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  • 1
    Online Resource
    Online Resource
    Petrified Ears: Benchmark for a Systemic Disease
    Medknow ; 2018
    In:  Turkish Journal of Dermatology / Türk Dermatoloji Dergisi Vol. 12, No. 1 ( 2018-04-02), p. 54-55
    Details
    In: Turkish Journal of Dermatology / Türk Dermatoloji Dergisi, Medknow, Vol. 12, No. 1 ( 2018-04-02), p. 54-55
    Type of Medium: Online Resource
    ISSN: 1307-7635
    URL: Journal
    URL: Article
    DOI: 10.4274/tdd
    DOI: 10.4274/tdd.2801
    Language: Unknown
    Publisher: Medknow
    Publication Date: 2018
    detail.hit.zdb_id: 2455884-9
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  • 2
    Online Resource
    Online Resource
    SOLITARY THYROID NODULE : FREQUENCY OF MALIGNANCY AT COMBINED MILITARY HOSPITAL RAWALPINDI
    Independent Medical Trust ; 2010
    In:  The Professional Medical Journal Vol. 17, No. 04 ( 2010-12-10), p. 598-602
    Details
    In: The Professional Medical Journal, Independent Medical Trust, Vol. 17, No. 04 ( 2010-12-10), p. 598-602
    Abstract: Objectives: To determine frequency of malignancy in solitary thyroid nodule. Design: Case-series study. Place and Duration of Study: The study was conducted at Department of Surgery, Combined Military Hospital Rawalpindi, from April 2002 till April 2003. Patients and Methods: Sixty patients with clinical solitary thyroid nodule fulfilled the selection criteria and were included in the study. Thyroid function tests, ultrasonography and thyroid scanning was done. Finally FNAC and histopathology were done in all the operated cases and record was evaluated. Results: Out of 60 cases studied, 8 (13.33%) were found to have malignant lesions. The remaining 52 (86.67%) cases had benign pathology. Male patients with solitary thyroid nodule showed a higher incidence of malignancy 17.65% as compared to females 11.63%. Maximum malignant cases (50%) were found between the ages of 31 to 40 years. Papillary carcinoma was the most common malignancy (50%)found in our study. Conclusions: The incidence of malignancy in solitary thyroid nodule is quite high (13.33%). So people should be educated to attend thyroid clinics for early diagnosis and adequate treatment.
    Type of Medium: Online Resource
    ISSN: 2071-7733 , 1024-8919
    URL: Article
    DOI: 10.29309/TPMJ/2010.17.04.2978
    Language: Unknown
    Publisher: Independent Medical Trust
    Publication Date: 2010
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  • 3
    Online Resource
    Online Resource
    OSTEOPOROSIS WITHIN A COHORT OF POSTMENOPAUSAL PAKISTANI WOMEN USING DUAL X-RAY BONE DENSITOMETRY
    Khyber Medical University ; 2021
    In:  Khyber Medical University Journal Vol. 14, No. 4 ( 2021-12-31), p. 193-196
    Details
    In: Khyber Medical University Journal, Khyber Medical University, Vol. 14, No. 4 ( 2021-12-31), p. 193-196
    Abstract: OBJECTIVE: To explore the prevalence of osteopenia and osteoporosis within a cohort of Pakistani postmenopausal women with respect to the lumbar spine and hip. METHODS: This cross-sectional study was conducted at Shifa International Hospital Islamabad, Pakistan from September 2019 to Feb 2020. Study comprised of 237 postmenopausal females who visited the outpatient department of the hospital. The T-scores of Bone Mineral density (BMD) data was collected and arranged in three groups: normal, osteopenia and osteoporosis. Data was analyzed to explore the distribution of the data and correlation analyses using R software version 3.6.3. RESULTS:  Out of 237 females, majority were ranging in age from 61-70 years (n=110; 46.4%), followed by 51-60 years age group (n=60; 25.3%). Osteopenia was noted in 98 (41.4%) cases in lumber spine and hip area. Osteoporosis was found in 79 (33.3%) and 59 (24.9%) cases in lumber spine and hip region respectively. Mean T score was -1.775±-2.000 and median T score was -1.469 for lumber spine and hip. T-scores distribution of lumbar spine and hip indicated the highest proportion having a sore of -2 SD (n=60; 25.3% each), followed by -3 SD in 52 (21.9%) cases. Bone mass density was negatively correlated with age (p≤0.01). However, no significant difference was found among the BMD values of lumbar spine and hip region. CONCLUSION: Decreased bone density was a common occurrence affecting postmenopausal females and there is increase in degenerative bone loss with increasing age. Hip and lumbar spine region are equally affected by degenerative bone loss.
    Type of Medium: Online Resource
    ISSN: 2305-2651 , 2305-2643
    URL: Journal
    URL: Article
    DOI: 10.35845/kmuj
    DOI: 10.35845/kmuj.2021.21685
    Language: English
    Publisher: Khyber Medical University
    Publication Date: 2021
    detail.hit.zdb_id: 2708145-X
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  • 4
    Online Resource
    Online Resource
    DEFINING NORMAL REFERENCE RANGE FOR THE CROSS-SECTIONAL AREA OF THE MEDIAN NERVE AT THE WRIST AND FOREARM USING HIGH-RESOLUTION ULTRASONOGRAPHY IN ASYMPTOMATIC PAKISTANI ADULTS
    Ayub Medical College, Abbottabad Pakistan ; 2023
    In:  Journal of Ayub Medical College Abbottabad Vol. 35, No. 2 ( 2023-04-16)
    Details
    In: Journal of Ayub Medical College Abbottabad, Ayub Medical College, Abbottabad Pakistan, Vol. 35, No. 2 ( 2023-04-16)
    Abstract: Background: Carpal tunnel syndrome (CTS) can be diagnosed easily on ultrasonography (USG); which is a cheap, non-invasive and readily available modality. However, there is wide normal variation in the normal values of cross-sectional area (CSA) of median nerve among different populations; therefore, its necessary to establish a normal range of variability in median nerve dimensions in different populations. Method: A total of 500 asymptomatic patients i.e., 1000 median nerves were evaluated at the distal wrist crease and mid-forearm by 3 expert radiologists independently. All patients having a positive nerve conduction study or history of carpal tunnel syndrome and wrist trauma were excluded. Ultrasound was performed with a 7.5–15 MHz high-frequency linear probe. SPSS v 20 was used to analyze data. Results: the study population had a mean age of 31.40±10.11 years with a female-to-male ratio of 1.36:1. Mean BMI was 22.15±4.34 Kg/m2. The mean cross-section area of the median nerve at the right wrist was calculated to be 6.8±1.96 mm2 and the left wrist was 6.6±1.96 mm2. The mean median nerve cross-section area at the right mid-forearm was 5.3±1.46 mm2 and the left mid-forearm was 5.2±1.50 mm2. A decrease in mean median nerve cross-section areas was noted by moving from wrist to forearm. Similarly, males showed higher median nerve CSA than females. Conclusion: Mean median nerve cross-section area was found to be different from Western countries. This warrants the utilization of the data of the Pakistani population to establish our own normal reference range for median nerve cross-sectional area to avoid misdiagnoses.
    Type of Medium: Online Resource
    ISSN: 1819-2718 , 1025-9589
    URL: Article
    DOI: 10.55519/JAMC-02-11504
    Language: Unknown
    Publisher: Ayub Medical College, Abbottabad Pakistan
    Publication Date: 2023
    detail.hit.zdb_id: 2143079-2
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  • 5
    Online Resource
    Online Resource
    UNUSUAL PRESENTATION OF REACTIVE ARTHRITIS AFTER SALMONELLA ENTERITIS IN A 6-YEAR-OLD BOY
    Postgraduate Medical Institute, Lahore General Hospital ; 2021
    In:  Pakistan Postgraduate Medical Journal Vol. 32, No. 01 ( 2021-11-19), p. 48-51
    Details
    In: Pakistan Postgraduate Medical Journal, Postgraduate Medical Institute, Lahore General Hospital, Vol. 32, No. 01 ( 2021-11-19), p. 48-51
    Abstract: ABSTRACT: Reactive arthritis, formerly called Reiter’s syndrome is extra-articular oligoarthropathy, which can be due to bacterial infection or genetic predisposition. The infections are either urogenital (chlamydia being most notorious) or gastrointestinal (e.g. salmonella, yersinia, etc.). The human leukocyte antigen (HLA-B27) antigen has been implicated as the most common predisposing factor. Reactive arthritis often involves the joints of the lower limb. Bacterial enteric infections are a potential threat in a Pediatric population that can be due to an acute illness or its sequelae. Reactive arthritis following outbreaks of enteric infections with Salmonella is uncommon in the pediatric population. We report a rare case of a 6 years old boy who came to ER with high-grade fever and severe pain in the right iliac fossa. Clinical diagnosis of appendicitis was made by the physicians on physical exam but after radio-pathological investigation like CBC, ESR, CRP, Blood culture, USG abdomen, CT abdomen, and MRI, diagnosis of reactive arthritis secondary to salmonella enteritis was made and the patient underwent right hip arthrotomy after which he was discharged. Thus, imaging played a pivotal role in the right diagnosis of a patient with proper management guidelines. This also showed that salmonella enteritis can present atypically mimicking septic arthritis or acute appendicitis. Reactive arthritis after salmonella infection is a very rare and one of its kind case reported in Pakistan.
    Type of Medium: Online Resource
    ISSN: 2710-1924 , 2079-5858
    URL: Issue
    URL: Article
    DOI: 10.51642/ppmj.v32i01
    DOI: 10.51642/ppmj.v32i01.407
    Language: Unknown
    Publisher: Postgraduate Medical Institute, Lahore General Hospital
    Publication Date: 2021
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