A Spot Urine Protein Creatine Ratio Is An Alternative To 24 Hours Urinary Protein For Detection Of Pih And Its Severity

Protein/creatinine ratio of a single voided urine specimen may have a role in the management of ambulatory women with suspected PIH, which necessitates further research in the field. We did a systematic review of the literature and multivariate meta–analysis with the objective of determining the diagnostic accuracy of the protein to creatinine ratio compared with 24 hour urine collection for the detection of significant proteinuria in patients with suspected pre–eclampsia and to look at their ability to predict adverse outcome for mother and baby & to find out its co–relation with disease severity. The spot urinary protein /creatinine ratio can be used as an alternative to 24–hours urinary protein excretion in patients with PIH.

An unusual foreign body in the vagina producing vesicovaginal fistula.

A case of vasicovaginal fistula occurring in an adolescent unmarried girl following insertion of a matalic glass deep inside the gagine is reported here along with a brief discussion and review of literature.