Gingival Crevicular Blood in the Diagnosis of Blood Glucose Level

Introduction: The etiopathogenesis of diabetes mellitus ismulti-factorial & complex and appears to involve interactionsof various immunological, genetic and environmental factors1.The Diabetes mellitus is associated with increased bloodglucose level. It represent one of the major chronic healthproblem faced by the society today2. The aim of this study isto evaluate a quick, safe, noninvasive and painless method toscreen for diabetes during regular clinical examination usingself-monitoring glucometer.Material and Methods: 35 cases who were reported toPrimary health centre, sahdei buzurg for hematologicalexamination were selected for the study. Probing of gingivalsulcus was done using William’s WHO probe. Blood oozingfrom the sulcus was collected on the strip provided by theglucometer and blood glucose level was recorded. For control,finger prick capillary blood was collected and blood glucoselevel was analyzed. Statistical analysis was done usingPearson’s Correlation Coefficient.Result: The result revealed strong correlation betweengingival crevicular blood and peripheral capillary measuredblood glucose level.Conclusion: Gingival crevicular blood collected duringclinical examination may be an excellent painless source ofblood for glucometric analysis.

Clinical evaluation of non-thyroidal neck swellings

Introduction: This study was carried out to study the findings of fine needle aspiration cytology in non-thyroidal neck masses, to study histopathological findings and to determine the frequency of cervical node involvement in malignancy. Materials and methods: This case series was conducted in the Thanjavur Medical College Hospital, Thanjavur on in-patients as well as patients attending the out-patient’s department during the period from November 2017 to October 2018. All histology proven benign, malignant, congenital and inflammatory non-thyroidal neck swelling were included in the study. A thorough clinical examination was carried out and physical findings were recorded in details. The FNAC and histological findings were noted. A Performa was prepared to asses no-thyroidal neck swellings. Results: A total of 100 participants were included in the study Neck swellings especially with tuberculous adenitis and secondaries were more common among the lower socio-economic status. Tuberculous adenitis was the commonest non-thyroidal swellings found in the neck followed by secondary metastatic lymph nodes. Conclusion: FNAC is a simple non-invasive and easy to perform diagnostic method and biopsy is to be avoided until full investigation of the mass is completed.

Basic procedure of venepuncture in paediatric and adult patients: a review.

Venepuncture is the preferred method of blood sampling for term neonates and causes less pain than heel-pricks. The choice of site and procedure (venous site, finger-prick or heel-prick – also referred to as “capillary sampling” or “skin puncture”) depends on the volume of blood needed for the procedure and the type of laboratory test to be done. Venepuncture is the method of choice for blood sampling in term neonates; however, it requires an experienced and trained phlebotomist. If a trained phlebotomist is not available, the physician may need to draw the blood sample. The blood from a capillares is similar to an arterial blood in oxygen content, and is suitable for only a limited number of tests because of its higher likelihood of contamination with skin flora and smaller total volume.