Niger J Clin Pract
-
Prognostic survival studies for heart-rate corrected QT interval in patients with chronic heart failure are few; although these patients are known to have a high risk of sudden cardiac death. This study was aimed at determining the mortality risk associated with prolonged QTc in Nigerians with heart failure. ⋯ QTc prolongation is a predictor of mortality in CHF and may be an important adjunct in risk stratification of patients with heart failure.
-
Patients with Nasopharyngeal Carcinoma (NPC) may present with neuro-ophthalmic symptoms including visual loss. Involvement of the cranial nerves have been found to impact significantly on the individual's 5 year survival rate, which makes an early diagnosis of this condition of great importance in the management of NPC. ⋯ Neuro-ophthalmic manifestations were commonly found among patients diagnosed as NPC at Ilorin. A high index of suspicion of NPC whenever a patient presents with neuro-ophthalmic signs and symptom is advocated.
-
Case Reports
Closed drainage of liver abscesses: the 'UNICAL' drain as an efficient and cost saving device in a tropical setting.
Liver abscesses occur in both the developed and developing countries. Up to the time of this study lever abscesses in our centre were drained with open laparotomy, because of the lack of standard equipment for percutaneous drainage. We present a preliminary report of six cases of liver abscesses drained percutaneously using the 'UNICAL' closed drainage system. ⋯ We conclude that the 'UNICAL' drain is an effective and cheap device for percutaneous drainage of liver abscess under ultrasound guidance in a'resource poor environment'.
-
Acute fatty liver of pregnancy is an uncommon, potentially fatal disorder that usually occurs in the third trimester of pregnancy or in the early post partum. We present here a 30-year-old Nigerian primigravida with acute fatty liver of pregnancy. She was successfully managed and discharged.
-
This study aims of determining the complications, outcome of hyphema treatment and recommend ways of enhancing good visual outcome. ⋯ Hyphema is a common complication of eye injuries. It is commonly associated with other eye injuries like vitreous haemorrhage and cataract. Common complications include secondary glaucoma, corneal siderosis and rebleeding. Visual outcome is dependent on time of presentation, severity and nature of complications. Visual outcome can be improved by early presentation and detection of complications and appropriate treatment.