Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jun 2015
Case ReportsCarcinomatous Meningitis: A Rare Complication of Pancreatic Adenocarcinoma.
Carcinomatous Meningitis (CM) is a relatively uncommon metastatic complication of systemic solid tumors. The condition is mostly diagnosed by presence of malignant cells in the cerebrospinal fluid. The prognosis of the condition is generally poor. ⋯ We present a case of a 58-year old female patient operated for pancreatic head carcinoma. She made an immediate uneventful recovery after her pancreatico-duodenectomy. She presented 3 weeks post-surgery with acute confusional state and was diagnosed as a case of CM.
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J Coll Physicians Surg Pak · Jun 2015
Randomized Controlled TrialSerum Ischemia-Modified Albumin Levels in Experimental Model of Acute Pancreatitis.
To establish whether the Ischemia-Modified Albumin (IMA), a new parameter of oxidative stress, has diagnostic role in experimental acute pancreatitis. ⋯ The present study showed in a rodent model that serum IMA might serve as an additional marker to monitor inflammation during pancreatitis.
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J Coll Physicians Surg Pak · May 2015
Comparison of BISAP Score with Ranson's Score in Determining the Severity of Acute Pancreatitis.
To determine the accuracy of BISAP score in finding out the frequency of severity and mortality in patients with acute pancreatitis by comparing it with Ranson's score. ⋯ The newly proposed BISAP score is a simple and accurate tool for severity stratification and is equally effective in finding out frequency of severity and in turns mortality in patients with acute pancreatitis as Ranson's score.
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Retained surgical foreign objects (RFO) include surgical sponges, instruments, tools or devices that are left behind following a surgical procedure unintentionally. It can cause serious morbidity as well as even mortality. It is frequently misdiagnosed. ⋯ Although human errors cannot be completely prevented, medical training and consistency to rules seem to reduce the incidence to a minimum. It is a legal issue and potentially dangerous medical error. The definition, types, incidence, risk factors, complications and prevention strategies from RFOs are reviewed, from the comprehensive series until the year 2014.
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J Coll Physicians Surg Pak · May 2015
Profile of psychiatric patients presenting to a tertiary care emergency department of Karachi.
This study reviewed the presentations of psychiatric patients admitted through the Emergency Department (ED), The Aga Khan University Hospital, Karachi. Psychiatric patients admitted through the ED to the psychiatry ward were compared to those admitted through the same units other than the psychiatry ward, from 2006 to 2010 using medical records. Psychiatric patients were defined as those in whom psychiatry consult was generated and 1127 cases were included in study. ⋯ Depression was the most common diagnosis made in the ED (n=331, 29.3%) and at the time of discharge from the hospital (n=354, 29.5%). Psychiatric patients presenting to the ED had signs and symptoms which one generally disregards. However, these minor indicators can lead to major events in a patient's life.