26.44%, hepatobiliary disease in 16.83% and combined peptic ulcer disease and hepatobiliary disease in 3.37%.  Malignant cause of dyspepsia which we found in this series is tumor of the liver.

Clinical Features of HBsAg Positive Patient in Srinagarind Hospital

Hepatitis B infection which is acquired through contact with the blood or secreta of a person carrying the hepatitis B virus, is a common disease world-wide.  The clinical features of hepatitis B infection are acute hepatitis, chronic hepatitis asn asymptomatic carrier.  295 patients who had positive for HBsAg, seen in Srinagarind Hosiptial during June 1987 and December 1987 was analysed. The most common clinical feature was asymptomatic carriers (66.78%).  There were acute hepatitis in 18.3%, cirrhosis of the liver in 7.80% and chronic hepatitis in 7.12%. Acute fulminating, the most severe clinical feature of hepatitis B infection, was not found in this series. 

Chronic diarrhoea in Srinagarind Hospital

 Chronic diarrhoea can occur from various causes, and it is one of the clinical manifestations which creates many problems in both diagnostic and therpeutic management. Its etologic factors vary from one geographic region to another. Retrospective study of 41 admitted patients in Srinagarind Hospital due to chronic diarrhoea during January 1983 and July 1987 was performed. The most common cause is parasitic infestation (53.85%), follow by irritable bowel syndrome, tumor, intestinal tubrculosis, bacterial infection and unknown cause respectively. Among these 78% responsed well to treatment 17% were not improved and mortality rate was 4.8%