A review of role of lung ultrasound and clinical congestion score in acute left ventricular failure

Congestive cardiac failure (CCF) is a worldwide phenomenon and affects millions of people years and is accompanied with high mortality. The present review is undertaken to evaluate the usefulness of Lung Ultrasound Scan in diagnosis and to identify its role as a marker of clinical outcome in patients with Acute LVF. A review of literature was done to find the role of lung ultrasound and clinical congestion score in acute left ventricular failure from search engines such as PubMed, google scholar. Major exclusion criteria were the studies that included patients with Right Ventricular Failure, renal insufficiency, other respiratory causes of breathlessness like pneumonia, pulmonary embolism, pneumothorax and pleural effusion. This review concluded that lung ultrasonography is as a rapid, non-invasive, bedside tool for the diagnosis and risk assessment of pulmonary congestion in Acute LVF.

Clinical Profile And Outcome Of Acute Kidney Injury Related To Pregnancy In A Tertiary Care Centre In Southern Tamilnadu

Acute kidney injury is a threatening complication of pregnancy causing serious maternal and fetal morbidity and mortality,common in developing countries.METHODS:A observational study was done between January 2018 to November 2018 to report the incidence,clinical spectrum and maternal&fetal outcome in AKI.RESULTS:Total number of patients 40,Mean age–25.3± 4.3 yrs.The incidence of AKI in pregnancy was 6%.Incidence of AKI most common in Postpartum period(80%),causes of AKI was Sepsis(40%),HELLP(20%),Postpartum hemorrhage (20%),Auptio placenta (15%),Acute fatty liver of pregnancy (5%).Among them 80% of patients having preeclampsia as common risk factor.Live births was 80%.Among total pregnancy related AKIs 14 patients were managed conservatively and 26 needed dialysis. recovered patients were (N=38) 95%,and mortality was (N=2)5%.CONCLUSION:AKI in pregnancy commonly occurred in Postpartum period and Sepsis is the most common etiology

Clinical Profile And Outcome Of Paraquat Poisoning Induced Acute Kidney Injury

Paraquat poisoning is one of the causes of AKI, the mechanism of toxicity being the production of reactive oxygen species,thereby causing toxicity at the cellular level. The aim of this study is to determine the requirement of haemodialysis and the severity of toxicity, depending upon the amount ingested.It is found that in Paraquat poisoning, the intervention with pre–emptive haemodialysisis not useful in decreasing the mortality. Ingestion under the influence of alcohol has higher mortality.Amount of poison ingested has a great impact and is directly proportional to the mortality. Oral ulcers, hepatic involvement, ARDS and MODS all reflected grave prognosis ultimately leading to death. The overall mortality in the study is 51%.