ABSTRACT
Introduction: Preeclampsia is characterized by persistently elevated blood pressure of >140/90 mmHg, proteinuria, and edemaafter 20 weeks of gestation (ACOG, 2002). It is described as a transient but potentially dangerous complication of pregnancy.Those affected need rest and close monitoring or, in severe cases, admission in the hospital.Materials and Methods: In the present study, 90 pregnant women were studied. 30 women who had normal uncomplicatedpregnancies were matched for maternal age and gestational age with patients and were selected as a control group. Another60 women presented with clinical features of preeclampsia were selected as cases.Results: A total of 90 women in third trimester from Government Maternity Hospital participated in the present study, of which30 pregnant women with uncomplicated pregnancies included 60 pregnant women with preeclampsia.Conclusion: Preeclampsia a multisystemic syndrome characterized by hypertension, proteinuria, and edema that occurs after20 weeks of gestation and usually resolves soon after delivery. It is one of the most important complications of pregnancy thatis associated with increased maternal and fetal mortality
ABSTRACT
Introduction: Acute kidney injury (AKI) is characterized by a reversible decline in the glomerular filtration rate, leading toretention of nitrogenous waste products and an inability to maintain fluid and electrolyte homeostasis.Aim: This study aims to know the etiology, clinical features, and outcomes of AKI in tropics, AKI in special reference to malaria,and the factors influencing the outcome of the AKI.Materials and Methods: This is a retrospective clinical descriptive case study done between October 2009 and April 2012.150 patients of acute renal failure admitted to Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, were includedin the study.Results: A total number of 150 cases of ARF patients admitted to Mahatma Gandhi Memorial Hospital, Warangal, who met theinclusion criteria were studied.Of 150 patients, 102 were male and 48 were female, constituting 68% and 32%, respectively.Male-to-female ratio in this study is 2.125:1.Conclusion: ARF is potentially a reversible condition. Mean age of presentation 50.54 years.Fever present in 70% and oliguriain 64.7% of cases. 76% of ARF cases recovered completely, 8% of cases partially recovered, and 16% of cases were notimproved and dead.60.7% of cases were treated conservatively and 39.3%of cases required hemodialysis.
ABSTRACT
Defect in the ventricular septum with obstruction to right ventricular outflow tract encompass a wide anatomic, physiological & clinical spectrum. Large ventricular septal defects occur with pulmonary stenosis that varies from mild to severe to complete (pulmonary atresia). Very large VSD (size 6.4cm, in our case) with severe PS is a rare CHD & without surgical correction only 10% patients can survive beyond 20 year of age. With the help of noninvasive investigation (echocardiography) we can diagnose CHD very easily