A group of miscellaneous affections of the growing epiphyses in children and adolescents. Typically , a bony nucleus of the epiphysis affected by osteochondritis is temporarily softened and is likely to get deformed by pressure in this stage.
Osteochondritis is sometimes classified as-

Crushing type or Osteochondrosis
Osteochondritis dissecans
Tractions Osteochondritis or traction apophysistis

Common Osteochnodrites –

Perthes’ disease – Head of femur is affected
Panner’s disease- …

Trisomy 21 or  Down Syndrome was first described by John Langdon Hayden Down a Physician ( 1828-1896 AD) in The London Hospital in 1866 AD.In 1959, Lejeune and Jacobs et al independently determined -trisomy 21 as cause of Down Syndrome.
March 21st every Year is Marked  as ” Down Syndrome Day” – 3rd month 21st
Karyotype-

Trisomy 21: 47 XX or XY …

Menorrhagia: Summarized Article.
Synonym: Hypermenorrhea
Normally in each menstrual cycle 40-70 ml of bleeding occurs. Normally blood clots are also absent.
Menorrhagia is defined , if in cyclical bleeding at normal intervals , excessive bleeding of more than 80 ml occurs or cycle is of excessive duration or if both occurs. Menotaxis is a term used to define prolonged bleeding.
 
Causes:
Organic:
Pelvic cause- Fibroid …

Indications in acute renal failure
Absolute:
1) Severe fluid overload with CCF
2) Severe hyperkalemia unresponsive to medical Rx or with ECG changes
3) Severe hyponeatrmia
4) Server metabloic acidosis requiring > 2 doses of NaHCO3 (2mEq/kg/dose)
5) Uraemia
6) Fluid restriction curtailling ample nutrition
Relative:
1) Anuria
2) High urea and creatinine values alone are not indications

METHOD
Materials:
1) Pertioneal dialysis tubing, trocar and cannula
2) Yellow intracath #14 gauge needle – …