Category: MEDICINE
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Headache in older patient
āĻāύāĻžāĻŦ āĻšāĻžāϏāĻžāύ (āĻāĻĻā§āĻŽāύāĻžāĻŽ), ā§Ŧā§Ļ āĻŦāĻāϰ āĻŦāϝāĻŧāϏā§āϰ āĻāĻāĻāύ āĻĄāĻžāϝāĻŧāĻžāĻŦā§āĻāĻŋāĻ āϰā§āĻā§ (āĻāϤ ā§Ģ āĻŦāĻāϰ āϧāϰā§), āĻāĻŽāĻžāĻĻā§āϰ āĻāĻžāĻā§ āĻāϰā§āϤāĻŋ āĻšāϝāĻŧā§āĻāĻŋāϞā§āύ ā§§ā§Ļ āĻĻāĻŋāύā§āϰ āĻŽāĻžāĻĨāĻžāĻŦā§āϝāĻĨāĻž āύāĻŋāϝāĻŧā§āĨ¤ āĻāύāĻžāϰ āĻāĻžāώā§āϝāĻŽāϤā§, āϤāĻžāĻāϰ āĻŽāĻžāĻĨāĻžāϰ āĻĻā§ āĻĒāĻžāĻļā§ āĻāĻžāĻĒ āĻĻāĻŋāϝāĻŧā§ āĻŦā§āϝāĻĨāĻž āĻāϰā§āĨ¤ āĻ āύā§āĻ āϏāĻŽāϝāĻŧ āĻāĻžāĻĄāĻŧā§āϰ āĻĻāĻŋāĻā§ āĻŦā§āϝāĻžāĻĨāĻžāĻāĻž āϝāĻžāϝāĻŧāĨ¤ āϰāĻžāϤ⧠āĻāĻŋāĻā§āĻāĻž āĻā§āĻŽ āĻāĻŽ āĻšāϝāĻŧāĨ¤ āĻŦā§āĻļāĻŋāϰāĻāĻžāĻ āϏāĻŽāϝāĻŧ āĻŦā§āϝāĻĨāĻž āϰāĻžāϤā§āĻ āĻŦāĻžāĻĄāĻŧā§āĨ¤ āĻŽāĻžāĻĨāĻž āĻā§āĻāĻžāϞā§, āĻšāĻžāĻāĻāĻŋ āĻāĻžāĻļāĻŋ āĻĻāĻŋāϞā§, āϏāĻāĻžāϞ āĻŦā§āϞāĻžāϝāĻŧ āĻŦā§āϝāĻĨāĻž…
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āĻŽāĻžāĻāĻā§āϰā§āύ āϰā§āĻā§āĻĻā§āϰ āϏā§āĻā§āϰā§āĻā§āϰ āĻā§āĻāĻāĻŋ āĻāĻŽāĻžāύ
āϝāĻžāĻĻā§āϰ āĻŽāĻžāĻāĻā§āϰā§āύ āĻāĻā§, āϏā§āϰāĻāĻŽ ā§Šā§Ļ āϞāĻžāĻ āϰā§āĻā§ āύāĻŋāϝāĻŧā§ āĻāĻāĻāĻŋ āĻāĻŦā§āώāĻŖāĻž āĻšāϝāĻŧā§āĻā§ āϰāĻŋāϏā§āύā§āĻāϞāĻŋ, āϏā§āĻāĻžāύ⧠āϤāĻžāϰāĻž Analysis āĻāϰā§āύ āϝāĻžāĻĻā§āϰ āĻŽāĻžāĻāĻā§āϰā§āύ āĻāĻā§ āϤāĻžāĻĻā§āϰ āĻŽāϧā§āϝ⧠āϏā§āĻā§āϰā§āĻ āĻāϰ āϏāĻŽā§āĻĒāϰā§āĻ āĻā§āĻŽāύ, āĻāĻŦāĻ āϝāĻžāĻĻā§āϰ āϏā§āĻā§āϰā§āĻ āĻŦāĻŋāĻļā§āώāϤ Ishcemic Stroke āĻšāϝāĻŧā§āĻā§ āĻāĻŦāĻ āϝāĻžāĻĻā§āϰ āĻšāϝāĻŧāύāĻŋ āĻāĻ āĻĻā§āĻ āĻā§āϰā§āĻĒ āĻĨā§āĻā§ āĻāύāĻžāϞāĻžāĻāϏāĻŋāϏ āĻāϰ⧠āĻĻā§āĻāĻž āĻāĻŋāϝāĻŧā§āĻā§, Propranolol āĻā§āϞ⧠āϏā§āĻā§āϰā§āĻ āϰāĻŋāϏā§āĻ āĻ āύā§āĻ āĻāĻŽā§ āϝāĻžāĻā§āĻā§ āĻŦāĻŋāĻļā§āώāϤ āϝāĻžāĻĻā§āϰ Migraine without Aura…
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Right Heart Under Pressure: Mastering Cor Pulmonale in 5 Minutes
Cor pulmonale Cor pulmonale āĻšāϞ⧠right ventricle (RV) failure, āϝāĻž chronic lung disease āĻŦāĻž pulmonary hypertension-āĻāϰ āĻāĻžāϰāĻŖā§ āĻšāϝāĻŧāĨ¤ Right heart directly pulmonary circulation-āĻāϰ āĻāĻĒāϰ āύāĻŋāϰā§āĻāϰāĻļā§āϞ, āϤāĻžāĻ lung-āĻāϰ āĻā§āύ⧠chronic disease āϝāĻĻāĻŋ pulmonary vascular resistance (PVR) āĻŦāĻžāĻĄāĻŧāĻŋāϝāĻŧā§ āĻĻā§āϝāĻŧ, āϤāĻžāĻšāϞ⧠RV-āϤ⧠pressure overload āĻšāϝāĻŧāĨ¤ āĻāϰ āĻĢāϞ⧠RV hypertrophy, dilation āĻāĻŦāĻ āĻļā§āώ āĻĒāϰā§āϝāĻžāϝāĻŧā§ right heart failure (RHF) āĻšāϝāĻŧāĨ¤…
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đ§ TIA & Stroke Management: Updated Evidence-Based Approach
Transient IschemIic Attack (TIA) āĻšāϞā§, āĻāĻāύ āĻā§āĻāĻžāĻŦā§ Antiplatelet āϏā§āĻāĻžāϰā§āĻ āĻāϰāĻŦā§āύ? â Latest guidelines āĻŦāϞāĻā§, high-risk TIA āĻŦāĻž minor stroke āĻšāϞ⧠āĻĻā§āϰā§āϤ dual antiplatelet therapy (DAPT) āĻļā§āϰ⧠āĻāϰāĻž āĻāĻāĻŋāϤāĨ¤ â Evidence-based āĻāĻŋāĻāĻŋā§āϏāĻž āĻĒā§āϰāϝāĻŧā§āĻ āĻāϰāϞ⧠stroke recurrence ⧍ā§Ģâā§Šā§Ļ% āĻĒāϰā§āϝāύā§āϤ āĻāĻŽāĻžāύ⧠āϏāĻŽā§āĻāĻŦāĨ¤ đ 1. Acute TIA/Stroke Management (Within 12 Hours) đš First-Line Therapy: Dual Antiplatelet Therapy (DAPT) High-risk…
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Asthma āĻāĻŦāĻ COPD āϏāĻŽā§ā§ āĻ āϏāĻŽā§ā§ āϰāĻ āĻŦāĻĻāϞāĻžā§…
đšāĻ āύā§āĻ āϏāĻŽāϝāĻŧ asthma āϰāĻžāϤ⧠āĻāĻŦāĻ COPD āϏāĻāĻžāϞ⧠āĻŦā§āĻļāĻŋ āĻŦā§āĻĄāĻŧā§ āϝāĻžāϝāĻŧāĨ¤ āĻā§āύ āĻāĻŽāύ āĻšāϝāĻŧ? āĻāϞā§āύ āϏāĻšāĻāĻāĻžāĻŦā§ āĻĻā§āĻāĻŋ! āϰāĻžāϤ⧠āĻļā§āĻŦāĻžāϏāĻāώā§āĻ āĻŦā§āĻĄāĻŧā§ āϝāĻžāĻāϝāĻŧāĻžāϰ āĻāĻžāϰāĻŖāĻā§āϞā§: ⥠Parasympathetic dominance: āϰāĻžāϤ⧠parasympathetic nervous system āĻŦā§āĻļāĻŋ active āĻšāϝāĻŧ, āĻĢāϞ⧠bronchoconstriction (āĻļā§āĻŦāĻžāϏāύāĻžāϞāĻŋ āϏāĻāĻā§āĻāĻŋāϤ āĻšāĻāϝāĻŧāĻž) āĻŦā§āĻĄāĻŧā§ āϝāĻžāϝāĻŧāĨ¤ ⥠Cortisol level â: Cortisol (natural anti-inflammatory hormone) āϰāĻžāϤ⧠āĻāĻŽā§ āϝāĻžāϝāĻŧ, āĻĢāϞ⧠inflammation āĻŦā§āĻĄāĻŧā§ airway hyperreactivity āĻŦāĻžāĻĄāĻŧāĻŋāϝāĻŧā§…
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Multiple Myeloma āĻ Kidney Failure â āĻā§āĻāĻžāĻŦā§ āĻāĻā§?
Multiple Myeloma āĻ Kidney Failure â āĻā§āĻāĻžāĻŦā§ āĻāĻā§? đŦ Multiple Myeloma āĻšāϞ āĻāĻ āϧāϰāύā§āϰ plasma cell cancer, āϝā§āĻāĻžāύ⧠abnormal monoclonal light chains (Bence Jones proteins) āĻ āϤāĻŋāϰāĻŋāĻā§āϤ āĻĒāϰāĻŋāĻŽāĻžāĻŖā§ āϤā§āϰāĻŋ āĻšāϝāĻŧāĨ¤ āĻāĻ light chains āĻā§āϞ⧠āĻāĻŋāĻĄāύāĻŋāϤ⧠āĻāĻŋāϝāĻŧā§ āĻāĻŽāĻž āĻšāϝāĻŧā§ renal failure āϏā§āώā§āĻāĻŋ āĻāϰāϤ⧠āĻĒāĻžāϰā§āĨ¤ āĻā§āĻāĻžāĻŦā§ āĻāĻŋāĻĄāύāĻŋ āύāώā§āĻ āĻšāϝāĻŧ? 1ī¸âŖ Light Chain Cast Nephropathy (Myeloma Kidney) āĻāĻŋāĻĄāύāĻŋ light…
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Some Concequence Of Electrolyte Imbalance !!
Writer : Dr. Muhammad Mosleh Uddin (CMC), (FCPS P-1) Hypercalcemia āĻāϰ āĻāĻžāϰāĻŖā§ Pancratitis āĻšāϤ⧠āĻĒāĻžāϰā§āĨ¤ āĻāĻŦāĻžāϰ Severe acute pancreatitis āĻ Hypocalcemia āĻšāϝāĻŧāĨ¤ Thiazide diuretics, renal stone āĻāϰ risk āĻāĻŽāĻžāϝāĻŧ āϤāĻŦā§ Pancreatitis āĻāϰ risk āĻŦāĻžāĻĄāĻŧāĻžāϝāĻŧāĨ¤ āĻāĻžāϰāĻŖ Thiazide causes Hypercalcemia. Loop diuretics, renal stone āĻāϰ risk āĻŦāĻžāĻĄāĻŧāĻžāϝāĻŧ āϤāĻŦā§ Pancreatitis āĻāϰ risk āĻāĻŽāĻžāϝāĻŧāĨ¤ āĻāĻžāϰāĻŖ Loop diuretic causes Hypocalcemia.…
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Complications Of cystic fibrosis !!
Writer : Dr. Muhammad Mosleh Uddin (CMC), (FCPS P-1) Davidson’s āĻāϰ chart āĻāĻžāϰ āĻāĻ āĻāϝāĻŧā§āĻāĻāĻž cause āĻāϰ explanation āĻŦā§āĻāϤ⧠āύāĻŋāĻā§āϰ āĻāĻĨāĻžāĻā§āϞ⧠āĻāĻĒāύāĻžāϰ āĻāĻžāĻā§ āĻāϏāϤ⧠āĻĒāĻžāϰ⧠āĻāύāĻļāĻž āĻāϞā§āϞāĻžāĻšāĨ¤ āĻŽāύ⧠āϰāĻžāĻāĻŦā§āύ, CF āĻ āϝā§āĻā§āύ secretion āĻāϰ water percentage āĻāĻŽā§ āϝāĻžāϝāĻŧāĨ¤āĻĢāϞ⧠secretion āĻāύ āĻšāϝāĻŧā§ āϝāĻžāϝāĻŧāĨ¤ āĻāĻŦāĻ tube āĻāϰ āĻā§āϤāϰ⧠stasis āĻšāϝāĻŧā§ tube obstruction āĻāϰ⧠āĻĢā§āϞā§āĨ¤ eg. Bronchioles, Main…
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Russell’s viper āύāĻŋāϝāĻŧā§ āĻĒā§āϰāĻĢ āĻāĻžāĻāĻāĻž!
Written by : Dr M R Sifat DMC | 14-15MBBS, BCS (Health), FCPS P-1 (Medicine)CEO & Co Founder Of MediVerse āĻāĻĻāĻžāύā§āĻ āĻāĻāĻāĻž āϏāĻžāĻĒā§āϰ āĻāĻĒāĻĻā§āϰāĻŦ āĻŦāĻžāĻāϞāĻžāĻĻā§āĻļā§ āĻŦā§āĻĄāĻŧā§ āĻā§āĻā§, āύāĻžāĻŽ āĻļā§āύā§āĻ? āĻā§āĻŦāĻŋ, āϏā§āϝāĻžāϰāĨ¤ Russell’s viper (Daboia russelii ) āĻā§āĻĄ, āĻĻā§āĻļā§āϰ āĻā§āĻāĻ āĻāĻŦāϰ āϰāĻžāĻā§ āĻĻā§āĻāĻāĻŋ, āϤā§, āĻāĻ āϏāĻžāĻĒāĻā§ āĻāĻŽāϰāĻž āĻā§ āύāĻžāĻŽā§ āĻĄāĻžāĻāĻŋ? āĻāύā§āĻĻā§āϰāĻŦā§āĻĄāĻŧāĻž, āϏā§āϝāĻžāϰāĨ¤ āĻāϝāĻŧā§āϏāĨ¤ āĻāĻā§āĻāĻž āĻāĻ āϏāĻžāĻĒāĻā§ āĻĻā§āĻāϞ⧅
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Ischaemic Stroke āĻ āĻāĻāύ SAPT āĻĻāĻŋāĻŦā§ āĻāϰ āĻāĻāύ DAPT āĻĻāĻŋāĻŦā§?
Writer : Dr. Mosleh Uddin (CMC) đIndication of SAPT: đIndication of DAPT: đ DAPT āĻāϤāĻĻāĻŋāύ āĻĻāĻŋāĻŦā§? đ Notes: â¨ī¸DAPT: Dual antiplatelet therapy eg. Aspirin+Clopidogrelâ¨ī¸SAPT: Single anti platelet therapy eg. Aspirin only.â¨ī¸NIHSS: National Institute of Health Stroke Scaleâ¨ī¸ABCD2: Age, Blood pressure, Clinical features, Duration, Diabetes Edited By : Nahid Hassan.
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History and Examination of Breathlessness !!
āĻā§āύ patient āĻāĻĒāύāĻžāϰ āĻāĻžāĻā§ Breathlessness āύāĻŋā§ā§ āĻāϏāϞā§, āĻāĻāύ āĻāĻ Breathlessness āĻāĻž Heart related āĻāĻŋāύāĻž āϤāĻž āĻŦā§āĻāĻžāϰ āĻāύā§āϝ āĻāĻŽāϰāĻž ā§Ŧ āĻāĻž history āύāĻŋāĻŦā§ āĻāĻŦāĻ ā§Ē āĻāĻž clinical examination āĻāϰāĻŦā§ āĻāύāĻļāĻž āĻāϞā§āϞāĻžāĻš . đ History taking : đClinical examination : Edited By : MOHAMMAD NAHID HASSAN.
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Treatment Of UTI !!
Writer : Mufti Dr. Ismail Azhari ( MBBS, MRCP P-1) OPD āϤ⧠āĻ āύā§āĻ female patient āĻĒāĻžāĻŦā§āύ, āϤāĻžāĻĻā§āϰ āĻā§ā§āĻāĻĻāĻŋāύ āĻĒāϰāĻĒāϰ UTI āĻšā§, āĻāĻāύ āĻāĻāĻāĻžāĻā§ āĻāĻāύ Recurrent UTI āĻŦāϞāĻž āĻšāĻŦā§? āĻāĻžāϰ⧠āϝāĻĻāĻŋ ā§Ŧ āĻŽāĻžāϏ⧠⧍ āĻŦāĻžāϰā§āϰ āĻŦā§āĻļāĻŋ,ā§§ āĻŦāĻāϰ⧠ā§Ē āĻŦāĻžāϰā§āϰ āĻŦā§āĻļāĻŋ UTI āĻšā§, āϤāĻŦā§ āĻāĻāĻāĻžāĻā§ Recurrent UTI āĻŦāϞā§āĨ¤ Acute Treatment ā§-ā§§ā§Ē āĻĻāĻŋāύ āĻāϞāĻŦā§, Prophylaxis āĻšāĻŋāϏāĻžāĻŦā§ — āĻļā§āϧ⧅
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āĻā§āĻ āϝā§āύ āĻā§āĻĒā§ āϧāϰ⧠āĻāĻŽāĻžāϰ āĻšāĻžāϤ, āĻāĻŋāύāĻāĻŋāύ āĻāϰāϤ⧠āĻļā§āϰ⧠āĻāϰā§, āĻāĻā§āĻŦāĻžāϰ⧠āĻ āϏāĻžāĻĄāĻŧ āĻšāϝāĻŧā§ āĻāϏ⧠āĻšāĻžāϤāĻāĻž, āĻāĻžāϰāĻŖ āĻāĻŋ !!!
Writer : Dr. Mosleh Uddin (CMC). Clinical case discussion series | Medicine ā§Ģā§Ģ āĻŦāĻāϰā§āϰ āĻŦā§āĻļ āϏā§āĻŦāĻžāϏā§āĻĨā§āϝāĻŦāĻžāύ āĻāĻ āĻāĻĻā§āϰāϞā§āĻ āϧā§āϰāĻāϤāĻŋāϤ⧠āĻāĻŽāĻžāϰ āϰā§āĻŽā§āϰ āĻĻāĻŋāĻā§ āĻĸā§āĻāĻā§āύāĨ¤ āĻŦāĻžāĻ-āĻĒāĻžāĻļā§āϰ āĻŦā§āĻ āĻĒāĻā§āĻā§ āϏāĻŋāĻāĻžāϰā§āĻā§āϰ āĻāĻāĻāĻž āĻĒā§āϝāĻžāĻā§āĻā§āϰ āĻāĻžāύāĻŋāĻāĻāĻž āĻĻā§āĻāĻž āϝāĻžāĻā§āĻā§āĨ¤ āĻĒā§āĻļāĻžā§ āĻāĻāĻāύ Mechanical engineer.āĻāĻĻā§āϰāϞā§āĻ āĻāĻŽāĻžāϰ āĻā§āĻŽā§āĻŦāĻžāϰ⧠āĻāϏāϞā§āύ āĻāĻŋāĻā§āĻāĻž āĻ āĻĻā§āĻā§āϤ āĻāĻāĻāĻž problem āύāĻŋā§ā§āĨ¤ āĻāĻŽāĻŋ āĻĄā§āϏā§āĻā§āϰ āĻāĻĒāϰ āĻĻā§āĻ āĻšāĻžāϤā§āϰ āĻāύā§āĻā§ā§āϰ āĻāĻĒāϰ āĻāϰ āĻĻāĻŋā§ā§ āĻāĻā§āϰ āĻŽāύā§āϝā§āĻ…
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āĻāĻĒā§āĻŽāĻŖāĻŋ āϤā§āĻŽāĻžāϰ āĻāĻžāϝāĻŧāĻž āĻāĻŽāĻžāϰ āĻāĻžāϝāĻŧāĻžāĻā§ āĻā§āϝāĻŧā§ āĻĢā§āϞā§āĻā§ ! (Silhouette Sign)
Writer : Ishrat Jahan Purobhi. āĻļā§āϤā§āϰ āĻŽāĻŋāώā§āĻāĻŋ āϰā§āĻĻ āĻĒā§āĻšāĻžāϤ⧠āĻāĻžāϰ āύāĻž āĻāĻžāϞ⧠āϞāĻžāĻā§? āĻāĻŽāύāĻ āĻāĻ āĻĻā§āĻĒā§āϰāĻŦā§āϞāĻž āĻā§āϝāĻŧāĻžāϰ⧠āĻŦāϏ⧠āϰā§āĻĻ āĻĒā§āĻšāĻžāĻā§āĻāĻŋāϞ⧠āĻāĻļāĻžāĨ¤ āĻ āĻĻā§āϰā§āĻ āϏā§āϰā§āϝā§āϰ āĻŦāĻŋāĻĒāϰā§āϤ⧠āĻŦāϏāĻž āĻāĻļāĻžāϰ āĻāĻžāϝāĻŧāĻž āĻĒāĻĄāĻŧāĻā§ āĻŽāĻžāĻāĻŋāϤā§āĨ¤ āĻāĻŋāĻā§āĻā§āώāĻŖ āĻĒāϰ āĻā§āĻ āĻŦā§āύ āύāĻŋāĻļāĻž āĻā§āĻā§ āĻāϞ⧠āĻĻā§āĻāϤ⧠āĻĒāĻžāϝāĻŧ āϤāĻžāϰ āĻŦā§āύ āĻŽāĻžāĻāĻŋāϤ⧠āϤā§āϰāĻŋ āĻšāĻāϝāĻŧāĻž āĻāĻžāϝāĻŧāĻžāϰ āĻĻāĻŋāĻā§ āϤāĻžāĻāĻŋāϝāĻŧā§ āĻāĻā§āĨ¤ āϏā§āĻ āĻāĻļāĻžāϰ āĻĒāĻžāĻļāĻžāĻĒāĻžāĻļāĻŋ āĻĻāĻžāĻāĻĄāĻŧāĻŋāϝāĻŧā§ āϝāĻžāϝāĻŧāĨ¤ āύāĻŋāĻā§āϰ āĻā§āĻā§āĻ āĻāĻžāϝāĻŧāĻžāĻāĻžāĻā§…
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Acute Hemorrhage āĻāϰ āϰā§āĻā§āĻā§ āĻāϝāĻŧ āĻŦā§āϝāĻžāĻ āϰāĻā§āϤā§āϰ Recuisation āĻĻāĻŋāĻŦā§āύ?
Writer : Dr. Mohammad Ilias. Acute Hemorrhage āĻāϰ āϰā§āĻā§āĻā§ āĻā§ āĻŦā§āϝāĻžāĻ āϰāĻā§āϤā§āϰ Recuisation āĻĻāĻŋāĻŦā§āύ? – āĻāĻā§āϞāĻž āύāĻŋā§ā§ āĻāĻāĻā§āϰ āĻāϞā§āĻāύāĻž !! Acute Hemorrhage changes the following parameters : Parameter āĻāϤāĻā§āĻā§ āĻŦāĻĻāϞāĻžā§ āĻāĻāĻžāϰ Basis āĻ Hemorrhage ā§Ē āĻĒā§āϰāĻāĻžāϰ : Class I Hemorrhage criteria :Pulse – NormalSBP – NormalRR – NormalU/O – Normal (1 ml/kg/hr)GCS – Normal Class…
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āĻāϏā§āύ Gram Staining āϏāĻŽā§āĻĒāϰā§āĻā§ āĻāĻžāύāĻŋ !!
Writer : Mufti Dr. Ismail Azhari ( MBBS, MRCP P-1) āĻāύā§āĻāĻŋāĻŦāĻžā§ā§āĻāĻŋāĻ āϏāĻŋāϰāĻŋāĻ āĻŦā§āĻāϤ⧠āĻšāϞ⧠āĻāĻŽāĻžāĻĻā§āϰ āĻĒā§āϰāĻĨāĻŽ āĻŦā§āĻāϤ⧠āĻšāĻŦā§ āĻŦā§āϝāĻžāĻāĻā§āϰāĻŋā§āĻžāϰ Classification, āĻŦā§āϝāĻžāĻāĻā§āϰāĻŋā§āĻž āĻŽā§āϞāϤ āĻāĻŽāϰāĻž ā§Ē āĻāĻžāĻā§ āĻāĻžāĻ āĻāϰâāϤ⧠āĻĒāĻžāϰāĻŋ, Gram Positive āĻ Gram Negative āĻŦāϞāϤ⧠āĻāĻŋ āĻŦā§āĻāĻžā§? ā§§ā§Žā§Žā§Ē āϏāĻžāϞ⧠āĻŦāĻŋāĻā§āĻāĻžāύ⧠“āĻšā§āϝāĻžāύā§āϏ āĻā§āϰāĻŋāĻļā§āĻāĻŋā§āĻžāύ āĻā§āϰāĻžāĻŽ” āϏāϰā§āĻŦ āĻĒā§āϰāĻĨāĻŽ āĻāĻāĻāĻž āĻĒāϰāĻŋāĻā§āώāĻŖā§āϰ āĻŽāĻžāϧā§āϝāĻŽā§ āĻŦā§āϝāĻžāĻāĻā§āϰāĻŋā§āĻž āϏāĻŽā§āĻšāĻā§ āĻĻā§āĻāĻāĻžāĻā§ āĻāĻžāĻ āĻāϰā§āύāĨ¤āĨ¤ āϤāĻŋāύāĻŋ āϏā§āϞāĻžāĻāĻĄā§ āĻŦā§āϝāĻžāĻāĻā§āϰāĻŋā§āĻž…
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Treatment Of Diabetic Neuropathy..
Writer : Mufti Dr. Ismail Azhari ( MBBS, MRCP P-1) āĻšāĻŋāĻŽā§āϞ āϏāĻžāĻšā§āĻŦ ā§Ēā§ āĻŦāĻāϰ āĻŦā§āϏ, ā§Ģ āĻŦāĻāϰ āĻĨā§āĻā§ āĻĄāĻžā§āĻžāĻŦā§āĻāĻŋāϏ, HBA1C 8.5%. āĻāύāĻžāϰ āĻĒā§āϰāĻžā§ āĻĄāĻžā§āĻžāĻŦā§āĻāĻŋāϏ uncontrolled āĻĨāĻžāĻā§, āĻāϤ ā§§ā§Ģ āĻĻāĻŋāύ āĻĨā§āĻā§ āĻāύāĻžāϰ āĻĒāĻžā§ā§ āĻāĻŋāĻŽāĻāĻŋāĻŽ āĻāϰā§, āϏāĻžāĻĨā§ painful burning sensation.What is Diagnosis and Treatment ? Answer — Diagnosis- Diabetic Neuropathy āĻāĻāύ āϝāĻž āĻāϰāϤ⧠āĻšāĻŦā§- ā§§.. āĻĄāĻžā§āĻžāĻŦā§āĻāĻŋāϏ Control…
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āĻāĻāĻā§āϰ āĻāϞā§āĻāύāĻž Passing of loose stool āύāĻŋā§ā§ āĻāϰā§āĻŖ āĻāĻ āϏāĻŽāϏā§āϝāĻž !!
Writer : Adnan Mahmud Tamim ( MBBS, SOMC) (Mentor, MediVerse) đĻđ˛đŦđđđĢđĸđ¨đŽđŦ đđĸđđ đ§đ¨đŦđĸđŦ 1 āϏāĻŽā§āĻāĻž ⧍ā§Ļā§Ļā§ĒāĨ¤ āϞā§āϰāĻž āĻĻā§ āϏāύā§āϤāĻžāύā§āϰ āĻāύāύ⧠āĻāĻāĻāύ āĻŽāĻž,āĻā§āĻŦāĻ āĻāϰā§āĻŽāĻ āĻāĻŦāĻ social āĻāĻāĻāύ personāϏ⧠āύāĻŋāĻā§āϰ āĻāĻāĻāĻž Business run āĻāϰā§āĨ¤ āϏāĻŦāĻŽāĻŋāϞāĻŋā§ā§ āϞā§āϰāĻžāϰ āĻā§āĻŦāύ āĻā§āĻŦāĻ āϏā§āύā§āĻĻāϰ āϝāĻžāĻā§āĻāĻŋāϞā§āĨ¤āϞā§āϰāĻž āĻāĻāĻāĻž weeding program āĻ paris āĻ invitation āĻĒāĻžā§āĨ¤ USA āĻĨā§āĻā§ āϰāĻā§āĻžāύāĻž āĻĻā§ā§ āĻĒā§āϝāĻžāϰāĻŋāϏā§āĨ¤ āĻĒā§āϝāĻžāϰāĻŋāϏā§āϰ āĻŦāĻŋāĻā§āϝāĻžāϤ āϏāĻŦ French āĻāĻžāĻŦāĻžāϰ…
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āĻĄā§āĻā§āĻā§ āϰā§āĻā§āĻā§ āĻāύā§āĻāĻŋāĻŦāĻžāϝāĻŧā§āĻāĻŋāĻ āĻĻā§āĻāϝāĻŧāĻžāϰ āĻā§āύ āĻĻāϰāĻāĻžāϰ āĻāĻā§ ?
Writer : Mufti Dr. Ismail Azhari ( MBBS, MRCP P-1) āĻāĻāύ āĻĄā§āĻā§āĻā§ āĻāϞāϤā§āĻā§,āĻĄā§āĻā§āĻā§ āϰā§āĻā§āĻā§ āĻāύā§āĻāĻŋāĻŦāĻžā§ā§āĻāĻŋāĻ āĻĻā§āĻā§āĻžāϰ āĻā§āύ āĻĻāϰāĻāĻžāϰ āύāĻžāĻ ā§Š āĻāĻž āĻāύā§āĻāĻŋāĻŦāĻžā§ā§āĻāĻŋāĻ āĻāĻā§ā§ˇ platelet āĻāĻŽāĻžā§, NSAID and Heparin dengue āϤ⧠contraindicatedâĻ Dengue āϤ⧠āĻ āύā§āĻ Severe Headache āĻšā§, āĻāĻ āĻā§āώā§āϤā§āϰ⧠Naproxen /Tufnil āĻĻāĻŋāϞ⧠Headache āĻā§āĻŦ āĻĻā§āϰā§āϤ āĻāĻžāϞ⧠āĻšāϤ⧠āĻĒāĻžāϰā§, But it can lead to death of…
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Feltys syndrome āύāĻŋā§ā§ āĻāĻāĻā§āϰ āĻāϞā§āĻāύāĻžāĨ¤
Writer : Nusrat Surobhi. đļ What is Felty’s syndrome? Felty syndrome, āϝāĻžāϰ āĻāϰā§āĻ āύāĻžāĻŽ Chauffard-Still-Felty disease, āĻšāϞ⧠Rheumatoid arthritis āĻāϰ uncommon extra-articular manifestation āϝā§āĻāĻžāύ⧠commonly 3 āĻāĻž clinical features āĻĒāĻžāĻā§āĻž āϝāĻžā§āĨ¤ đ āĻāĻāĻžā§āĻžāĻ āĻāϰāĻ āϝā§āϏāĻŦ clinical feature āĻĻā§āĻāĻž āϝāĻžā§ :- đļ Felty’s syndrome āϏāĻžāϧāĻžāϰāĻŖāϤ āĻāĻžāĻĻā§āϰ āĻšā§? đē Age: 50-70 yearsđēFemale > MaleđēEuropean > AfricanđēLong standing…
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āϝā§āϏāĻŦ āĻŽā§āĻĄāĻŋāϏāĻŋāύā§āϰ āϏāĻžāĻĨā§ Calcium āĻĻā§āĻāϝāĻŧāĻž āϝāĻžāĻŦā§āύāĻž !!
Writer : Mufti Dr. Ismail Azhari ( MBBS, MRCP P-1) Iron, calcium, PPI āĻāĻāϏāĻžāĻĨā§ āĻĻāĻŋāϞ⧠āĻāĻŋāĻāĻžāĻŦā§ āĻĻāĻŋāĻŦā§āύ..? ā§§..PPI, āĻāĻāĻāĻž āĻā§āϝāĻžāϞāϏāĻŋā§āĻžāĻŽ āĻāĻžāϰā§āĻŦā§āύā§āĻ āϤāĻĨāĻž Calbo-D āĻāϤā§āϝāĻžāĻĻāĻŋāϰ āϏāĻžāĻĨā§ āĻĻā§āĻā§āĻž āϝāĻžāĻŦā§āύāĻž, āĻĻāĻŋāϞ⧠calcium āĻāϰ absorption āĻāĻŽā§ āϝāĻžāĻŦā§āĨ¤ āϤāĻžāĻ PPI āϏāĻāĻžāϞ⧠āĻĻāĻŋāϞ⧠āĻā§āϝāĻžāϞāϏāĻŋā§āĻžāĻŽ āĻĻā§āĻĒā§āϰ⧠āĻĻāĻŋāĻŦā§āĨ¤ āĻāĻĻāĻžāĻšāϰāĻŖ –Tab- Calbo-D0+1+0Tab- PPI1+0+1 ⧍āĨ¤ Iron, āĻāϰ Calcium āĻāĻāĻ āĻŦā§āϞāĻžā§ āĻĻā§āĻā§āĻž āϝāĻžāĻŦā§āύāĻž, āĻāĻžāϰāĻŖ āĻā§āϝāĻžāϞāϏāĻŋā§āĻžāĻŽ āĻā§āϰāĻŖā§āϰ…
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Case About Bile Acid Diarrhoea !!
Writer : Mufti Dr. Ismail Azhari ( MBBS, MRCP P-1) āĻŽā§āϤāĻžāϞā§āĻŦ ā§Ģā§ āĻŦāĻāϰ āĻŦā§āϏ– Patient āĻāϏ⧠⧍ āĻĻāĻŋāύ āĻāĻā§, āϤāĻžāϰ āϏāĻŽāϏā§āϝāĻž , āĻāĻžāĻŦāĻžāϰā§āϰ āĻĒāϰāĻĒāϰ āĻ āϤāĻžāϰ āĻā§āϞā§āĻā§ āϝāĻžāĻā§āĻž āϞāĻžāĻā§, Loose motion āĻšā§, ⧍ āĻŦāĻāϰ āĻĨā§āĻā§ āĻāĻ āϏāĻŽāϏā§āϝāĻžā§ āĻā§āĻāϤā§āĻā§āĻ āύā§āĻ History āύāĻŋā§ā§ āĻāĻžāύāϞāĻžāĻŽ.. H/o cholecystectomy 2 years Back,. āϤāĻžāϰ āĻāĻ loose Motion āĻāϰ Diagnosis āĻāĻŋ? āĻāĻŋāĻāĻŋā§āϏāĻž āĻāĻŋ?…
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Joint pain āĻ āĻāĻŽāϰāĻž āĻāĻŋāĻāĻžāĻŦā§ approach āĻāϰāĻŦā§?
Writer : Adnan Mahmud Tamim. ( Mentor : MediVerse ) ⧍. Arthritis āĻšāϤ⧠āĻĒāĻžāϰā§Monoarthritis (one joint involvement )or Polyarthritis (more than one joint ) In case of Monoarthritis : āĻāĻāĻž āĻšāϤ⧠āĻĒāĻžāϰ⧠Mechanical damage : osteoarthritis āĻāϰ inflammatory āĻšāϞ⧠āĻāĻāĻāĻž āĻĒā§āϰāĻļā§āύ āĻāϰāĻŦā§āύ : āĻāĻāĻž āĻā§ acute or chronic? Acute āĻšāϞ⧠āĻāĻžāĻŦāĻŦā§āύ : gout , septic…
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āĻšāĻžāϤ āĻĻā§āĻā§ Diagnosis Possible?
Writer : Adnan Mahmud Tamim (SOMC) (Mentor, MediVerse) āĻšāĻžāϤ āĻĻā§āĻā§ āϧā§āĻŽ āĻāϰ⧠diagnosis possible?āĻā§ā§āϏāĨ¤ possibleāĨ¤āϏā§āĻāύā§āϝ āĻāĻŽāĻžāĻĻā§āϰ āĻĒā§āϰā§ā§āĻāύ clinical eye āĻāĻ Sign āĻā§ āĻŦāϞ⧠– knuckle knuckle dimple dimpleāĻāĻāĻž Pseudohypoparathyroidism type Ia āϤ⧠āĻĒāĻžāĻā§āĻž āϝāĻžā§ āĨ¤ āĻāϰ āĻāĻāĻž āĻāĻāĻāĻž Hereditary problem.āĻāĻāĻžāϰ āϏā§āύā§āĻĻāϰ āĻāĻāĻāĻž āύāĻžāĻŽāĻ āϰā§ā§āĻā§.. Albrightâs hereditary osteodystrophy (Hypocalcemia + knuckle absence + short metacarpal + obesity…
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Topic About Haemic Murmur !!
Writer : Dr. Mosleh Uddin. (MBBS, CMU) Mentor, MediVerse Severe anaemia āĻāϰ āĻāĻžāϰāĻŖā§āĻ āĻāĻŋāύā§āϤ⧠heart āĻ murmur āĻĒāĻžāĻā§āĻž āϝāĻžā§āĨ¤āĻāϰ āϏā§āĻ murmur āĻāϰ āύāĻžāĻŽ āĻšāϞ⧠Haemic murmur. āĻāĻāĻž āĻāĻāĻāĻž Mid-systolic murmur. Best heard at pulmonary area ( left 2nd intercostal space ) Anaemia āĻāϰ correction āĻāϰāϞā§āĻ āĻāĻ murmur disappears āĻšā§ā§ āϝāĻžā§āĨ¤ Hb% <6 g/dL āĻšāϞ⧠āĻĒā§āϰāĻžā§…
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CKD āϤ⧠Hyponatremia āĻšā§ āύāĻžāĻāĻŋ Hypernatremia āĻšā§?
Writer : Dr. Mosleh Uddin. (MBBS, CMU) Mentor, MediVerse đĩCKD āϤ⧠Hyponatremia āĻšā§ āύāĻžāĻāĻŋ Hypernatremia āĻšā§?â Answer: āĻĻā§āĻā§āĻ āĻšāϤ⧠āĻĒāĻžāϰā§āĨ¤ Hyponatremia: Hypernatremia: đĩCKD āϤ⧠K+ āĻāϰ blood picture āĻāĻŋ?â Hyperkalaemia đĩ CKD āϤ⧠HCO3- āĻāϰ blood picture āĻāĻŋ?â āĻāĻŽā§ đĩ CKD āϤ⧠PO4 āĻāϰ blood picture āĻāĻŋ?â Hyperphosphatemia đĩ CKD āϤ⧠Ca++ āĻāϰ blood picture…
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Chagas disease āĻā§ āĻāĻžāϰāύ⧠āĻšā§ ??
Writer : Adnan Mahmud Tamim (SOMC) (Mentor, MediVerse) āĻāĻāĻāύ Patient 40 years old āĻā§āĻā§ Palpebral oedema āĻĒāĻžāĻļā§ Nodule, fever, lymphadenopathy āύāĻŋāϝāĻŧā§ āĻāϏāĻā§ ,āϏ⧠āĻāĻāĻāύ Latin American āϤāĻžāĻā§ āĻŦā§āĻļ āĻāϝāĻŧā§āĻāĻĻāĻŋāύ āĻāĻā§ āĻāĻāĻāĻž āĻĒā§āĻāĻž āĻā§āĻā§āϰ āĻĒāĻžāĻļā§āĻ āĻāĻžāĻŽāĻĄāĻŧ āĻĻā§āϝāĻŧ, āϤāĻāύ āĻĨā§āĻā§āĻ āϏ⧠āĻ āϏā§āϏā§āĻĨ āĻŦā§āϧ āĻāϰāϤ⧠āĻļā§āϰ⧠āĻāϰā§āĨ¤ āĻāĻĒāύāĻžāϰ Diagnosis āĻā§āύāĻĻāĻŋāĻā§ āϝāĻžāĻŦā§? āĻāĻĒāύāĻžāĻā§ Question āĻ āĻāϝāĻŧā§āĻāĻāĻž option āĻ āĻĻā§āϝāĻŧāĻž āĻĨāĻžāĻāĻŦā§,…
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āĻā§āĻ āĻāĻāĻāύ āĻāĻĒāύāĻžāϰ āĻŦā§āĻā§ āĻā§āϰāĻŋ āĻĸā§āĻāĻŋāϝāĻŧā§ āĻĻāĻŋāϞ ! āϤāĻāύ āϝā§āĻ āĻā§āϞāĻā§āϞ⧠āĻāĻāύ⧠āĻāϰāĻŦā§āύ āύāĻž !!
Written by : Dr M R Sifat DMC | 14-15MBBS, BCS (Health), FCPS P-1 (Medicine)CEO & Co Founder Of MediVerse āĻā§āĻ āĻāĻāĻāύ āĻāĻĒāύāĻžāϰ āĻŦā§āĻā§ āĻā§āϰāĻŋ āĻĸā§āĻāĻŋāϝāĻŧā§ āĻĻāĻŋāϞ!! (āϤāĻāύ āϝā§āĻ āĻā§āϞāĻā§āϞ⧠āĻāĻāύ⧠āĻāϰāĻŦā§āύ āύāĻž) āĻā§āύ Chamber āϏāĻŦāĻā§āϝāĻŧā§ āĻŦā§āĻļāĻŋ āĻā§āώāϤāĻŋāĻā§āϰāϏā§āĻĨ āĻšāĻāϝāĻŧāĻžāϰ Chance āĻŦā§āĻļāĻŋ, āĻāĻŽāύ āĻĒā§āϰāĻļā§āύ MRCP āĻāĻŋāĻāĻŦāĻž Viva āĻā§āĻŦāĻŋāϞ⧠āĻĒā§āϞā§āĻ āĻ āĻŦāĻžāĻ āĻšāĻŦā§āύ āύāĻž, āĻāĻžāϰāĻŖ āĻāĻĒāĻŋāĻāĻāĻŋ āĻā§āĻŦ āĻā§āϰā§āϤā§āĻŦāĻĒā§āϰā§āĻŖāĨ¤ āϏāĻžāϧāĻžāϰāĻŖāϤ…
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Topic About Valve Replacement !!
Written by : Dr M R Sifat DMC | 14-15MBBS, BCS (Health), FCPS P-1 (Medicine)CEO & Co Founder Of MediVerse āϏāĻāϰāĻžāĻāϰ āĻāĻŽāĻžāĻĻā§āϰ āϝ⧠Cardiac valve āĻāĻā§ āĻāĻā§āϞ⧠Change āĻāϰāĻžāϰ āĻĻāϰāĻāĻžāϰ āĻšāϝāĻŧ āύāĻžāĨ¤ āĻāĻŋāύā§āϤ⧠āĻŦāĻŋāĻĒāϤā§āϤāĻŋ āĻŦāĻžāϧ⧠āϤāĻāύ, āϝāĻāύ āĻā§āύ⧠valve āĻā§āĻŦ Severely Stenosed āĻšāϝāĻŧā§ āϝāĻžāϝāĻŧ, āĻ āĻĨāĻŦāĻž Regurgitation āĻĻā§āĻāĻž āϝāĻžāϝāĻŧāĨ¤ āϝā§āĻŽāύ, āĻāĻāĻāύ āĻŽāĻžāύā§āώā§āϰ Aortic valve Stenosis; āϏā§āĻā§āώā§āϤā§āϰ⧠āĻĒāϰā§āϝāĻžāĻĒā§āϤ…
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Hypertension āĻ āĻāĻŋ History āύāĻŋāĻŦā§āύ ?
Writer : Dr. Muhammad Mosleh Uddin. History taking of Hypertension ā§§) āĻāĻĒāύāĻŋ āĻāĻŋ āĻāĻžāĻŦāĻžāϰā§āϰ āϏāĻžāĻĨā§ āĻ āϤāĻŋāϰāĻŋāĻā§āϤ āϞāĻŦāĻŖ āĻāĻžāύ ?⧍) āϏāĻžāĻŽā§āĻĒā§āϰāϤāĻŋāĻ āϏāĻŽā§ā§ āĻāĻŋ āĻāĻĒāύāĻžāϰ āĻāĻāύ āĻāĻŋ āĻŦā§ā§ā§ āĻā§āĻā§?ā§Š) āĻāĻĒāύāĻžāϰ āĻāĻŋ āĻĄāĻžā§āĻžāĻŦā§āĻāĻŋāϏ āĻāĻā§?ā§Ē) āĻāĻĒāύāĻžāϰ āĻāĻŋ Alcohol/smoking āĻāϰ āĻ āĻā§āϝāĻžāϏ āĻāĻā§ āϝāĻĻāĻŋ āĻĨāĻžāĻā§-For alcohol:Current drinking patternAssess the patientâs current drinking pattern: Quantify the patientâs alcohol intake: Edited By :…





























