Journal of Ayub Medical College, Abbottabad : JAMC
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Acute renal failure (urine output <0.5 ml/kg/hr.) following cardiopulmonary bypass is an uncommon but highly lethal complication which arises in the setting of inadequate cardiac function and may be associated with multi-organ failure. Acute renal failure (ARF) after cardiopulmonary bypass occurs in about 8% of adult cardiac surgical patients with some preoperative renal impairment and in about 3-4%, of patients with normal preoperative renal parameters. This study was conducted to determine the frequency of acute renal failure after cardiopulmonary bypass operations and to find possible risks factors. ⋯ Prevention of this disastrous complication appears to be better than treatment once it is fully established. However newer aggressive forms of early renal replacement/transplant therapies may have some promise.
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J Ayub Med Coll Abbottabad · Jul 2004
The role of white cell count and C-reactive protein in the diagnosis of acute appendicitis.
Despite recent advances in diagnostic medicine, the diagnosis of appendicitis is still doubtful in a number of cases. Majority of the clinicians rely on their clinical examination strengthened by the laboratory tests. This study was carried out to find out the specificity and sensitivity of white cell count (WCC) and C-Reactive Protein (CRP) in diagnosing appendicitis in patients presenting with right iliac fossa pain. ⋯ Both the inflammatory markers i.e. WCC and C-reactive protein can be helpful in the diagnosis, when measured together as this increases their positive predictive value.