Background: The current study aimed to assess the symptomatology, clinical features, and ultrasound findings in individuals with polycystic ovarian syndrome (PCOS). Methodology: A cross-sectional research was undertaken at the Department of Gynaecology at the Medical Teaching Institute, Hayatabad Medical Complex, Peshawar MTI, HMC between 1st January 2021 to 31 December 2022. Hundred patients of the reproductive age group presenting in Gynecology outpatient departments with signs of PCOS meeting the inclusion criteria were selected for the study. A thorough history and examination were conducted. Laboratory and ultrasound examinations supported the PCOS diagnosis. Results: A total of 109 patients with a mean age of 26.02 ± 8.66 years were assessed. 13 (11.93%) were overweight, and 44 (40.37%) were classified as obese. The mean BMI was 26.98 ± 7.24 kg/m2. 75 (68.8%) individuals reported having menstrual irregularities. Out of these, oligomenorrhea was reported in 56 (51.38%) and amenorrhoea was revealed in 19 (17.43%) patients. 80 (73.39%) reported having overgrowth of hair. Infertility was reported in 60 (55.05%) patients. Majority of the patients had high cholesterol, luteinizing hormone and testosterone. Conclusion: Obesity, hirsutism, and irregular periods were the most prevalent clinical manifestations of PCOS. Hormonal irregularities were quite common. Many PCOS patients can be identified by taking a thorough medical history and completing a thorough physical examination. Keywords: PCOS, diagnosis, obesity, amenorrhea, menorrhagia
Objective: To estimate the frequency of thrombocytopenia among patients with vivax-positive malaria. Study Design: Cross Sectional Study. Setting: Department of General Medicine Hayatabad Medical Complex Peshawar. Period: May 2022 to November 2022. Material & Methods: Total 140 cohort were observed in this study. Patients were taken as sample according to inclusion and exclusion criteria as per operational definition after the patients' written informed consent. Sociodemographic data was collected on a predesigned questionnaire. History such as febrile illnesses and blood dyscrasias and basic studies and peripheral blood smears were obtained. Results: The results of the study showed the sample has mean age 36 years with SD ± 3.72, of which 70% were men while 30% were women. Thrombocytopenia was observed in 68% of patients. Conclusion: In conclusion, the estimated frequency of thrombocytopenia in vivax malaria was found to be 68%.
INTRODUCTION: Ever since Covid 19 pandemic, a surge in complications of diabetes mellitus is observed. COVID induced ketoacidosis, hyperglycemia, thrombosis and mucormycosis are reported worldwide. CASE DESCRIPTION: We report an intriguing first presentation of a 29 year young male who presented to us with complaints of fever, body aches, altered taste sensation and shortness of breath. He was having tachypnea, dry mucous membranes and was in respiratory distress. He was diagnosed to have Covid 19 pneumonia. In addition to that, his baseline investigations showed high blood glucose and he turned out to be in state of diabetic ketoacidosis. He was managed in isolation unit and had successful recovery from Covid pneumonia and was discharged on tapering doses of steroids and basal bolus insulin regimen. Interestingly, follow up is suggestive of remission of diabetes mellitus. CONCLUSION: Due to symptomatic overlap point of care check in to blood sugars are highly warranted in Covid 19 affected patients.
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