Psychological distress makes completion of cardiac rehabilitation difficult. Patients need to be assessed early in the intervention so that depression and anxiety can be identified and managed. Completion of the program is advantageous because it is associated with improvement in all measured variables.

Objectives: It’s very common that patients with psychiatric illness visit other specialties and in a survey it was found to hold a percentile of 15% to 30% of all primary care consultations. This study is designed to assess psychiatric patients who present in Clinic with ENT symptoms but result in no disease. Study Design: Cross-sectional study. Setting: ENT OPD of People Medical College, Nawabshah. Period: 1ST Jan 2019 to 31ST Jan 2019. Material & Methods: We selected a total sample of 320 patients who presented with ENT diseases where we excluded patients with organic diseases and studied those who didn’t show any clinical sign of organic diseases. The registered patients were evaluated by psychiatrist. Results: It was observed that out of 320 patients 180 patients were having psychiatric problem and those patients were advised to visit psychiatrist and take follow up on month end. Out 0f 180 patients 140 patients visited ENT OPD twice and 110 patients got relief in one visit. Conclusions: We found that conducting a cross-sectional survey using GHQ-12 helped us in detecting psychiatric patients presenting with unexplained diseases in ENT Clinics however to reach more accuracy in results, further tools can be utilized .We also believe doctors at all specialty clinics need to give more attention to their diagnosis and assist patients to open up to them and not to feel embarrassed.

Aim: The main objective of this study is to analyze and compare the pain level and complications of septoplasty with and without splints and packing. Methodology: Our study comprised of 100 patients who underwent septoplasty procedure both under general and local anesthesia. They were divided into two groups. One group of 50 patient had splints and packing while the other group of 50 patients had no splints and packing post operatively. Patients were chosen randomly. Children and elderly patients were excluded from the study. Printed proforma was used to compare the result in terms of pain scores and complications. Regular follow-up was done for average six months. The study was approved by ethical review board PUMHSW Nawabshah. Results: Pain scores were higher in patients with splints and packing both in post-operative period and at the time of removal of splints and packing. There was no significant difference regarding other post operative complications. Conclusion: It is concluded that pain and discomfort associated with nasal splints and packing does not justify their application in case of certain minor to moderate nasal septal defects undergoing surgery. However when septal surgery is extensive and associated turbinate and framework procedure are done, splints and packing become mandatory in our setup.

Aim: To evaluate functional outcomes of septoplasty with and without splints and packing. Methodology: This cross sectional study was done at ENT department PUMHSW Nawabshah Pakistan. In this study 100 patients were selected who underwent septoplasty procedure both under local and general anaesthesia. This sample size was divide into two groups, group 1 (n=50) had splints and packing while the other group 2 had not. This study was approved by ethical review committee PUMHSW Nawabshah. Written inform consent was taken from all participants. Written proforma was used to analyze functional results of septoplasty with and without splint and packing. Results: Out of 50 patients who were having nasal obstructions 3 (69%) were relieved in group 1 33(66%) were relived in cases of group 2. Headache were relieved in 20 out 30 patients (66%) and 20 out 27 (74%) in cases group1 and 2 respectively. Rhinorhea was relieved in 9 out of 18 patients (50%) in group 1 while 5 out 11 (48%) in group 2. Conclusion: There was no significant difference regarding post operative functional outcomes in both groups.