Khulna Medical College

About: Khulna Medical College is a healthcare organization based out in Khulna, Bangladesh. It is known for research contribution in the topics: Hysterectomy & Cancer. The organization has 266 authors who have published 203 publications receiving 964 citations. The organization is also known as: Khulna Medical College, Khulna & KMC.

Computed tomographic evaluation of paediatric brain in a teaching hospital

Abstract: During the period of June ‘09 to June ‘11, a total 689 children under 15 year, underwent brain computed tomography in the department of Radiology & Imaging, KMCH. Trauma was the commonest chief complaint (38.6 %), followed by headache (27.3%), convulsion (11.5%), focal neurologic deficit (9.1%), fever (3.5%), developmental delay (2.9%), increasing head size (1.5%), and inability to straighten head (0.9%). Traumatic events (contusion, fracture, extra axial hematoma, intra axial hematoma) were commonest CT diagnoses (24.5%). The other diagnoses were generalized cortical atrophy (7.3%), infarction (4.9%), intracranial tumor (3.3 %), congenital lesions (3.3%), infective process (meningitis, abscess, empyema, encephalitis, tuberculoma, TORCH infection)-2.8%, hypoxic ischemic encephalopathy (2.6%), spontaneous intracranial hemorrhage (2.2%), white matter disease (0.6 %). Negative finding (45%) were also a frequent observation. Proper clinical assessment while advising pediatric brain computed tomography will reduce unnecessary CT scan and in some case initial imaging should be MRI. DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10467 Bang Med J (Khulna) 2011: 44(1&2) 3-6

Comparison between fractionated dose with bolus dose in Spinal Anaesthesia for haemodynamic stability and duration of analgesia in patients undergoing elective Lower Segment Caesarean Section (LSCS)

Abstract: Background: Elective or emergency caesarean sections are routinely done under spinal anaesthesia (SA) with bolus dose of local anaesthetic drugs. Objective: To compared fractionated dose with bolus dose in SA for haemodynamic stability and duration of analgesia in patients undergoing elective lower segment caesarean section (LSCS). Methods: The present study was carried out in the Department of Anaesthesiology, Ad-din Akij Medical College Hospital, Khulna from January 2018 to December 2018 on sixty female patients (thirty in each group) of the American Society of Anesthesiologists physical status I–III, age from 18 to 40 years, height from 140 to 180 cm, singleton pregnancies scheduled for elective LSCS under SA. Patients with pre-existing diseases or pregnancy-induced hypertension, cardiovascular or cerebrovascular disease, any contraindication to SA, those weighing 110 kg and those taller than 180 cm or shorter than 140 cm and severely altered mental status, spine deformities or history of laminectomy were excluded from the study. Results: The mean duration of analgesia was statistically significant (p 0.05) between two group. 14 patients (46.7%) in group B and 5 patients (16.7%) in group F required vasopressor. The difference was significant (p<0.05) between two groups. Conclusion: Separation process in which a certain quantity of a mixture dose of SA provides better haemodynamic stability and longer period of analgesia compare to bolus dose in patients undergoing elective caesarean section. Mediscope Vol. 7, No. 2: July 2020, Page 95-102

Burden and outcome of acute copper sulphate poisoning in a teaching hospital

Abstract: Copper sulphate poisoning is the most common poisoning next to organophosphorus poisoning with significant mortality. Gastrointestinal, liver, renal and haematological toxicities are common. A prospective observational study was conducted in department of medicine, KMCH, Khulna during the period of September, 2005 to March, 2007 to observe the presentation and outcome of copper sulphate poisoning. Forty patients with acute copper sulphate poisoning of different age group of both sexes were studied. Patients were evaluated through detailed history, clinical features, laboratory investigations and they were monitored closely at regular interval during hospital stay. Copper sulphate poisoning was found mostly in rural people (85%) and maximum (62.5%) patient were in the young age group of 16-25 yr. All patients had taken it as a suicidal attempt. Almost all patients presented with gastrointestinal symptoms-nausea (100%), vomiting (100%) and abdominal pain (90%). Subsequently hepatic toxicity was manifested by jaundice (32%), yellowish discoloration of urine (35%) which developed usually on the 2nd or 3rd day. Renal toxicities were manifested by oliguria (25%), haematuria (32.5%), albuminuria (30%) and renal dysfunction (30%). 35% of the patients were found to have anemia with Hb below 60%. Eight patients (20%) became unconscious at the terminal stage and died. DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10468 Bang Med J (Khulna) 2011: 44(1&2) 7-10

Study of Prognostic Factors of Acute Pancreatitis in a Teaching Hospital

Abstract: This hospital based cross sectional descriptive study was performed to find out the prognostic factors of acute pancreatitis from the available clinical, biochemical, haematological and radiological data. A total of 50 cases were studied. Peak incidence was in the fourth decade. Among the known aetiological factors 18% were due to gallstone disease, 10% alcoholism, 4% pancreatobiliary ascariasis, but 60% were idiopathic. In this study 82% patients were had mild and 18% had severe acute pancreatitis. Overall mortality rate was 6%, mortality was significantly higher (33.33%) in severe acute pancreatitis (33.3% vs 0%). A higher mortality was associated with concomitant medical or surgical diseases, leucocytosis. Other factors associated with a higher mortality were high blood glucose, serum creatinine level and a lower serum albumin and calcium level. This study highlights the need of further study with more detailed recording of relevant data from primary care hospital to find out the clinical pattern of complications and prognostic factors in our country. Keyword: Acute Pancreatitis; Prognosis; Mortality DOI: 10.3329/jom.v12i1.6927 J Medicine 2011; 12 : 21-25

Comparative Study between 12 and 15 Lead Electrocardiograms for Evaluation of Acute Posterior Myocardial Infarction

Abstract: Background: The ECG diagnosis of acute posterior infarction has traditionally been based on the presence of ST segment depression on the pericardial chest leads. However, such ST segment depression is neither specific nor sensitive for the diagnosis of a posterior infarction. Detection of ST segment elevation in V7- V9 in 15 lead ECG can help in early diagnosis of acute Posterior myocardial infarction. Method: Total of 100 patients Inferior myocardial infarction was evaluated by Electrocardiography in standard 12 lead and 15 lead. The patients were categorized into group I having posterior/ and or associated changes and group II having without posterior changes in ECG. Echocardiography and LVgraphy was done to evaluate the posterior wall movement. Result: For diagnosis of posterior myocardial infarction, 43.3% sensitivity and 95.1% specificity was found in 12 lead ECG, whereas in 15 lead ECG it was 80.0% sensitivity and 95.1% specificity. Conclusion: 15 Lead ECGs (including V7-V9) more sensitive than 12 lead ECGs in diagnosis of acute posterior myocardial infarction. Patient with inferior myocardial infarction or anterior ischemia developed more complications if associated with acute posterior myocardial infarction. 15 lead ECGs can routinely be used in patients with ischaemic type of chest pain. DOI: http://dx.doi.org/10.3329/cardio.v4i2.10460 Cardiovasc. j. 2012; 4(2): 153-163