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Case report:- Obstetrics and Gynecology
Chaudhari shilpa N.1*, Gaikwad Vidya A.1,Mahajan Vinayak2& Bamane Shubhangi3
1M.D. (Obstetrics and Gynecology) Professor, 2M.D. (Obstetrics and Gynecology) Lecturer, 3M.B.B.S. Senior Resident, Dept of OBGY, Padmashree Dr.D.Y.Patil Medical College and Research Centre, Pimpri, Pune, India
Abstract:- There are many causes of abnormal uterine bleeding (AUB) like fibroids, polyps, endometrial hyperplasia and malignancy. But prolonged retention of fetal bones after abortion as an etiology for AUB is a rare one. Incidence given in only one study was 0.15% where fetal bones were found on Diagnostic hysteroscopy. A 24 years woman, presented with pain in lower abdomen and continuous bleeding per-vaginum for 2 months. Her transvaginal ultrasonography showed hyperechogenic shadow in uterine cavity .She underwent an office hysteroscopy which showed multiple fetal bones in the uterine cavity. They were removed in the same sitting.
Key words:- Abnormal uterine bleeding, Hysteroscopy, Retained intrauterine fetal bones, Transvaginal ultrasonography.
References:-
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Copyright © 2013 Chaudhari shilpa et al.. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Research article:-
Baig Vaseem Naheed1*, Swarnkar Madhusudan2,Bhardwaj Ashok Kumar3, Singh Raghuveer4, Kewalramani Suresh5 & Soni Prashant6.
1Associate Professor,2Assistant Professor,3Professor,4Professor and Head, Department of P.S.M., Jhalawar Medical College, Jhalawar (Raj.), India.5Assistant Professor, Dept. of P.S.M., S. M. S. Medical College, Jaipur (Raj.),India. 6M.B.B.S., M.B.A., Maternal and Newborn health Manager, Save The Children, India.
Abstract: Background: HIV is the most prominent risk factor for progression of TB infection to disease causation and there is paucity of studies related to clinico-radiological profile of HIV-TB co-infection, this evoked us to do this study. Material and Methods: The present study is Hospital based cross sectional study done on two hundred HIV/AIDS patients (>15 year of age) attending ART Center of S.M.S. Medical College, Jaipur (Raj.). Results: Dual infection of HIV - TB was found in nearly one third (32.50%) of study individuals, co-infection was slightly more common in males (34.70%) than that of females (26.41%). Weakness was the almost universal (98.46%) symptom and muscle wasting was commonest (80.00%) sign, oral candidiasis was the most common (52.31%) complication. Of all the 65 HIV-TB co-infected patients, pulmonary TB was found in 18 patients (27.69%), extra-pulmonary TB in 27 (41.54%) patients, while 20 (30.76%) patients had both pulmonary & extra-pulmonary TB. upper zone infiltration & cavitatory lesion were seen in 47.37% while atypical features such as mid-lower zone infiltrate & exudative lesion were seen in 73.68% & 68.42%. Sputum smear positivity for AFB was found in 42.11% of pulmonary TB cases with HIV-TB co-infection. Most (90.77%) cases with HIV-TB co-infection had CD-4 count <200/ micro L.
Keywords: Extra-Pulmonary Tuberculosis, HIV-Tb co-infection, Pulmonary Tuberculosis.
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Copyright © 2013 Baig Vaseem N et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.