Determination of waiting time in patients visiting general male and female outdoor clinics

Objective: To determine waiting time of patients visiting general male and female outdoor clinics of 01 Mountain Medical Battalion, Bagh

Study Design: Descriptive cross sectional study

Place and Duration of Study: The study was carried out at 1 Mountain Medical Battalion Bagh, from Dec 2016 to Feb 2017

Material and Methods: One hundred and ninety patients selected out of all patients visiting general male and female outdoor clinics during working days were included in this study. Lottery method was used to select ten patients daily in the study period and these were then scrutinized to include those fulfilling the inclusion criteria. Waiting time to get registered, consultation and total waiting time was noted. Data collected was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 17; Independent sample t-test was used to compare means between samples with the level of statistical significance set at 5 Percent (p<0.05)

Results: Waiting time to get registered for female patients was 7.24 +/- 4.42 minwhile for male patients it was 8.64 +/-5.30 min. Waiting time for consultation ranged from 15.15 +/- 10.50 min for female and 16.25 +/- 9.89 min for male patients. Total waiting time was 22.04 +/- 11.75 min for female and 24.93 +/- 12.06 min for male patients. Out of all patients, 83.33 Percent females and 87.5 Percent male patients were seen within 30 minutes after being registered

Conclusion: Majority of patients visiting general outdoor clinics were seen within 30 minutes of their registration which is close to the international standards. There is need to further improve waiting time of patients to increase patient satisfaction. The difference of waiting time was insignificant between male and female patients

Appendiceal duplication presenting as acute Appendicitis

Anomalies of appendix are a rare and are usually discovered incidentally during surgery. A 23 year old female was operated for acute appendicitis and per operatively two appendiceal lumen were found. Appendiceal duplication should be kept in mind in patients presenting with acute appendicitis especially when appendix is found non inflamed and in cases where patient has previous history of appendicectomy and presents with signs and symptoms of acute appendicitis

Rectovaginal fistula as a result of coital injury

Rectovaginal fistula following sexual intercourse is rarely reported. It is a social stigma; and without adequate treatment and social support, the patient may end-up in isolation. A thorough knowledge of the problem and management is essential for successful outcome. We report a case of low rectovaginal fistula in a newly married female managed trans-vaginally with prior defunctioning colostomy

Left sided amyand's hernia

The finding of an appendix in the hernial sac is a rare entity known as Amyand's hernia. It is even more rare when it occurs on the left side. We report a rare presentation of Amyand's hernia, where the appendix was found inflamed during surgery for a left sided obstructed inguinal hernia in a 40 years old male. The patient underwent appendicectomy and repair of the hernial sac and had an uneventful recovery. The possibility of the presence of a situs inversus or malrotation, as an underlying cause for the observed pathology, was excluded by X-ray examination