RESUMO
To identify the clinical behaviour and consequences of cholesteatoma and to formulate a strategy for achieving early diagnosis, appropriate management and avoidance of all the grave complications. Hospital based descriptive type of study. This study was conducted in Shahina Jamil Hospital from April 2011 to Dec 2012. 40 patients of any age and gender were included in the study. The age, gender, socio-economic status and complications like hearing loss, facial nerve paralysis, intracranial spread, labyrinthitis, mastoid fistula and ossicular chain status were recorded and analyzed. We found that 62.5% were male and 37.5% were female.75% of the patients belong to rural areas and 25% belong to urban areas. All the patients [100%] presented with ear discharge and hearing loss. Ossicles were found intact in all patients. Labyrinthitis was the most common complication [37.5%]. It was found that cholesteatoma was frequent among poor, male and young patients leading to necrosis of the ossicles in all patients. Labyrinthitis, mastoid fistula and intracranial spread were common complication
RESUMO
To investigate the frequency of hepatitis [A] in patients with acute hepatitis. Retrospective study. This study was carried out at Shahina Jamil Teaching Hospital Abbottabad from March 2006 to February 2008. The study included all acute hepatitis patients who visited the ShahinaJamil Hospital Abbottabad. Various viral markers were used to establish the diagnosis of acute hepatitis that included anti HAV IgM, HBsAg, anti HCV and anti HEV IgM. Liver function tests were also done. A total of 125 patients with acute hepatitis visited the out patient department of S.J. Hospital Abbottabad during the study period. The specific etiologic diagnosis could be made in 88 [70.4%] patients. Hepatitis [A] was found in 33[26.4%], HBV in 19[15.2%], HCV in 6[4.8%], and HEV in 30[24.0% patients. The mean age of the patients with HAV infection was significantly younger than patients with HBV,HCV and HEV. The present study showed that hepatitis A is one of the common type of viral hepatitis and can be controlled easily with improving sanitation and water distribution and personal hygiene