Firearm injuries collected fro medico legal files ministry of Justice in Assiut

Firearm injuries collected fro medico legal files ministry of Justice in Assiut

Firearm injuries collected fro medico legal files ministry of Justice in Assiut

NULL

NULL

NULL

Background: Athough hypothyroidism has insidious onset and relatively asymptomatic, exertional dyspnea and fatigue can be the presenting complaints.Objectives: To assess functional lung impairment in hypothyroid patients both at rest and during exercise. Patients and methods: A case control study was carried out on 42 patients with newly diagnosed hypothyroidism and 12 control subjects. Hypothyroidism was diagnosed based on high value of thyroid stimulating hormone TSH≥ 6 uIU/ml, and low value of FT4≤ 0.8 ng/dl, both groups had chest x ray, spirometry, diffusing capacity for carbon monoxide DLCO, arterial blood gases(ABG) and symptom limited exercise testing using treadmill. Results: Both groups were comparable as regard age, sex and body mass index. Although ABG and spirometry were within normal in both groups, FVC%, and FEF25-75%were significantly reduced in hypothyroid group(P 0.014, 0.000 respectively), DLCO significantly reduced in hypothyroidism( P 0.005). As regard exercise testing parameters, maximum oxygen consumption VO2%, minute ventilation VE, tidal volume VT, and oxygen pulse VO2/HR were significantly reduced in hypothyroidism (0.005, 0.000, 0.000, and 0.02 respectively). TSH significantly negatively correlated with FEV1%, FEF25-75%, and DLCO while they significantly positively correlated with FT4 Conclusion: Even with presence of normal chest x ray , arterial blood gases, and spirometry in patients with hypothyroidism DLCO and exercise testing parameters can be significantly reduced.

Background: Athough hypothyroidism has insidious onset and relatively asymptomatic, exertional dyspnea and fatigue can be the presenting complaints.Objectives: To assess functional lung impairment in hypothyroid patients both at rest and during exercise. Patients and methods: A case control study was carried out on 42 patients with newly diagnosed hypothyroidism and 12 control subjects. Hypothyroidism was diagnosed based on high value of thyroid stimulating hormone TSH≥ 6 uIU/ml, and low value of FT4≤ 0.8 ng/dl, both groups had chest x ray, spirometry, diffusing capacity for carbon monoxide DLCO, arterial blood gases(ABG) and symptom limited exercise testing using treadmill. Results: Both groups were comparable as regard age, sex and body mass index. Although ABG and spirometry were within normal in both groups, FVC%, and FEF25-75%were significantly reduced in hypothyroid group(P 0.014, 0.000 respectively), DLCO significantly reduced in hypothyroidism( P 0.005). As regard exercise testing parameters, maximum oxygen consumption VO2%, minute ventilation VE, tidal volume VT, and oxygen pulse VO2/HR were significantly reduced in hypothyroidism (0.005, 0.000, 0.000, and 0.02 respectively). TSH significantly negatively correlated with FEV1%, FEF25-75%, and DLCO while they significantly positively correlated with FT4 Conclusion: Even with presence of normal chest x ray , arterial blood gases, and spirometry in patients with hypothyroidism DLCO and exercise testing parameters can be significantly reduced.

Background: Athough hypothyroidism has insidious onset and relatively asymptomatic, exertional dyspnea and fatigue can be the presenting complaints.Objectives: To assess functional lung impairment in hypothyroid patients both at rest and during exercise. Patients and methods: A case control study was carried out on 42 patients with newly diagnosed hypothyroidism and 12 control subjects. Hypothyroidism was diagnosed based on high value of thyroid stimulating hormone TSH≥ 6 uIU/ml, and low value of FT4≤ 0.8 ng/dl, both groups had chest x ray, spirometry, diffusing capacity for carbon monoxide DLCO, arterial blood gases(ABG) and symptom limited exercise testing using treadmill. Results: Both groups were comparable as regard age, sex and body mass index. Although ABG and spirometry were within normal in both groups, FVC%, and FEF25-75%were significantly reduced in hypothyroid group(P 0.014, 0.000 respectively), DLCO significantly reduced in hypothyroidism( P 0.005). As regard exercise testing parameters, maximum oxygen consumption VO2%, minute ventilation VE, tidal volume VT, and oxygen pulse VO2/HR were significantly reduced in hypothyroidism (0.005, 0.000, 0.000, and 0.02 respectively). TSH significantly negatively correlated with FEV1%, FEF25-75%, and DLCO while they significantly positively correlated with FT4 Conclusion: Even with presence of normal chest x ray , arterial blood gases, and spirometry in patients with hypothyroidism DLCO and exercise testing parameters can be significantly reduced.

Abstract: Purpose: To assess the efficacy of levator recession with adjustable sutures in treatment of upper eyelid retraction . Patients and methods: Patients with upper eyelid retraction were included in this prospective, non-randomized ,interventional case series study. All patients underwent correction of upper eyelid retraction with levator recession using adjustable sutures ,and were followed up every week for a month, then monthly for three months. In each visit, the margin reflex distance (MRD1) and palpebral fissure (PF) were measured. Results: The included patients of the present work were classified into 3 groups: Group A: lid retraction secondary to over correction of ptosis, group B: thyroid related lid retraction, and group C congenital lid retraction. Among the 17 patients that participated in the follow-up examination, mean age ± SD was 21.12 ± 13.73 years (range 7–52 years). Eight were males and nine were females. Mean ± SD (range) of central height of the palpebral fissure was 13.79 ± 1.37 mm (10–16 mm) preoperatively, and 11.04 mm(9–12 mm) at follow up. Mean ± SD (range) of MRD1 was 6.77±0.86 mm (5–8 mm) preoperatively, and 4.78 mm (4.5–5 mm) at follow-up. Conclusion Levator recession with adjustable sutures is effective technique in treatment of upper eyelid retraction of all degrees with different causes. However ,increase the number of cases with long term follow up are recommended.