19.04.11 # 17:15 # Hepatobiliary # 2 Comments
Alcoholic Liver Disease
Alcohol is a toxic substance to the liver and remains one of the most common causes of chronic liver disease.
The spectrum of ALD is broad and a single patient may be affected by more than one of the following conditions;fatty liver, alcoholic hepatitis or alcoholic cirrhosis.
ALD does not occur below a threshold of 21 units/week in women and …
24.01.10 # 15:36 # Medicine, Respiratory system A # No Comment
NONCARDIOGENIC PULMONARY EDEMA
Noncardiogenic pulmonary edema(NCPE) results from
elevated pulmonary capillary hydrostatic pressure
damage to vascular endothelium by factors that disrupt pulmonary surfactant and decrease lung compliance.
inhalation of toxic gases
high altitude illness
pulmonary lymphatic obstruction
aspiration of gastric contents
disseminated intravascular coagulation
Main symptoms are dyspnea and tachypnea.
On physical examination- presence of bilateral rales
ABG – used to assess the need …
15.01.10 # 15:18 # Cardiology # One Comment
CARDIOGENIC PULMONARY EDEMA
Interstitial edema, including fluid engorgement of the perivascular and peribronchial spaces and the alveolar wall interstitium.
Arrhythmias , MI , severe systemic hypertension
Pulmonary embolism , valvular heart disease
Increased pulmonary capillary wedge pressure
Cardiogenic pulmonary edema occurs when the pulmonary capillary pressure exceeds the forces that maintain fluid within the vascular space (serum oncotic pressure and interstitial hydrostatic pressure).
Increased pulmonary …
2.01.10 # 12:43 # Cardiology # One Comment
Acute Myocardial Infarction
Myocardial infarction (MI) or acute myocardial infarction (AMI), is the interruption of blood supply to part of the heart, causing heart cells to die, commonly due to occlusion (blockage) of a coronary artery following the rupture of a vulnerable atherosclerotic plaque, which is an unstable collection of lipids and white blood cells in the wall of an artery. …
12.12.09 # 9:28 # Emergengy medicine # 2 Comments
-OP compounds are widely used as pesticides, for eradication of vectors.
Malathion,Fenthion,Methamidophos,Diazinon,Chlorpyrifos,Parathion are the common insecticides.
Acute cholinergic syndrome:- occur within minutes of exposure.
Pungent garlic like odour in breath, vomit and clothing; Muscarinic effects -miosis , bronchorrhoea, bronchospasm, salivation , lacrimation , abdominal pain , bradycardia
Nicotinic effects- Muscle fasciculation, hyper-reflexia, flaccid muscle weakness with reduced tendon reflexes
CNS effects- headache, …