Old age is one of the vulnerable and prone stages in terms of health status. Nutrition is essential determining factor of elderly mass specifically over the age of 60 years. Geriatric nutrition has been always underreported, though everyone wants to make the senescence easy. Adequate nutrition is always important for better ageing. Physical activities are also in the same queue of building the ageing an easier process. Health conditions like hypertension, cholesterol, renal failure, joint problems and cardiac problems should be taken into consideration before starting any kind of physical activity. Therapeutic diets should be inculcated in any kind of bodily ailment. It is found that in India elderly are usually suffered from micro nutrient deficiency, which should also be given emphasis. Scarcity of awareness, prejudice, depression and loneliness are some of the factors behind the increased vulnerability of nutritional deficiency related ailments. Small interventions can make the ageing better.
Background: Penetrating injuries forms an important component of surgical emergencies. Penetrating trauma typically involves the violation of the body by a gunshot wound (GSW) or stab wound. Emergency laparotomy is the accepted management in patients with a penetrating injury who are not hemodynamically stable. However, selective non-operative management has been shown to decrease the rate of unnecessary surgery. Plain radiographs and FAST are useful for initial assessment of these patients. Multi detector CT is an indispensable tool in the evaluation of patients who are stable and are candidates for conservative treatment.Methods: A cross sectional observational study was carried out on 40 patients admitted with penetrating injury to the trauma centre of PGIMER and Dr RML hospital. Of the 40 patients, 14 were taken for emergency laparotomy. In 26 cases, MDCT was done to evaluate for solid organ, hollow organ and vascular injuries.Results: The mean age of patients was 38 years, with male to female ratio of 5:1. Stab injury was the commonest type of injury, followed by gunshot wounds. Liver was the commonest solid organ involved, followed by kidneys and spleen. Other organs involved were diaphragm, small bowel and colon.Conclusions: Penetrating injuries can be life-threatening, making prompt diagnosis essential. Recognizing key abnormalities on MDCT ensures patients are triaged appropriately. Multi-detector CT is thus widely used to evaluate penetrating injuries in stable patients.
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