Sodium valporate in chorea gravidarum

A patient with Chorea, Gravidarum was treated with sodium valproate to control involuntary movements. However, the patient deteriorated while receiving sodium valproate and eventually aborted. The experience with this patient does not favour use of valproic acid in Chorea Gravidarum

Age and sex distribution among 544 duodenal ulcer patients found at endoscopy

1946 Upper gastrointestinal endoscopic examination were done by the endoscopist in the period of two years [1982 and 1983] at Arbil Teaching Hospital. 544 [17.9%] out of those 1946 endoscopic examination proved to have active duodenal ulceration. Duodenal ulcer occurred in ages between 11 to 90 years but was uncommon before 20 years and at 60 years and onwards of age and they had a mean age of 39.63 years. There were 420 males and 124 females with duodenal ulcer comprising 3.38-1 male to female ratio. Only 23 [4.2%] out of 544 patients with endoscopic duodenal ulcer presented with recent upper gastrointestinal bleeding and or active bleeding or endoscopy

Conventional single contrast barium meal versus endoscopy in diagnosis of duodenal ulcer [a comparative study of 174 cases]

A comparative study of dyspeptic patients with conventional single contrast barium meals [SCBM] and upper gastrointestinal tract [G.I.T] endoscopy for diagnosis of active duodenal ulceration[DU] is presented. 174 cases were included in this study and were divided into three groups according to their radiological findings. Group I: 56 [32.1%] patients had radiologically demonstrated ulcer niches of the duodenal cap and postbulbar area while only 22 [39.7%] patients proved to have active DU endoscopically and thus illustrating 34 [60.3%] patients with false positive ulcer niches. Group II:88 [50.6%] patients had non specific radiological signs of DU and only 21 [28.8%] proved to have active DU endoscopically. Group III: 30[17.3%] patients had X- ray negative dyspepsia and only 6 [20%] of them proved to have active DU endoscopically and this comprises the rate of false negative results for active DU in our SCBM. The endoscopic findings of each radiological group were studied and the reasons for false positive and negative results in our SCBM were discussed. Use of intravenous antispasmodic or glucagon prior to barium meals suggested and double contrast barium meals [DCBM] are seriously needed to replace our SCBM to reduce the rates of false positive and negative results in diagnosis of active DU. The endoscopic results of the patients were studied

Giardiasis presented as ulcer dyspepsia: report of four cases

This is a report of four cases of Gardiasis diagnosed by duodenal aspirate through upper G.I.T endoscopy. They were diagnosed as duodenal ulcers clinically and one of them had ulcer niche in the duodenal cap in barium meal under fluoroscopy who did not respond to cimetidine. No patient had endoscopic evidence of duodenal ulcer. Single specimen of stool for all the patients did not show the parasite neither in form of cyst nor as trophozoite