Medicine

HIGH URIC ACID TREATMENT

HIGH SERUM URIC ACID TREATMENT

HIGH URIC ACID TREATMENT, When should a high uric acid be treated. I have found that there is a great deal of confusion amongst physicians regarding this topic. In fact, there are consultants writing prescriptions for 2 weeks courses of uric acid lowering drugs citing generalized body aches only or asymptomatic hyperuricemia. These guidelines should sufficiently educate a physician regarding the appropriate approach towards uric acid in general and patients with Gout in particular. Asymptomatic hyperuricemia shouldn't be treated even...

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Multidrug Resistant Tuberculosis

Multidrug Resistant Tuberculosis

  Multidrug Resistant Tuberculosis (MDR-TB) is a tuberculosis form that does not respond to at least two first line anti tuberculous drugs,  Isoniazid and Rifampicin, these two are the most powerful anti-TB drugs. Multidrug Resistant Tuberculosis Resistant to both INH and rifampicin.   XDR Tuberculosis   Resistance to fluoroquinolone plus one of the three injectable 2nd line drugs. These are in addition to the multidrug resistance (MDR). The 2nd line injectables include kanamycin,amikacin and capreomycin.           The following regimen is roughly followed for a 70 kg patient with MDR Tuberculosis. The total...

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FINGER CLUBBING

CAUSES OF CLUBBING

There are various causes of clubbing. Clubbing was first described by Hippocrates. It is deformity of the nails mostly associated with cardiac and pulmonary conditions. Its basically the exaggeration of the normal nail curvature associated with the loss of normal angle between the nail and the posterior nail fold. The sign demonstrated is known as the Schamroth Sign which is associated with clubbing. In this sign the normal diamond shaped window formed between opposing dorsal surfaces of the fingers is not present in...

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ATRIAL FIBRILLATION GUIDELINES

ATRIAL FIBRILLATION GUIDELINES

Atrial fibrillation is an irregular heart rate during which the atria of the heart beat irregularly — completely out of sync with the ventricles of the heart. A patient may present with palpitations and shortness of breath. ATRIAL FIBRILLATION GUIDELINES AF be classified into 3 classes  One episode of Atrial Fibrillation , irrespective of whether it was asymptomatic / self resolving or symptomatic. . Recurrent A FIB Patient with 2 or more episodes Paroxysmal (Episodes of AFIB resolve spontaneously within 7 days ) Persistent AFIB (Episodes of AFIB persists...

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PREMATURE VENTRICULAR CONTRACTIONS ECG

Premature ventricular contractions are ectopic electrical activity in the heart that are associated with an abnormal rhythm. The origin of these PVCs is ventricular. The ventricles are the lower 2 chambers of the heart. PVCs can be an incidental finding on EKG. This means that the person may not feel any symptoms in relation to these occurring , in most cases. However, they can be symptomatic and present with palpitations, shortness of breath and a feeling of skipping a...

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Toxoplasmosis diagnosis treatment and prevention

TOXOPLASMA GONDII PARASITE

Toxoplasmosis diagnosis treatment and prevention is simplified in this article. Toxoplasmosis is a parasitic infection caused by the TOXOPLASMA GONDII PARASITE. In healthy individuals Toxoplasmosis may be an asymptomatic infection or at best cause flu like illness. It is usually overcome by a healthy immune system. The main complications occur in pregnant and immune compromised individuals. Infants born to mothers with toxoplasmosis also have serious complications. Transmission of TOXOPLASMA GONDII PARASITE to a child is more likely if the mother is...

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PINK LADY MEDICINE

PINK LADY MEDICINE

PINK LADY MEDICINE is referred to as the combination of xylocaine viscous jelly and a liquid antacid. The combination consists usually of 20 ml of liquid antacid with 10 ml of xylocaine gel. Some form of anticholinergic drug can also be part of the mixture such as isopropramide iodide. The mixture has a pink color, thus the name pink lady. PINK LADY MEDICINE , as explained above, is a mixture used in emergency room settings, sometimes. A doctor can advise the intake of...

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NON ALCOHOLIC FATTY LIVER DISEASE SYMPTOMS

NON ALCOHOLIC FATTY LIVER DISEASE

A typical case of NAFLD (Non Alcoholic Fatty Liver Disease):  This involves a 55 years old women who is known diabetic from last 8 years and known hypertensive for last 6 years admitted in female medical ward through emergency on 15/1/2015 with following chief complaints Abdominal distention--------12 days Constipation ------------------2 days Vomiting -----------------------1 day Patient was in her usual state of health when 12 days back she noticed that her abdomen has swollen and distended. The distention was gradual in onset...

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