Journal of Ayub Medical College, Abbottabad : JAMC
-
J Ayub Med Coll Abbottabad · Jan 2014
Use of computed tomographic pulmonary angiography for the diagnosis of pulmonary embolism; are we overdoing it?
Computed tomographic pulmonary angiography (CTPA) is a gold standard test for the diagnosis of pulmonary embolism (PE), but is reported to be over prescribed. We performed this study to determine over prescription of CTPAs at a District General Hospital (DGH) in the United Kingdom. Our secondary aim was to establish a cause of its over-prescription. ⋯ The CTPAs are being over prescribed and the main reasons behind it are poor utilization of probability scoring systems, D-dimer rule and lack of interpretation of alternative diagnosis on CXRs.
-
J Ayub Med Coll Abbottabad · Jan 2014
Randomized Controlled TrialComparison of the efficacy of single volar subcutaneous digital block and the dorsal two injections block.
Digital nerve blocks are commonly used as effective techniques of anaesthesia to allow a variety of surgical procedures performed on digits. This study was conducted to compare the efficacy of volar subcutaneous single injection block and the traditional dorsal two injections digital block. ⋯ Single injection volar subcutaneous digital block provides faster onset of anaesthesia, produces predictable, consistent dense anaesthesia of all of the fingers with the help of single injection prick.
-
J Ayub Med Coll Abbottabad · Jul 2013
ReviewUnintentional childhood poisoning, epidemiology and strategies for the prevention and policy change in Pakistan.
Poisoning is the fifth leading cause of unintentional injuries among young children. Agents most commonly ingested by young children include medicines, cleaning substances, hydrocarbons, pesticides and cosmetics. ⋯ Knowledge of parents and caregivers about prevention of poisoning may be the basis to prevent subsequent injuries. This paper is a review of the epidemiology of unintentional poisonings among young children (less than five years) and its risk factors especially in the context of Pakistan.
-
Low back pain with or without lower extremity pain is the most common problem among chronic pain disorders with significant economic, social, and health impact. This study was conducted to determine the frequency of lumbar disc herniation and its different levels, among patients with chronic backache. ⋯ Patients with chronic backache can have inter-vertebral lumbar disc prolapsed disease. Middle age group are more affected by lumbar disc disease especially at the lower lumbar regions.
-
J Ayub Med Coll Abbottabad · Jul 2013
Case ReportsPulmonary arteriovenous malformation (PAVM): rare cause of hemoptysis.
Pulmonary arterio-venous malformation is an abnormal communication between pulmonary arteries and pulmonary veins. These lesions are rare and are an important part of the differential diagnosis of common pulmonary problems such as hypoxemia and pulmonary nodules. ⋯ Pulmonary angiography revealed fistulous communication between right bronchial artery and right pulmonary vein. He was treated by lobectomy.