Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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Acrochordons commonly develop from skin on the neck and axillar region, but may be found on any region of body. Although some predisposing factors have been implicated, the definite etiology has yet to be determined. We report the case of a 46-year female patient who presented with a large mass lesion on the inner aspect of the thigh. ⋯ The resulting defect was primarily closed. Ahistopathologic examination led to the diagnosis of an acrochordon with a size of 20 x 14 cm. To the best of our knowledge, this is the largest acrochordon lesion with the widest base reported in the literature.
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J Coll Physicians Surg Pak · Nov 2015
Diffusion-weighted MR Imaging and ADC Mapping in Differentiating Benign from Malignant Thyroid Nodules.
To determine the diagnostic accuracy of Diffusion-Weighted Imaging (DWI) and Apparent Diffusion Coefficient (ADC) mapping in differentiating benign from malignant thyroid nodules by taking histopathology as the gold standard. ⋯ DWI is a non-invasive diagnostic tool for characterization and differentiation between benign and malignant thyroid nodules. It not only decreases the burden of unnecessary surgeries when pre-operative FNAC and biopsy are inconclusive, but is also helpful in reaching a definite diagnosis when a nodule is not amendable to biopsy due to any reason.
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J Coll Physicians Surg Pak · Nov 2015
E. coli Resistance to Ciprofloxacin and Common Associated Factors.
To determine the frequency of E. coli resistance to ciprofloxacin and common factors leading to it among patients presenting with urinary tract infection. ⋯ Ciprofloxacin resistance rates of E.coli were high at over 39.8%. The risk factors that affected the ciprofloxacin resistance rates of E.coli were prior use of ciprofloxacin, recurrent UTI, previous catheterization and male gender. Ciprofloxacin should be prescribed cautiously in patients with these risk factors and urine culture and sensitivity test should be performed for optimal treatment.
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J Coll Physicians Surg Pak · Oct 2015
Factors Associated with Stress Among Parents of Children with Autism.
To determine the factors associated with stress among parents of children with autism. ⋯ The severity of child's impairment emerged as the most salient risk factor for parenting stress; however, it was concluded that parents' ability and confidence in their competence of parenting a child in challenging situations may reduce their stress.
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J Coll Physicians Surg Pak · Oct 2015
Case ReportsA Rare Haemoglobin Variant Identified as K Woolwich in a Pakistani Male.
Haemoglobin (Hb) K Woolwich is a rare Hb variant which was first described in a family from West Indies and its occurrence was later reported mainly in Black families from many African countries. We report a case of a young male who came for evaluation of anemia. ⋯ For further evaluation, Hb analysis by high performance liquid chromatography was subsequently performed and revealed Hb K Woolwich. This is a rare Hb variant recognized in Pakistani population for the first time through careful interpretation of the chromatographic behavior of the Hb.