Introduction The novel coronavirus disease 2019 (COVID-19) unquestionably changed the world and provided a fresh perspective on respiratory tract illness. However, coronavirus (COVID-19) cannot be viewed as a condition restricted to pneumonia of varying severity. Numerous reports have shown a variety of potential systemic symptoms, including liver issues. The pathogenesis of liver injury in COVID-19 individuals may include viral immunologic injury, drug-induced liver injury, the systemic inammatory response, hypoxia hepatitis, and worsening of pre-existing liver disease. We must distinguish between the onset of aberrant liver function, which can happen either at the time of diagnosis or while receiving treatment. Methods: 580 patients were admitted with COVID-19 between August 2020 -December 2020 in SUNSHINE HOSPITALS, SECUNDERABAD. A COVID-19 diagnosis was conrmed with a positive RT-PCR test.LFT was performed in all patients undergoing admission (DPD with sample blank,IFCC AMP method) in a standard laboratory. Results:In our observation only 34%(n=580) of patients had altered LFT in which majority are mixed type (51%), rest all were hepatocellular (39%) and cholestatic type (10%). Though mixed & hepatocellular pattern commonly seen in men, cholestatic pattern is signicantly seen in women(p<0.05), but there was no association found between BMI (p=0.10), other comorbidities and inammatory markers(P=0.10) in relation to altered LFT. Though 23% of the patients had altered LFT at the time of discharge, Majority (49%) got discharge with normalized LFT,but 28% of patients had worsening LFT with majority of them are in ICU. Most of the ICU admitted patients with altered LFT were elderly, obese with mixed type of altered LFT. 21 patients died in our series, but known of them had isolated liver injury. In covid patients all types of LFT changes were Conclusions: observed, most of the changes were resolved at the time of discharge. Persistent altered LFT was not a hindrance for the discharge. We could not notice isolated liver injury as causative factor for death in covid patients
<p class="abstract"><strong>Background:</strong> In era of increased air travel, airport security screening measures has been increased. A lot of anxiety to the patient, that may trigger an alarm at airport securities post-surgery. The purpose of this study is to find out experiences of patients after total hip arthroplasty (THA) passing through airport security. </p><p class="abstract"><strong>Methods:</strong> A retrospective case series of 269 THA patients in a single high-volume center from January 2016 to June 2018, who had passed through airport security and met inclusion criteria. Patient were contacted during their regular follow ups or via phone. The patients were asked for alarm trigger, perceived inconvenience, whether security officials asked to show documentation regarding prosthesis, and any extra screening procedures check measures.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 269 patients, 52 patients met inclusion criteria travelling by airplane. 27 patients reported alarm trigger. 7 patients had to undergo additional security check measures. 43% of the patients believed that having their THA increased the inconvenience while traveling. </p><p class="abstract"><strong>Conclusions:</strong> This study provides information to surgeons regarding airport travel post THA. Patients can be counselled regarding the inconvenience and to be prepared for delays in airport and to be prepared to present documentation of their prosthesis.</p>
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