Pancreatitis Mnemonic : Causes, Severity

Most commen causes are Gallstones and alcohol.Severity may range from mild to very sever form of disease.

Monday, March 31, 2014

Childhood Obesity

Obesity is a common problem affecting children and adolescents. This is a result of both increased intake of energy-dense foods (high-fat diet, fast foods) and reduced exercise. Energy expenditure has fallen as a result of an increase in sedentary behavior. Children spent lot of time in front of computers and television. They have less chance to play outdoor games due to competitive education and extra classes. Other causes of obesity are...

Sunday, March 30, 2014

HEAT test for URINARY PROTEIN....Method of doing and reading at HOME

To perform the heat test, two thirds of a test tube is filled with urine. It is held at a slant and the lower half of the tube is heated until boiling point. If turbidity appears, two drops of 10% acetic acid (vinergar) are added to exclude the possible presence of phosphates. If this turbidity due to phosphate, turbidity will disappear after adding acid. The degree of turbidity is read against a background of black print. Proteinuria is graded...

Patient and Parent Education about NEPHROTIC SYNDROME

What you should know about Nephrotic syndrome...... In nephrotic syndrome lot of protein pass through kidneys result in a low plasma protein (albumin) and oedema (body swelling). PrognosisOne third of children resolve directly, another one third continue with infrequent attacks and other one third become Steroid dependent (two consecutive relapses occurring during corticosteroid therapy or within fourteen days after its cessation). 10%- 15% of children become steroid resistant.Reassurance that progression to end stage renal failure is extremely...

Prescribing in pregnancy

There are marked and progressive physiological changers during pregnancy which can alter pharmacokinetics. And also drug given in pregnancy can affect the baby. So special attention should be given to prescribing in pregnancy. Alter pharmacokinetics Absorption  Delay absorption due to reduce gastrointestinal motility. So oral drug get some time to absorption. But no magor defect in drug absorption. In acute conditions intramuscular route...

Saturday, March 29, 2014

Medicine OSCE 2

Write the answers your self and compare...... 1.What is the abnormality seen in this chest radiograph 2. Give two likely causes for this condition Answer 1) Air- fliud level in the left hemithorax (6) 2) Hemopneumothorax(2), pyopneumothorax (2)   Discusion              Collection of fluid in the pleural space with an air- fluid level is seen with lung abscess, hemopneumothorax...

Friday, March 28, 2014

Medicine OSCE 1

52 year old patient presented with cough and several bouts of haemoptysis of four month duration.   1. Describe two abnormalities on chest Xray 2.  Give a likely diagnosis      Answer 1. a) Two opacities in the upper zones of the left lung    b) cavitations with thick walls in the left upper zone  2. malignant lesions with central cavitations   Discusion Lung opacities with...

Fever - What you should know...

What is a fever ? A fever is when the body’s temperature is higher than normal. Humans usually have a body temperature within a very narrow range. Normally a child has a fever when their temperature is over 37.5ºC (when taken by a thermometer under the arm). A child with a fever often has a hot, flushed face. The forehead may feel hot. The child may feel hot, or sometimes even shivery. A child’s hands and feet may feel cold, even when the...

Thursday, March 27, 2014

Differential Diagnosis for convulsions (fits) for a child

This post mainly consist differential diagnosis and how it can differentiate Meningitis / Encephalitis Fever, Drowsines, Irritabilit, Photo phobi, History of upper respiratory track infection or Ear discharge Purpuric skin rashers (Neisseria meningitidis) Neck stiffness Skin infection (Staphylococcus aureus) Tuberculous Meningitis Contact history of Tuberculosis BCG scar Mantoux test Cerebral malaria Travel...

How to convert biochemical reference level

You should multiply SI units by conversions factor...

Barthel Index

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