West African journal of medicine
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Patients with right iliac fossa pain present a diagnostic challenge to emergency room doctors when equivocal signs are present. ⋯ The Alvarado score can be used as an objective criterion in selecting for admission patients with suspected diagnosis of acute appendicitis. Patients with scores of 4 and below do not require admission since they turn out not to have acute appendicitis.
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The aim of the study was to determine the types of crises in Sickle Cell Disease (SCD) patients seen at the Haematology Day Care Unit (HDCU) of the University College Hospital (UCH), Ibadan. ⋯ There were six types of crises seen in the sickle cell disease subjects namely vaso-occlusive, sequestration, infarctive, aplastic, haemolytic and bone pain crises. Vaso-occlusive crisis was the most common and haemolytic crises the least. Vaso-occlusive crisis was more common among young adults (20-29 year age group). The mortality rate was found to be 0.1%.
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To determine the incidence and causes of upper airway obstruction in the Post Anaesthesia Recovery Room (PARR) of the University of Nigeria Teaching Hospital, Enugu, from January 1990 to December 1994 ⋯ This study has shown that upper airway obstruction is a fairly common complication in the post-anesthesia recovery room and that laryngospasm is the most important aetiology.
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A case ofiatrogenic thermal injury in a newborn infant during resuscitation for perinatal asphyxia at a secondary health facility is described. The injury, with surface area coverage of about 4%, involved the lower limbs. This report highlights the poor newborn resuscitation skills of traditional medical practice.