In most of the patients with a Sprengel’s deformity, active abduction is limited, which was also seen in the present study. ,,, The severity of the condition has been classified by Cavendish into four clinical grades of increasing severity, from very slight malformation (grade I) to severe malformation (grade IV), depending on the size of the swelling and how far the scapula is raised [Table 1].  The presence of high scapula seen on X-ray confirms the diagnosis. Rigault radiographic classification used to grade the severity of the condition [Table 2].  Similar to the present study, the left side is usually more commonly affected than the right
Among the ankle bones talus and calcaneum are involved in 47% and 40% cases respectively. (3) Similar findings were reported in a study by the US Armed Forces Institute of Pathology (AFIP) in which 42 (13.04%) of 322 chondroblastomas diagnosed between 1985 and 1993 involved the foot. Out of these 17 (40.48% of chondroblastomas, or 5.28% of bone tumors) involved the calcaneus and 20 (47.62% of chondroblastomas, or 6.21% of bone tumors) involved the talus. (1) However the calcaneum involvement was only 6 (5.77%) out of 104 cases in one review by Bloem et al (4), and 0 out of 70 cases in another series by Turcotte et al (5). Chondroblastomas can be associated with aneurysmal bone cyst in 10-15% of cases.
Data regarding their medical condition, instrument played, length of time off the instrument following surgery and the time taken to return to full normal professional playing were recorded and analyzed. According to the data analysis only 0.8% of subjects were found to have trigger finger, total time off instruments was 2 weeks and total time until full playing was 5 weeks . A cross sectional study conducted by Danit Langer et al, at School of Occupational Therapy, Hadassah and Hebrew University, Jerusalem, Israel in 2016. The study reports that the incidence of trigger finger in general population is 2.6% and 10% in diabetes patients
Of the 79 patients studied, serum Amylase was found to be elevated (> 200 S.U) in 37 patients (46.95%), among them in three patients it was 800 S.U. One of them showed swollen pancreas on ultrasonography which was confirmed by Computerised Tomography. In other two patients, evidence of pancreatitis was not observed. There was no significant correlation between the nature of compounds (OP or carbamates), duration and severity of cholinergic syndrome and increase in serum Amylase. It has been concluded that mild elevation of serum Amylase is common in patients with OP poisoning, however acute pancreatitis is rare
After completion of study , results of 70 patients with bronchiectasis have been analysed. Clinical data for all patients was reviewed and following observations and results were documented. Descriptive statistics like mean, standard deviation[SD] and percentage[%] were used to express the data. 1. GENDER DISTRIBUTION : TABLE-1 DISTRIBUTION OF STUDY GROUP BY GENDER GENDER NUMBER OF PATIENTS PERCENTAGE Males 42 60% Females 28 40% The total number of patients involved in the study were 70.
An Unusual Case of Pyrazinamide Induced Erythema Multiforme in a Patient of Tuberculous Meningitis: A Case Report Dr. Haiya J. Sheth1, Dr. Aarti N. Shah2, Dr. Supriya D. Malhotra3, Dr. Pankaj R. Patel4, 1First year Pharmacology Resident; 2Ex. Assistant Professor, Department of Dermatology; 3Professor & Head, Department of Pharmacology; 4Professor of Orthopaedics, Dean; Smt. N.H.L. Municipal Medical College, V.S.General Hospital, Ellisbridge, Ahmedabad-380006, Gujarat, India Abstract: Erythema Multiforme (EM) is a skin condition having various aetiologies including drugs. Pyrazinamide, one of the 1st line Antitubercular drugs (AKT) is known to cause various adverse effects.
In our study the incidence of pneumothorax is16% (11 cases) none of which required placement of chest drainage tubes. The incidence of pneumothorax in studies performed by Lee and Sagel13 is 23-43%, Dennie et al 14 is 22.9%, Simpson RW et al15 is 32%, Poe RH et al16 is 27%, Allison DJ6 is 24%, Swischuk JL et al10 is 26.9%, Miller JA et al12 is 7% and Counes DJ 17 is 18%. The incidence of hemoptysis is 3% in our study which also correlates with Lee and Sagel13 and Simpson RW et al 15 studies where the incidence was < 5%. CONCLUSION CT guided FNAC is well recognized procedure with good efficacy for evaluation of pulmonary lesions with minimal risks of complications, most common being pneumothorax followed by
In a study by Vidya et al 2,280 cases of ACC in a total of 41 articles. Out of these cases 1,382 were reported in intraoral sites and 178 were specifically reported in the buccal mucosa. Based on the above findings, they concluded that among intraoral minor salivary gland ACCs, 12.9% occurred in the buccal mucosa. The overall percentage of buccal mucosal ACCs was 7.8%. According to the articles reviewed, 60.6% of all adenoid cystic carcinomas occur in an intraoral
Introduction Orbital cellulitis is frequently used to represent a broad spectrum of orbital infections. In 1970 Chandler created a classification system of the various stages of infection, based on severity, to separate this spectrum in five groups: I) pre-septal cellulitis (inflammatory edema); II) Orbital Cellulitis; III) Orbital Subperiosteal Abscess; IV) Orbital Abscess; V) Cavernous Sinus Thrombosis.1,2 The incidence of Orbital Abscess in pediatric population is 15% of the orbital infections, being acute sinusitis of the ethmoid-maxillary complex the most frequent cause of this complication.3 The most frequently isolated bacterial agents are Streptococcus (viridans,pyogenes and epidermidis), Staphylococcus (aureus and coagulase-negative)
Base on the information of above, the nursing care can be as such: daily weight, intake and output chart to observe any fluid retention, oliguria due to hypotension and diarrhea, decreased intravascular volume, and/or impaired cardiac function. Insert IA line for hemodynamic monitoring keep SBP> 90, insert CVP line for medication, watch temperature for fever, heart rate to keep < 120, spo2 keep > 95 in room air, Oxygen therapy necessary and neurological assessment for mental status, pain score, and fluid restriction to 1.5 liters including IV fluid to minimize the risk of pulmonary edema. Avoid IM injection during therapy. Daily blood test for full blood count, fluid & electrolyte, liver function test, renal panel and PT/PTT. Patients should