Mukesh Gupta

A comparative study of haemoglobin levels of rural and urban preschool children (in and around Bikaner city, Western Rajasthan)

Summary and ConclusionsHaemoglobin levels were estimated in 352 preschool children dwelling in rural and urban areas. 73% of the children had a haemoglobin less than 10.8 g%. 40% of the children having haemoglobin levels below 7.8% were from the lower socio-economic strata (rural and urban). Dimorphic and microcytic hypochromic anaemias were the commonest type of anaemia present in the present study.

Portal Hypertensive Vesiculopathy: A Rare Cause of Hematuria and a Unique Management Strategy

Portosystemic collaterals are common sequelae of portal hypertension. These often present as gastroesophageal varices. Ectopic varices can rarely be seen in duodenum, jejunum, rectum, and sites of surgical anastomoses. Bladder varices are extremely rare presenting with recurrent hematuria, with only a few reported cases. We report here a management of an unusual case of hematuria managed with blood transfusion, intravenous terlipressin, and endoscopic N-butyl cyanoacrylate glue injection.

A Case of Emphysematous Cystitis Presenting with Acute Urine Retention in an Immunocompetent Host

Emphysematous cystitis is a very rare form of lower urinary tract infection with gas formation. It commonly presents with suprapubic pain associated with lower urinary tract symptoms (LUTS). Predisposing factors are old age, diabetes mellitus, female gender, urinary tract obstruction and neurogenic bladder. Most frequent causative pathogens are Escherichia coli and Klebsiella pneumonia. Imaging is essential to confirm the diagnosis. Prompt treatment marks in improved outcome and better prognosis. It should be considered as one of the differentials of acute urinary retention with UTI. Here we present a case of emphysematous cystitis in an immunocompetent host presenting as acute urinary retention.

Nutritional status of urban and rural preschool children in Western Rajasthan (in and around Bikaner City): I--Anthropometric study.

SummaryThe present anthropometric sudy conducted in West Rajasthan (in and around Bikaner clty) on 1235 preschool children gives the data for this part of Rajasthan. Not much difference was observed between rural and urban children and females had lower values as compared to males.

Nutritional status of urban and rural preschool children in Western Rajasthan (in and around Bikaner City). II. Clinical study.

SummaryA clinical study of 1235 preshoo! children from rural and urban areas of Western Rajasthan showed the presence of R.C.M. in 11 52% of cases, night blindness in 2.9%. Bitots spots in 2.2% and corneal and conjunctival xerosis in 1.13% and 1.29% of cases. The incidence of clinical rickets was noted in 3.6% of cases. Small pox immunization was noted in 93.3%, B.C.G. immunization in 62.1% of rural and 56.1% of urban children. D.P.T. and polio was given to 28.9% of rural and 56.8% of urban children.