BACKGROUND AND OBJECTIVE: Cervical lymphadenopathy is the most common site of peripheral lymphadenopathy and is frequently encountered in otorhinolaryngology practice. Assessment and predicting its clinical behavior is not an easy task. Fine needle aspiration cytology (FNAC) is being routinely adopted as a special technique to diagnose the cause of lymphadenopathy. This study was undertaken to identify the clinic-demographic parameters in distribution of cases of cervical lymphadenopathy. FNAC was evaluated as a diagnostic tool by corroborating its results with histopathological examination of the excised lymph nodes. MATERIAL AND METHODS: This study was carried out at Hi-Tech Medical College and Hospital, Bhubaneswar, on 100 patients of cervical lymphadenopathy, over a period of two years. Along with detailed history, meticulous clinical examinations and investigations were performed. In all cases the diagnosis provided by FNAC and histopathology examination of the excised lymph node were correlated. RESULTS: Tuberculosis (45%) was the most common cause of cervical lymphadenopathy, followed by reactive (26%) and metastatic secondaries (21%) and lymphoma (8%). Maximum presentation was in 3 rd decade (22%) and bilateral involvement was seen in 20% cases. Posterior triangle was the most common site involved (45%). Overall diagnostic accuracy of FNAC was 92%. CONCLUSION: Most common cause of cervical lymphadenopathy are tuberculosis, reactive lymphadenitis and metastatic secondaries. FNAC is a cheap, quick, readily available and dependable diagnostic modality and can be used as a first line investigatory tool in outdoor departments.
Background: Ingestion of foreign bodies in to the gastrointestinal tract are not uncommon and incidence of airway intrusion and oesophageal obstruction by foreign body may increase the risk factor for morbidity and mortality. Material and Methodology: A retrospective study was done for 60 patients, admitted in the department of ENT of Hi-Tech medical college & Hospital, Bhubaneswar during 2014-15. Result and Observation: Children of 2-10 years age groups were reportedly more victimized (61%). The major incidences were attributed to coin ingestion (56%) followed by fish spine (25%), meat bone (11%) and safety pin (5%), other tablet cover. FB impaction was as high as 75% at cricopharnyx and 11% at oropharynx. The patients were managed without any surgical invasion. FBs were retrieved by Magill's forceps with laryngoscopy and flexible oesophagoscopy intervention. No morbidity and mortality was occurred.
Background: Stroke is a frequent cause of death and disability. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) and comparison between hemorrhagic and ischemic stroke in Eastern India.Methods: This is a retrospective study of sample size 367 CVA patients; among them, 218 were ischemic and 149 were hemorrhagic admitted to Department of General medicine and Neurology of the hospital.Results: Of the total 367 patients, there were 149 as hemorrhagic stroke patients and 218 patients as ischemic stroke patients. Ratio of hemorrhagic to ischemic stroke was 40.6: 59.4. Among patients in hemorrhagic patients male to female ratio was 1.6:1 and in ischemic stroke patients male to female ratio was 1.27:1. It was recorded that prevalence of ischemic stroke was higher than hemorrhagic type.Conclusions: The CVA was associated with blood pressure, cholesterol and use of tobacco as the common risk factor for ischemic stroke. It was recorded that ischemic stroke patients had reported frequently than hemorrhagic patients.
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