Background: Febrile thrombocytopenia is a usual condition caused by infections such as dengue, malaria, typhoid, septicimea and certain viral infections. The present study is aimed to study the aetiology of fever with thrombocytopenia and the clinical presentation in the patients admitted in Government General Hospital.Methods: This prospective observational study was done from August 2019 to September 2019 in Government General Hospital Nalgonda. A total of 100 cases male and female admitted with febrile thrombocytopenia were studied based on inclusion and exclusion criteria. All patients were done routine investigations and ELISA test for dengue done in susceptible patients. Patients below 12 years, pregnant women and patients with previous bleeding manifestations were excluded from the study. The study was carried out in all patients fulfilling the inclusion and exclusion criteria.Results: A total of 100 patients 60 females and 40 males presented during the study period. Most of the fevers with low platelet count were viral 30 (30%), dengue 25 (25%), typhoid 20(20%), malaria 15 (15%), hepatitis 10 (10%). The patients presented with fever 25 (25%), nausea 20 (20%), headache 20 (20%) abdominal ain 15 (15%), diarrhea 10 (10%), bleeding manifestations 5 (5%), myalgia 5 (5%).Conclusions: It was observed from the study that the viral infections were predominant cause for the fevers with thrombocytopenia followed by dengue, typhoid and malaria, furthur it was observed that apart from fever nausea and headache were predominant symptoms in patients presenting with febrile thrombocytopenia. Major complications were avoided by timely admission and proper care of the patients.
Background: Peripheral pancytopenia is not a disease by itself; rather it describes simultaneous presence of anemia, leucopenia and thrombocytopenia resulting from a number of disease processes. The aim of this study was carried out to investigate for and to identify the causes of pancytopenia, to nd out the frequency of different causes, to determine the incidence of pancytopenia in relation to sex and age and to compare our ndings with those of other similar studies from this part of the world. Methods: This Prospective Observational study was done from June 2021 to April 2022 in tertiary care hospital. A total of 100 cases male and female were studied based on inclusion and exclusion criteria. All patients were done routine investigations, like cbp, peripheral smear. furthur evaluated for the cause of pancytopenia by doing a biopsy. all patients above 5 years were enrolled in the study. The study was carried out in all patients fullling the inclusion and exclusion criteria. Results: In our study there was male preponderence with males 53 and females 47 in the ratio 1.12:1.there were more number of patients in the age group 41-60yrs[36];21-40yrs[28];5-20yrs[24];61-80yrs[12];the most common aetiology for pancytopenia was megaloblastic anaemia[53],infectious causes 12.out of infectious causes 4 were SLE,5 were HIV and 3 were dengue.the next in the order were aplastic anaemia 10,carcinomas 10,fanconi's anaemia 5,mds 5 and cld 5.organomegaly was observed in 25 patients with infectious causes and there was no organomegaly in 75 patients. Conclusions: we conclude from our study that pancytopenias should be evaluated furthur for etiology. the diagnosis of etiology of pancytopenia can be acheived by careful physical examination and doing blood investigations. in our study megaloblastic anaemia was the major factor causing pancytopenia.
Background: In recent years' cardiovascular disease is the leading cause of mortality and morbidity worldwide in both male and female is accepted. The urbanisation has made its impact on the rising incidence of MI in India. One should not overlook however that MI in rural areas has doubled as well. This study is aimed at studying the Dyslipidaemia and Body mass index as risk factors in MI in young in rural background. Subjects and Methods: This prospective observational study was done in General Medicine Department at SVS hospital during July 2007 to July 2009.Out of 100 patients admitted with MI 20 selected and studied based on inclusion and exclusion criteria. Results: The study showed patients with high LDL>100mg/dl and low HDL<35mg/dl were prone for MI than other individuals. Furthur it was shown that patients with BMI>30 had increased risk for MI than otherwise. It was also observed that female preponderance was more compared to males. Conclusion: The study shows that dyslipidaemia and abnormal BMI do contribute to MI in young in rural background.
Background: Snake bite is an occupational and rural hazard because India has always been a land of exotic snakes. Although full burden of human suffering attributable to snake bite remains obscure, hundreds of thousands of people are known to be envenomed and tens of thousands are killed or maimed by snakes every year. This study is aimed at studying the clinical manifestations in snake bite at government general hospital.Methods: This Prospective Observational study was done from March 2019 to August 2019 in Government General Hospital Nalgonda. A total of 60 cases male and female admitted with snake bite were studied based on inclusion and exclusion criteria. All patients were done routine investigations, ECG was done to rule out cardiac anomalies. Patients below 12 years, pregnant women and patients with previous heart ailments were excluded from the study. The study was carried out in all patients fulfilling the inclusion and exclusion criteria.Results: A total of 60 patients 35 females and 25 males presented during the study period. Most of the patients presented with pain at the site 40(66%), Nausea 30(50%), Swelling 25(42%), Paraesthesia 25(42%), Bleeding 15(25%), Ptosis 15(25%), Sweating 10(17%), Cellulitis 10(17%) and dyspnoea 5(9%). Among the ECG manifestations- Tachycardia- 30(50%), Ischaemia 5(9%), Sinus arrythmia 2(4%), Myocardial Infarction-0.Conclusions: It was Observed from the study that the pt. had more of Haemolytic presentation than neuroparalytic presentation. Pain at the site was the most common presentation followed by nausea. Some patients developed neuroparalytic symptoms like cellulitis, and paraesthesia. Further it was observed that timely shifting to the Hospital and administration of Anti-Snake venom prevented major manifestations in the patients.
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.