Large Wound Over Anterior and Medial Side of Knee
This is a clinical photograph of the patient who sustained an injury following road traffic accident. Note the lacerated wound over medial and anterior surface.
Wound Over Knee On Anterior and Medial Surface – A Clinical Photograph
June 30, 2009 By Leave a Comment
Pediculosis Pubis
June 30, 2009 By Leave a Comment
This is caused by a third type of louse called Pthirus pubis, pubic louse or crab louse which infests mainly the hair in the pubic region, moustache, beard, the axillae and the eye-lashes.
It causes intense itching.
Excoriated papules or papulo-pustules may also be seen and it may also be possible to demonstrate the adult louse sticking into the hair follicles.
In some cases, nits may be seen sticking on to the hair in these regions.
Causes of Swelling In Hypogastrium
June 29, 2009 By 3 Comments
Parietal Swellings
Swelling in parietal layer
Urinary Bladder
1. Globular swelling in the hypogastrium which may extend from symphysis pubis to the umbilicus
2. The lump is tender and dull on percussion
3. Pressure induces a desire for micturition
Pediculosis Corporis – Infestation by Body Louse
June 29, 2009 By Leave a Comment
This is caused by a different louse called Pediculus humanus humanus, the body louse. Morphologically, it is indistinguishable from the head louse, except that the body louse is white and it lives in the seams of the clothes.
It comes to bite the skin only for feeding and results in severe itching and multiple, diffusely scattered excortiations and papules. The skin may also have evidence of secondary infection with pyogenic organisms and in long standing cases it may become lichenified. [Read more...]
Few Tips On Survival In Times Of Swine Flu
June 29, 2009 By Leave a Comment
Swine flu is an illness which derives its name from a communicable virus that infects pigs. Once it comes to humans, the the virus can be transmitted from one person to another.
The symptoms of swine flu are like those manifested in a regular flu and may include cough, sore throat, body aches, headache, fever, chills and fatigue.
While government agencies are working on control of the outbreak, it is also necessary for people to educate themselves about this disease. [Read more...]
Prehospital Trauma Care – Management of Airway
June 28, 2009 By Leave a Comment
Airway management is foremost priority in all stages of trauma care including prehospital care. Airway obstruction continues to be a major contributory factor in prehospital deaths.
As in all stages of trauma care, the prehospital management priorities also begin with the ABCs (airway, breathing, circulation).
(D) stands for evaluation for and protection from disability. E has been added and signifies information sought and environmental protection.
All the elements remain same in field care and advanced support.
Note
In the field, “E” stands for extra information like procedures performed and environmental protection (e.g., protect the patient from extremes of heat or cold), whereas in advanced life support, E stands for exposure and environmental control, meaning completely undress the patient, visualize all body surface areas, but prevent hypothermia.
85% of trauma patients are estimated to die of airway problems before hey reach the hospital. Hypoxaemia is a common complaint after airway obstruction and
Airway management is particularly critical following head injury, cervical spine, or thoracic trauma and takes precedence over immediate transport unless it can be performed easily en route.
Orotracheal intubation, either with or without sedatives and paralytics, is the mainstay for airway management for airway obstruction in prehospital settings
Other options are
- Bag-valve-mask ventilation with jaw lift
- Oral or nasal airway
- Esophago–tracheal-combitube
- laryngeal mask airway
- Nasotracheal intubation
- Percutaneous needle, or open cricothyrotomy.
Pediculosis Capitis – Lice Infestation of The Head
June 28, 2009 By Leave a Comment
Pediculosis is an infestation caused by lice. Lt occurs in the following three forms:
Pediculosis capitis means that lice has infested i the head.
It is caused by the head louse called pediculus humanus capitis which infests only the scalp hair and is transmitted by close contact as between members of the same family or between playmates in school or at home.
Occasionally, it may be transmitted through the combs as well. It is common in children from whom often the adults also get the infestation. People who keep long hairs and with poor hygiene are especially susceptible.
Often, even meticulously neat and clean individuals who keep long hairs, harbour the lice and show the presence of nits on their hairs. The lice are brown in colour, live on the scalp and lay eggs called nits, which stick to the hairs. [Read more...]
What Is Scope of Swine Flu?
June 28, 2009 By 1 Comment
The World Health Organization has raised its alert level to 6. The WHO revealed that the influenza virus has the sustainability for human-to-human transmission and can cause community level outbreaks.
A similar outbreak known as bird flu was more risky than H1N1 virus. According to Professor Neil Ferguson of the World Health Organization, H1N1 is nothing when compared to other similar outbreaks such as SARS or the 1918 Spanish flu. [Read more...]
Alcoholic Hepatitis
June 27, 2009 By Leave a Comment
Alcoholic hepatitis is an inflammatory lesion characterized by infiltration of the liver with leucocytes, liver cell necrosis and alcoholic hyaline deposition.
Pathology
Liver cells are ballooned, degenerated and necrosed with infiltration with polymorphs and lymphocytes. Hepatocytes contain Mallory bodies or alcoholic hyaline which are clumps of perinuclear, deeply eosinophilic material that represents intermediate filaments.
Mallory bodies are also seen with morbid obesity, jejuno-ileal shunt, uncontrolled diabetes mellitus, Wilson’s disease, Indian childhood cirrhosis, etc. [Read more...]
Herpes Simplex
June 27, 2009 By Leave a Comment
Herpes simplex is a viral disease caused by Herpes simplex virus 1.
This viral disease manifests in two forms:
- Primary herpes simplex
- Recurrent herpes simplex.
The primary herpes simplex occurs when the patient has been exposed to the virus for the first time. The site of the lesions depends upon the place of entry of the virus and can thus manifest as acute gingivo-stomatitis, balanitis, vulvovaginitis, proctitis or keratoconjunctivitis.
The lesions consist of multiple, small, superficial ulcers with severe inflammation in the region and acute pain. Sometimes, general symptoms such as malaise, fatigue and fever may also accompany. The lesions persist for one or two weeks and then subside spontaneously unless there is secondary infection with pyogenic organisms. [Read more...]
