Abnormal Resuls: we drained 7.5 LITRES out of his bladder

Helen:
5L frank pus!
Drained out of a walled-off ovarian abcess present for YEARS in an old lady...the scan looked malignant, the poor O+G reg was trying to carefully dissect this enormous thing out, when they accidentally nicked it and it essentially exploded with pus fountaning out of her abdomen. I know it was 5L because that's how many containers the suction drained into. We had a poor orderly sprinting down the corridor to find fresh containers after only 2 mins of suction.

Nadia:
I saw a guy in EAU and we drained 7.5 LITRES out of his bladder!!!! MENTAL.

Heather:
40 year old woman Hb 1.6 on admission, asymptomatic and then throughly worked up by the haematologists and the GI physicians.

Will:
Not really an abnormal test result, but most abnormal examination finding.
Motorcyclist involved in an RTA.
Discovered 3 bags of skunk tied to his penis with cotton thread.

Jill:
T cell leukaemia with neutropenic sepsis:
Initial WCC 351 on diagnosis.

Then got septic with:
Platelets 1 (post platelet transfusion!)
Total WCC 0.04
Neuts 0.00
Eosins 0.00
Lymph 0.02

Karen:
A 16 year old girl who came to A&E with the sniffles who we wanted to discharge but the nurses had taken blood from so we stuck her in CDU to await the results:

Hb 4.3
Plt 12
WCC 1.2
Neut 0
Eosin 0
Lymphs 1.2

Key Words:
abcess, bladder, Haemoglobin, skunk, Platelet Count, Lymphocyte Counts, Neutrophil Count, White blood cell count

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Abnormal results: TSH of >100 in a patient who was actually very well and is currently still alive

Madeline:
21 year old guy who had been pumping iron for a week and drinking protein shakes. CK of 748660! His presenting complaint was solely dark urine - scored a urology review in ED before being seen by the medics!

Kanaan:
Hb 1.8 in a 32 yr old lady with extensive psych hx ... believes blood is toxic, & therefore recurrently bleeds herself !

Emma:
I've seen patients who bleed themselves. From our point of view the biggest problem is they probably have red cell antibodies from the multiple transfusions they get when they reach Hb that low.

Bernadette:
Had a woman last weekend with COPD, usually runs sats 70-80% at home, noted 'very oxygen sensitive'. She came in with sats of 40%, PO2 4, PCO2 12.

After 12 hours on BiPAP PO2 7, PCO2 23 pH 7.0
After 36 hours on BiPAP PO2 8, PCO2 9, pH 7.4, sitting up and eating breakfast!

Cath:
TSH of >100 in a patient who was actually very well and is currently still alive.

Lactate of 17 in a patient who was very septic-went to itu but didnt survive

Na of 189 in a very very dry demented old lady who perked up with a lot of fluid!

Lisa:
I work in a lab, lowest Hb I've seen was 2.6, on a patient who WALKED to his GP because he was feeling breathless. Patient was both B12 and Folate deficient (MCV 130), he was admitted to A&E, then to ward for a four unit blood transfusion, within 2 hours of his test results being phoned to the GP - best bit, he complained that he only went to the GP because his wife nagged him and did he really need to come to hospital!

Lionel:
In one patient
Hb - 3.5
WCC - 0.1,
Neut 0,
Platelets 1,
Grand total 4.6!

Others (not in the same patient):
Na 97
K 9.9
Creat- around 3400ish

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A few Steps to Improve Eyesight Naturally

Natural eyesight improvement can be done in many ways which can be generalized into two categories. Specifically, they are internal and external methods.

I am going to share one technique of each category in this article which you can get in progress with right away.

Chrysanthemum tea has been recognized to be good for the eyes for a long time in China. It is often used to alleviate eye inflammation and improve eyesight as well.

If you can swallow three to four cups of chrysanthemum tea, you will not only take pleasure in refreshed eyes, but also find better eye vision. It is particularly good for those that are supposed to work all day extended in front of the computer monitor.

All that you need to stay in mind is that the lesser chrysanthemum buds are better than large and ripe flowers. And don't add other type of tea into it in order to bring it into full play.
Exercises of Eye Sight improvement:

The first exercise is the Dot exercise. To do this find a period or comma on the page and focus on creation it as clear as possible. Stare at the period until it comes into focus. Chances are after a few seconds the period will actually became less clear and blurry.

Try relaxing your eyes. Close them for a minute and let them relax. Now look at the period without straining. Don’t stare; instead, let your eyes gradually move approximately the page, over and around the period. Don’t focus only on the period, the eyes need movement. Make sure to blink a bit. Try closing your eyes and picturing the dot and then look at it again. Once the eyes are relaxed it should be easier to see the period.

Treatment of Eye Sight improvement:
While most people believe that the only cataract treatment is surgery. Well, that is what we are going to explore in this article, some natural ways that you can get your cataract treated. Firstly though, you will need to appreciate exactly what cataract is so that you know precisely how you can treat it.
Simple Steps Everyday Eye Sight improvement:
Cataract is actually a disease and most of the time, it is found in elderly people or even in people that are over forty years old. Some of the most ordinary signs that you may have waterfall is that that you will knowledge blurry, hazy or even cloudy vision. These are just some of the common symptoms that you might experience.

Get up near the beginning in the morning to depiction your eyes to the early sunlight and look at the rays for a while ( This process should only be perform in the morning, for the sunshine then is mild and does not hurt somebody's feelings to the eye. ) and then close your eyes slowly.

This procedure should be performed for 10 to 15 minutes. This is the first and also vital step to assurance the development of eyesight, known as eye sun bath.

Prepare a cup of cold water and then be relevant it on your eyes and open and close the eye the eyelids 50 times. If you think it essential, you can replace another cup of cool water and repeat the similar action above.

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Community Medicine OSPE 2010 - Part 1

Community Medicine OSPE 1

1.Cobra bite,management.
2.Strength of sewage
lung cncer ki heatlh eductin,
3.rabies vacintn for pre exposure,
4. kawashkor nd its prventn,
5.PNMR numerical,
6.pie chart wat type of data is it?nd find the degres for 35%
7.primary heatlh cre, dhq facilities
8.popltn pyramid

Community Medicine OSPE 2

1 dengue fever(identify vector mode of transmisin)
2 Snake cobra its treatmnt
3 Fruit pic 2 vit its deseases
4 Iceberg disease
5 Shannon weaver model message properties
6 septic tank(2 characteristic nd 2 uses)
7NMR
8GFR
9 oral contacptvz advntge disadvantage
10 measlz vacine dose route complictn

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What are the positives and negatives of Energy drinks?

Within the past several years, many controversy has sparked regarding whether energy drinks help make good workout drinks, in addition to whether or not the so called athletics beverages really do the job. In this post, we can attempt to create a good look at each - drinks - and weigh out the positives and negatives of every drink type.

Athletics beverages, also known as rehydration drinks, are usually drinks that includes carbs and salts in order to substitute all those lost in sweat in the course of workout. Their effectiveness is situated within the truth that the perfect beverage of carbohydrate, potassium, salt and sweets, and also electrolytes (electrically charged components which relieve hydration in the body) rehydrate the human body throughout exercising, much better than water does. There are actually 3 different types of rehydration drinks: Isotonic Fluid, Hypotonic Fluid, Hypertonic Fluid plus they vary only within the portions of carbohydrate, electrolytes and salts in them. These types of refreshments are mainly consumed throughout physical activities or maybe quickly before them.

Energy drinks are usually consist of excessive degrees of caffeine and offer a good power boost, although, as caffeine (and additional stimulants based on it, e. g. guarana on yerba mate) serves to be a diuretic, dehydrating the human body, certainly are a zero opt for workout. Energy drinks may not be exercise beverages - caffeine isn't just addictive; in addition , it dehydrates the human body, but even moderate dehydration (e. g. 1-2%) drastically cuts down complete muscle capacity of the body, therefore doing your own workout much less helpful.

Additionally , they consist of several nutritional vitamin supplements which might be thought to be able to lower the response time of the human brain. Caffeine typically sets within immediately after 2 to 3 hours, therefore energy drinks are (if at all) consumed an hour or two prior to a exercising. Caffeine serves like a stimulant and briefly improves your abilities--but do you really need that for workouts?

It is harmless to talk about that sports drinks are usually much better with regard to workout compared to energy drinks, simply because physical activities beverages are usually lighter to the entire body; they have restorative capabilities; sports drinks operate greater on your well-being. Even though one may dispute that an beverage enhance can improve the athlete's performance in competitions, there is certainly minor use to using energy drinks in sports that demand a lot of energy, including that stimulants are prohibited from use in public tournaments. Aside from that, using drinks throughout extended activities such as running a marathon is usually plain unsafe because the dehydration involved. Energy drinks, on the other hand, will be for no reason 'bad' - these are merely designed to be applied during all-nighters and celebrations, not the fitness center.

Key Words:
athletics beverages, rehydration drinks, Isotonic Fluid, Hypotonic Fluid, Hypertonic Fluid, energy drinks, workout, marathon, stimulants

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How to stay healthy as you get older

Every decade of our lives brings with it new discoveries and new experiences. For example when we are teenagers we may feel nervous about leaving school and finding a career to embark upon. When we are in our twenties and thirties it might be meeting someone and starting a family that occupies our mind. When we reach our fifties our thoughts then turn to retiring. As you can see, every decade we live through brings new things to think about.

But the one thing you hope will always remain the same as you get older is your health. No one wants to be ill and luckily we can do a lot to give ourselves the best possible chance of staying healthy for as long as possible.

The way we approach this might differ depending on how old we are however. For example if you decide to start getting some regular exercise you might think about going jogging or cycling for long distances if you are young and fit anyway. Needless to say if you are in your middle age or you have just retired, jogging for miles may not appeal to you in quite the same way it might have done twenty or thirty years ago!

To a certain extent staying healthy means being sensible about what you do – and about what you don't do. Gentle exercise might be recommended for the elderly for example, but something more active might be better for people who are still only in their thirties. In any event suddenly deciding to become far more active than you are used to is not usually a good idea. It is always better to work up gradually and get used to the renewed amount of exercise you are getting.

Another good point to think about is the need to constantly keep an eye on your own body and how you feel. If you are familiar with how you normally feel you will be better able to spot any changes and seek advice about them at an early stage. This could really relate to anything at all about your body and well being.

Sometimes you might be able to figure out what a problem is without having to seek advice of any kind. For example, if you get too used to drinking cups of coffee all the time, you could end up with regular headaches. In this example the simple process of cutting back should get rid of them.

Regular checks of all kinds can help us stay healthy in lots of different ways. Whether it is a breast check, a look at your skin for potential abnormalities or anything else, you can see that keeping an eye on your health can help you stay healthy for a long time to come.

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Common causes, Symptoms and treatment of Allergic Rhinitis

Inflammation of the nasal membranes is defined as Rhinitis. Allergic Rhinitis is also known as allergy and hey fever. Allergic Rhinitis is characterized by a number of symptom like sneezing, nasal itching, nasal congestion and rhinorrhea. Other symptoms of Allergic Rhinitis may also include ears, eye, throat and sinus. It is not a life-threatening condition. This disease occurs when the immune system overreacts to the particles present in the air and you breath that air. The particles present in the body is attacked by the immune system to prevent you from symptoms like sneezing and runny nose.

Causes of Allergic Rhinitis:

Any substance needed to trigger an allergy is known as an allergen. The body releases chemicals like histamine when a person with allergic rhinitis breathes in an allergen like pollen or dust which further causes symptoms like mucus production, itching and swelling. Hey fever is also the main causes of Allergic Rhinitis which occurs due to an allergic reaction to pollen. Hay fever vary from person to person region to region that occur due to pollens. There are some plants that are responsible for hay fever. These plants are deciduous and evergreen trees, grasses and Ragweed

Symptoms of Allergic Rhinitis:

There are list of symptoms that affect you very shortly when you come in contact with the substance you are allergic to, the symptoms include itchy nose, itchy mouth, itchy eyes, itchy throat, itchy skin, smell problem, runny nose, sneezing and tearing eyes. There are some other symptoms that may affect you later, the symptoms include stuffy nose, nasal congestion, coughing, clotted ears, decreases sense of smell, sore throat, dark circle under the eyes, puffiness under the eye, fatigue, irritability, headache, slow thinking and memory problem.

Treatment for Allergic Rhinitis:

Allergic Rhinitis is very common in the people now a days. The type of Allergic Rhinitis is not common to all the people and it also vary from person to person and from reason to reason. There are various medicine available in the medical store for the treatment of Allergic Rhinitis.

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