A Study Of Obese Patients Admitted At A Tertiary Care Hospital

Introduction: Obesity is a chronic non-communicable disease, characterized by deposition of fat and adipose tissue resulting from the discrepancy between energy consumption and expenditure. Obesity is largely a lifestyle disease and its two largest causes are poor eating habits and inactivity.Aims: To study the demographic data, causes & associations of obesity with other disease processes and how emergency physicians should approach obese patients in the emergency department.Material & Method: This was a hospital-based, cross sectional observational study carried out over a period of one year from NOVEMBER 2017 to OCTOBER 2018.Result: Details about demographic data, risk factors, clinical presentation, co-morbid conditions and lipid profile & TSH level were collected & analyzed. In our study maximum no of obesity was seen in 41-60 yrs of age group & more common in females with dietary habits as the most common risk factor & HTN is the most common co-morbidities. Conclusion: The result in our study shows dietary habits and life style has a major role in obesity. Emergency physicians with good knowledge and specially equipped departments are helpful to decrease the morbidity and mortality.

Pulmonary Embolism At A Tertiary Care Hospital

ntroduction:Pulmonary embolism is an acute cardiovascular disorder having high mortality rate despite of available diagnostic and treatment modalities.Early recognition and provision of early effective treatment brings good out come with reversal of right ventricular functionAims:To study the cases of pulmonary embolism for demographic data, clinical presentation, risk factors and investigationMaterial and Method:Retrospective study done in 61 patientsaged 19-80 years admittedat a tertiary care hospital from January to September 2018. All suspected patients of pulmonary embolism who underwent CTPA were included in the study. Patients <15 years, History of pulmonarytraumaand Recurrence were excluded.Result:Details about demographic data, clinical presentation, diagnostic methods, reports andoutcome collected. In our study out of 61,23 patients hadpositivein CTPAand 42 patients had D-dimmer level>1000 ng/ml. Their maincomplains were dyspnea, tachypnea, chest pain and cough.In our study 45 patients could discharged and 9 patients expired.Conclusion:PE is a potentially life threatening condition which isdifficult to diagnoseclinically but in time diagnostic strategywithCTPA and D-Dimmer,helps inearly recognition and provisionof effective treatment which brings good outcome.

A case report: a very rarely occurring snakebite.

Snake bite is one of the most neglected public health issues in poor rural communities living in the tropics. The venomous bites and stings during pregnancy are very rare and it cause significant adverse effects on fetus and mother. Multiple snake bites to two different individuals by a same snake at the same time are rarely reported in literatures. In present case report, husband and wife with two and half month of pregnancy were bitten with multiple bites by same snake at the same time. This unusual and interesting case occurred in a rural area of Ahmedabad, Gujarat. It is also believed that snake discharges maximum of venom on first bite, which may be fatal compared to subsequent bites. The uniqueness of this case lies in the fact that second bite was more serious than the first bite. Woman with two and half month of pregnancy who was bitten first and hade minor effect, and no negative effects on fetus. Man bitten latter with multiple bites and was affected seriously. Both the patients were successfully treated at our hospital .