I. Kankananarachchi, U. Egodage, K. Dharmasiri, E. Jayathilake, G. Shanika, V. Devasiri
{"title":"Documentation errors in paediatric drug charts: an Audit","authors":"I. Kankananarachchi, U. Egodage, K. Dharmasiri, E. Jayathilake, G. Shanika, V. Devasiri","doi":"10.4038/JRCS.V23I1.39","DOIUrl":"https://doi.org/10.4038/JRCS.V23I1.39","url":null,"abstract":"The articles in this journal are licensed under a Creative Commons Attribution 4.0 International License. DOI: http://doi.org/10.4038/jrcs.v23i1.39 https://orcid.org/ 0-0002-9351-2966","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117000537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Kankananarachchi, R. D. A. C. Rathuwithana, S. Vithana, T. Gunawardena
{"title":"A case of Cows' milk allergy in the syndrome of thrombocytopenia with absent radius","authors":"I. Kankananarachchi, R. D. A. C. Rathuwithana, S. Vithana, T. Gunawardena","doi":"10.4038/JRCS.V23I1.48","DOIUrl":"https://doi.org/10.4038/JRCS.V23I1.48","url":null,"abstract":"Thrombocytopenia with absent radii (TAR) is a rare congenital disorder with hypomegakaryocytic thrombocytopenia and bilateral radial aplasia.1They presents in early infancy ranging from mild changes to marked limb shortening. About 50% of the patients with TAR syndrome have cow’s milk protein allergy.2Here we report a 2 year old girl with TAR syndrome presented with marked gastrointestinal disturbance and clinical evidence of cows' milk allergy.","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124839675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruwan Samararathna, C. Naotunna, I. Kankananarachchi, K. A. I. Pathmakanthi, H. M. P. Hemali, Harshini Dharmawardena
{"title":"Recurrent carpopedal spasms and numbness over limb extremities in an 11 year old","authors":"Ruwan Samararathna, C. Naotunna, I. Kankananarachchi, K. A. I. Pathmakanthi, H. M. P. Hemali, Harshini Dharmawardena","doi":"10.4038/JRCS.V23I1.49","DOIUrl":"https://doi.org/10.4038/JRCS.V23I1.49","url":null,"abstract":"","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124867920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. B. Prabhashwara, D. Rajapakse, P. Wickramasuriya, L. Y. P. Randunu, K. K. Abeysekara
{"title":"Mucinous adenocarinoma of the appendix: a retrospective note","authors":"A. B. Prabhashwara, D. Rajapakse, P. Wickramasuriya, L. Y. P. Randunu, K. K. Abeysekara","doi":"10.4038/jrcs.v23i1.50","DOIUrl":"https://doi.org/10.4038/jrcs.v23i1.50","url":null,"abstract":"","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122035495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Karunatilake, C. Wijesinghe, H. K. Wijenayake, S. S. Wettasinghe, M. T. K. Mendis, W. Niroshan
{"title":"Management of patients suspected of having dengue fever: association of Illness severity with clinical parameters: a single center experience from Southern Sri Lanka","authors":"H. Karunatilake, C. Wijesinghe, H. K. Wijenayake, S. S. Wettasinghe, M. T. K. Mendis, W. Niroshan","doi":"10.4038/JRCS.V23I1.43","DOIUrl":"https://doi.org/10.4038/JRCS.V23I1.43","url":null,"abstract":"Introduction Dengue has been associated with significant mortality and its management is governed mainly by clinical experience and consensus of experts than evidence. This study was carried out to assess the association of disease severity and clinical parameters of patients suspected of having dengue fever. Method A retrospective descriptive study was conducted in District General Hospital (DGH), Matara using hospital data available in patients’ records. A total of 1005 adult patients with fever and low platelets admitted during the months of May, June July and August 2017 were studied. Trends in white cell count (WCC), Platelets counts, haematocrit (PCV) and Platelet distribution width (PDW) were recorded. Comparisons were made between the days of the illness, drop in platelet count, rise in the PCV&WCC and change in PDW, among Dengue fever (DF) and Dengue hemorrhagic fever (DHF) patients. Correlation with disease severity with the presence of comorbidities and NS1 antigen positivity was also assessed. Results No correlation was found with disease severity and presence of comorbidities or NS1 antigen positivity. Rise in PCV & WCC and drop in platelet counts were noted with the onset of leaking phase of DHF. Conclusions Rapid drop in platelet counts appears to be the most reliable parameters to indicate the onset of leaking phase. Previously described 20% rise of PCV is not a reliable indicator of the onset of leaking in patients hospitalized in the early phase of the illness.","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114163135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. D. W. Arachchige, P. Sajeevan, S. Vidanapathirana, R. S. Mahagedara, A. Lamahewage
{"title":"Treatment of uncomplicated intussusception in children: saline enema without ultrasound guidance: a case series","authors":"N. D. W. Arachchige, P. Sajeevan, S. Vidanapathirana, R. S. Mahagedara, A. Lamahewage","doi":"10.4038/JRCS.V23I1.45","DOIUrl":"https://doi.org/10.4038/JRCS.V23I1.45","url":null,"abstract":"Introduction: A retrospective study was done to assess the efficacy of saline reduction without radiological guidance for uncomplicated intussusceptions at a tertiary care children’s hospital from April 2014 to May 2015. Methods: Clinical records of consecutively admitted 103 children were analysed. Results: 85 children were successfully treated with a single attempt of saline reduction while another 11 patients were successfully managed with second or third attempt of saline reduction. Only seven children needed laparoto my. Overall success rate of the procedure in this sample was 93.2%. Conclusions: Hydrostatic reduction can be used effectively and safely in the absence of ultrasound facilities to manage uncomplicated intussusceptions.","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"228 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123296763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}