Cutaneous Candidiasis – Oral Thrush, Balanoposthitis and Vulvovaginitis

thrush_oral-candidiasis_oral-cavity_oral-mucosaThrush

Infection of the oral cavity with Candida albicans produces a curdy white deposit associated with redness and burning sensation in localized areas of the oral mucosa. It is common in infants, extremely debilitated individuals or those being treated with immuno-suppressive drugs.

Candidial infection can also get super-imposed on the ulcers of the oral cavity produced by other diseases such as pemphigus, lichen planus etc.

Vulvo vaginitis

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Physician Or Paramedic Based – Which Prehospital Care is Better

It would depend on both the prehospital environment and the hospital system accepting the patient.

Physician-assisted prehospital care is most beneficial in rural settings, where the time between injury and definitive care is long.

In urban settings, it has been found that survivorship is more when patient is reached the hospital within minimum time.

A lot of studies comparing two models have found no diffreence in two systems. Local need would dictate the model.

List of Causes of Ascites

  1. Cirrhosis of Liver
  2. Tuberculous Peritonitis
  3. Malignant Peritonitis
  4. Portal Vein Thrombosis
  5. Constrictive Pericarditis
  6. Budd Chiari Syndrome (Hepatic vein thrombosis)
  7. Bacterial Peritonitis
  8. Pancreatic Ascites
  9. Congestive Cardiac Failure
  10. Nephrosis
  11. Anemia, Hypoproteinemia
  12. Beri Beri
  13. Epidemic Dropsy

Cutaneous Candidiasis – Intertrigo and Chronic Paronychia

Cutaneous candidiasis is mostly caused by Candida albicans. Commonly referred to as a yeast infection, it is also technically known as candidosis, moniliasis, and oidiomycosis

Found as a commensal on the skin, the vagina, the mouth and the gastrointestinal tract of many healthy individuals, under certain favourable conditions, Candida albicans can become pathogenic and produce disease.

Certain factors increase the predisposition to develop candiadsis

  • Heat and humidity
  • Immune deficiency
  • Diabetes mellitus
  • Pregnancy
  • Prolonged oral treatment with tetracyclines
  • oral contraceptives
  • Corticosteroids or immuno-suppressive drugs

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What Are Different Models Of Prehospital Trauma Care

Prehospital care is structured around the world according to a variety of models. There are two main types where fire and rescue services are integrated with ambulances or ambulances are kept separate frpm rescue services.

There is also a difference of  physician involvement in prehospital care.

United States and Canada

The prehospital care systems are basically incorporated into the emergency response system.  When a call for help is found, emergency resources are dispatched. The initial responder varies in different settings. Thus it canvary from just volunteers in rural areas & remote regions to multitiered responders in urban settings.

The fire rescue generally equipped with  extrication tools and basic life support equipments are the first to respond. An ambulance for  transporting the patient and  providing additional medical assistance is also sent almost simultaneously.

Many regions  have a greater number of staffed first responder units than ambulances who  typically arrive earlier and initiate patient care until the arrival of the ambulance. [Read more...]

Pityriasis Versicolor – Presentation and Treatment

tinea-versicolor_pityriasis-versicolor_haole-rotThis disease is rare in children, but common in young adults. It manifests as slightly scaly, hypopigmented macules which appear on the upper trunk and shoulders and may spread to the lower trunk, upper arms, neck and face. Hands and lower limbs are usually not involved. The earlier lesions are usually located around the hair follicles, but soon these merge with each other to form large areas.

The lesions are asymptomatic and may not be discovered for long periods.

Some patients report aggravations in summer. Systemic corticosteroids have also been observed to lead to aggravations.

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Ascites and Its Causes

Definition: Ascites is accumulation of fluid in the peritoneal cavity.

Diagnosis

  • ascites-peritoneal-cavityGeneralized distension of abdomen with more fullness in the flanks
  • Fluid thrill
  • Horse-shoe-shaped and shifting dullness
  • Other signs:
  1. Transversely stretched umbilicus (laughing umbilicus)
  2. Divarication of recti
  3. Tense and shiny skin
  4. Widened subcostal angle
  5. Lower ribs pushed outwards and upwards

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Injury caused By Chemicals

chemical-burns-injury_-sodium_hydroxide_burnAcidic or alkaline chemicals produce burns by the denaturing and breakdown of skin and body proteins.

A burn due to an acid substance is due to coagulation necrosis whereas a burn due to an alkali substance results in liquefaction necrosis.

These injuries may continue to cause deep tissue damage long after the chemical has been removed from the skin especially in the case of an alkalis.

Hydrofluoric acid is a potent acid and is associated with prolonged tissue destruction and electrolyte disturbances. [Read more...]

Swine Flu Vaccine – Development Is On Way

influenza-swine-vaccineAccording to the World Health Organization, efforts for developing a swine flu vaccine has been ongoing since the first human case of the virus has been confirmed.

Estimates place the initial doses of the vaccine will be administered in 5 to 6 months time.

While people diagnosed with H1N1 virus srecover, the disease has potential to kill the victim.Moreover it is important to administer the vaccine to more vulnerable population like individuals with a weak immune system, elderly etc. since they are prone to complications such as pneumonia.

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Tinea Capitis – Fungal Infection of The Scalp

tinea_capitis_scalp_hair_fungus_infectionThis term is used when the infection primarily involves the scalp hair. It occurs mainly in children and is very rare in adults because it is believed that the sebaceous secretion in the adults protects the skin from fungus infection.

Mustard oil has a weak anti-fungal effect and thus local applications of mustard oil are expected to protect from fungal infection. Presentation of the disease varies.

The patient might have scaly grey single or multiple patches consists of an itchy area of alopecia. The  skin has a dry scaly appearance with a very mild degree of erythema. the hair in the region are sparse, dry, lusterless, brittle and broken at varying lengths.

Another variety also has a dry scaly appearance, but itching and scaling both are much less, and the hairs are broken at the level of the skin surface producing a picture of black dots in an area of alopecia. This type is commonly caused by Trichophyton violaceum.

Kerion is the term used when the fungus produces a boggy swelling on the scalp because of increased inflammatory response initiated by the fungus. There is usually no pus, and often it is not possible to demonstrate the causative fungus in the stumps of the broken hairs. This type of tinea capitis is commonly caused by Trichophyton mentagrophytes.

4. Favus is the lesion that characteristically consist of 4-10 mm size cup-shaped yellowish crusts called scutula with a mousy odour, present in localized patches on the scalp. Removal of the crusts leaves behind superficial erosions.

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