Trachiostomy

Indications     The long-term ventilation for more than 21 days     The airway obstruction; for example, by injury or tumors     The advantages over a trans laryngeal intubation. Advantages     The avoidance of damage to the arytenoid cartilages     The avoidance of mucosal lesions on the vocal cords, trachea and mouth and nose     A lower airway resistance (decrease the work of breathing)     A smaller dead space     The...

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Community based Screening programme in Primary HealthCare(PHC) institutions to tackle Non Communicable Disease(NCD)

Community based Screening programme in Primary HealthCare(PHC) institutions to tackle Non Communicable Disease(NCD) burden in Sri nLankaDr Thalatha Liyanage,M.B.B.S., D.F.M., MSc &M.D (Com.Med)Director NCD, Ministry of Health BackgroundIn Sri Lanka, 71% of annual deaths are due to chronic NCDs.Cardiovascular Diseases, Diabetes, Cancers and Chronic Respiratory diseases are rapidly increasing over the last few decades accounted for 29.6%, 9.4%, 3.9% and 8.5% of mortalityrespectively. Risk factors;...

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Bladder outflow obstruction and Lower Urinary Track Symptoms

A 74 year old gentlemen who is diagnosed to have benign prostatic hyperplasia  presented with inability to pass urine and suprapubic pain. On examination there is an abdominal lump arising from the pelvis up to the level of umbilicus. X-ray KUB He is having bladder outflow track obstruction caused by benign prostatic hyperplasia complicated by acute retention of urine and stone formation. Bladder outflow tract obstruction What are the...

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Vegetarian Diet - Good or Bad

In these days lot of people's try to be a vegetarian. But there are several facts towards it and against it. This space is for your ideas. Leave your thoughts on comments....

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TNM Classification for Breast Carcinoma

TNM Classification for Breast Carcinoma TNM Classification is developed and maintain by UICC ( Union for International Cancer Control ) and it used to classify tumors by anatomical stage. This classification help to determine in management and prognosis. Tumor T1       Up to              2 cm Greatest dimension T2       Between         2-5 cm Greatest dimension T3       More than     ...

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SIRS, Sepsis, Sever Sepsis, Septic Shock, Septicaemia, Bactiraemia Definition with Mnemonics

SIRS Mnemonics SIRS is a pro-inflammatory condition which does not include documented source of infection. Any two or more of the following signs indicate Systemic Inflammatory Response Syndrome (SIRS). Features of SIRS can memorize as HRT (hormonal replacement therapy) for Women.  H- Heart Rate                            >90 beats per minute R- Respiratory Rate                   >20 beats per minute T- Temperature  ...

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Pancreatitis Mnemonics : Causes, Severity

Pancreatitis : Mnemonics Causes for pancreatitis : Mnemonics Idiopathic Gallstones (38%) Ethanol (35%)Tumours  (peri-ampullary tumour, pancreatic carcinoma)       Scorpion venomsMumpsAutoimmune (SLE, Polyarteritis nodosa)Surgery and trauma Post surgical (cardiac surgery), Blunt trauma to abdomen, Penetrating peptic ulcer Hyperlipidemia, Hypercalcemia. HypothermiaERCP or EmboliDrugs Azathioprine, Corticosteroids,...

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