Introduction: Rupture Gastric varices (GVs) can lead to catastrophic gastrointestinal bleeding, though it is much less in number than that of rupture oesophageal varices (OVs). Successful haemostasis of such bleeding is difficult specially in the back ground of non availability of appropriate drugs and instruments. Case Report: Introduction of intra-variceal injection of cyanoacrylate glue since 1980s has changed the scenario, it is cheaper and effective in controlling GVs related bleeding. A case of successful control of gastric variceal bleeding is reported.
An adult unconscious patient was brought to intensive care unit (ICU) with impalpable peripheral pulse, non-recordable blood pressure (BP), gross pallor, cyanosis, sweating and gasping respiration along with very rapid and feeble carotid pulse. It revealed ventricular tachycardia on monitor and was revived successfully by immediate direct current (DC) cardioversion along with other resuscitative measures. There was no contributory past history. Subsequent electrocardiogram (ECG) on sinus rhythm was diagnosed as Wolff-Parkinson-White (WPW) syndrome, the most prominent manifestation of preexcitation syndrome, in which the most common tachyarrhythmia is atrio-ventricular reciprocating tachycardia (AVRT). It is classified as orthodromic (more common) or antidromic (less common). Antidromic AVRT is difficult to distinguish from ventricular tachycardia on ECG. Atrial flutter and fibrillation are less common but potentially more serious because they can result in rapid ventricular response rates and, in rare instances, ventricular fibrillation. However, any sustained symptomatic tachyarrhythmia warrants urgent resuscitative electrical and pharmacological maneuver and interventions to restore life, regarding which the health care providers should always remain familiar and updated by Continuing Medical Education (CME). Key words: Wolff-Parkinson-White syndrome, tachyzrrhythmia, preexicitation syndrome. DOI: 10.3329/jafmc.v5i2.4585 JAFMC Bangladesh Vol.5(2) (December) 2009, pp.46-48
Bangladesh Journal of Medicine, Vol 24 No 1, 2013, Page 25-28 DOI: http://dx.doi.org/10.3329/bjmed.v24i1.15032
Introduction : Various diagnostic tools are used to confirm diagnosis of different types of malaria. Immunochromatographic test for Plasmodium falciparum (ICT malaria Pf) is one of them. Objective: Aim of this prospective study was to find out a rapid, effective and easy tool for the diagnosis of malaria for the hilly area of Bangladesh. Method: A prospective study was conducted at hilly area of Bangladesh over a period of 7 months. Clinically suspected 50 cases of malaria of both sexes of different age group were included in the study. Blood samples were collected and simultaneously microscopic examination of Leishman's stain film and ICT malaria Pf were done. Results were compared using standard method. Result: The mean age of the patients was 29.9±18 years and 49 were male. Among the 19 parasitaemic cases, 16 (84.2%) cases were Plasmodium falciparum positive, 02 (10.5%) cases were Plasmodium vivax positive and 01 (5.3%) was mixed infection. The degree of parasitaemia (malarial parasite count /cmm) ranges form 2000/cmm to 30,000/cmm with the mean 10,395±8,444/cmm. Among the 19 microscopically positive cases, 16 (84.2%) cases were ICT positive and 03 (15.8%) cases were ICT negative. The sensitivity of ICT for Pf in this study was 94.1% and the specificity of ICT for Pf was 100%. The positive predictive value (PPV) and negative predictive value (NPV) were 100% and 97.1% respectively Conclusion: The study revealed that the "ICT Malaria Pf has a very important role in the diagnosis of Plasmodium malaria. The sensitivity and specificity are approx 100% and very rapid in action. Key words: Falciparum malaria; Immunochromatographic test; Hilly area of Bangladesh DOI: http://dx.doi.org/10.3329/jafmc.v7i1.8624 JAFMC Bangladesh. Vol 7, No 1 (June) 2011; 31-33
Gastrointestinal bleeding is a common entity. Incidence of bleeding has comparatively increased though case fatality is static. Despite improved treatments and better understanding of the underlying pathophysiology of peptic ulcer disease the rising figures of GI bleeding reflect an increasing proportion of elderly population and nonsteroidal anti-inflammatory use. Overall, 5% of all cases of gastrointestinal bleeding fall under the category of Obscure gastrointestinal bleeding (OGIB) in the USA. Obscure gastrointestinal bleeding is defined as bleeding of unknown origin that persists or recurs after an initial negative endoscopic evaluation including colonoscopy and/or upper endoscopy. OGIB can be either Occult (no visible blood) or Overt (Passage of visible blood).Less common aetiologies of GI bleeding e.g. Cameron erosions, Dieulafoy's lesion, Watermelon stomach that are sometimes difficult to identify at endoscopy often present as OGIB. They need special techniques even thrombolytic therapy to precipitate bleeding for diagnostic angiography. Increased awareness of the existence of such conditions help in rapid and accurate identification of the lesion. Review of such cases will be the focus of this publication.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.