Posted by medik-ukm on Saturday, January 29, 2011
when you see an acidotic pHbicarb also low: to may think its metabolic acidosis(can also look at lactate-to indicate sepsis)but when you see the pCo2 is also high: co2 retention on the same time-it is a mixed respiratory and metablic acidosis- occurs a lot a very sick patie...
Posted by medik-ukm on Wednesday, January 26, 2011
download here..hope this will be beneficial to refresh our memory.click link below to downloadbreath soundsheart sounds applicationedited :)--------------------addition--------------------breath and heart sounds (not sure whether it is the same with above or not....
Posted by FaDhLi on Wednesday, January 26, 2011
Posted by FaDhLi on Wednesday, January 26, 2011
A lumbar puncture should not be performed in a patient with suspected meningococcemia when certain conditions are present. This is intended to minimize the risk for cerebral herniation or other adverse effect when there may be little additional information obtained from the CSF studies. Contraindications to lumbar puncture: (1) confident clinical diagnosis of meningococcal disease, with typical hemorrhagic rash (2) drowsiness or impaired consciousness Glasgow coma scale <> deteriorating Glasgow coma scores signs of raised intracranial pressure (3) focal neurologic signs (4) signs of raised intracranial pressure, including marked instability in blood pressure and heart rate (5) evidence of septic shock, with signs of poor perfusion (6) infection at the planned lumbar...
Posted by FaDhLi on Wednesday, January 26, 2011
Premature infants are smaller and less developed than full term infants of the same postnatal age.If the gestational age at birth is used to correct the postnatal age, then the development of the premature infant can be more meaningfully compared to normal infants.corrected age in weeks = (age in weeks since birth) - [40 - (weeks of gestation at birth)]The age correction should be done for the first year.Afterwards the correction has little if any benefit, and the chronological age can be us...
Posted by FaDhLi on Wednesday, January 26, 2011
click image to enlargeApplication of these criteria provides a score of 0–10, with a score of >/= 6 being indicative of the presence of definite RA.A patient with a score below 6 cannot be classified as having definite RA, but might fulfill the criteria at a later time point.for details, you may need to read journal on "2010 Rheumatoid Arthritis Classification Criteria" by An American College of Rheumatology/European League Against Rheumatism Collaborative InitiativeorREAD ONLINE H...
Posted by jh on Tuesday, January 25, 2011
Treatment of scabiestopical medications:1. topical benzyl benzoate lotion(25% for adults, 12.5% for children aged 3 to 12)3 applications at 24-hour intervals2. topical lindane (1%)2 applications for 8 hours3. topical permethrin 5% lotionsingle application, washed after 8 hours4. crotamiton cream (eurax) repeat nightly for 3 to 5 nights5. sulphur in calamine lotion: useful in pregnant or nursing mother and neonatesoral medicationivermectin200ug/kgProceduresapply the entire skin from neck belowpay special attention to the groin, fingerwebs, toewebsAdjuvant therapyantihistamine for relief of itchtopical corticosteroidsEnvironment measurestreatment...
Posted by FaDhLi on Tuesday, January 04, 2011
A 39 year old lawyer presents to Gynaecology clinic with a history of subfertility for the last 6 years and is keen to conceive. Ix revealed that she had anovulatory cycle and a normal semen analysis. What would be the most appropriate fertility treatment that you would offer for this patient?A.Clomid to induce ovulationB.GnRH injections to induce ovulationC.Intrauterine inseminationD.IVFE.Timed sexual intercourseKey Points :# subfertility --> male and female factors.- male (semen - normal)- female (ovulation / tubal / hypothalamic pituitary axis)# 39 years old --> advanced maternal age.. reaching 40.. must do conception urgently# keen to conceive --> need assisted conception# most appropriate fertility treatment --> DEFINITIVE TX- if Q asked most appropriate step --> not definitive..STEPChoices...
