Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jun 2010
Case ReportsElectrolytes imbalance: a rare side effect of piperacillin/ tazobactam therapy.
Electrolytes imbalance has been reported with the use of several antimicrobials. We report a case of severe hypokalemia secondary to piperacillin/tazobactam in a patient with normal renal function and normal serum potassium level who had presented with a fractured neck of femur. The electrolytes abnormality was corrected once piperacillin/tazobactam was stopped. To our knowledge, this is the first case to describe an early severe hypokalemia induced by piperacillin/ tazobactam therapy in an otherwise healthy individual.
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J Coll Physicians Surg Pak · Dec 2009
Comparative StudyComparison of cephalometric norms of esthetically pleasing faces.
To establish cephalometric norms of a sample of aesthetically pleasing Pakistani faces and to analyze differences and similarities with accepted standards for Caucasians. ⋯ Comparisons revealed statistically significant differences in most variables between Pakistanis and Caucasians and between Pakistani males and females. Pakistanis have distinct cephalometric features, which should be used as a reference in treating Pakistani orthodontic and orthognathic surgery patients.
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Gender differences prevail in the infections caused by the Hepatitis B virus. Four hundred and seventy two patients with HBV infection were selected for the study. The frequency of hepatic infection in males was 79.5% (n=375) and in females 20.5% (n=97), with a male to female ratio of 3.8:1. ⋯ Male dominance was found to be consistent in all categories of patients. When the patients were divided into groups according to age, the male to female ratio increased during the reproductive years. There may be an influence of estrogen in the protection and defense of hepatic cells against the development of chronic liver disease.
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J Coll Physicians Surg Pak · Jul 2009
Comparative StudyComparison of oral versus injectable vitamin-D for the treatment of nutritional vitamin-D deficiency rickets.
To assess the safety and acceptability of a single dose of vitamin-D versus the efficacy of injectable Vitamin-D versus oral vitamin-D. ⋯ There were 50 confirmed cases of rickets in each group. The mean age was 10.9+5.1 months and 14.7+8.1 months in group A and B respectively. In these children, clinical features were weakness, difficulty in walking, frontal bossing, ribcage deformity and widening of wrist were seen. After one dose of vitamin-D (cholecalciferol), there was appreciable gain of weight and height and raised levels of alkaline phosphatase became normal during follow-up. Radiological florid rickets and non-florid rickets in both groups healed clinically during follow-up period. Oral and injectable forms of vitamin-D (cholecalciferol) were effective but injectable form was shown to be statistically significant. There were no undesirable side effects and both forms of treatment were well-tolerated.
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J Coll Physicians Surg Pak · Jun 2009
Pre-operative analgesia in the accident and emergency department.
To evaluate the adequacy of pre-operative analgesia and patient's satisfaction at the accident and emergency department, in terms of pain relief. ⋯ Pre-operative analgesia was underprescribed and pain was undertreated in accident and emergency department resulting in more than half patients being not satisfied.