Clinical experience with flexible fiberoptic bronchoscopy.
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Biomedical subjects
Publications and source records attributed to R C Gupta.
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The effects of intravenous administration of equimolar doses of adrenaline (20.00 microgram/kg), noradrenaline (18.47 microgram/kg) and isoprenaline (23.06 microgram/kg) on blood glucose, serum total protein, serum total cholesterol and serum urea were investigated in buffalo calves. There was significant increase in blood glucose level with all the sympathomimetic amines 5 min after their administration (P less than 0.05). Adrenaline and noradrenaline were almost equipotent in inducing hyperglycaemic response whereas the effect of isoprenaline was relatively less and short-lived. The increased glucose levels returned to pre-administration levels within 5 hr. These sympathomimetic amines produced no significant changes in other metabolic parameters viz. serum levels of total cholesterol, total protein and urea.
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Eighteen cases of traumatic dislocation of the hip in children between two and a half and twelve years of age were treated by closed reduction. The patients presented at our hospital 26 hours to 75 days after injury. All the cases had posterior dislocation of the hip. Closed reduction, either by manipulations or by heavy traction and gradual reduction, was satisfactorily achieved in all the cases. Avascular necrosis was seen in one case only. The interval between dislocation and its reduction, the nature of the injury, the age of the patient, the type of treatment and the period of time in which the patient bears no weight do not seem to exert a significant influence on final results. All the patients were followed up from two to seven years.
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An extremely rare case of primary tuberculosis of nose is being reported. Possible modes of infection are also discussed.
The present retrospective study was undertaken to study the clinical profile of primary bronchogenic carcinoma seen during last eight years in a teaching hospital. Out of a total of 279 diagnosed cases, 86% were males with an average age of 57 years, smoking was the risk factor in 81.6%. Forty percent of female patients were smoker with a significant overlap in use of smoking objects. Twenty four (8.8%) patients were less than 40 years of age at the time of diagnosis. Average duration of illness was 4.5 months. Weight loss (77%) and fever (34%) were the commonest general symptoms. Other chest symptoms include cough (68%), dyspnoea (59%), chest pain (22%), hemoptysis (20%) and dysphagia (6%). Fiberoptic bronchoscopy (FOB) (75%) and fine needle aspiration cytology (FNAC) (74.8%) were found to be the most efficient diagnostic procedures. Histologically, squamous cell carcinoma, adenocarcinoma, large cell carcinoma and small cell carcinoma were seen in 42%, 20%, 18% and 14% cases, respectively. Six percent patients showed malignant cells only and marked as unclassified. Radiologically, obstructive pneumonitis was the commonest presentation (59.5%) followed by mass lesion (31.8%) and rib destruction (5.1%). Inspite of its limitation, this study for the first time reports lung cancer pattern from mid-west Rajasthan.