Role Of Physician In The Era Of Superspecialities- A Study From Peripheral Hospital
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 12
Abstract
Background Practice of internal medicine in remote area with austere conditions , limited logistics and environmental factors makes the decision making difficult. There is paucity of literature available on experience of physician in remote areas. Results (a) Terrain related disorders:There were 35 cases of HAPO , 04 cases of HACO including one death,10 cases of lightning injuries, 65 cases of DVT, 04 cases of pulmonary thromboembolism, 02 cases each of mesenteric vein and acute limb ischaemia. (b) Lifestyle disorders: We had 320 cases of hypertension, 154 cases of coronary events out of which 65(42%) were STEMI, 87(56%) were unstable/ stable angina and 02 (1.3%)cases were prizmetal angina. 58 cases of cerebrovascualr accidents out of which 43(77%) were ischaemic strokes, 09 (14%) haemorrhagic and 06(9%) were venous infarcts. (c) Tropical diseases: There were around 490 cases of viral hepatitis and 45 cases of amoebic liver abscess and 106 cases of malaria. Conclusions Understanding the medical morbidity in remote area with austere conditions and logistic constraints will help in adequate planning and acquiring necessary skills to deliver medical care in the peripheral areas.
Authors and Affiliations
Dr I V Nagesh, Dr. A N M Chengappa, Dr. Pankaj Puri
Keywords
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