iosr-JDMS   Volume-18 ~ Issue-2 ~ February-2019

Abstract: Background Breast cancer is one of the commonest malignancies in women worldwide and the preoperative evaluation of breast lumps is an essential part of management of breast carcinoma. Diagnostic accuracy of FNAC is further increased with cell block preparations. In addition to its high diagnostic accuracy, FNAC offers advantages such as minimal invasiveness, less discomfort, cost effectiveness, and rapidity of result. Breast FNACs compare very well with histology for excision biopsies. Aim: To determine the diagnostic accuracy of FNAC in the evaluation of palpable breast lumps among rural population...........

Keywords: FNAC, Breast lumps, triple assessment, rural population

[1]. Das DK. Fine Needle aspiration Cytology: Its origin, development and present status with special reference to a developing country, India. Diagn Cytopathol. 2003; 28(6):345–351.
[2]. Yong WS, Chia KH, Poh WT, Wong CY. A comparison of trucut biopsy with fine needle aspiration cytology in the diagnosis of breast cancer. Singapore Med J. 1999;40(9):587–589. . [PubMed]

[3]. Rahman MZ, Islam S. Fine Needle Aspiration Cytology of Palpable Breast Lump: A Study of 1778 Cases. Surgery. S12:001. doi: 10.4172/2161-1076.S12-001. [PubMed]

[4]. Franzen S, Zajicek J. Aspiration biopsy in the diagnosis of palpable lesions of the breast: Critical review of 3479 consecutive biopsies. Acta Radiol Ther Phys Biol. 1968;7:241–262.

[5]. Wells CA, Ellis IO, Zakhour HD, Wilson AR. Editorial Working Party, Cytology Subgroup of the National Coordinating Commitee for Breast Cancer Screening Pathology. Guidelines for cytology procedures and reporting on fine needle aspirates of the breast. Cytopathol. 1994;5(5):316–334.

Abstract: The corpus luteum is a temporary hormone secreting remnant formed after rupture of a mature ovarian follicle to release an ovum. Sometimes it may fill with blood or other fluids forming a cyst and rupture in rare cases to cause haemoperitoneum which can be life threatening. We have discussed 2 cases of patients presenting with acute pain abdomen due to ruptured corpus luteum cyst leading to haemoperitoneum. CASE 1 : A 25year old nulligravida woman undergoing infertility workup at a private hospital came to ESI, gynae casuality with complaint of acute pain abdomen .Her UPT(Urine Pregnancy test) was negative and LMP(last menstrual period) 19 days back.It was misdiagnosed as acute PID(pelvic inflammatory disease)and kept for observation but after a few hours........

Keywords: Hemoperitoneum, corpus luteal cyst, UPT, PID,MVR

[1]. Coulier B, Malbecq S, Brinon PE, et al. MDCT diagnosis of ruptured tubal pregnancy with massive hemoperitoneum. EmergRadiol. 2008; 15(3):179–182.
[2]. A. Potter and C. Chandrasekhar, "US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients,"Radiographics.2008;28(6):1645– 59.
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[5]. A.Takeda,K.Sakai,T.Mitsui,andH.Nakamura,"Management ofrupturedcorpusluteumcystofpregnancyoccurringina15year-oldgirlbylaparoscopicsurgerywithintraoperativeautologous blood transfusion," Journal of Pediatric and Adolescent Gynecology.2007;20(2):97-100..

Abstract: Morbidity is defined as any departure from the state of well being. The demographic variables determine the prevalence and incidence of certain diseases. If a pattern can be established for the relationship between occurrence of certain diseases and the demography of the given area then long term plans for best utilization of available health resources can be formulated. We have conducted our study keeping this aim in our mind to collect and analyze the demographic profile of patients coming to orthopaedic OPD of IQ City Medical College, Durgapur. We collected the data pertaining to demographic profile (i.e. name, age, sex, caste, religion, education) and disease (type, traumatic / nontraumatic, duration of symptom,etc.)from 360 patients attending the orthopaedic OPD between July-August 2018. After analysing the data collected, we inferred that majority were male patients (52.2%).........

[1]. Park K.Textbook of preventive and social medicine.Bhanot Publisher.2015.
[2]. Ghosh S. and Arokiasamy P. Morbidity in India; Trends, Patterns and Differentials.Journal of Health Studies.2009;2:136-48.
[3]. Gani A, Bhat S, Gupta A.Pattern & Prevalence of Orthopaedic Outdoor Patients at a tertiary level care Hospital in Jammu, India. JK Science.2016;18(3):155-8.
[4]. Pratap B. et al.Morbidity profile of outdoor patients attending an urban health training center of South Andaman district, India.2016 ; 3(11):3184-7.
[5]. Kumar A, Dalai CK, Banerjee S. Distribution of illness of orthopaedic outpatient department in a tertiary care teaching hospital in West Bengal: a cross sectional study. Int J Res Med Sci.2018;6:206-9..

Abstract: Introduction: Lymph node lesions a common clinical problem often presents a diagnostic dilemma to the clinician.Fine needle aspiration cytology is valuable in solving the above problem. Common causes of neck lymphadenopathy are inflammation, reactive hyperplasia, lymphoproliferative disorder and metastatic disease. Material and methods:This study was a prospective cross sectional study over period of one year[January 2018-December 2018] conducted in the pathology department of J.K hospital attached to L.N. Medical college and Research center, Bhopal .A total of 100 patients referred from various departments were included in our study. Result: Female were more common than males.Most common age group was third decade,most common site was cervical lymph node and...........

Keywords: Lymphadenopathy, Metastatic, Tubercular,Neoplastic.

[1]. Svante.R.Orell, Sterrett G F, Walter M N,Whitaker D, Manual and atlas of fine needle aspiration Cytology. 4thedition. Churchill Livingstone , 2005. Lymph node: 64-94.
[2]. Russel RCG, William NS, Bulstrode CJK (2004). Bailey and Love's short practice of surgery. 24th ed. London: Arnold.
[3]. Chau et al :.Rapid access multidisciplinary lymph node diagnostic clinic: analysis of 550 patients. Published online 2003 Feb10. doi: 10.1038/sj.bjc.6600738PMCID: PMC2747551 [4]. Shamshad RK, Naran S, Lallu S, Fauck R. Diagnostic value of needle aspiration cytology in the assessment of palpable axillary lymph nodes. A study of 336 cases..Cytology Unit, Department of Laboratory Services, Wellington Hospital, School of Medicine, Wellington, New Zealand. 2000 Nov-Dec;44(6):960-6.

[5]. Rizwan A. Khan et al;;Children with significant cervical lymphadenopathy: clinicopathological analysis and role of fine-needle aspiration in Indian setup; J. Pediatr. (Rio J.) vol.84 no.5 Porto Alegre Sept./Oct. 2008
[6]. Hirachand S, Lakhey M, Akhter J, Thapa BEvaluation of fine needle aspiration cytology of lymph nodes in Kathmandu Medical College, Teaching hospital. l Kathmandu Univ Med J (KUMJ). 2009 Apr-Jun;7(26):139-42.

Abstract: Pterygium (Wing) is a pathological encroachment of bulbar conjunctiva on to the cornea. It is found in sunny, hot and dusty regions of the world, the incidence varies with the amount of exposure to these climatic conditions. Purpose: To find out the possible factors responsible for the occurrence of the pterygium and its clinical presentation Observations: The present study included 120 patients – 50 males and 70 females, 92 progressive and 28 atrophic types. In both sexes progressive type was more common in younger age group (below 40 years) and atrophic in older age group. The incidence of progressive pterygium was 84.28% in females as compared to 66% in males, the association being of significant nature (p<.02). By occupation, housewives were found commonest to be involved (84.28%) followed by farming (19.16%). There was higher incidence among illiterates (58.33%) as compared to..........

Keywords: Progressive pterygium; Atrophic pterygium; Visual acuity (VA).

[1]. Bahar I, Loya N,Kleinberger D, Avisar R. Effect of Pterygium surgery on corneal topography: A prospective study. Cornea 2009; 23: 113-7
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Abstract: Objectives 1. To study the imaging features of Focal hepatic lesions on Ultrasound, Computed Tomography and Magnetic Resonance Imaging(DWI sequence) in correlation with histopathology findings. 2. To characterize enhancement patterns of various hepatic lesions on Contrast enhanced triphasic Computed Tomography. 3. Correlation between type of arterial enhancement and histopatholgy. 4. To assess cut off value between benign and solid malignant lesions. 5. To assess cut off between infective and cystic malignant lesions.

Keywords: Contrast Enhanced Computed Tomography,Liver lesions, Magnetic Resonance Imaging, Ultrasound

[1]. Ravikumar H, Singh J, Kalyanpur A. Transient hepatic attenuation difference (THAD) - a case report. Ind J RadiolImag 2006 Jul; 16(4):441-4.
[2]. Shankar LK, Van den Abbeele A, Yap J, Benjamin R, Scheutze S, Fitzgerald TJ. Considerations for the use of imaging tools for phase II treatment trials in oncology. Clin Cancer Res. 2009 Mar; 15(6):1891–7.
[3]. Choi H, Charnsangavej C, Faria SC, et al. Correlation of computed tomography and positron emission tomography in patients with metastatic gastrointestinal stromal tumor treated at a single institution with imatinibmesylate: proposal of new computed tomography response criteria. J ClinOncol. 2007 May; 25(13):1753–9.
[4]. Tochetto SM, Rezai P, Rezvani M, et al. Does multidetector CT attenuation change in colon cancer liver metastases treated with 90Y help predict metabolic activity at FDG PET?.Radiology. 2010 Apr; 255(1):164–72.
[5]. Tochetto SM, Töre HG, Chalian H, Yaghmai V. Colorectal liver metastasis after 90Y radioembolization therapy: pilot study of change in MDCT attenuation as a surrogate marker for future FDG PET response. AJR Am J Roentgenol. 2012 May;198(5):1093-9.

Abstract: Methods: We reviewed consecutive patients with involuntary abnormal movements (IAMs) following a stroke who were included in the Madras Institute of Neurology, RGGGH, Stroke Registry and they were followed up for at least one year after the onset of the IAM. We determined the clinical features, topographical correlations and frequency of movement disorders associated with stroke. Results: Of 1500 patients with stroke 56 developed movement disorders up to one year after the stroke. Patients with chorea were older and the patients with dystonia were younger than the patients with other IAMs. In patients with isolated vascular lesions.........

Keywords:post stroke movement disorders, vascular cause for movement disorders

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Abstract: Dengue is the most rapidly spreading mosquito-borne viral disease in the world.1 Around 2.5 billion population is at risk of dengue infection worldwide, and its endemic zone comprises more than 100 countries of the world. It is caused by arbo viruses which belong to the Flaviviridae family. Dengue virus 1-4 are the known serotypes of the virus.2 The clinical presentation of dengue has a wide spectrum, ranging from mild clinical febrile illness to severe life-threatening conditions like dengue hemorrhagic fever and dengue shock syndrome. Recently, virological characteristics of dengue viruses have been changing, resulting in widespread neurological complications.3 Neurological manifestations of dengue infection can be grouped into 3 categories: (1) concerned with neurotropism leading...........

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[3]. Murthy JM. Neurological complication of dengue infection. Neurol India 2010;58:581
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Abstract: Varicose veins are a common encounter in a surgical out-patient department. The vivid range of presentations can leave the surgeon perplexed about the approach to be taken.Despite this, little epidemiological research has been carried out on venous disease, perhaps partly because of society's perception that venous disease is not a major problem and it is not normally a cause death. More recently however, efforts have been made conduct structural epidemiological studies to identify risk factors and to clarify the geographical variations suggested in the past by anecdotal the prevalence of varicose veins and presents evidence for an against the different theories of causation. The study emphasizes on a sample of the society presented to us, who were diagnosed with varicose veins and patterns with respect to their age, sex, social status, occupations, recurrence, and involvement of the limbs were assessed. The outcomes based on the time of presentations, improvement in the quality of life including conservative regimens were briefed. The ultimate aim of the study being to assure a life of normal quality.

[1]. Porter, J. M. and G. L. Moneta (1995). "Reporting standards in venous disease: an update. International Consensus Committee on Chronic Venous Disease." J VascSurg21(4): 635-645.
[2]. Vashist MG, Rajesh Godara, jyotsana Sen, SudershanPanwar. Management of varicose veins:Status of clinical examination and Colour Doppler in the present Indian scenario.The Internet Journal of Surgery ISSN:1528-8242
[3]. Beebe-Dimmer, J. L., J. R. Pfeifer, J. S. Engle and D. Schottenfeld 2005 "The epidemiology of chronic venous insufficiency and varicose veins." Ann Epidemiol : 175-184.
[4]. S Subramonia,TALees.The Treatment of Varicose Veins. The Annals of The Royal College of Surgeons of England 2007.
[5]. Chandler, J. G., Pichot, O., Sessa, C., Schuller-Petrovic, S., Osse, F. J. and Bergan, J. J(2000) Defining the role of extended saphenofemoral junction ligation: a prospective comparative study. J VascSurg32, 941-53..

Abstract: Introduction: Intertrochanteric femur fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to trivial trauma. Age of patient, osteoporosis, general health, associated co-morbidities are some of the key factors to be considered for the successful treatment of these fractures. Materials and Methods: In our institution, we have selected 24 cases of unstable intertrochanteric fractures for this prospective study. All cases enrolled were managed with the proximal femoral nail. These cases were studied from the mechanism of injury, classification, and treatment with the proximal femoral nail and their surgical and functional............

Key Words: Proximal femur, Intertrochanteric fractures, Subtrochantric fractures, Proximal femoral nail

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