Introduction: Biochemical analysis or laboratory tests assist to determine what happening to the body internally. The aim of the present study was to access the biochemical features of type 2 diabetic patients in Kushtia district, Bangladesh. Materials and Methods: The cross-sectional study was conducted in type 2 diabetes mellitus patients who presented to the OPD in three referral diabetic centers in Kushtia district, Bangladesh from August 2016 to July 2017. A total of 282 patients were included in the study. The collected data were checked, entered and analyzed using the computer program Statistical Package for Social Sciences (SPSS) version 22. Results: Biochemical study showed that mean blood hemoglobin level was 12.49±1.47g/dl, mean fasting blood glucose level of the patients was 8.86±1.67mmol/L and blood glucose level two hours after breakfast was 13.94±2.88mmol/L. The study showed that the patient having abnormal level of triglyceride (66%) were higher than normal level (34%). Conclusion: The subjects had higher triglyceride and LDL values (65.6% and 28.7% respectively). These higher percentages with abnormal lipid profile are likely to be more prone to cardiovascular diseases. Medicine Today 2021 Vol.33(1): 75-79
The incidence of dengue has grown dramatically around the world in recent decades. The disease is now endemic in more than 100 countries. But whenever there is large dengue outbreak in any region around the world, many of these cases are misdiagnosed as other febrile illness and many a times it has mislead the surgeons of some acute or other surgical conditions. Thus it is of utmost importance for a medical professional to consider and exclude dengue fever as one of the differential diagnosis for a patient in an endemic zone or in an area with an epidemic outbreak of dengue fever and direct himself towards getting the right diagnosis and providing pompt treatment which is the key for the patient.
Acute appendicitis is the most common surgical emergency, with16% of the population undergoing appendectomy. Burst appendix is one of the complications of acute appendicitis and occurs 25% cases that is associated with increased morbidity and mortality and hence regarded as a surgical emergency.1 This study focuses on the pattern of presentation, risk factors, accuracy of clinical diagnosis, morbidity and mortality of patients managed for perforated appendicitis in DMCH. This observational study was carried out in the department of surgery, Dhaka Medical College Hospital, Dhaka, from January 2012 to December 2012.Total 200 cases of suspected burst appendicitis were included in this study. Among the 200 cases of suspected burst appendix patients, majority of the cases 48% were of 25 – 34 years age group. Most of the cases 71% were male and 29% were female. Higher income group of patients are less sufferer 8%, origin of pain from umbilicus 74.50% and from RIF 25.50%, nausea in 71.89%, vomiting in 64.05%, anorexia in 32.67%, fever in 50.32%, diarrhea in 5.22% and abdominal distension in 8.49% cases. Tenderness over RIF was present in 100%cases, rebound tenderness was present 80.39% cases, rigidity over RIF was 84.96% patients, Cough test was positive 54.90% cases, Diffuse abdominal tenderness in 87.58% cases, Abdominal distention in 13.07% cases and absent of bowel sound in 40.52% cases. Maximum number of patients reported after 3-4 days of onset of symptoms. Ultrasonogram shows normal findings in 55.56% and suggesting ruptured appendicitis in 44.44% cases. Operative findings of those patients, 33.33% cases presented with only burst appendix without local sequel and 35.29% cases present with generalized peritonitis, 13.73% cases present with localized peritonitis, 10.46% cases present with localized abscess, 5.23% cases present with periappendiceal fluid collection and extraluminal appendolith present in 1.96% cases. Burst appendix present a challenge to the clinicians because it can be delay in diagnosis, result in delay in operation and can be developed fatal complication. So we emphasize on careful history taking and physical examination in such cases can make the difference between life and death.
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