OFFICE OF THE DEPARTMENT OF

MEDICINE
ASSAM MEDICAL COLLEGE &
HOSPITAL
DIBRUGARH :: ASSAM

Prof. Beenapani Doley,

MD, DPM, MRCPsych (London)
Professor & Head
Department of Medicine
Assam Medical College & Hospital
Dibrugarh – 786 002.

This is to certify that the work in connection

with the thesis entitled “A STUDY ON SIGNIFICANCE OF
SERUM–EFFUSION ALBUMIN GRADIENT IN THE DIFFERENTIAL
DIAGNOSIS OF PLEURAL EFFUSION.” was carried out by Dr.
Arijit Kumar Das , in the Department of Medicine, Assam
Medical College & Hospital, Dibrugarh under the direct
guidance and supervision of Dr. (Mrs.) Krishna Baruah, M.D.
Professor of Medicine, Assam Medical College & Hospital,
Dibrugarh.

Dr. Arijit Kumar Das has fulfilled the necessary

regulations of the Dibrugarh University for submission of
the thesis and for appearing at the M.D. Degree
Examination in General Medicine.
Dated, Dibrugarh

The , 2004. [DR. B.

DOLEY]

OFFICE OF THE DEPARTMENT OF

MEDICINE
ASSAM MEDICAL COLLEGE &
HOSPITAL
DIBRUGARH :: ASSAM

Dr. (Mrs.) K. Baruah, MD.

Professor
Department of Medicine
Assam Medical College & Hospital
Dibrugarh – 786 002.

This is to certify that Dr. Arijit Kumar Das has

carried out the works with the thesis entitled, “A STUDY ON
SIGNIFICANCE OF SERUM–EFFUSION ALBUMIN GRADIENT IN
THE DIFFERENTIAL DIAGNOSIS OF PLEURAL EFFUSION.” For
the degree of doctor of Medicine (M.D.) in general
Medicine under my direct guidance constant supervision in
the department of Medicine, Assam Medical College &
Hospital, Dibrugarh. The results & observations embodied in
the this thesis & the interpretations thereof have been done
by Dr. Arijit Kumar Das himself & were checked out and
verified by me.

He has fulfilled all the conditions & requisites of

Dibrugarh University for submission of the thesis and for
appearing at M.D. Degree Examination (General Medicine).

Dated, Dibrugarh

The , 2004. [DR. (MRS.) K.

BARUAH]

OFFICE OF THE DEPARTMENT OF

PATHOLOGY
ASSAM MEDICAL COLLEGE &
HOSPITAL
DIBRUGARH :: ASSAM

Dr. (Mrs.) D. Kataki, DCP, MD (Patho.)

Associate Professor of Pathology
Upgraded Department of Medicine,
Assam Medical College & Hospital,
Dibrugarh – 786 002.

This is to certify that Dr. Arijit Kumar Das has

carried out the relevant Laboratory Investigations
(Chemical and Histopathological Examination of Pleural
Biopsy Slides) in connection with the thesis entitled, “A
STUDY ON SIGNIFICANCE OF SERUM – EFFUSION ALBUMIN
GRADIENT IN THE DIFFERENTIAL DIAGNOSIS OF PLEURAL
EFFUSION” for the Degree of Doctor of Medicine (M.D.)
under my guidance & supervision. All the data recorded by
him were checked & verified periodically by me.

Dated, Dibrugarh

The , 2004. [DR. (MRS.) D.

KATAKI]

Acknowledge
ment
I am in debt to Dr. (Mrs.) Nandita Chowdhury, MD
(Medicine), DM (Nephrology), Ex–Principal–cum–Chief Superintendent,
Assam Medical College & Hospital, Dibrugarh, for her kind permission to
carry out the study and to utilize hospital cases & records of the same.

I am very much thankful to Dr. T.R. Borbora, DMRD, MD

(Radiology), Principal–cum–Chief Superintendent, Assam Medical College
& Hospital, Dibrugarh, for his kind encouragement & help in completing my
study.

No word would be enough to express my profound sense of

gratitude to Dr. Mihir Goswami, Assistant Professor, Assam Medical
College & Hospital, Dibrugarh, for his valuable guidance & encouragement
whenever necessary in carrying out this work.

I acknowledge with greatest pleasure my infinite indebtedness

to Prof. B. Laskar, Prof. G.N. Gogoi, Prof. R. Kotokey, Prof. P.K. Bhattachajee,
Assoc. Prof. S. Kakati, Asstt. Prof. A.K. Sen, Asstt. Prof T.U. Ahmed,
Asstt. Prof . A.K. Das, Department of Medicine, Assam Medical College &
Hospital, Dibrugarh for their constructive criticism & sound advice.

I am thankful to Dr. (Mrs.) D. Kataki, DCP, MD, Associate

Professor of Pathology, Upgraded Medicine, Assam Medical College &
Hospital, Dibrugarh, for carry out necessary carry out necessary Laboratory
Investigations in her Department.

I am grateful to Dr. B.N. Mahanta, MD (Medicine), DTM&H

(London), Dr. (Mrs.) R. Doley, MD (Medicine), Registrars of Medical
Unit–V for the constant help & guidance throughout the study period.

I also owe my sincere thanks to my colleagues Dr. K. Narzary,

Dr. I. Hazarika, Dr. M.P. Baruah, Dr. A. Rahman, Dr. R. Das, Dr. Zaman,
Dr. R.V. Saikia and Dr. M. Borgohain.

My feelings of gratefulness also go to the interns of Medical

Unit–V both present & past for giving me sufficient time away from the
ward duties toward the preparation of this work.

My words are few to express my feelings to my Mother, Father

and Brother whose support & blessings help me immensely.

I am very much thankful to my patients for their co–operation

in carrying out this work smoothly.

I am really thankful to “Miss Kannaki Parasar” and

Mrs. Sweemy Hati Baruah of CIC, Lahowal Centre, Dibrugarh for their
efficient & patient typing of this thesis.

I am very much indebted & thankful to Mr. Manash Barman,

Statistician, ICMR, Dibrugarh, for helping me in my work.

I am also very thankful to Mr. Zahir Ahmed, ZED Print Media,

Dibrugarh, for helping me in carrying out this work.

Finally I always remember the names of those whose kind

helped & co–operation have been always with me.

Dated, Dibrugarh

The, , 2004. [ARIJIT KUMAR DAS]