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Article
Predictive values of risk factors in management of diabetic foot

Authors: Safa M..Al-Obaidi صفاء العبيدي --- Amine Mohammed Bakkour --- Salah Mahdi Tajer
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 1 Pages: 37-43
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Outcome of management of patients with diabetic foot is difficult to predict. Assessmentof variables in history , examination and investigations were analyzed with outcome of management andwhether can be assigned as prognostic factors .Methods: prospective study of 300 patients with diabetic foot in Baghdad teaching hospital duringthe period from April 2000 to March 2004,certain criteria was taken in history and examination, thesewere investigated and treated either by conservative procedure or amputation.Results: most common age group was 50-59 years ( 33.3%). The male to female ratio was 2:1.Conservative debridement was performed in ( 60%) of patients while amputation was employed in(40%). amputation was performed in 604 in patient above 60 years and in(75%) of patients who haddiabetic foot lesions for > 2 weeks,and in 90% of smokers for 10 years or more. Amputation wasneeded in (71%) in those who had history of previous ulceration and 72.5% of patients who hadpositive history of previous amputation. Amputation was needed in (88%) of those who had theirtemperature >38°C. in (91%) of patients who had diabetic foot lesion of Wagner grade>III and 91%.patients with X-ray findings of osteomyelitis.Conclusions: Highly significant association was found between amputation with following variable ,smokers > 10 years, patients with a temperature of > 38°C, Hypertension > 140/90 mmHg Wagnergrade > III, white blood cell count of > 20,000/cc and positive foot X-ray findings. Slightsignificant association of amputation and the following variables: Age >60 years, duration of footlesion >2 weeks, history of previous amputation, previous ulceration, negative pedal pulses, deformedfeet and patients who had impaired normal vision.


Article
The role of Tru-cut needle biopsy in the diagnosis of palpable breast masses
دور إبرة القطع النسيجي في تشخيص كتل الثدي المشخصة بالفحص ألسريري

Authors: Safa M. Al-Obaidi صفاء العبيدي --- Ahmed R. Hizam احمد رياض --- Mahmood H. Hassan محمود حرفش
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2014 Volume: 56 Issue: 3 Pages: 292-295
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Breast Lump Is The Second Most Common Presenting Symptom, After Breast Pain, To The Breast Clinic. Tru-Cut Needle Biopsy Provides Enough Tissue For Histopathological Diagnosis And Is Considered A Reliable Method For Establishing Preoperative Tissue Diagnosis.Objectives: To Compare The Results Of Fine Needle Aspiration Cytology (FNAC), Tru-Cut Needle Biopsy With Excisional Biopsy In Detecting Breast Cancer In Palpable Breast Masses. Patients and Methods: This Is A Prospective Study Done In Baghdad Teaching Hospital Breast Clinic From January 2009 To October 2010.It Is Conducted On 120 Females Who Presented With Palpable Breast Masses. After Detailed History And Physical Examination The Patients Were Sent For Ultrasound Examination And/Or Mammography And Then Both FNAC And Tru-Cut Needle Biopsy Were Performed In An Outpatient Setting Followed By Excisional Biopsy.Results: This Study Shows That Tru-Cut Needle Biopsy Is Superior To FNAC In Confirming Breast Cancer In Palpable Breast Masses With Suspicion Of Malignancy And It Can Give Definitive Histopathological Diagnosis Of The Lesion With Low Cost And Low Complication Rate.Conclusion: Tru-Cut Needle Biopsy Is Superior To Fine Needle Aspiration Cytology In The Detection Of Breast Cancer In Palpable Breast Masses With Low Cost And Low Complication Rate.Key Words: Tru-Cut Needle Biopsy, Breast Mass.

الخلفية: كتلة الثدي من أكثر أعراض أمراض الثدي شيوعا في العيادات الاستشارية لأمراض الثدي.الخزعة النسيجية المأخوذة بواسطة إبرة القطع النسيجي تعتبر من الطرق المعتمدة في تشخيص أورام الثدي قبل العملية وذلك لإمكانية الحصول على نسيج كافي للتشخيص النسيجي.الهدف: دراسة لغرض المقارنة بين استخدام إبرة السحب الخلوي وإبرة القطع النسيجي في اكتشاف سرطان الثدي في كتل الثدي المشخصة سريريا عند المرضى الذين يراجعون العيادة الاستشارية لأمرا ض الثدي. بالإضافة إلى ذلك لتقييم مدى الاستفادة التشخيصية من خلال الحصول على معلومات أكثر دقة عن الورم بواسطة استخدام إبرة القطع النسيجي وتأثيرها على قرار العلاج الجراحي قبل العملية.المرضى والطريقة: أجريت هذه الدراسة في مستشفى بغداد التعليمي-العيادة الاستشارية لأورام الثدي من الفترة(كانون الثاني 2009 لغاية تشرين أول 2010).تضمنت الدراسة 120 امرأة تعاني من كتلة الثدي المشخصة سريريا.بعد اخذ التأريخ المرضي والفحص ألسريري الدقيق تم أخذ خزعة بواسطة إبرة السحب الخلوي وإبرة القطع النسيجي وبعد ذلك يتم رفع الورم جراحيا.النتائج: حساسية اختبار إبرة السحب الخلوي كانت 80% والخصوصية كانت 100%0بينما حساسية اختبار استخدام إبرة القطع النسيجي كانت 95% والخصوصية كانت 100%. هذه الدراسة قد بينت أن استخدام إبرة القطع النسيجي أفضل من استخدام إبرة السحب الخلوي في إثبات سرطان الثدي عند المرضى المصابين بكتلة الثدي المشخصة سريريا. بالإضافة إلى ذلك قدرة إبرة القطع النسيجي في إعطاء تشخيص نهائي للورم بأقل كلفة وأقل مضاعفات.الاستنتاج: استخدام إبرة القطع النسيجي أكثر حساسية من استخدام إبرة السحب الخلوي في اكتشاف سرطان الثدي عند المرضى المصابين بكتلة الثدي المشخصة سريريا.مفتاح الكلمات: خزعة أبرة القطع النسيجي, كتلة الثدي


Article
Review of Male Breast Disorder in Medical City
اضطرابات الثدي عند الذكور

Authors: Safa M. Al-Obaidi صفاء العبيدي --- Humam A. H ussein --- Lutfi G. A wazli --- salah M. Tajer
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 4 Pages: 371-376
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Although uncommon, diseases of the male breast engender a tremendous emotional response. Fortunately, most diseases present with a mass and are easily detected. Unlike the female breast, only ducts but no lobules are present. Objectives: The aim of this descriptive study is to present the clinical, pathological and ultrasonographic features of different breast lesions amongst males.Patients & methods: Data obtained from 93 male patients with breast disorders collected between the first of January 2008 to the end of December 2009 and based on clinical examination were done in surgical wards in Baghdad teaching hospital and the main referral training centre for early detection of breast tumors. Results: Gynecomastia was the most common pathological abnormality of the male breast (77 patients, 82.8%). Most of the patients presented in the 2nd decade of life. Amongst the malignant conditions, infiltrating ductal carcinoma was the only malignant tumor detected (5 patients, 5.37%).Conclusion: The majority (94.63%) of male breast lesions are benign. Ultrasonographic examination is useful-but not the only for distinguishing benign versus malignant lesions, FNAC and histopathological examination yield the final diagnosis.

تعد اضطرابات الثدي من الامور التي تخلف تاثيرات نفسية . ولحسن الحظ ان اكثر الاعراض تشخيصا هي وجود كتلة في الثدي.الغاية توضيح العلامات السريرية والمرضية وعلامات السونار لاضطرابات الثدي عند الذكورالمرضى وطرق البحث تم جمع نتائج 93 مريض من الفترة كانون الثاني 2008 الى كانون الاول 2009 في مستشفى بغداد التعليمي ومركز الكشف المبكر للثديالنتائجتضخم الثدي يعد من اهم الضطرابات في الذكور وبنسبة 80%. اما سرطان الثدي فوجد بنسبة 5%.الاستنتاج غالبية اضطرابات الثدي عند الذكور هي من النوع الحميد . فحص السونار ممكن ان يكون مفيد في تمميز الاضطرابات الحميدة من الخبيثة . التشخيص النهائي بالفحص النسيجي والخلوي


Article
Percutaneous Drainage of Abdominal Collections under Imaging Guide

Authors: Safa M. Al Obaidi صفاء العبيدي --- Mohammed A. Mahdi محمد عبد الامير مهدي --- Nasser M. Meazher ناصر مظلوم مزهر
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2017 Volume: 59 Issue: 1 Pages: 5-8
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: One of the most significant advances in the treatment of intra-abdominal collections during the past 2 decades has been the introduction of image-guided therapy with percutaneous catheter drainage. The development of improved imaging modalities, together with broad-spectrum antibiotics and soft drainage catheters, has changed the treatment of collections that previously required an urgent operation. Disease processes that have traditionally been treated with open surgical drainage and debridement can now be resolved with percutaneous catheter drainage and antibiotics. In selected cases, this will allow for better preparation of the patient for a later elective and definitive operation.Objective: Highlight the outcome, safety and effectiveness of percutaneous drainage procedure of abdominal collections performed under imaging guide.Patients and Methods: Forty one patients were referred from surgical wards and emergency department after diagnosing abdominal collections. Then each case discussed with radiologist to determine the route and type of catheter and imaging modality for guidance (ultrasound and/or computerized tomography). The size and site of the collections were estimated along with the most suitable approach and angle of catheter insertion. A safe drainage route was identified avoiding solid organs and bowel.Results: Percutaneous drainage of 41 abdominal collections under imaging control was carried out in 41 patients during a one year period. No complications resulted from the procedure itself. Percutaneous drainage was sufficient to drain the collections in 35 cases (no further surgery is needed). Of those who require surgery (5 patients), the procedure considered to be as a temporary measure. One case was diagnosed as sero-mucinous tumor of bowel.Conclusion: Percutaneous drainage of abdominal collections is a safe, effective and minimally invasive alternative approach to formal surgical drainage.The advantages include: the drainage can be done under local anesthesia, diagnosis and treatment can be achieved simultaneously in radiological department.Key words; Percutaneous drainage, Imaging guide, Collection.

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