November 19, 2013 # 9:30 am # Nephrology # No Comment
A number of formulae have been devised to estimate GFR or Ccr values on the basis of serum creatinine levels.
Estimated creatinine clearance rate (eCCr) using Cockcroft-Gault formula
A commonly used surrogate marker for estimate of creatinine clearance is the Cockcroft-Gault formula, which in turn estimates GFR: It is named after the scientists who first published the formula, and it …
October 26, 2013 # 8:45 pm # Paediatrics # No Comment
An 8 year old girl presented to the pediatric ER with complaints of fever for 1 week, altered sensorium for 5 days and multiple episodes of generalized tonic clonic seizures for 4 days. She was a known case of neurocysticercosis for the last 6 years, had been under antiepileptic therapy (carbamazepine and phenytoin) for 3 years and was discontinued after …
October 24, 2013 # 8:43 pm # Paediatrics # No Comment
Varicella-zoster virus (VZV)
Causes- primary, latent, and recurrent infections.
Primary infection – Varicella (chickenpox)
A lifelong latent infection of sensory ganglion neurons.
Reactivation of the latent infection – Herpes zoster (shingles).
Most children are infected by 15 yr of age, with fewer than 5% of adults remaining susceptible.Within households, transmission of VZV to susceptible individuals occurs at a rate of 65-86%
Infectivity : 24-48 hr before the rash …
October 9, 2013 # 6:05 am # Surgery # No Comment
Diabetes Mellitus (DM) is a chronic disorder of glucose metabolism with hyperglycemia triggered by conditions associated with a relative or absolute insulin deficiency. Insulin is an anabolic hormone with profound effects on the metabolism of carbohydrate, fat and protein. Less severe hyperglycemia is called Impaired Glucose Tolerance (IGT) which is associated with an increased risk of developing diabetes in future. …