Load and pattern of patients visiting general emergency Al-Thawra hospital, Sana'a

This study aimed to determine the load on General Emergency Department [GED], pattern of admission into Al-Thawra General Modern Hospital [GMH] on 1998 and 1998. Retrospective study of the medical records of Al-Thawra GMH for the two years 1998 and 1999. 58570 patients sought medical advice in GED of Al-Thawra GMH in 1998, of them 24420 [45%] were admitted to different departments. While 65235 sought medical advice to GED in 1999, of them 14510 [22%] were admitted into the hospital. The average number of admission in 1998 was 67.8 patients per day. While -average admission in 1999 were 40.3 patients per day. Admission into obstetric ward topped the list [45%] with normal delivery as the leading cause of admission into this ward. Admission to medical ward was the second [14%] with acute MI and CVA as the commonest cause of admission to the same ward. Admission to surgical ward was the third [10%] with acute abdomen as the leading cause of admission. The rate of admission to the above department respectively was 4.5: 1.4: 1. There was a heavy load on GED of Al-Thawra GMH on 1998 and 1999 with variety of diseases, but with decrease of admission services. So, reevaluation and planning of health services of Sana'a and Yemen is m and atory.

Right sided acute infective endocarditis complicated by bilateral pyopneumothorax

The present case revealed that staphylococcus aureus is the cause of right sided infective endocarditis in a young male patient who was previously well with intact valves. It was complicated by pulmonary edema at the start of the disease then by pyopneumothorax bilaterally although patient was on proper antibiotics. The clinical and X-Ray findings were simulating those of tuberculosis [TB]. The emergency room's physician and medical officer on duty missed the diagnosis