Anwer Khan Modern Medical College Journal <p>The Official journal of the Anwer Khan Modern Medical College &amp; Hospital. <br>This is an open access journal which means that all contents are freely available in the website without charge to the user. Users are allowed to read, download, copy, distribute without asking prior permission from the publisher or the author.</p> Anwer Khan Modern Medical College en-US Anwer Khan Modern Medical College Journal 2221-836X Promotion of vaginal birth in Bangladesh <p>Abstract not available</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 3-6</p> SF Siddiqua ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 3 6 10.3329/akmmcj.v11i1.45659 Serum Ferritin Status of Patients with Type 2 DM Attending OPD of BIRDEM General Hospital <p><strong>Background: </strong>In recent times much is talked about of serum ferritin, an acute phase reactant a marker of iron stores in the body and its association with diabetes mellitus. Studies implicate that increased body iron stores and subclinical hemochromatosis has been associated with the development of glucose intolerance, type 2 diabetes and its micro as well as macrovascular complications.</p> <p><strong>Material &amp; Methods: </strong>This study was carried out to examine and to observe for any relationship between serum ferritin with Type 2 diabetes mellitus. Our study populations were included 163. Among them 81 type 2 diabetes patients as a case (M=49,F=32, mean 44.68 age in years)and 82 normal healthy individual as a control ( M=35, F=47 , mean 34.71 in years).</p> <p><strong>Results: </strong>Majority were healthy outpatients who had come for regular checkup and were matched with controls. Serum ferritin and FBS were estimated and other investigations. Results showed that although Serum ferritin was in the normal range value it was increased in type 2 diabetes patients than in controls and was statistically significant, we did get a positive correlation with duration of diabetes. It can be concluded that there were positive associations between serum ferritin and FBG, age, sex among study groups.</p> <p><strong>Conclusion: </strong>In conclusion our study shows that there is significant correlation between increased serum ferritin in diabetes compared to individuals with normal blood sugars in this part and hyper ferritinemia may be one of the causes for development of insulin resistance before overt diabetes.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 7-10</p> Khadiza Begum Fahmida Islam Farjana Aktar Murshida Aziz Tohfa E Ayub Tahiya ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 7 10 10.3329/akmmcj.v11i1.45660 Fetomaternal Outcome of Eclamptic Patient in Secondary Health Care Level-3 years study <p><strong>Background: </strong>Eclampsia is defined as the development of seizures that cannot be attributed to other causes and /or unexplained coma during pregnancy or puerperium in a woman with pre-eclampsia. The purpose of this hospital based observational study is to evaluate the extent of the problem and to estimate the associate of foetal and maternal complications</p> <p><strong>Methodology: </strong>The observational study was carried out Department of Obstetrics and Gynaecology in 250 bedded general Hospital Tangail from January 2015 to November 2017. All on the diagnosed patients of eclampsia were included in this study.</p> <p><strong>Results: </strong>Regarding types of eclampsia 187(62.3%) patients had antepartum eclampsia, 78(26.0%) had postpartum eclampsia and 35(11.7%) had intrapartum eclampsia. Majority (57.0%) patients had 5-9 times of convulsion, 65(21.7%) had &gt;10 times and 64(21.3%) had &lt;5 times of convulsion. Most (95.0%) patients had cesarean section and 15(5.0%) had normal vaginal delivery (NVD). Maternal alive was found 293(97.7%) and death was 7(2.3%). Male baby was found 203(67.7%) and female baby was 97(32.3%). More than three fourth (75.7%) babies had weight 2.5-4.0 kg. Alive babies were found 282(94.0%), neonatal death was 8(2.7%) and intrauterine death was 10(3.3%).</p> <p><strong>Conclusion: </strong>Improving ante-natal and emergency obstetric and neonatal care is mandatory to improve the outcome.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 11-15</p> Nazma Khalil Sharmin Abbasi Rehana parveen Rokeya Ferdousey ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 11 15 10.3329/akmmcj.v11i1.45661 Osteoporosis among the Chronic Obstructive Pulmonary Disease Patients <p><strong>Background: </strong>COPD is a widely prevalent disease with high morbidity and mortality and is associated with various comorbidities, among which is osteoporosis. However, osteoporosis is often undiagnosed in these patients.</p> <p><strong>Material and methods: </strong>This study was conducted on 40 patients with COPD and 15 healthy controls (the control group). They were selected from EMCH from Jan 2015 to Dec 2017. All participants were subjected to detailed clinical history taking, a thorough clinical examination, plain chest radiography (posteroanterior and lateral views), blood sampling for complete blood picture, erythrocyte sedimentation rate, and serum calcium and phosphates, ventilatory function tests (spirometry), and measurement of bone density using dual-energy X-ray absorptiometry (DEXA).</p> <p><strong>Results: </strong>The results of this study revealed prevalence of osteoporosis was higher in the COPD group compared with the control group (P &lt; 0.00). Prevalence of osteoporosis increased with increasing severity of COPD (P &lt; 0.00).</p> <p><strong>Conclusion: </strong>Osteopenia and osteoporosis are more prevalent in COPD patients than in healthy controls and the severity of osteoporosis increases with increasing severity of COPD.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 16-21</p> Md Haroon ur Rashid Rezaul Karim Chowdhury Mashah Binte Amin Md Momenuzzaman Khan ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 16 21 10.3329/akmmcj.v11i1.45662 Risk Factors of Coronary Heart Disease among Civil Employees of a Tertiary Level Hospital <p><strong>Background: </strong>Cardiovascular risk factors are the most inimical and deleterious elements to develop coronary heart disease (CHD). To identify the factors contributing to develop CHD is therefore of paramount importance. It needs endless attention to address the riddle. This effort is to candle the light on sociodemographic &amp; other factors of CHD.</p> <p><strong>Methods &amp; Materials: </strong>This cross-sectional study was conducted in CMH Dhaka from September to December 2011 on 287 respondents. Data were collected by interview using semi-structured questionnaire. Data were checked, edited, coded, categorized, cleaned and analyzed using (SPSS version 20).</p> <p><strong>Results: </strong>The study disclosed that respondent's mean age was 39.40+9.42 years, 67.2% were male and 32.8% were female. It was founded that 34.14% were smoker. The prevalence rate of HTN and DM were 14.3% and 4.5% respectably. The mean BMI was 24.55 with 58.5% had normal weight and 41.5% were overweight, 18.8% had positive family history of suffering from CHD. among the respondents 88.5% has got at least one risk factor, 60% has got 5-10 risk factors, 13.6% got 6-10 risk factors, 14.3% got&gt;10 risk factors. Age was significantly associated with smoking (p&lt;.049), educational status (p&lt;.001) and blood pressure (p&lt;.001). Physical exercise was associated with BMI (p&lt;.001) and blood pressure (p&lt;.001). Risk factors had highly significant association with age (p&lt;.001).</p> <p><strong>Conclusion: </strong>All these findings suggest that a substantial evidence of risk factors of coronary heart diseases were prevailing among the study population. Proper care through positive motivation, avoidance of risk behaviour, intervention of clinical conditions can resist risk factors of coronary heart disease thus coronary heart disease can be prevented.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 22-28</p> Md Saydur Rahman Nurun Nahar ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 22 28 10.3329/akmmcj.v11i1.45663 Fertility Control Behavior among the Clay Modeler Women in Rural Area <p><strong>Background: </strong>Fertility control behavior of women in different cultural practices greatly influences the demographic pattern of a country. The high fertility rate is associated with maternal and infant mortality rate. The aim of this study was to find out the fertility control behavior of the clay modeler women in rural area.</p> <p><strong>Material and Methods: </strong>This descriptive type cross sectional study was carried out among 1360 respondents by purposive sampling technique from19th to 21st January, 2019 in different villages of Dhamrai Upazila, Dhaka. Data were collected by duly pretested a semi-structured questionnaire through face to face interview. Data were analyzed manually and by using computer.</p> <p><strong>Results: </strong>Then study revealed that majority of the respondents 79% were Muslims by religion and about 76% respondents were found within the age 25-44 years with mean age 34.8±8.6 years. About 32% &amp; 35% respondents were found primary &amp; secondary level of education respectively. Moreover, 16% respondents monthly income were less than TK 2000 and 37% respondents had 2-3 number of children. About 79% respondents were using the fertility control measures only. Among the users 67% respondents were using Oral pills, 10% &amp; 8% were using IUCD and Injections respectively. Adherence factors for contraceptive use were husband's support 85%; support of family members 90% and availability of contraceptive materials were found 97%. On the other hand, non-adherence factors for contraceptive use were religious barrier 91%; fear of complications 97% and insultations 85%. In this study, Overall perceptions on fertility control measures and time interval for birth spacing found positive.</p> <p><strong>Conclusion: </strong>Intensified efforts should be made towards creating public awareness and strengthening perception regarding fertility control behavior to overcome those non-adherence factors for contraceptive uses.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 29-34</p> Md Mahfuzur Rahman Md Atiqur Rahman Rizona Jnui Abu kawser Khalid Omar Shahin Sumaiya Salam Aasha Jannatul Ferdous ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 29 34 10.3329/akmmcj.v11i1.45664 Estimation of Serum Uric Acid Level in Preeclamptic Women Determine the Severity of Preeclampsia <p><strong>Background: </strong>Serum uric acid is a relatively insoluble metabolite of purine metalolism which is mainly secreted by the kidneys and the rate is dependant on renal blood flow. It increases in preeclampsia and studies show it may be a marker of severe preeclampsia.</p> <p><strong>Objective: </strong>To determine the serum uric acid level in preeclampsia, to compare the serum uric acid level between mild and sever preeclampsia and to find out any relationship of the serum uric acid level with hypertension in preeclampsia.</p> <p><strong>Methods and materials: </strong>This cross sectional study was conducted in Dhaka Medical College Hospital in eclampsia ward of Gynae &amp; Obs department during the period from January 2010 to December 2011. This study group composed of 92 diagnosed case of preeclampsia patient. Out of the 92 cases, 42 were mild preeclampsia and 50 were severe preeclampsia.</p> <p><strong>Result: </strong>The results of the study showed that the mean serum uric acid level was significantly high in severe preeclampsia compared to mild preeclampsia and there is a positive and significant relationship of serum uric acid level with hypertension in preeclampsia.</p> <p><strong>Conclusion: </strong>There is significant association between serum uric acid level and hypertension in Preeclampsia.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 35-40</p> Khairun Nahar Sayada Fatema Khatun Naila Atik Khan ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 35 40 10.3329/akmmcj.v11i1.45665 Distribution and Determinants of Rape Victims: A Retrospective Analysis <p><strong>Background: </strong>Rape is a very alarming situation in the context of Bangladesh. It is the most common form of violence against woman. In Bangladesh, rape is found as the second commonly reported form of violence against women, following dowry related harassment. However, sexual violence has a great impact on physical and mental state of health with an increased range of sexual &amp; reproductive health problem.</p> <p><strong>Objectives: </strong>To describe rape victims medico-legal examination findings those includes sociodemographic characteristics, location of victim's residence, victims signs of struggle / violence &amp; condition of hymen, status of victims vaginal swab test report, state of victim's mental condition &amp; sexual abuse, state of victim's sign of Non-Genital Violence &amp; state of accused and victim's status of pregnancy as well.</p> <p><strong>Methods: </strong>This was a descriptive type of cross-sectional study taken from a retrospective record review which was done in the Department of Forensic Medicine, Shaheed Suhrawardi Medical College, Dhaka, Bangladesh from 29th Oct 2017 to 30th Sep 2019 with the support of department faculties in reviewing the records using a checklist.</p> <p><strong>Results: </strong>More than 60% victims were within 15-29 years of age with mean age 18.69 years and SD: + 5.921. Among the victims 27.5% had no formal education &amp; almost 78% victims' occupation was student and garment workers. The study revealed that 76.3% victims were single (Unmarried) and 34.8% &amp; 19.3% of the victims' residence was Ashulia, &amp; Dhamrai respectively. Among the victims only 67.6% had the consent for medico-legal examination. Signs of struggle / violence was present only on 5.71% and ruptured hymen was found in 96.43% of victims respectively. Negative spermatozoa were found among all respondents. All of the respondents were found as Anxious and depressive. Moreover, state of sexual abuse was present among 98.57% respondents and 96.43% victims had the state of non-genital violence. Almost 95% of the victim's examination was done between more than 7 days to 1 month. Only 5% of the victims were found pregnant.</p> <p><strong>Conclusion: </strong>The study findings demand a growing need focusing in developing strategies for the care &amp; support of rape victims. An adequate legal coverage for the rape victims, a post rape health and social services can be considered an unmet need for the society in deed.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 41-45</p> Nahin Fahmida Ferdous Nashat Jabin ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 41 45 10.3329/akmmcj.v11i1.45666 Comparative Study between IV Paracetamol and IM Pethidine for Post Operative Analgesia in Laparoscopic Cholecystectomy <p><strong>Background: </strong>Effective analgesia is important after laparoscopic cholecystectomy. Paracetamol have been used extensively as alternatives, and it seems that they are more effective for mild to moderate pain control postoperatively. As laparoscopic Cholecystectomy poses moderate pain, in this study we compare the quality of analgesia and side effects of paracetamol versus pethidine for post-operative analgesia after laparoscopic cholecystectomy.</p> <p><strong>Objectives: </strong>This study was designed to observe the effect of I.V. paracetamol and I.M. pethidine for analgesic efficacy in post-operative analgesia with their side effects in laparoscopic cholecystectomy. Material and method: Sixty (60) patients were selected in the pre anaesthetic check up room whose were going to be operated for laparoscopic cholecystectomy. Each patient in group A received intravenous paracetamol (1g/100ml)15mg/kg over 15minutes and group B received intramuscular pethidine (100mg)- 2mg/kg postoperatively.</p> <p><strong>Results: </strong>In group A that was paracetamol group and group B that was pethidine group the visual analogue scale (VAS) almost similar but total analgesic consumption in pethidine group were slightly higher than paracetamol group and the respiratory rate were significantly lower in pethidine group.</p> <p><strong>Conclusion: </strong>Our results indicate that IV paracetamol 15mg / kg has better analgesic potency and less side effects than 2 mg / kg IM pethidine for postoperative analgesia after laparoscopic cholecystectomy.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 46-53</p> Raju Ahmed Md Shafiul Alam Shaheen Md Jashim Uddin Md Mahmud Abbasi Mohammad Noor A Alam ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 46 53 10.3329/akmmcj.v11i1.45667 Socio-demographic and Clinical Characteristics of Patient with Thyroid Cancer <p><strong>Background: </strong>Thyroid cancer is the most common malignant disease in endocrine system. It is an emerging public health issue associated with burden on the family, community and the nation. The aim of this study is to determine the socio-demographic and clinical characteristics of patient with thyroid cancer attending in tertiary hospital.</p> <p><strong>Methods: </strong>This cross sectional study was conducted among 246 thyroid cancer patients in two tertiary hospitals of Dhaka city from 01 July 2018 to 30 June 2019. The subjects were selected purposively following specific selection criteria and maintaining ethical issues. Data were collected by face to face interview using a semi-structured questionnaire and checklist. Data were analyzed by the statistical package for the social science (SPSS) version 23.</p> <p><strong>Results: </strong>This study revealed that majority (74.4%) of respondents was female, married (72%), housewife (61.4%), rural respondent (41.1%) and had primary education (69%). Mean (± SD) age of the respondent was 37.85(±12.20) years (Range 14-70 years) and mean (± SD) monthly family income was Tk. 17681(±10602). Out of 246 cases, 204 (82.9%) was papillary and 42 (17.1%) was follicular carcinoma. Various clinical presentations included visible neck swelling in 225 (91.5%), swollen lymph node in 103 (41.9%), pain 90 (36.6%), Difficulties in swallowing 87 (35.4%), Hoarseness of voice in 141 (57.3%), cough along with swelling 47(19.1%), Difficulties in breathing due to swelling in 13(5.3%) of the patients.</p> <p><strong>Conclusion: </strong>Incidence of thyroid cancer has increased worldwide specially in female patients in 3rd and 4th decades of life. As thyroid cancer is a growing public health problem in Bangladesh, proper screening and early diagnostic facilities at all level should be available to measure its actual burden in the country.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 54-58</p> AKM Farhad Hossain Md Mahmudur Rahman Siddiqui Sayada Fatema Khatun ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 54 58 10.3329/akmmcj.v11i1.45668 Out Come of Expectant Management and Induction of Labour with Premature Rupture of Membrane in Term Pregnancy <p><strong>Introduction: </strong>Overall, at least 50% of mothers with PROM near term deliver within 48 hours. The latency period is in general inversely related to the gestational age at the time of PROM. At term, labor is desirable since infections become more likely with more prolong intervals between rupture and delivery. Neonatal complications and perinatal mortality and morbidity also associated with PROM.</p> <p><strong>Material and methods: </strong>This randomized clinical trial study was carried out in the Department of Obstetrics and Gynecology Sir Salimuilah Medical College and Mitford Hospital Dhaka, during the period of January 2008 to September 2008. A total of 100 patients with term pregnancy had single fetus and cephalic presentation with PROM were enrolled in this study. After taking informed consent she was randomized in one of the two either groups according to the results of lottery. Fifty in Group I- Termination of the pregnancy (intervention group) by induction of labour and another 50 were in Group II- Expectant management for spontaneous delivery (expectant group). Randomization was 1:1 for intervention and expectant management. Proper history including demographic, past obstetric and medical history was taken, maternal temperature and Fetal heart rate was recorded. Antibiotics were given to all PROM women. The women of intervention group were induced by following ways -Women with riped cervix with oxytocin infusion and with unripe cervix, first underwent ripening by misoprostol followed by oxytocin infusion. Data was collected by standard questionnaire; results were compiled and relevant statistical calculation was done using computer-based software (SPSS).</p> <p><strong>Results: </strong>The mean age was 20-24 years were predominant in both groups. Low income patients were more common in both groups. Primigravida were predominant in both groups. The mean gestation age was almost similar in both groups, no significant (p&gt;0.05) difference was found between two groups. Majority (80%) patients had time interval 1 to 12 hours between rupture membrane and onset of labour pain in group I. On the other hand 80% patients in group II had 12 to 24 hours time interval for onset of labour pain after rupture membrane.Normal vaginal delivery was higher in group I, whereas caesarean section (LSCS) was higher group II. No statistically significant (p&gt;0.05) difference was found between two groups.Duration of time interval between on set of labour pain to delivery was &lt;12 hours in group I 88.0% patients and 96.0% in group II respectively. No statistically significant (p&gt;0.05) difference was found between two groups.Hundred percent cases was live birth in both groups. Neonatal infection and death were significantly (p&lt;0.05) higher in group II. Puerperal sepsis was significantly (p&lt;0.05) higher in group II.The mean duration of hospital stay was 4.1±2.2 and 5.1±3.7 days in group I and group II respectively but this was not significant (p&gt;0.05).</p> <p><strong>Conclusion: </strong>In the present study there was no statistical difference in the mode of delivery and time interval between onset of labour pain and delivery in two groups though maternal complications, neonatal infection and perinatal death was higher where expectant management was followed.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 59-65</p> Fazle Noor E Tawhida Tabassum Ghani - Noorjahan Shamima Akhter Mst Noorjahan Begum ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 59 65 10.3329/akmmcj.v11i1.45669 Management of Anemia in Cancer Patients <p>Anemia is a frequent complication in cancer patients. Cancer-related anemia adversely affects quality of life and is associated with reduced overall survival. Reasons for anemia in cancer patients are decreased production of RBCs resulting from nutritional deficiencies; insufficient production of RBCs because of the presence of chronic disease; Cancer promotes inflammatory cytokine production, which suppresses erythropoiesis and erythropoietin (EPO) production; bone marrow infiltration by the tumor or bone marrow suppression resulting from anticancer treatment such as surgery, chemotherapy, or radiotherapy; and increased loss of RBCs caused by blood loss from the tumor, surgery, or hemolysis. Correction of anemia can be achieved by different methods.Treatment is aimed at increasing the oxygen-carrying capacity of the blood, reducing fatigue, and improving the patient's overall quality of life. Erythropoiesisstimulating agents, iron supplementation, and red blood cell transfusions have all been recommended in different settings.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 66-72</p> Ehteshamul Hoque Shanaz Karim Mazharul Hoque Anika Nawer Hoque Israq Elahi ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 66 72 10.3329/akmmcj.v11i1.45670 Renal Tuberculosis Presented as Emphysematous Pyelonephritis: A Case Report <p>Emphysematous pyelonephritis(EPN) is an acute necrotic infection of the kidney which is characterized by presence gas in the renal parenchyma. Uncontrolled diabetes mellitus and obstruction of the urinary tract are the main predisposing factors and Mycobacterium tuberculosis is a rare causative pathogen. One of the major health problem faced particularly by the developing world since ages is that of tuberculosis (TB). Genitourinary tuberculosis (GUTB) is the second most common extra-pulmonary TB, with kidney being the most frequent site of infection. We herein report a case of a patient with uncontrolled diabetes mellitus who was admitted through emergency department with symptoms of pyelonephritis. Imaging revealed the gas in the renal parenchyma establishing the diagnosis and as we found sterile pyurea we searched for Mycobacterium tuberculosis. GUTB was diagnosed and was treated successfully with anti TB drugs. EPN is a medical emergency and once diagnosed, attention must be paid to avoid high mortality rates.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 73-77</p> Nazneen Mahmood Md Rashadul Hassan Md Mahmudur Rahman Siddiqui SI Shumi ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 73 77 10.3329/akmmcj.v11i1.45671 Development of Dengue Hemorrhagic Fever in a Patient within 2 Weeks of Contemporaneous Infection of Typhoid Fever and Primary Dengue Fever <p>Dengue virus is the most important mosquito-borne viral disease in the world. Co-circulation of the four types of dengue viruses and expansion of dengue epidemic give rise to infection enhancement and a big expansion of clinical aspects of the disease. Besides dengue, typhoid fever is an ancient disease, have emerged as major public health problem in developing countries including Bangladesh. Here we report a case of 4 years old boy, who have developed Dengue Hemorrhagic Fever within 2 weeks of contemporaneous infection of Typhoid fever and Primary dengue fever.</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 78-81</p> Gule Tajkia Syed Khairul Amin M Ekhlasur Rahman Kuntal Roy Soma Halder Shamim Rima Mohammad Mahbubur Rahman ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 78 81 10.3329/akmmcj.v11i1.45672 Extensive Genital Warts in Man Hampering Conjugal Life: A Case Report <p>Genital warts, commonly known as condyloma acuminata, caused by the proliferation of squamous epithelial cells in the presence of sexually transmission of human papilloma Virus (HPV) infection. In human, HPV infection results in simple condyloma acuminatum, giant condyloma or Buschke-LÖwenstein tumour, and seldom penile carcinoma. There are several modalities of treatment options available for genital warts- medical and surgical, alone or in combination. Sometimes extensive genital warts represent a district entity resulting from HPV infection and require surgical management. We present the case of a 42-year-old male; rickshaw puller had multiple professional female sexual partners, who presented with extensive genital warts in penoscrotal region. Lesions were treated due to failure of medical management, by wide electrosurgical excision and rotation scrotal skin flaps</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 82-85</p> ATM Mostafizur Rahman Tanvir Ahmed Chowdhury Ali Nafisa Mahbubur Rahman ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 82 85 10.3329/akmmcj.v11i1.45673 From the Desk of the Editor in Chief vol. 11(1) <p>Abstract not available</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 86</p> Md Tahminur Rahman ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 86 86 10.3329/akmmcj.v11i1.45675 Errata vol. 11(1) <p>Abstract not available</p> <p>Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P vi</p> Tashmim Farhana Dipta H Rahman A Khatun MA Islam ##submission.copyrightStatement## 2020-02-27 2020-02-27 11 1 vi vi 10.3329/akmmcj.v11i1.45676