A previously healthy 4-year-old female presented to the Emergency Department complaining of sudden-onset rightlower-quadrant abdominal pain that awoke her from sleep. The pain was constant, non-radiating and severe. She denied trauma, dysuria, hematuria, nausea, vomiting, diarrhea, constipation or hematochezia. Her vitals were HR: 92, RR: 16, BP: 116/76 and T: 37.0 °C. Physical exam revealed te...

Real-time prediction of clinical interventions remains a challenge within intensive care units (ICUs). This task is complicated by data sources that are noisy, sparse, heterogeneous and outcomes that are imbalanced. In this paper, we integrate data from all available ICU sources (vitals, labs, notes, demographics) and focus on learning rich representations of this data to predict onset and wean...

Background: Tobacco consumption as pan, bidi and cigarettes is an omnipresent problem. A recent increase in alcohol use is being observed in India. These may invariably lead to various health problems. Aim: To assess the association between tobacco and alcohol consumption on various diseases and risk factors for diseases caused by them. Methodology: 485 patients attending Karpagam Faculty of me...

74 VOLUME 48__JANUARY 17, 2011 A 12 year old male was brought to us with history of fatiguability, vomiting and loose stools for 6 hours. There was no history of fever, convulsion, and altered sensorium. The vitals were stable except some dehydration. Investigations revealed hemoglobin 10.8g/dL, TLC 16.6×103/mL, platelet 360×103/mL, blood sugar 299g/dL, blood urea 28g/ dL, S creatinine 0.9g/dL,...

Introduction. Acquired thrombotic thrombocytopenic purpura (TTP) has been associated with different autoimmune disorders. However, its association with pernicious anemia is rarely reported. Case Report. A 46-year-old male presented with blood in sputum and urine for one day. The vitals were stable. The physical examination was significant for icterus. Lab tests' results revealed leukocytosis, m...

Few data warehousing systems provide a complete and continuous history of trauma patients from the outset of prehospital care to the point of hospital discharge. Typical prehospital database systems are limited to data recorded by emergency personnel during patient transport and contain a minimal number of data points. This incomplete information provides a snapshot of patient status during the...

Madam, An 18-day-old female neonate, otherwise healthy, presented with incessant cry for 2 days, increased during feeding. Baby was born out of nonconsanguineous marriage. It was an institutional normal vaginal delivery, at term. The antenatal and postnatal period was uneventful. The baby was exclusively breastfed. On examination bilateral tender firm swellings were found in both parotid region...

INTRODUCTION A 52-year-old male presented to the emergency department with chest pain, shortness of breath and hemoptysis that had been worsening over the past two days. Past medical history included a history of non-small cell lung carcinoma, which he had completed radiation therapy approximately four months prior and was currently undergoing chemotherapy. Significant vitals upon presentation ...

47 year old male with history of alcoholic liver cirrhosis came in with severe bilateral lower extremity pain and new onset acute bilateral limb ischemia. Vitals at admission were stable and physical examination showed clear cut cool bilateral lower extremities below both ankle joints with all the 10 toes being black suggesting gangrene. Bilateral dorsalis pedis and Posterior tibial pulses were...

BACKGROUND Surgery and anaesthesia cause shivering due to thermal dysregulation as a compensatory mechanism and is worsened by vasodilatation from spinal anaesthesia that redistributes core body heat. Due to paucity of data Mulago Hospital's post spinal shivering burden is unknown yet it causes discomfort and morbidity. METHODS Ethical approval was obtained to perform the study among consenti...