Clinical laboratory and tomographic evaluation of patients presenting with cerebrovasular accidents

The purpose of study was to describe important differences in clinical picture, morbidity and outcome between patients presenting with hemorrhagic and non-hemorrhagic strokes. It was a descriptive study. Medical Unit-I of Nishtar Hospital Multan. One hundred consecutive patients presenting with neurological deficit were evaluated. Sample was collected on the basis of convenience. The variables studied were the state of conscious level, severity of hemiplegia, duration of hospital stay, complications, in-hospital mortality and functional outcome at the time of discharge in both hemorrhagic and non-hemorrhagic stroke groups. On computed tomography, 22 patients [23.4%] were found to have hemorrhagic stroke while 72 patients [76.6%] suffered from cerebral infarction. Eight hemorrhagic stroke patients [36%] and 5 ischemic stroke patients [7%] expired during their hospital stay. Unconsciousness was the most common mode of presentation in both hemorrhagic [45.4%] and ischemic stroke patients [33.3%]. Ischemic stroke was found to be more common than hemorrhagic stroke. Hypertension was the most common risk factor in both groups. The history of hypertension was largely unknown and control and monitoring was poor. The incidence of death was higher in hemorrhagic stroke group

Clinical outcome of patients presenting with acute oliguria after an acute gastroenteritis episode

The purpose of the study was to describe important characteristics of acute oliguria, developing after an episode of acute gastroenteritis. This study was carried out mainly in the Medical Unit I of Nishtar Hospital Multan. December 1999 to June 2001. The sample of study was randomized to two groups. Group A was administered low dose [renal dose] Dopamine infusion along with fluid replacement and other modalities of treatment, group B was given conventional treatment. 50 patients among the above study were randomized to the group A and were administered low dose dopamine along with other modalities of treatment. The average duration of diarrhea in this group was 3.04 +/- 0.9 days. Mean creatinine level among this group was 6.7 +/- 2.9 at presentation. Hyperkalemia occurred in 10 patients [20%] in this group all of them required treatment for hyperkalemic episodes either in form of drugs or hemodialysis. 2 patients in this group developed chronic renal failure 50 patients among the above study were randomized to the group B and were not administered low dose dopamine. Mean creatinine level among this group was 6.5 +/- 3.3 at presentation. The average duration of diarrhea in this group was 3.12 +/- 0.98 days. Hyperkalemia occurred in 6 patients. No patient developed chronic renal failure in this group. Infectious food was the main cause of gastroenteritis in this study. More patients in the group A [given dopamine] developed chronic renal failure

Clinical outcome of patients presenting with acute oliguria after an acute gastroenteritis episode

The purpose of the study was to describe important characteristics of acute oliguria, developing after an episode of acute gastroenteritis. This study was carried out mainly in the Medical Unit I of Nishtar Hospital Multan. December 1999 to June 2001. The sample of study was randomized to two groups. Group A was administered low dose [renal dose] Dopamine infusion along with fluid replacement and other modalities of treatment, group B was given conventional treatment. 50 patients among the above study were randomized to the group A and were administered low dose dopamine along with other modalities of treatment. The average duration of diarrhea in this group was 3.04 +/- 0.9 days. Mean creatinine level among this group was 6.7 +/- 2.9 at presentation. Hyperkalemia occurred in 10 patients [20%] in this group all of them required treatment for hyperkaleniic episodes either in form of drugs or hemodialysis. 2 patients in this group developed chronic renal.50 patients among the above study were randomized to the group B and were not administered low dose dopamine. Mean creatinine level among this group was 6.5 +/- 3.3 at presentation. The average duration of diarrhea in this group was 3.12 +/- 0.98 days. Hyperkalemia occurred in 6 patients. No patient developed chronic renal failure in this group. Infectious food was the main cause of gastroenteritis in this study. More patients in the group A [given dopamine] developed chronic renal failure

Clinical laboratory and tomographic evaluation of patients presenting with cerebrovasular accidents

The purpose of study was to describe important differences in clinical picture, morbidity and outcome between patients presenting with hemorrhagic and non-hemorrhagic strokes. It was a descriptive study. Medical Unit-I of Nishtar Hospital Multan. One hundred consecutive patients presenting with neurological deficit were evaluated. Sample was collected on the basis of convenience. The variables studied. were the state of conscious level, severity of hemiplegia, duration of hospital slay, complications, in-hospital mortality and functional outcome at the time of discharge in both hemorrhagic and non-hemorrhagic stroke groups. On computed tomography, 22 patients [23.4%] were found to have hemorrhagic stroke while 72 patients [76.6%] suffered from cerebral infarction. Eight hemorrhagic stroke patients [36%] and 5 ischemic stroke patients [7%] expired during their hospital stay. Unconsciousness was the most common mode of presentation in both hemorrhagic [45.4%] and ischemic stroke patients [33.3%]. Ischemic stroke was found to be more common than hemorrhagic stroke. Hypertension was the most common risk factor in both groups. The history of hypertension was largely unknown and control and monitoring was poor. The incidence of death was higher in hemorrhagic stroke group