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Full-Text Articles in Medicine and Health Sciences
A Case Of Transient Diabetes Insipidus Following Cardiopulmonary Bypass, Omer Ashraf, Hasanat Sharif, Mansoor Shah
A Case Of Transient Diabetes Insipidus Following Cardiopulmonary Bypass, Omer Ashraf, Hasanat Sharif, Mansoor Shah
Section of Cardiothoracic Surgery
Cardiopulmonary bypass surgery has been linked with a number of postoperative complications. One of the frequently reported physiological alterations is the relative diuresis seen in the immediate post-op period. Rarely reported though is the development of full-blown diabetes insipidus in such patients. The etiology is unknown and has only been hypothesized in the past. We present the clinical course of a 54 year old male who developed transient diabetes insipidus post bypass surgery with subsequent recovery following exogenous vasopressin administration. The physiological alteration leading to the development of diabetes insipidus in a small fraction of bypass patients remains unknown. We …
Pulmonary Embolism In Pemphigus Vulgaris, The Need For Judicious Immunotherapy, Omer Ashraf, Hasanat Sharif
Pulmonary Embolism In Pemphigus Vulgaris, The Need For Judicious Immunotherapy, Omer Ashraf, Hasanat Sharif
Section of Cardiothoracic Surgery
Pemphigus vulgaris is a serious chronic mucocutaneous ailment. In recent decades advances in diagnostic and therapeutic measures have led to a significant decline in morbidity and mortality. However, with the advent of active and prolonged immunotherapy involving corticosteroids, there has been a rise in steroid-associated complications. This has led to significant concern globally over the sensible use of treatment regimen in pemphigus patients. We present a patient who underwent a massive pulmonary embolism following over usage of corticosteroid therapy for pemphigus vulgaris. Whilst the patient survived owing to timely assessment and aggressive surgical intervention, the need for cautious and judicious …
Predicting Postoperative Cardio-Pulmonary Complications By A Test Of Stair Climbing, Nawal Salahuddin, Saulat H. Fatimi, Shehzad Huda, Mohammad Islam, Azam Shafquat
Predicting Postoperative Cardio-Pulmonary Complications By A Test Of Stair Climbing, Nawal Salahuddin, Saulat H. Fatimi, Shehzad Huda, Mohammad Islam, Azam Shafquat
Section of Cardiothoracic Surgery
OBJECTIVE: To assess whether a test of stair climbing ability could be used to predict the risk of developing postoperative cardiopulmonary complications in patients undergoing general anesthesia.
DESIGN: Cohort study.
PLACE AND DURATION OF STUDY: The Aga Khan University Hospital, Karachi. The duration of the study was from December 2003 to December 2004. PATIENTS AND METHODS: This study was carried out on consecutive, adult patients presenting for elective thoracic or abdominal surgery under general anesthesia. Pre-operatively, patients were asked to climb a standard staircase. Number of steps climbed was recorded. Those unable to climb stairs due to debilitating …