Saudi Med J
-
To report on the causes of admissions of diabetic patients to the medical unit of King Abdulaziz University Hospital, mortality and risk factors, associated with high mortality, and to find out possible ways to reduce admissions, cost and mortality. ⋯ Macrovascular complications and uncontrolled blood glucose were the most common causes of admissions. Control of hypertension, hyperlipidemia, cessation of smoking and weight reduction will not only decrease the risk of macrovascular complications, but also in addition to patient's education for tight blood glucose control, will decrease the rate, cost and mortality of diabetic admissions.
-
To determine the prevalence of sub clinical diabetic neuropathy in Saudi diabetics and the risk factors associated with symptomatic diabetic neuropathy. ⋯ Subclinical diabetic neuropathy is common. Early diagnosis is important for possible prevention of late neuropathic complications (foot ulcers and infections). Prolonged poorly controlled diabetes mellitus, old age and smoking are risk factors for symptomatic diabetic neuropathy. Meticulous blood glucose control is important for nerve function protection. Researches are urgently needed for satisfactory therapy.
-
To study fracture nasal bone at King Faisal Hospital University in Al-Khobar from various aspects, to present our experience and to compare the result with previous works. ⋯ This paper stresses the importance of early evaluation of fracture nose in order to avoid complications. The diagnosis is made mainly based on clinical judgement. Closed reduction technique under general anesthesia within 2-10 days post injury is the standard treatment if needed. Failure by closed technique can be managed by septorhinoplasty months later.
-
The aim of this study is to determine the mode of presentation, medical and surgical treatment in diabetic foot. ⋯ Diabetic foot sepsis is a common health problem presented in Saudi Arabia particularly among men, peripheral neuropathy, as well poor glycemic control are the most common precipitating factors. Foot infection is usually poly-microbial. Most of these patients required debridement, however 8 (23.5%) of them, ended up having major limb amputation.