Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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COVID-19 pandemic has exaggerated the role of steroids in the standard of care despite minimum direct evidence of their efficacy in COVID-19 patients and their well-known adverse effects. The literature abounds on the side effects of steroids affecting different organ systems of the body. ⋯ We, herein, briefly review the potential uses and the adverse effects of steroids on different organ systems of the body. Key Words: Steroids, COVID-19, Adverse effects.
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J Coll Physicians Surg Pak · Mar 2022
Observational StudyIncidental Detection of Inguinoscrotal Bladder Hernia with Associated Factors on 18F-fluorodeoxyglucose PET/CT Scans.
To evaluate the associated factors of inguinoscrotal bladder hernia (ISBH), which was detected on 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scans. ⋯ This study reiterated the impact of PV and the parameters representing abdominal fat distribution on ISBH development. PET/CT scan provided valuable information regarding both the hernia contents and the associated factors in which the higher PV had a significant association for the development of ISBH as well as lower SFV/VFV that was more prominent in ISH with bowel. Key Words: Inguinoscrotal bladder hernia, 18F FDG PET/CT scan, Subcutaneous fat, Prostate volume, Visceral fat.
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J Coll Physicians Surg Pak · Mar 2022
The Association of Elevated Serum Lipids with Occurrence and Severity of Diabetic Retinopathy in Type II Diabetics Presenting in a Tertiary Care Hospital.
A descriptive, cross-sectional study, was conducted in the Department of Internal Medicine and Ophthalmology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from May to November 2018. The aim was to ascertain the frequency of elevated serum lipids and diabetic retinopathy; and compare the serum lipid levels with severity of diabetic retinopathy among Type II diabetic patients. A total of 262 patients having Type II diabetes aged 35 to 65 years were included. ⋯ Several risk factors play a vital role in the development, morbidity, and progression of diabetic eye disease. Age and dyslipidemia are significant factors in the severe disease. Key Words: Diabetic retinopathy, Dyslipidemia, Hyperglycemia, High HbA1c, Maculopathy.
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J Coll Physicians Surg Pak · Mar 2022
Case ReportsFollicular Variant of Papillary Thyroid Carcinoma Presenting with Thoracic Vertebral Metastasis: A Rare Phenomenon.
Follicular variant of papillary thyroid carcinoma (FV-PTC) often follows nodal spread; and hematogenous spread is rare. A 77-year male presented to the Neurosurgery Outpatient Clinic with complaints and examination findings of spinal cord compression (SCC) by a mass at the 11th thoracic vertebra (T11). Subtotal mass excision, thoracic corpectomy with cage reconstruction, laminectomy, and posterior spinal stabilisation were performed. ⋯ Even four years after the total thyroidectomy, the neurological status of the patient was still stable and neither tumoral recurrence nor a new metastasis was detected. In the literature, the number of cases with FV-PTC presenting with SCC due to spinal metastasis is limited. Key Words: Thoracic vertebrae, Metastasis, Papillary thyroid carcinoma, Spinal cord compression.
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J Coll Physicians Surg Pak · Mar 2022
Randomized Controlled TrialCerebral Oximetry after Low Pressure versus Standard Pressure Pneumoperitoneum in Laparoscopic Nephrectomy.
To evaluate whether pneumoperitoneum pressure lower than the standard pressure would allow higher cerebral oxygen saturation (rSO2) during laparoscopic nephrectomy (LN). ⋯ Low insufflation pressure offered no advantages over standard pressure in terms of haemodynamics, arterial blood gases, cerebral oxygen saturation during LN, and CO2 insufflation did not change rSO2 levels. Key Words: Pneumoperitoneum, Spectroscopy, Oximetry, Nephrectomy, Surgery, Laparoscopic nephrectomy.