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1.
RMJ-Rawal Medical Journal. 2013; 38 (2): 113-116
em Inglês | IMEMR | ID: emr-140225

RESUMO

To perform an audit of quality of referrals for Electrodiagnosis [EDX]/Nerve conduction studies and Electromyography [NCS/EMG] to a tertiary care rehabilitation center. A detailed referral proforma covering all the prerequisites for EDX studies had already been distributed among the dependent Defense Forces hospitals. The data was taken from that proformas and the patients were asked if the referring physician had explained them about the test and if they had gone through the instructions. Frequencies and percentages were calculated for provision of clinical information, query, reading of instructions by the patients and punctuality of the patients. The reporting time of the patient, if they were late than the appointment time was calculated in minutes. Physician's explanation about the procedure to the patient and provision of information about precautions and contraindications was also included Of the total 130 registered patients, 85 were males and 45 females. 86 [66.2%] referrals were made by consultants, 42 [32.3%] by residents and 2 [1.5%] by General Practitioners. 41 out of total were from consultants and residents in Physical Medicine and rehabilitation followed by 22 from Orthopedics. Regarding institutions, largest number of referrals were from Combined Military Hospital Rawalpindi [43] and Armed Forces Institute of Rehabilitation medicine [40]. By large, the clinicians neither provided clinical notes [62%] nor mentioned the query and provisional diagnosis [53%]. Majority [92%] did not provide information about the test to the patient and did not cue the patient about any precaution to be taken [92%].The patients on the other hand generally read the instructions provided in the request pro forma [54%] and reported well in time for the appointment of procedure [86%]. An inappropriate practice in referring patients uncritically to the EDX studies. Adopting good referral practices seemed crucial for meaningful usefulness of NCS/EMG. Instructions for proper referrals were sent to the concerned hospitals and a repeat audit was planned after one year


Assuntos
Humanos , Masculino , Feminino , Encaminhamento e Consulta , Eletromiografia , Eletrodiagnóstico , Estudos Transversais
2.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2011; 21 (2): 111-112
em Inglês | IMEMR | ID: emr-103675

RESUMO

A man aged 42 years, presented with 3 years history of paraesthesias in hands and feet and muscle cramps off and on, progressing to severe carpopedal spasm, a couple of times, relieved by intravenous calcium gluconate at the emergency reception of the hospital. On examination, Trousseau's sign and Chvostek's sign were positive. Thyroid gland was not enlarged. Right eye showed mature cataract. Total serum calcium, corrected serum calcium, serum phosphate, ionized serum calcium, serum alkaline phosphatase, serum parathormone [PTH] level were deranged favouring hypoparathyroidism. He was diagnosed to be suffering from isolated primary hypoparathyroidism and put on alfacalcidol and oral calcium carbonate, with which he is asymptomatic now


Assuntos
Humanos , Masculino , Hipoparatireoidismo/tratamento farmacológico , Parestesia , Cãibra Muscular , Hidroxicolecalciferóis , Carbonato de Cálcio , Adulto
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