Clinical Profile of Urolithiasis Patients at Radiodiagnosis Department of a Tertiary Care Hospital

Apte, Abhang; Dahiphale, Devidas; Dahiphale, Anjali Pawar

doi:10.9790/0853-1509142123

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…It has a high recurrence rate 1 with an increasing trend towards affecting the younger generation 2 . It is more common in males 3 . http://jmscr.igmpublication.org/home/ ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v8i1.53 Its incidence is increasing in both developed and developing countries due to changes in socioeconomic conditions.…”

Section: Introductionmentioning

confidence: 99%

Performance of Low Dose Non Enhanced Multidetector CT in Evaluation of Urinary Calculi

Ullal¹

2020

jmscr

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Nephrolithiasis is a chronic recurrent problem and it is increasing in incidence in younger generation, patients are getting exposed repetitively to CT (Computed tomography) radiation with its attendant radiation hazards .Hence CT dose reduction technique happens to be the need of the hour to reduce the dose burden to the patient .So it is necessary to tailor a new and finer protocol with reduced dose without compromising optimum image quality. Aims: To assess the efficiency of low dose MDCT (Multidetector Computed tomography) in detecting urinary calculus when compared to standard MDCT. Methods and Material: This is a prospective cross sectional study of 52 adult patients, carried on Multidetector 16 slice CT scanner-G E Bright speed elite over a period of 18 months from November 2016 to May 2018. All the patients who were advised CT urogram or CT KUB in whom urinary calculus was detected by MDCT-KUB (kidney, ureter and bladder) using an average tube potential of 120 kVp and tube current of 270-350 mAs with a slice thickness of 5mm were selected and these patients were resubjected to low dose CT at the level of urinary calculus by using 100 kVp and 100 mAs with a slice thickness of 5 mm and reconstructed at 1.25 mm. Results: The mean stone size in standard dose is 13.395 mm and in low dose is 13.361 mm with no significant difference. Mean CTDivol (Computed tomography dose index) in standard and low dose are respectively are 13.876 mGy and 2.796 mGy with average dose reduction by 79 .92 % in low dose. Conclusions: Low dose CT was found to be equally sensitive with equal positive predictive value in the detection and localisation of stones when compared to standard dose CT. At the same time low dose protocol helped to reduce patient radiation dose by an average of 79.92%. Since urolithiasis is a recurring disease and patients are frequently subjected to repeat CT examinations, the present low dose CT protocol will help to reduce cumulative radiation dose to the patient without compromising the sensitivity.

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Section: Introductionmentioning

confidence: 99%

Performance of Low Dose Non Enhanced Multidetector CT in Evaluation of Urinary Calculi

Ullal¹

2020

jmscr

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Clinical profile of patients suffering from urolithiasis

Gupta¹,

Goyal²

2019

FSRJ

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Urolithiasis is a multi-factorial disease involving genetic and environmental factors. The increased incidence of urolithiasis has been associated with variations in its epidemiology like age, gender, distribution of the disease and also type and location of the calculi. Present study describes clinical profile of patients suffering from urolithiasis and visiting urology department of Prince Bijoy Singh Memorial (PBM) Government Hospital, Bikaner (Rajasthan). Detailed history and physical examination was carried out with a pretested questionnaire, with respect to age, gender and location of the calculus. Out of 172 subjects studied, 55.23 per cent were males and 44.77 per cent were females belonging to the age of 20 to 40 years. In majority of male and female subjects the site of stone formation was kidney (48.26%), followed by ureter (34.30%), bladder (8.14%), multiple site (4.65%), pelvic-ureteric junction (2.91%), vesiculo-ureteric junction (1.16%) and urethra (0.58%). Irrespective of gender and age, 65.70 per cent of the subjects were having single stone and rest (34.30%) had multiple stone formations. Majority of the subjects (29.07%) complained for renal colic, nausea, vomiting and burning on urination. Few subjects (8.72% and 9.30%) also complained for hematuria and fever.

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A Cross Sectional Study of Chronic Liver Disease with Reference to Portal Hypertension and Endoscopic Finding at Down Town Hospital, Guwahati, Assam

Nayak¹,

Pradeep²

2021

jebmh

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BACKGROUND Cirrhosis is a progressive clinical condition associated with considerable mortality and morbidity. It leads to a wide spectrum of characteristic clinical manifestations, mainly attributable to hepatic insufficiency and portal hypertension.1 In cirrhosis, primary diagnostic test for evaluation of upper-gastro-intestinal bleeding (UGIB) is endoscopy.2 The present study attempts to find out different clinical patterns of the chronic liver disease (CLD) with portal hypertension along with the endoscopic profile of the patients. METHODS It was a cross sectional study conducted in Down Town Hospital, Guwahati, Assam. RESULTS A cross sectional study was conducted at Downtown Hospital, Guwahati, Assam on patients diagnosed with chronic liver disease from 01 January 2017 to 31 January 2018. Male predominance was observed in this study with 84 % males and 16 % females. Male to female ratio was 5.25 : 1. Maximum patients (58 %) were observed in the age group of 40 to 60 years followed by 30 % in the age group of 60 to 80 years. The average age was 53.6 years. Most common aetiological factor was alcohol (66 %) followed by non-alcoholic steatohepatitis (NASH) (16 %). Other aetiologies were hepatitis-B, hepatitis-C and cryptogenic. 88 % cases were recorded in model for end stage liver disease (MELD) score range of 10 to 29. Ascites was noted in 88 % cases, of which 20 % had grade-1 and grade-2, 48 % had grade-3. Splenomegaly was noted in 70 % cases. Child-Pugh class-C consisted of 26 % cases (13) with grade-III varices followed by 18 % cases (9) with grade-II varices while Child-Pugh Class-B had 24 % cases (12) and 8 % cases (4) with grade-III and grade-II varices respectively. Child-Pugh class-A had all the cases with grade-I varices. CONCLUSIONS Alcoholism was the leading cause for cirrhosis followed by hepatitis-B, hepatitis-C, NASH and cryptogenic. Class-C had maximum number of cases with grade-III varices followed by class-B. MELD score ranged between 10 - 29 in majority. Severe anaemia was noted in 10 % cases. Thrombocytopenia a non-invasive indicator of oesophageal varices was noted in 70 % with different grades of oesophageal varices. KEYWORDS Endoscopy, Portal Hypertension, Chronic Liver Disease

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Clinical Profile of Urolithiasis Patients at Radiodiagnosis Department of a Tertiary Care Hospital

Cited by 3 publications

References 5 publications

Performance of Low Dose Non Enhanced Multidetector CT in Evaluation of Urinary Calculi

Performance of Low Dose Non Enhanced Multidetector CT in Evaluation of Urinary Calculi

Clinical profile of patients suffering from urolithiasis

A Cross Sectional Study of Chronic Liver Disease with Reference to Portal Hypertension and Endoscopic Finding at Down Town Hospital, Guwahati, Assam

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