‫ــــــ‬ ‫ــــــــــــــــ‬ ‫ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬The goal of this study To assess if high frequency ultrasound correlates with modified Rodnan skin score and inflammatory markers and if it can differentiate between Systemic sclerosis and healthy individuals and if HFU can detect subclinical skin thickening. We recruited 30 consecutive patients with SSc and 40 controls in this case control study. Skin thickness was

The goal of this study is to investigate the potential benefits of diffusion weighted echo planer (DWI-EPI) and ultrasonography in differentiation of benign and malignant thyroid nodules in patients referred for fine needle aspiration cytology and correlate the imaging pattern guided by TIRADS classification with their pathological nature.30 patients were included in this study ( 20 females and 10 males), their ages vary from (24 years to 75 years ). All patients were referred from outpatient clinic of Beni-Suef university hospital, starting from 8-2019 to 3-2020. In our study there were 20 patients found with benign nodules and 10 with malignant nodules, apparent diffusion coefficient (ADC) value was calculated for both benign and malignant nodules, there was statistically significant lower ADC value in malignant thyroid nodules (0.7±0.1) compared to benign nodules (2.5±0.9) (P-value<0.001),also there was statistically significant association TIRADS 4 and 5 detected by U.S with malignant thyroid nodules proved by biopsy (P-value<0.001).

Percutaneous dilatational tracheostomy (PDT) is routinely performed by bronchoscopy guided technique in the intensive care unit. Recently, ultrasound has become a potentially useful tool for PDT to reduce procedure-related complications. The aim of this study is to evaluate the safety and the efficacy of real time ultrasound guided PDT compared to bronchoscopy-guided PDT in critically ill patients. Methods: Randomized controlled trial, done from March 2017 to March 2019 .30 patients were eligible;15 were assigned to bronchoscopy guided PDT and the other 15 were assigned to ultrasound (us) guided PDT. Conclusion: Ultrasound guided PDT can be used to decrease complications during the procedure with comparable results with bronchoscope.

Purpose: Intensive care unit acquired weakness (ICUAW) has a negative impact on functional outcome and mortality. We aim to determine the incidence of ICUAW in septic ICU patients and to explore its significant correlations with clinical and laboratory findings. Patients and Methods: We included forty ICU patients diagnosed with sepsis on admission or within 48 hours later. Twenty-five ICU patients with no sepsis were included as a control group. All study populations were evaluated using clinical muscle assessment (medical research council, MRC)and muscle ultrasound at two-time points, the first was between days 2 and 5, and the second was between days 10 and 15. Laboratory workup included complete blood count, coagulation profile, arterial blood gases, liver, and kidney function tests. Results: There was a gradual declining neuromuscular function in all study populations and more significant in septic patients' group.The incidence of ICUAW was 60% (by MRC score <48) and 100% (by abnormal muscle ultrasound) at second evaluation point of septic patients. SOFA score, blood haemoglobin level, total leucocytic count and creatinine had significant correlations with neuromuscular dysfunction.

The goal of this study to detect prevalence of different causes of persistent cervical lymphadenopathy in Beni-Suef localities. This study had been conducted at Otorhinolaryngology department and radiology department, Beni-Suef University Hospital on 100 patients suffering from cervical lymphadenopathy not responding to medical treatment for 1month or progressively increasing size of lymph node within 2 weeks in spite of medical treatment. The patients (of 1-78 years old) have done ultrasound guided tru-cut needle biopsy (89% of cases) and surgical excisional biopsy (11%). The results were 55% malignancy, 28% reactive cause, 8% TB, 3% granuloma and 6% other causes as SLE and pleomorphic adenoma.