Frequency of hypertension in stroke patients presenting at Nishtar hospital Multan

Stroke is a frequent medical problem occurring in patients with hypertension and other risk factors. To find the frequency of hypertension as important risk factor in stroke patients presenting at Medical II unit of Nishtar Hospital, Multan from January 2008 to November 2008. Patients who clinically presented with features of stroke and then confirmed on CT scan were included in this study. Other underlying risk factors were diabetes mellitus, smoking, cardiovascular disease and dyslipidemia. Hypertension was found to be the most common risk factor in current study. Out of 100 cases, 56 [56%] were suffering from hypertension. Thirty six patients were male and twenty patients were female. Peak stroke prone age was 61-70 years in males and 51-60 years in females. Hypertension is the leading risk factor of stroke. It is, therefore, essential to detect and treat hypertension at its outset

Hospital acquired acute renal failure: a local perspective

Acute renal failure in hospitalized patient is fearful condition with its attendant high mortality and morbidity. This study looks into the dynamics of hospital acquired renal failure. Compare the overcome in patient with hospital acquired acute renal failure with that of community acquired acute renal failure. To look into clinical profile etiology and outcome of patient who develop hospital acquired acute renal failure. All patients admitted in hospital with normal serum creatinine <1.5 mg/dl who developed >1.5mg/dl after 24 hour of admission were included in the study termed as Hospital Acquired Acute Renal Failure [HAARF]. Patient who had ARF on admission were termed as community acquired acute renal failure [CAARF]. 310 consecutive patients with CAARF. 109 consecutive mortality and morbidity. Drugs [38%] and sepsis [35%] were the commonest reason of HAARF. Patients of HAARF were sicker needed more ICU care/ ventilation and prolonged hospital stay than CAARF. Mortality rate of HAARF was 51% compared to CAARF. HAARF a serious condition mostly results from sepsis nephrotoxic drugs and sensible use of drugs/prevention infection could decrease the incidence of HAARF