To identify the factors affecting the risk of recurrent febrile seizures in saudi children

To identify the risk factors of recurrent febrile seizures [FS] in Saudi children in a Northern Province of Hail in Saudi Arabia. Descriptive prospective study. Pediatric department, King Khalid Hospital Hail, Kingdom of Saudi Arabia from 01 October 2010 to 30 September 2011. A total of 132 children [age ranges from 03 months to 60 months] were included in the study, while they were admitted with the diagnosis of FS during the study period, in the Pediatric department of the King Khalid University Hospital, Hail. A predesigned study proforma was utilized for data collection. All the children included in the study were followed for a period of 01 year after discharge from the pediatric ward for any recurrence of FS. During the study period 132 children were admitted for FS, the mean age of children in our sample was 16 months. There was a preponderance of male children. Among the causes of fever, mostly 63 [47.73%] had symptoms of viral prodrome. Recurrent febrile seizure was found in 46 [34.85%] children. There was a statistically significant association between low temperature at onset of seizure and recurrent FS in 65.22% cases p-value= 0.001]. Similarly, the association of duration of fever [

Thrombocytosis: analysis of 329 patients

To find out the nuquency of different clinical conditions causing thrombocytosis in hospitalized patient population. Cross sectional, descriptive study. Combined Military Hospital Attock, 1st Sept 2003 to 1[st] March 2004. All patients referred to haematology department for complete blood counts who had platelet count exceeding 400 x10[9] /L. Out of nine thousand patients, 329 [3.65%] revealed thrombocytosis. The Male to female ratio was 1.4:1, [48%] were adults, ana 52% were children. Platelet count ranged between 403 X10[9]/L and 1365 X10[9]/L In adults, iron deficiency [36%], infections [30%], infections concomitant with iron deficiency [13%], chronic inflammatory disorder [7%], clonal thrombocytosis [5%], haemorrhages [3%]; and in children infections concomitant with iron deficiency [36%], infections [26%], iron deficiency [18%], and acute gastro enteritis [6.5%] were the leading causes of thrombocytosis. Iron deficiency anaemia and infections are leading causes of thrombocytosis in our set up. Clonal thrombocytosis is seen in 5% of adult patients. Relative frequency of different conditions causing thrombocytosis varies with patient age

Perinatal outcome in pregnancy induced hypertensive mothers

Hypertensive disorders are common complications of pregnancy and they may have devastating consequences for both the mother and the fetus. The study was carried out to investigate the perinatal outcome in babies born to pregnancy induced hypertensive mothers and to formulate the means, which improve the outcome in such pregnancies. A total of 500 expectant mothers were included in the study and were followed till delivery. Neonates were examined immediately after birth and were followed for one week to record the outcome. The commonest maternal complication was eclampsia in 30 mothers; abruptio placentae occurred in 26 women,13 developed features of HELLP syndrome, and 16 developed congestive cardiac failure. Two mothers died, one with features of HELLP syndrome and the other with pulmonary edema and C.C.F. The incidence of preterm delivery was 61%, while 54% babies were low birth weight, 42% babies were shifted to neonatal unit for intensive care. The commonest illness was respiratory distress syndrome in very low birth weight premature babies and it is also the commonest cause of perinatal death. The overall perinatal mortality in this study was 13% and maternal mortality was 0.4%

Thrombocytopenia: analysis of 415 patients

To find out the relative frequency of conditions associated with thrombocytopaenia. Descriptive study Combined Military Hospital Attock in collaboration with Armed Forces Institute of Pathology Rawalpindi, from March 2003 to March 2004. Materials and All patients referred for blood counts. Patients with platelet count below 150x10[9]/L, were registered. Investigations including peripheral blood counts and smear examination, blood/smear for bacterial culture, IgM for Dengue virus, Hepatitis B surface antigen and anti-hepatitis C Antibodies, ultrasound abdomen and bone marrow examination were performed. Out of 18,000 patients, 415[2.3%] revealed thrombocytopaenia [341 adults and 74 children]. In adults, viral anti-body was found in 27.7%, malaria in 17%, bacterial infections in 12.4%, megaloblastic anaemia in 8.2%, bone marrow infiltrates in 7.9%, drug induced thrombocytopaenia in 4.4%, chronic liver disease in 3.5%, hypersplenism in 2.9%, DIC in 2.9%, pregnancy associated thrombocytopenia in 2%, aplastic anaemia in 1.5%, ITP in 1.2% and upper respiratory viral infection in 8%. In paediatric age group malaria was detected in 27%, megaloblastic anaemia in 23%, bacterial infections in 13.5%, leukaemia in 13.5%, neonatal thrombocytopenia in 9.5%, ITP in 2.7%, DIC in 1.4%, aplastic anaemia in 1.4% and upper respiratory viral infections in 8%. Malaria, viral and bacterial infections and megaloblastic anaemia are the most common causes of thrombocytopenia in our setup