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Introduction: Venomous scorpion sting is a medicalemergency. The clinical manifestations vary widely betweenthe children and adult group. Current research aimed to studythe epidemiological profile of Scorpion Stings and to study theclinical profile and prevalence of complications of Scorpionstings.Material and methods: 82 cases of Scorpion sting admittedin Toxicology unit of Tirunelveli Medical College werestudied. Detailed history was taken, and a thorough clinicalexamination was done in all patients. All patients were givenPrazosin except in cases with hypotension.Results:Scorpion sting was more common in monsoonfollowed by Summer season. The sting was more prevalent inthe lower limb. Commonest symptom was pain followed bynumbness and tingling. Dyspnea and perspiration were lesscommon. 60.9% had grade1 envenomation followed by 25.7%patients with grade 2 envenomation. Severe envenomationwas less common. Tachycardia was frequently noted (62.2%)whereas only 3 patients developed pulmonary edema. Allpatients recovered well, and there was nil mortality.Conclusion:Prazosin had good outcome in all patients withscorpion sting. The study throws light on the common clinicalfeatures and complications of scorpion sting.
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Background:Cigarette smoking is one of the significant health hazards, and it contributes significantly to cardiovascular morbidity and mortality. Aim: To study the levels of serum fibrinogen among the smokers and to compare the concentration of fibrinogen in smokers. Methods: 150 cases admitted detailed clinical examination and history regarding smoking, alcohol, diabetes, hypertension, coronary heart disease, renal disease, any infection, surgery, and trauma are enquired. Serum fibrinogen was measured in all these 150 patients who are included in the study and the values interpreted. Results: The mean serum fibrinogen value in non-smokers is 318 mg%. The mean serum fibrinogen value in smokers is 489 mg. The smoker who has smoked less than 10 years have serum fibrinogen levels between 450 to 475 mg%. The persons who smoked >10 years have serum fibrinogen levels between 500 to 525 mg% with a statistical significance of 0.0001. Conclusion: Smoking potentially increases with smoking cessations. Increased fibrinogen level in the smokers is dose-dependent, that is directly associated with smoking duration and frequency.