Showing papers by "Chittagong Medical College Hospital published in 2009"

The spectrum of retinopathy in adults with Plasmodium falciparum malaria.

Abstract: A specific retinopathy has been described in African children with cerebral malaria, but in adults this has not been extensively studied. Since the structure and function of the retinal vasculature greatly resembles the cerebral vasculature, study of retinal changes can reveal insights into the pathophysiology of cerebral malaria. A detailed observational study of malarial retinopathy in Bangladeshi adults was performed using high-definition portable retinal photography. Retinopathy was present in 17/27 adults (63%) with severe malaria and 14/20 adults (70%) with cerebral malaria. Moderate or severe retinopathy was more frequent in cerebral malaria (11/20, 55%) than in uncomplicated malaria (3/15, 20%; P = 0.039), bacterial sepsis (0/5, 0%; P = 0.038) or healthy controls (0/18, 0%; P < 0.001). The spectrum of malarial retinopathy was similar to that previously described in African children, but no vessel discolouration was observed. The severity of retinal whitening correlated with admission venous plasma lactate (P = 0.046), suggesting that retinal ischaemia represents systemic ischaemia. In conclusion, retinal changes related to microvascular obstruction were common in adults with severe falciparum malaria and correlated with disease severity and coma, suggesting that a compromised microcirculation has important pathophysiological significance in severe and cerebral malaria. Portable retinal photography has potential as a valuable tool to study malarial retinopathy.

The eye in cerebral malaria: what can it teach us?

Abstract: The pathophysiology of coma in cerebral malaria (CM) is not well understood Obstruction of microcirculatory flow is thought to play a central role, but other hypotheses include roles for parasite- and host-derived factors such as immune mediators, and for increased blood–brain barrier permeability leading to raised intracranial pressure The retinal vasculature is a direct extension of the cerebral vasculature It is the only vascular bed easily accessible for visualisation and provides a unique opportunity to observe vascular pathology and its effect on neurological tissue A specific retinopathy has been well described in African children with CM and its severity correlates with outcome This retinopathy has been less well described in adults The central mechanism causing malarial retinopathy appears to be microvascular obstruction, which has been demonstrated in affected retinas by fluorescein angiography The presence in a central nervous system tissue of microvascular obstruction strongly supports the hypothesis that the sequestration of erythrocytes in small blood vessels and consequent obstruction of microcirculatory flow is an important mechanism causing coma and death in CM Despite advances in the antimalarial treatment of severe malaria, its mortality remains approximately 15–20% Adjunctive treatment targeting sequestration is a promising strategy to further lower mortality

Experience in managing severe malnutrition in a government tertiary treatment facility in Bangladesh.

Abstract: Children with severe acute malnutrition, defined as weight-for-height 70% of the reference median, and (b) the mother or caretaker has received specific training on appropriate feeding and was motivated to follow the advice given. Of all the admitted children, 7.6% of parents insisted for discharging their children early due to other urgent commitments while 11.7% simply left with their children against medical advice. Of the 138 remaining children, 88% successfully graduated from the Nutrition Unit with a mean weight gain of 10.6 g/kg per day (non-oedematous children) and loss of −1.9 g/kg per day (oedematous children), 86% graduated in less than three weeks, and the case-fatality rate was 10.8%. The Nutrition Unit of CMCH also functions as a training centre, and 197 health functionaries (82 medical students, 103 medical interns, and 12 nurses) received hands-on training on management of severe malnutrition. The average cost of overall treatment was US$ 14.6 per child or approximately US$ 1 per child-day (excluding staff-cost). Food and medicines accounted for 42% and 58% of the total cost respectively. This study demonstrated the potential of addressing severe acute malnutrition (with complications) effectively with minimum incremental expenditure in Bangladesh. This public-private approach should be used for treating severe acute malnutrition in all healthcare facilities and the treatment protocol included in the medical and nursing curricula.

Evaluation of the effects of shortwave diathermy in patients with chronic low back pain

Abstract: A prospective experimental study on 97 patients of chronic low back pain was conducted to find out the effects of shortwave diathermy. They were divided randomly into two groups and treated with nonsteroidal anti-inflammatory drugs, exercises, activities of daily living instructions and with or without shortwave diathermy. After six weeks of treatment, improvements were observed in both the groups. But significant difference in improvement was found in shortwave diathermy group than in placebo group. The present study suggests that shortwave diathermy is effective for the treatment of patients with chronic low back pain.

Cost-effectiveness of artesunate for the treatment of severe malaria.

Abstract: OBJECTIVE To explore the cost-effectiveness of artesunate against quinine based principally on the findings of a large multi-centre trial carried out in Southeast Asia. METHODS Trial data were used to compare mortality of patients with severe malaria, treated with either artesunate or quinine. This was combined with retrospectively collected cost data to estimate the incremental cost per death averted with the use of artesunate instead of quinine. RESULTS The incremental cost per death averted using artesunate was approximately 140 USD. Artesunate maintained this high level of cost-effectiveness also when allowing for the uncertainty surrounding the cost and effectiveness assessments. CONCLUSION This analysis confirms the vast superiority of artesunate for treatment of severe malaria from an economic as well as a clinical perspective.

Serum Total Protein and Albumin Levels in Different Grades of Protein Energy Malnutrition

Abstract: The present study has been designed to estimate serum total protein and albumin levels in different grades of protein energy malnutrition and this will be helpful in early diagnosis, management and rehabilitation of PEM. The serum total protein and albumin levels were studied on 20 healthy children and 30 children suffering from protein energy malnutrition of different grades. Serum total protein and albumin levels of different grades of protein energy malnutrition were significantly lowered than that of control. Lowering being maximum in grade III PEM. This lowering of total protein and albumin occur in any form of PEM and related to severity of the disease. doi: 10.3329/jbsp.v3i0.1799 J Bangladesh Soc Physiol.2008 Dec;(3):58-60.

Neurological findings and outcome in adult cerebral malaria.

Abstract: The neurological findings of 100 patients of adult cerebral malaria were studied. The commonest neurological feature was symmetrical upper motor neuron lesion as evidenced by exaggerated tendon reflexes and bilateral planter extensor (61%). Twenty two percent had features of meningeal irritation and/or meningism. Abnormal posturing occurred decerebrate rigidity (6%) and decorticate rigidity (4%) with or without opisthotonus, focal neurological deficit was noted in 5% cases. Pupillary size and reaction were normal in 86%, poor in 14%. Corneal reflexes were absent in 4% cases. Fundoscopy showed retinal hemorrhage in 16%, papilloedema is 3% and exudates in 1%. Majority of the patients recovered (80%) without any persistent neurological sequelae at the time of discharge from hospital and death rate was 20%. Patients having focal neurological deficit, disconjugate gaze, poor pupillary reaction, absent corneal reflex and papilloedema were more susceptible to death. Delay in hospitalization and deep coma were also associated with increased mortality, whereas early hospitalization and proper nursing care could reduce mortality.

Mass barium carbonate poisoning with fatal outcome, lessons learned: a case series

Abstract: Introduction Barium, a heavy divalent alkaline metal, has long been known to cause human toxicity. The common mode is accidental ingestion and the common compound is Barium carbonate. Here we report an incident of food poisoning in 27 law enforcement personnel with rapidly developing sequelae and a high mortality due to ingestion of Barium carbonate contaminated flour.

Pilot survey on cases of poisoning and its outcome in different category of hospitals in bangladesh

Abstract: Poisoning and snakebite are commonly encountered emergency situation in Bangladesh. Morbidity per annum reported from static primary health care set up and district hospitals following poisoning are ~ 0.56% of total morbidity. Reports published from the DGHS in 2001 recorded poisoning as fifteenth cause of morbidity & second commonest cause of death second to acute respiratory tract infection (1956). Common poisoning encountered in the community include pesticide poisoning, kerosene poisoning, poisoning by unknown sedative substances for stupefying purpose and with occasional reports of methanol poisoning, aluminium phosphide poisoning, copper sulphate poisoning and puffer fish poisoning. A change in the trends of poisoning particularly ‘travel related' poisoning by sedatives instead of previously used ‘Dhatura' have been found in the country.  doi:10.3329/jom.v10i3.2010 J Medicine 2009; 10 (Supplement 1): 15-17

RETRACTED ARTICLE: Mass barium carbonate poisoning with fatal outcome, lessons learned: a case series

Abstract: Barium, a heavy divalent alkaline metal, has long been known to cause human toxicity. The common mode is accidental ingestion and the common compound is Barium carbonate. Here we report an incident of food poisoning in 27 law enforcement personnel with rapidly developing sequelae and a high mortality due to ingestion of Barium carbonate contaminated flour. One midnight, 27 adult males were rushed to emergency department of Chittagong Medical College Hospital with abdominal pain, vomiting, loose motion, cramps and generalized paraesthesia. The ailment started 1-2 hours after Iftar (evening meal to break day long fast during Ramadan) which included fried vegetables coated with a flour paste. On admission, twenty of them were restless, agitated. 22 reported weakness of limbs and were unable to walk. 10 had hypotension. 22 had rapid and shallow respiration. 5 had carpopedal spasm. Different grades of limb weakness were noted with loss of tendon jerks. Ten (N12) patients had hypokalaemia, three had hypoglycaemia, 4 patients had high creatine kinase. Electrocardiogram showed flat ST with U waves in 4 patients. Potassium containing intravenous fluid and Oxygen was administered. Due to limited availability of mechanical ventilators patients were put on artificial respiration using Ambu bag; manually maintained by doctors, paramedics and attendants. Four patients were transferred to another hospital for mechanical ventilation. A total of 12 patients died over next 16 hours, 4 within 3 hrs. Other patients gradually improved. Chemical analysis of the vomitus, blood and flour used for preparation of meal revealed the presence of Barium. It was assumed that the flour was contaminated with the similar looking Barium carbonate powder which was kept in the kitchen as a rodenticide. This event exemplifies the weakness of usual health care facility in resource poor settings to cope with this kind of massive poisoning event. The multiple reported incidences of accidental Barium poisoning due to unintentional mixing with food signifies the fact that the use and availability of Barium carbonate should be restricted. We hope to draw attention to this relatively uncommon poisoning and to the need for development of poison information centre in resource poor countries.

Management of male H-type anorectal malformations

Abstract: Purpose H-type anorectal malformations (ARM) are extremely rare in males. Herein, we have described our experience of managing this variety.

Left sided acute appendicitis with situs inversus in an elderly - an unusual case

Abstract: doi: 10.3329/jcmcta.v18i1.3818 Journal of Chittagong Medical College Teachers' Association 2007: 18(1):29-31

Achievement of Awareness in a Diabetic Population

Abstract: This cross-sectional survey was carried out during the period, October 2005 to December 2005, among 184 randomly chosen diabetic patients in Khulna Diabetic Centre, Khulna, Bangladesh, to evaluate the knowledge of the patients for their control of diabetes mellitus and also to explore the association(s) of their attitude and knowledge regarding diabetic awareness towards educational status and socio-demographic profile. In this study, we found a significant difference, in diabetic awareness to keep correct blood glucose level, in different educational group. But, it did not influence the subjects of different educational group to visit the diabetic clinic. There was no significant difference in the knowledge of correct blood glucose level and in regularity of visit to the diabetic clinic, in rural and urban people. Knowledge of correct blood glucose level varied significantly among male and female patients, although, no significant variation was found among them in visiting to the diabetic clinic. We can conclude that, diabetic education programs can improve self-regulatory behavior and in the long run, can reduce morbidity and mortality. 1. Associate Professor of Endocrinology, Dhaka Medical College, Dhaka 2. Assistant Professor of Medicine, Khulna Medical College, Khulna 3. Assistant Professor of Ophthalmology, Khulna Medical College, Khulna 4. Assistant Professor of Biochemistry, Chittagong Medical College, Chittagong 5. Professor of Medicine, Dhaka Medical College, Dhaka Correspondence : Dr. Mirza Azizul Hoque, Associate Professor of Endocrinology, Dhaka Medical College, Dhaka of the nature and consequences of the disease course, its risk factors, dimensions of treatment and its complications. 6,7 Subjects and Methods This cross-sectional survey was conducted from October 2005 to December 2005, among randomly chosen diabetic patients, in Khulna Diabetic Centre, Khulna, Bangladesh. A total 184 diabetic patients were surveyed. Those of greater than 16 years old and who could understand the instructions of the survey were included. All the subjects had answered voluntarily and confidently against the administered pre-tested questionnaires. The questions were aimed to assess the awareness of diabetes mellitus in relation to its control, management, treatment and complications. After collection of data, they were checked and verified and data analysis was performed by using Statistical Package for Social Science (SPSS, version 10). All the surveys were administered in the presence of at least two of the authors. J MEDICINE 2009; 10 (SUPPLEMENT 1) : 7-10

Extent of Mesoappendix of Vermiform Appendix in Bangladeshi People

Abstract: Background: The mesentery of the appendix extends almost to the appendicular tip along the whole tube or may not be to the tip. The mesoappendix has a free border which carries the blood supply to the organ. Failure of the mesoappendix to reach the tip probably reduces the vascularization of the tip of the organ making it more liable to become gangrenous and hence early perforation occurs during inflammation. Objective: This cross sectional study was carried out to advance our knowledge regarding the extent of mesoappendix in Bangladeshi people and also to find out the variations in the anatomical positions of the vermiform appendix in Bangladeshi population and their distribution according to the sex. Methods : A total of 100 (60 male and 40 female) specimens of vermiform appendix were collected of different age and sex during postmortem examination in the morgue of Mymensingh Medical College from July 2006 to June 2007. Data was collected by convenient sampling technique. Results: In this study pelvic position of the vermiform appendix were common in both sexes. The two thirds extension of mesoappendix was found in 45% cases where as in pelvic position it was 26 (14 male and 12 female) cases. Half and whole extension of mesoappendix were found in 31% and 24% cases respectively. Among half extension of mesoappendix, retrocaecal position were found to be more (12) than other positions. In whole extension of vermiform appendix pelvic position were found to be common (16) than others. Conclusion: This study provides certain basic information of extent of mesoappendix of vermiform appendix of Bangladeshi population which is responsible for vascularization of the organ and severity during inflammation. Key words: Vermiform appendix, Mesoappendix DOI: 10.3329/jbsp.v4i1.4065 J Bangladesh Soc Physiol. 2009 June; 4(1): 20-23

Relationship Between Obesity And Parasympathetic Nerve Function

Abstract: Back ground: Obesity is a potential risk factor for cardiovascular morbidity and mortality. As certain cardiovascular disorders associated with autonomic nerve which dysfunction often coexist in obese persons, investigations of autonomic nerve function especially parasympathetic nerve function in obese, for detection of early autonomic impairment can be potentially important to prevent complications. Objective : The present study was done to observe the parasympathetic nerve function status in obese persons in order to investigate the relationship of autonomic nerve function with obesity. Study design: This study was conducted in the department of Physiology of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during July 2006-June 2007. For these 40 apparently healthy obese subjects of both sexes with BMI ≥ 25 kg/sqm. were included in study group. Age and sex matched 40 apparently healthy non obese subjects with BMI range 18.5-22.9 kg/sqm. were taken as control for comparison. Methods: To assess parasympathetic nerve function status, heart rate response to valsalva(valsalva ratio), heart rate response to deep breathing and heart rate response to standing (30th:15th ratio) were determined by 3 noninvasive cardiovascular reflex tests. Data were collected by recording ECG of all subjects under test condition. The correlations of these parasympathetic nerve function parameters with BMI were also studied. Unpaired Student ‘t' test and Pearson correlation coefficient test were used for statistical analysis. Results: Valsalva ratio (1.47±0.24 vs 1.67±0.31), HR response to deep breathing (19.62±5.55 vs 27.59±6.51) and HR response to standing (1.07±0.07 vs 1.13±0.018) were significantly decreased in obese subjects than those of non obese control. All these parameters were negatively correlated with BMI. and these relatioship were statistically significant. Conclusion: The results of this study indicate that parasympathetic nerve function may be reduced in apparently healthy obese subjects. Key words: Obesity; valsalva; parasympathetic; deep breathing.  doi: 10.3329/jbsp.v3i0.1797 J Bangladesh Soc Physiol.2008 Dec;(3):50-54.

Knowledge and status of Hepatitis B vaccination among the newly admitted MBBS students in Chittagong Medical College

Abstract: doi: 10.3329/jcmcta.v18i1.3813 Journal of Chittagong Medical College Teachers' Association 2007: 18(1):9-11

The healing role of erythropoietin in the obstructive vs nonobstructive left colonic anastomosis.

Abstract: We aimed to evaluate possible effects of erythropoietin on the healing of anastomosis in both obstructive and non-obstructive states. It was an experimental study on guinea pigs. Although erythropoietin had positive effects on pressure in the group IV when compared to the group II, it had no effect in the group III. Despite an increased tissue hydroxyproline levels in the group IV, erythropoietin failed to show any effects in the group III. Erythropoietin had positive effects on neovascularization, fibroblast proliferation and storage of collagen in the group IV. We failed to find any direct and evident effects of erythropoietin on the healing of left colonic anastomosis. On the other hand, erythropoietin might prevent negative effects of obstruction on healing (Tab. 2, Fig. 4, Ref. 33).

Outcome and Prognosis of Metastatic Brain Tumour: A Study of 35 Cases

Abstract: Thirty five patients were selected to evaluate the outcome & prognosis of metastatic brain tumour in the department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, (BSMMU) Dhaka from February 2002 to December 2005. A structured questionnaire was made. Data were collected after the patient admission. All patients were evaluated with detailed history and clinical examination. MRI of Brain of these patients revealed intracranial lesions highly suspicious of metastatic brain tumour. Investigations like USG of the whole abdomen and x-ray chest were done to locate any primary site. Some of the primary lesions were confirmed by FNAC and histological examinations. Solitary intracranial space occupaing lesion (ICSOL) and sizable lesion among the multiple lesions were treated by surgery, and then histopathological examination were done followed by radiotherapy and / or chemotherapy. This was a prospective study. This study showed the highest age of incidence of tumours were above 60 years. Male predominated than female (60.00%). Among the clinical features the most common sign was hemiparesis (34.28%). The commonest site of lesion was in frontal region (34.28%). Histopathological reports showed adenocarcinoma 40.00%, small cell carcinoma of lungs 28.57%, squamous cell carcinoma 22.85%, follicular carcinoma of thyroid 5.71%. Treatment options were surgery, radiotherapy and chemotherapy. Sixty percent patients were improved after treatment. Highest survival rate was 3 to 6 months with treatment (31.42%). This study revealed that commonest type of brain metastases was adenocarcinoma and primary site of lesion was lungs. Best option of treatment was surgery plus radiotherapy and longest survival rate of 1 year was in 20.00% cases. DOI: http://dx.doi.org/10.3329/bjn.v24i1.3036 Bangladesh Journal of Neuroscience 2008; Vol. 24 (1) : 17-23

Pattern of Malignancies among the Patients Attending the 44 Department of Radiotherapy, Chittagong Medical College Hospital in the Year 2007

Abstract: This retrospective study was done in department of radiotherapy Chittagong Medical College Hospital from 1st January 2007 to 31st December 2007.A total of 2958 patients suffering from cancer had attended the radiotherapy out-patient department ,and among them 1527 (51.62%) were male and 1431 (48.38%) female, with a male/female ratio of 1.06:1. Patients of 6th decades (23.77%) and 7th decade (22.51%) were the main victims followed by 5th decade (20.82%). Among the male, the leading cancers were lung (19.84%), followed by larynx (9.43%), oral cavity (7.92%), esophagus (7.33%), stomach (6.74%) etc. Among the female, breast cancer (15.58%) ranked the topmost position, followed by cervix uteri (11.46%), ovary (6.70%), larynx (6.70%), oral cavity (5.66%), esophagus (5.59%). Among pediatric age group, commonest malignancies were NHL (23.34%), followed by bone tumor (22.22%), retinoblastoma (20.00%). (Bang. Onc. J. 2009; 4 (2) : 44-50)

Hearing status of elderly people: study in a tertiary level hospital.

Abstract: A study was carried out from April 2003 to March 2004 at the Department of Otolaryngology and Head-Neck Surgery, BSMMU, with the aim to evaluate the prevalence of hearing loss and to find out the pattern and extent of hearing loss among the elderly people. The study included 100 people aged over 50 years. Out of 100 cases 59% were found with normal hearing and 41% had variable degree of hearing impairment. The highest prevalence of hearing impairment was found 100% in 9th decade with gradually decreasing tendency and lowest was 29.50% in 6th decade. Most of the cases were found to be bilateral (65.85%). Majority (65.85%) of the hearing impaired people had sensorineural type of loss with a significant number (21.95%) of conductive loss. Irrespective of type of impairment. Most of the people (73%) had no complaint of ear problem during presentation. Only 27% had some sorts of otological symptoms like hearing loss, tinnitus and vertigo and among them about 96.29% complained of hearing loss. About 44.44% of the hearing impaired person of 6th decade, showed mild hearing loss. In the 7th decade maximum (50%) had moderate to severe hearing loss. About 31% of persons of 8th decade and 50% of 9th decade had severe degree of hearing loss.

Endoscopic third ventriculostomy - experience of 16 cases

Abstract: Key words: endoscopic third ventriculostomy; obstructive hydrocephalus doi: 10.3329/jcmcta.v19i2.3867 Journal of Chittagong Medical College Teachers' Association 2008: 19(2):27-32

Immunoproliferative Small Intestinal Disease - A Case Report

Abstract: Malignant lymphomas of the small intestine are relatively common in certain geographic areas and they seem to be particularly so in developing countries, especially in the Middle East and North Africa1.These lymphomas can be divided into 3 subtypes 2 Burkitt lymphoma, Western type of Non-Hodgkin lymphoma and the so called Mediterranean lymphoma. The term Mediterranean lymphoma is a misnomer. The disease mostly occurs in Mediterranean basin but not always3. It was also felt that the disease in its early stages does not appear to be truly malignant lymphoma. So in 1978, WHO recommended the term Immunoproliferative small intestinal disease (IPSID) for the syndrome associated with Mediterranean lymphoma4. Generally, IPSID is considered as a variant of mucosa-associated lymphoid tissue (MALT) lymphoma5. In recent WHO classification, IPSID is listed with heavy chain diseases as a special variant of extra nodal marginal zone B cell lymphoma (MALT) 6.

Colonoscopy: A study of findings in 332 patients

Abstract: Key words: colonoscopy; abdominal pain; lower GI bleeding; mass lesion; therapeutic yield doi: 10.3329/jcmcta.v18i2.3833 Journal of Chittagong Medical College Teachers' Association 2007: 18(2):28-31

Influence of hemolysis on routine clinical chemistry testing

Abstract: doi: 10.3329/jcmcta.v18i1.3814 Journal of Chittagong Medical College Teachers' Association 2007: 18(1):12-14

Acridine Orange Fluorescence Stain for the Diagnosis of Malarial Parasite

Abstract: A total of six hundred suspected cases of malaria (150 from each centre of Rajshahi Medical College Hospital and three thanas under Rajshalhi district viz. Paba, Godagari and Charghat) were examined through both thick and thin film preparation and stained by both Giemsa and acridine orange fluorescence staining respectively. All the slides in both stained preparation were examined by three competent microbiologists in three different centres. Malarial parasite detection in cases of Rajshahi Medical College Hospital. Paba, Godagari and Charghat. In Giemsa staining parasites were positive in 14 (9.33%), 16(10.66%),26(17.33%) and 41(27.33%) cases respectively while it was found to be positive in 21(14.00%), 36(24.00%),49(32.66%) and 61(40.66%) cases in acridine orange fluorescence staining respectively. In comparison acridine orange fluorescence staining was found to be more sensitive over Giemsa staining especially in low parasitaemic cases. doi: 10.3329/taj.v16i2.3883 TAJ December 2003; Vol.16(2): 58-61

Surgical outcome of patients with extradural hematoma at the Department of Neurosurgery in Chittagong Medical College Hospital: A study of 30 patients

Abstract: Key words: extradural haematoma; Glasgow Coma Scale; pupillary dilatation; computerized axial tomography doi: 10.3329/jcmcta.v19i1.3843 Journal of Chittagong Medical College Teachers' Association 2008: 19(1):8-10

Pattern of ABO and Rh(D) blood group among leprosy patients

Abstract: Key words: ABO blood group, Rh(D) blood group; leprosy doi: 10.3329/jcmcta.v19i2.3872 Journal of Chittagong Medical College Teachers' Association 2008: 19(2):51-53

Ureterorenoscopy and pneumatic lithotripsy in the management of ureteral calculus

Abstract: Key words: ureterorenoscopy; pneumatic lithotripsy; ureteric stone; spinal anaesthesis doi: 10.3329/jcmcta.v19i1.3844 Journal of Chittagong Medical College Teachers' Association 2008: 19(1):11-14

Clinical Pattern of Neck Pain among the Patients Attending in the Department of Physical Medicine, Bangabandhu Sheik Mujib Medical University (BSMMU), Dhaka

Abstract: A study was conducted in the Department of Physical Medicine, BSMMU, during the period of June 1996 to March 1997 to find out the clinical patterns of neck pain and their causes. A total of 6476 patients attended the department of which 1360 (21.01%) patients presented with neck pain. Male and female ratio was 1:0.83. Highest number of patients was in the 40-49 years age group (41.44%). In respect to occupation, table workers constituted the majority (26.08%). Most of the patients (79.64) were diagnosed as cervical spondylosis. By these findings we can conclude that the cervical spondylosis is the commonest pattern of presentation of neck pain in the Department of Physical Medicine, BSMMU, Dhaka, Bangladesh. doi: 10.3329/taj.v15i2.3912 TAJ December 2002; Vol.15(2): 74-77