IJCRR - 8(8), April, 2016
Pages: 37-43
MAGNITUDE OF PULMONARY DISEASES - INCIDENTALLY DIAGNOSED ON AUTOPSY - AT LARGEST HOSPITAL AND MEDICAL COLLEGE OF RAJASTHAN
Author: Kalpana Mangal, Praveen Dhakar, Ajay Yadav, Karuna Gupta, Sapna Gandhi
Category: Healthcare
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Abstract:
Objective: A wide histopathological spectrum of preventable diseases can affect lungs. Many times radiological and clinical findings in pulmonary diseases are non specific hence pathology investigations can play important role in prompt diagnosis. In our 4 years cross-sectional study period (January2012- December2015), we have examined lungs of 1715 medico-legal autopsy cases. Objectives: 1. To know the histopathological spectrum of Lung diseases. 2. To know the frequency of pulmonary lesions in respect to age and sex. Materials and Methods: Representative sections from pulmonary lesions were taken and studied with the help of H and E and special stains wherever necessary. Results: The various pulmonary lesions were edema and congestion in 1325 (77.2%) cases, non tubercular pneumonia 137 (7.99%) cases, bronchopneumonia 15 (0.87%) cases, interstitial pneumonia 6 (0.35%) cases. Cases of tubercular pneumonia were 70 (4.08%) and pulmonary malignancies were 7 (0.41%) cases out of total pulmonary lesions. Pneumonias were occupying a large number, next to edema and congestion. Conclusion: The present study reveals the load and spectrum of lung disease in the largest Hospital and Medical College of Rajasthan, where infectious lesions (non-tubercular and tubercular pneumonias) are still the most common preventable causes of morbidity and mortality; hence autopsy study can be of great value in improving the vision and diagnostic setups for better clinical assessment, timely diagnosis and therapy.
Keywords: Edema and Congestion, Pneumonia, Autopsy, ARDS, Emphysema
Citation:
Kalpana Mangal, Praveen Dhakar, Ajay Yadav, Karuna Gupta, Sapna Gandhi. MAGNITUDE OF PULMONARY DISEASES - INCIDENTALLY DIAGNOSED ON AUTOPSY - AT LARGEST HOSPITAL AND MEDICAL COLLEGE OF RAJASTHAN International Journal of Current Research and Review. 8(8), April, 37-43
References:
1. Kumar Abbas, Aster, Robbins, Cotran. Pathologic basis of disease. South Asia Ed. Vol 2, Elsevier:8e
2. Manjit S Bal, P S Sethi, Anil K Suri, Vijay K Bodal, G Kaur. Histopathological pattern in lung autopsies, Journal of Punjab Academy of Forensic Medicine and Toxicology 2008; 8(2):29- 31.
3. John E Hall. Guyton and Hall Textbook of Medical Physiology, 13th Edition, Elsevier: Saunders, 2015.
4. Kasper, Fauci, Hauser, Longo, Jameson, Loscalzo. Harrison’s principles of internal medicine, 19th ed. Vol 2, Mc Graw Hill; Indian edition:2015.
5. KS Narayan Reddy, OP Murty. The essentials of Forensic Medicine and Toxicology, 33rd edition. JayPee Brothers:2014.
6. D. John Bancroft Manual of Histological techniques and their diagnostic application – Harry Charles 1994.
7. Chauhan, Madhuri Agrawal, Nirali Thakkar: Histopathological lesions in lung autopsy Journal of research in medical and dental science/vol.3/ issue 2/april-june.
8. Manjit et al: Journal of Punjab Academy of Forensic Medicine and Toxicology 2008.
9. Schwartz DA et al Herman CJ. Editorial response: the importance of autopsy in emerging and re emerging infectious diseases. Clin infect Dis 1996;23:248-54.
10. V. Selvam , R. Thamil Selvi, P.M. Subramaniam,Vijayanath: Journal of Pharmaceutical and Biomedical Sciences 2015.
11. Gupta BD et al: Journal of Forensic Medicine and Toxicology 2003.
12. Mangal K. et al : Incidence of Liver diseases – A retrospective Study of 1348 Autopsy cases at tertiary care centre Jaipur – Original Article, International Journal of Current Research – Vol.7,issue ,12,pp.23725-23729, Dec.2015.
13. Smita et al: study of liver pathology in autopsy cases-original article. International Journal of Current Research vol.6 issue 03 pp.5795-5797, March 2014.
14. Sotoudehamanesh R et al. silent liver diseases in autopsies from forensic medicine of Tehran. Archives of Iranian medicine 2006 oct.9(4):324-28.
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