Gray scale trans-abdomino-thoracic ultrasonography inevaluation of dengue hemorrhagic fever

Objective: To evaluate ultrasound findings inDengue Haemorrhagic Fever [DHF] and further topredict severity of DHF

Study design: Crosssectional study

Settings: Allied HospitalFaisalabad

Duration of study: 1st July 2011 to 30thNovember 2011

Sample size: 50 Patient

Materialand Methods: Ultrasound was performed on 50patients of ages between 6-59 years with clinicalsuspicion of DHF. Serological tests IgM and IgG onELIZA were performed to confirm the diagnosis,ultrasound was done on 2nd to 08th day all confirmedserologically 50 positive of DHF. These 50 patientdivided into two groups as DHF [Group-I] mild type45 patients and severe type of DHF [Group-II] 05Patient

Result: Group-I patients ultrasoundrevealed gall bladder wall thickening 86.6%,Pericholecystic fluid 44.4%, hepatomegaly 26.6%,splenomegaly 22.2%, ascites17.7%, right pleural effusion 8.8%, left pleuraleffusion nil and pancreatic enlargement 6.6%. InGroup-II ultrasonography revealed gall bladder wallthickening 100%,Pericholecystic fluid 60.0%,hepatomegaly 60.0%, splenomegaly 40.0%, ascites60.0%, right pleural effusion 60.0%, left pleuraleffusion 20.0%, pericardial effusion 20.0%,pancreatic enlargement 40.0% and 60.0% patientwith fulminant hepatic failure

Conclusion: Transabdomino-thoracic sonography can be used asadjunct modality in patients with suspected DHF todetect early signs suggestive of the disease prior toobtaining serologic confirmation test results,especially in a dengue fever epidemic area and alsouseful tool to predict severity of the disease

Depressed skull fracture; Interrelationship between CT evaluation of and its clinical findings

The purpose of study was to interrelate CT findings of depressed skull fracture with clinical findings. This was exploratory study. The study was conducted at Mayo Hospital Lahore and Lahore General Hospital. From March 9,2004 to October 2004. Fifty patients irrespective of their age and sex were included. Only the newly admitted patients in the above mentioned hospitals were included in the study. Previously diagnosed depressed skull fracture or the patients having associated facial abdominal and thoracic injuries were excluded. Patients having depressed skull fracture were clinically evaluated and thereafter subjected to 4[th] generation spiral CT scan at the radiology department of the above mentioned hospitals. Both bone and brain window were taken for various intracranial structures. Analysis of the data for association between the variables of clinical and CT findings revealed that patients with conscious level, with DSF and having mild head injury were less associated with scalp injury [p=0.1156] which is statistically insignificant. DSF with moderate and severe head injury had more probability of scalp injuries. Scalp laceration seen with DSF had association with scalp injury [p<0.001]. It is a key for clinician and neurosurgeon to use GCS score in congestion with the CT findings for early management of DSF

Imaging of ambiguous genitalia

To establish the role of imaging in Ambiguous Genitalia. June 2006 to June 2008. Place: Radiology Department, Mayo Hospital, Lahore and Allied Hospital Faisalabad. 12 cases referred to us with Ambiguous Genitalia were taken and evaluated with Ultrasound and Magnetic Resonance Imaging. Following findings were observed, incomplete scrotal fusion with Ambiguous genitalia was observed in 41.7% infants. Whereas testis were localized in 33.3% by ultrasound and remaining by MRI. Imaging diagnosed that 66.7% were male and remaining female. Lab tests and surgical evidence prove that imaging results were in agreement. Imaging has a conclusive role in Ambiguous Genitalia and Ultrasound is the first modality to look for Internal Genitalia