Objective: To determine the frequency of intracerebral hemorrhage inhypertensive patients. Study design: Cross sectional study. Setting: This study was conductedat Medical department of Peoples Medical College & Hospital Nawabshah, from 01-01-2012 to31-12-2012. Material and methods: Admitted patient through emergency department withhistory of hypertension more than two years, meeting the inclusion criteria taken consent fromattendant. Patient was referred for C.T scan brain presence of hyperdense area was consideredas intracerebral hemorrhage. Inclusive criteria were age >20 years, either sex and patients withhistory of hypertension more than two year with any two or more sign and symptoms like suddenunconsciousness or with hemiplegia, hemiparesis, dysarthria. Aphasia, cranial nerve palsies.Exclusion criteria were age less than 20 years, normotensive patients with cerebral hemorrhageand patients with traumatic hemorrhage. Results: Among 281 patients that had stroke, therewere 147 males and 134 females with a sex ratio males: female 1:1. Mean age of patientsadmitted with intracerebral hemorrhage was 37.89 ± 7.33 years with an average age amongmales and females was same. Duration of hypertension was greater than 20-25 years in most ofthe patients nearly 63.7%. Patients with long duration of diabetes and hypertension presentedwith intracerebral hemorrhage. Nearly all the patients with intracerebral hemorrhage weresmokers 145, only 2 patients were non smokers and nearly all had long history of smoking. The127 patients who presented with intracerebral hemorrhage were obese. All risk factors werestatistically significant and were responsible for intracerebral hemorrhage. Conclusions:Hypertension is a risk factor for intra cerebral hemorrhage. An effort should be made to controlblood pressure and other modifiable risk factors to reduce incidence of intra cerebralhemorrhage and improve patient outcomes.
Objective: To assess the frequency of common presentations of the overthypothyroidism. Study design: Cross sectional study. Setting: This study was conducted at allOPD’s of peoples’ medical college hospital nawab shah, a tertiary care hospital, from 01-10-2012to 31-03-2013. Material and methods: This study was conducted at all OPDs of Peoples’medical college hospital Nawabshah, a tertiary care hospital, from 01-10-2012 to 31-03-2013.Patients visiting outpatient department (OPD) meeting the inclusion criteria were involved instudy. Inclusive criteria were diagnosed cases of overt hypothyroidism, age 18-60 years and bothgender. Exclusion criteria were age less than 18 years and more than 60 years and pregnantwomen. The collected data was entered and analyzed by using Statistical Package for SocialSciences (SPSS) software, Version 17. Results: Among 126 patients that had hypothyroidism,there were 46 males(36.5%) and 80 females(63.5%). Mean age of patients was 37.60 ± 7.54years. Most of the patients presented with symptoms of cold intolerance (62.7%) dry skin(61.9%), pedal edema (57.1%), weight gain(56.3%) while rest presented with hair loss (20.6%),bradycardia (29.4%) & delayed tendon reflexes (27.8%). Overt hypothyroidism was presented inonly 21 (16.7%) patients. Conclusions: The frequency of Hypothyroidism vary in different areas,and is affected by Socio-demographic, nutritional status, illiteracy level and personal self-care.
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