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Patel, Rishi
- Splenomegaly - A Diagnostic Dilemma
Authors
1 Department of Medicine, Bharati Vidyapeeth Hospital and Research Centre, Pune, Maharashtra, IN
Source
The Indian Practitioner, Vol 73, No 10 (2020), Pagination: 29-32Abstract
Splenic marginal zone lymphoma is a rare form of malignant neoplasm, a subtype of Non-Hodgkin’s Lymphoma. It is usually present in middle age group with unexplained splenomegaly, abdominal pain, fatigue and weight loss. It is also known as Primary Splenic Lymphoma. Splenectomy is usually chosen as a mode for both diagnosis and treatment. Here we present a case of a 37 years old female with massive splenomegaly who was later diagnosed to have primary splenic lymphoma.Keywords
Splenomegaly, Primary splenic lymphoma, Non-Hodgkin’s Lymphoma.
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- Clinical Profile of Covid-19 Infected Patients Admitted in a Tertiary Care Hospital in Western India
Authors
1 Professor & HOD, Department of Medicine, Bharati Deemed to be University Medical College, Pune, IN
2 Professor, Department of Medicine, Bharati Deemed to be University Medical College, Pune, IN
Source
The Indian Practitioner, Vol 74, No 10 (2021), Pagination: 20-24Abstract
Aims: The novel corona virus originated in China and spread across all of Europe, United states of America before it held India in its grips. Patients presented with symptoms like fever, cough, myalgia and shortness of breath. The aim of this study was to describe the clinical profiles of Covid 19 positive cases admitted in Bharati Hospital and Medical college, Pune, a tertiary medical college hospital in Western India.
Material & Methods: A cross sectional observational study was done of 200 Covid19 positive patients. Detailed case history was taken of all the patients and investigations like laboratory tests, Chest Xray, CT scans were done and Real time reverse transcription polymerase chain reaction (RT-PCR) assay of 2019-nCoVRNA was done to confirm the diagnosis. The treatment and outcomes were recorded. All analysis were carried out using Metachart software.
Results: 200 Covid-19 positive patients admitted in Bharati Hospital and Medical college Pune were studied. Male patients constituted 70% of total patients and 95 patients were in the age group 18 to 39 years. 18.5% patients were asymptomatic. In those symptomatic, cough was the most common symptom (25.5%), dyspnoea in 15% with 14.5% having fever. Eighty-two patients (41%) had comorbidities in the form of hypertension, diabetes mellitus, chronic kidney disease, coronary artery dis-ease or bronchial asthma. All 200 patients had raised inflammatory markers. Forty-five patients had SpO2 less than 94% out of which 12 patients went into ARDS during the course of treatment and needed intensive care.105 patients (52.5%) patients had lymphopenia and thrombocytopenia was seen in 10% cases. 45 cases required oxygen support. There was a total of 9 complications and four patients succumbed to the illness during the course of our study.
Conclusion: Older patients with associated comorbid conditions had greater risk for lung injury thus requiring oxygen support and these patients also had more derangement in their laboratory markers. Lymphopenia was the predominant finding in Covid 19 patients in this study. Chest X-ray proved sufficient for diagnosis, reducing the requirement of CT scans.
Keywords
Corona, Covid-19, Lymphopenia in Covid-19, ARDS.References
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