Search

The incidence and prevalence of chronic kidney disease (CKD) are increasing worldwide and are associated with poor outcomes. It becomes apparent that the severity of CKD along with CVD severity in any population makes a devastated combination for both patients and healthcare system. Identification of CKD as a major risk factor for cardiovascular morbidity and mortality is attributed to dyslipidemia, and therefore an expectation of effective intervention to diminish premature cardiovascular mortality and progression of renal disease to increase longevity is imperative, thus this study may explore the lipid profile in chronic renal failure patient; on conservative treatment and maintenance haemodailysis treatment. A cross sectional comparative study was carried out to find out the Pattern of lipid profile in chronic renal failure patient with GFR < 60 ml/min on conservative treatment versus maintenance haemodialysis admitted in a selected hospital of Dhaka city. Total 128 study population were selected according to selection criteria among which 62 subjects were on maintenance dialysis (designated as group A) and 66 subjects were on conservative treatment of CKD (designated as group B). On average cholesterol, LDL and triglyceride level were more in group B than group A. On the other hand, HDL level was more in group A than group B and it was statistically insignificant. At the same time average LDL/HDL ratio was higher in group B than group A. But all these differences were statistically insignificant. Among the group A patients average triglyceride, total cholesterol and LDL level were higher in stage 4 CKD patients than stage 5 CKD patients. Average HDL level was higher in stage 5 CKD patients than stage 4 CKD patients. Among the group B patients average triglyceride and LDL level were higher in stage 4 CKD patients. But none of these two differences were statistically significant. On the other hand, average total cholesterol level was higher in stage 3 CKD patients and it was statistically significant(p

Dandy–Walker malformation (DWM) is a uncommon intracranial congenital abnormality that affects the cerebellum and some of its components; particularly cerebellar vermis, fourth ventricle and is characterized by an enlarged posterior fossa. Although there is an extensive list of signs attributed to DWM, final diagnosis is solely dependent on imaging techniques as there are no signs that are characteristic of DWM. This article reports a case with DWM who was diagnosed by magnetic resonance imaging.Bangladesh J Medicine Jan 2016; 27(1) : 33-36

not availableBangladesh J Medicine Jul 2017; 28(2) : 54-55

Background: Lymphadenopathy is a common clinical problem in our country among all age groups and in both sexes. In this study an attempt has been made to evaluate the clinical presentation and diagnosis of peripheral lymphadenopathy, which is commonly encountered in medical wards and diagnostic value of FNAC has been evaluated.Methodology: This hospital-based descriptive study was done in thirty adult cases, of clinically apparent peripheral lymphadenopathy of at least more than two weeks of duration. Study was conducted over a period of 6 months from July, 2005 to December, 2005 in inpatients and outpatients of Rajshahi Medical College Hospital. After thorough examination, fine needle aspiration from several accessible enlarged lymph node groups were taken and sent for cytopathological examination and later biopsy of the significantly enlarged lymph node from the same anatomical region was performed and was sent for histopathological examination.Results: Cytopathological study was successful in correctly identifying 84.6% of tubercular case, 85.7% of non-Hodgkin’s lymphoma, 66.7% of Hodgkin’s lymphoma, 83.3% of mitotic nodes and 100% of reactive nodes. Statistical correlation between aetiology of lymphadenopathy and cytopathological diagnosis with Spearman’s rank correlation coefficient revealed a strong positive statistically significant correlation of cytopathology with aetiology, i.e. histopathology. Calculation of sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratio for a positive test result and likelihood ratio for a negative test result confirms the diagnostic value of cytopathology in peripheral lymphadenopathy by demonstrating high values for different aetiology.Conclusion: The result of this study may not exactly reflect that of similar studies conducted home or abroad, probably due to smaller sample size and limited scope, but its strength remains in the fact that it attempted to address a widely prevalent condition in a practical way.Bangladesh J Medicine Jul 2015; 26 (2) : 49-54

Tuberculosis is one of the most common diseases in Bangladesh and has variable clinical manifestations. Isolated Hepatic tuberculosis is not a common disease; in fact the presentation of hepatic tuberculosis may be without having history of any active Pulmonary TB or military TB. Patient usually present without having any typical symptoms; so it is difficult for a physician to diagnose the disease quickly. Patient presenting with space occupying lesion in liver is confused with abscess, hepatoma or metastases. Here we are presenting a case report of isolated hepatic tuberculosis.Bangladesh J Medicine Jan 2015; 26 (1) : 43-45

not availableBangladesh J Medicine Jul 2018; 29(2) : 98

not availableBangladesh J Medicine Jan 2015; 26 (1) : 46

not available DOI: http://dx.doi.org/10.3329/bjmed.v24i2.20224 Bangladesh J Medicine 2013; 24 : 89