Disposal of syringes, needles, and lancets used by diabetic patients in Pakistan.

Objective: To assess the use, handling and disposal of insulin injection equipment by diabetic patients in Pakistan.

Methods: We conducted a cross-sectional study at diabetic clinics in five tertiary centers in Pakistan. All diabetic patients (type 1/type 2) who were on insulin for more than 1 month, were included.

Etiology, functional status and short term outcome of patients with pituitary lesions. An experience from a developing country.

Objective: To describe the etiology, functional status and short term outcome of patients with pituitary lesions (PL).

Methods: Brain or pituitary MRI reports of 3753 patients were analyzed for PL over the period of 2000 to 2007, done at the Aga Khan University Hospital (AKUH), Karachi, Pakistan. MRIs with reported PL and all those ordered by Endocrinologists with or without pituitary abnormalities, were included in the analysis.

Hypokalemic quadriparesis with normotensive primary hyperaldosteronism.

This case report describe a 45 years old female who presented with hypotonia, hyporeflexia, and motor weakness of all four limbs with bilateral flexor planter response due to severe hypokalemia. The patient was finally diagnosed as a case of normotensive primary aldosteronism. Her CT scan abdomen was done which excluded adrenal adenoma.