Dr. Shaima'a Dakhel

Congenital heart disease (CHD) is the utmost widely recognized class of natal deserts. CHD involves wide scope of cardiovascular deformities from basic structures exhibiting in the prompt infant time frame to mellow imperfections, for example, bicuspid aortic valve, which might not be predictable till parenthood. Early finding for those below 1yr of age having critical congenital heart disease (CCHD) diminishes both mortality and grimness while postponed analysis has been appeared to prompt noteworthy mortality. This study aim for study age, gender distribution and frequency of clinical presentation of CHD. A prospective study accompanied through 3 years since 1st of July 2015 till 1st of July 2018 & encompass 198 patients with CHD consult the outpatient clinic in Al-Diwaniyah city, Al-Qadisiyah, Iraq, each patient was recorded the 1st time diagnosed as CHD; with history, examination, send for x-ray of chest, ECG, & ECHO study & also record the cause of presentation at 1st time when he was diagnosed as CHD. In our study, total cases were 198, male 118 (60%), female 80 (40%). Age of presentation, in acyanotic CHD results were{<1month 26%, 1-3m 38%, 3-6m 21%, 6-12m10%,>1year 5%}, in cyanotic CHD results were {<1month 73%, 1-3m 27%}.According to causes of presentation in acyanotic 47% were presented with chest infection, 18% had heart failure & failing to thrive “HF+FTT”, 35% had murmur discovered on routine examination of baby at outpatient clinic while in cyanotic type 100% the cause of presentation were cyanosis. Many patients with CHD discovered by routine physical examination, so full cardiac examination must be done for all patients as a routine role after delivery before discharge from hospital. © 2019, Indian Journal of Public Health Research and Development. All rights reserved.

Abstract Aim of the study: First, to determine the clinical presentation, biochemical features, and prognosis of Salmonella hepatitis and second, to know if there is any risk factor of enteric fever or its complications. Background: Enteric fever is still a common health problem with a significant morbidity and mortality with high occurrence rates in countries with poorly-established health systems. In patients, all organs can be affected including liver, hepatic dysfunction is not uncommon presentation of enteric fever. Patients and methods: In endemic areas, fever and liver-based features should alarm the medical personals for the incidence of typhoid because it can mimic other diseases occurring commonly in these areas, like acute viral hepatitis, amoebic hepatitis or malaria, in our study total number of patients were 120case all diagnosed with enteric fever on clinical and laboratory finding (increasing titer of Widal test and positive typhoid IgG and IgM of Salmonella typhi rapid test device) Results: The clinical features of typhoid fever in the study: fever 100%, hepatomegaly 18%, hepatosplenomegaly 4%, jaundice 27%, headache 32%, anorexia 40%, vomiting 1%, elevated ALT 25%, AST 18%, Alkaline phosphatase ALP 16%, lactose dehydrogenase LDH 24% and abnormal PT 25%. Fever, jaundice, and normal or abnormal liver enzymes must hint for the incidence of typhoid hepatitis. © 2018, Pharmainfo Publications. All rights reserved.