Emergencies attended at accident and emergency department, lady reading hospital, Peshawar: an overview

To determine the type and frequencies of Accident and Emergency [A and E] attended at Lady Reading Hospital, Peshawar. The data collected, consisted of 23,725 patients/year with an average of 65 patients/day. The data was statistically analyzed using SPSS version 16 for age, gender, etiology of trauma, referral status and single or multiple organ injuries [polytrauma]. The frequencies and percentages were calculated for all variables. Most common age group with trauma or polytrauma presented during 21-30 years. The age range for male group was found to be 3-65 years while for female it ranges from 8-70 years. Male to female ratio was 4:1.Most common etiology for patients reporting to ER department with acute injury were due to RTA [48%] followed by fall from height [23%].Sixty eight percent patients were referred from other district hospitals while 32% patients directly approached ER OPD for consultation. Most of patients were referred to Neurosurgery department [30%] for consultation. Polytrauma patients with mul-tiple organ injuries were referred mostly to orthopedic and general surgery ward. Five percent patients suffered mortality due to severe impact of injuries. Majority of male patients reported to ER department of Lady Reading Hospital, Peshawar. The age range in polytrauma was found to be 21- 30 yers. The major etiology of trauma was RTA followed by fall from heights. Most of trauma patients were referred from other district hospitals. Polytrauma patients were referred mostly to Neurosurgery+ Orthopedic ward for definitive surgery

Recurrent giant cell tumor of right tibia: a case report with craniofacial manifestation

A 28 years old male from Daud Zai Peshawar came to Oral and Maxillofacial Surgery department of Khyber College of Dentistry Peshawar with chief complaint of severe pain associated with progressive swelling of right maxilla for past 15 days. Past history revealed similar swelling of left maxilla and right tibia, histopathologically confirmed to be giant cell tumor and was excised two years back. Base line investigations were found to be normal which included PTH assay, serum alkaline phosphatase, and serum calcium. Excisional biopsy of right maxilla was taken under general anesthesia and sent for histopathology. It was confirmed to be giant cell lesion of right maxilla