Online ISSN: 2515-8260

Author : Badhan, Naresh Kumar, Rajesh K


Evaluation of efficacy of computed tomography in diagnosis of acute abdomen

Naresh Kumar, Rajesh K Badhan

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3419-3422

Background: Acute abdominal pain is among the three most common symptoms in patients
coming to emergency departments or being admitted to hospitals. Computed tomography is
more sensitive and accurate at detecting abnormalities than plain radiography because of
its cross sectional nature. Hence; the present study was undertaken for evaluating efficacy
of computed tomography in diagnosis of acute abdomen. Materials & methods: The
present study was conducted with the target of analysing the effectiveness of computed
tomography in diagnosis of acute abdomen. Continuous monitoring of the hemodynamic
vitals was done during the contrast injection procedure. Evaluation of 20 subjects was
done who were referred to our Department with clinical presentation of acute abdomen
were enrolled. US of the abdomen were done in all the patients. Clinical and demographic
details of all the patients were obtained. A predesigned Performa was made for compiling
the radio-imaging findings. The statistical analysis of the data was done using SPSS
version 11.0 for windows. Results: Sensitivity and specificity of CT in diagnosing
Mesenteric ischemia, Gut malrotation, gut perforation and gall bladder perforation was
100 percent each. In diagnosing appendicitis, sensitivity and specificity was 90 percent
each while in diagnosing pyelonephritis, sensitivity and specificity was 80 percent and 90
percent respectively. Conclusion: For establishing the diagnoses of acute abdominal pain
patients, MDCT is an effective imaging modality

Assessment of effectiveness of Doppler in Patients with Pregnancy Induced Hypertension

Naresh Kumar, Rajesh K Badhan

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 2687-2690

Background:Hypertensive disorder of pregnancy is a major cause of maternal and perinatal
morbidity and mortality in developing countries. The obstetrical use of Doppler sonography for
monitoring high-risk pregnancies is today an indispensable procedure. Hence; the present study
was conducted for assessing the effeteness of Doppler in Patients with Pregnancy Induced
Hypertension.Materials & methods: A total of 20 pregnant patients between 28 to 36 weeks of
pregnancy clinically diagnosed as PIH. Control group comprised of 20 patients with 28 to 36 weeks
with no clinically detectable hypertension. Inclusion criteria Comprised of patients with rise of
atleast 30 mm Hg and 15 mm of Hg in systolic and diastolic pressures respectively over the previous
known blood pressure, patients whose previous blood pressures were not known, the blood pressure
of atleast 140/90 mm of Hg were considered abnormal, singleton pregnancy, regular periods and
normotensive pregnant patients with gestational age between 28 to 36 weeks of gestation. Blood
pressure was recorded and ultrasound examination was done followed by Doppler. All the results
were recorded and analysed using SPSS software.Results: A total of 20 patients were included in
the study group and 20 subjects were enrolled in the control group. In the study group, normal S/D
ration was seen in 12 subjects while abnormal was seen in 8 subjects. Among the subjects with
abnormal S/D ratio, still birth and low birth weight were seen in 4 subjects and 3 subjects
respectively. Conclusion: Doppler velocimetry is useful in distinguishing the serious patients from
those where the approach can be a bit more conservative.