Pugilistic attitude seen in case of burs, as the body presents with a peculiar attitude. So called attitude of defense, also known as pugilistic attitude or Boxing attitude or fencing posture.
This condition is due to Coagulation of proteins and rigor mortis.
Paradoxical aciduria is seen in Hypertrophic pyloric stenosis. The vomiting of hydrochloric acid results in hypochloremia and alkalosis. Initially the urine has a low chloride and high bi-carbonate content reflecting the primary metabolic abnormality. This bicarbonate is excreted along with sodium and so with the time the patient becomes progressively hyponatremic and more profoundly dehydrated. Because of dehydration a phase of sodium retention follows and potassium and hydrogen ions are excreted in preference. This result in urine being paradoxically acidic.
Rx anal canal CA consists of Chemotherapy and radiation so called Chemoradiation.
Meralgia paraesthetica results from compression neuropathy of the lateral cutaneous nerve of thigh. The lateral cutaneous nerve of thigh can be compressed as it runs through the inguinal ligament, just medial to Anterior Superior Iliac Spine. The patient complains of numbness, tingling or burning discomfort over the anterolateral aspect of thigh- Meralgia Parasthetica.
Daily protein requirement for Indian adult?
Daily protein requirement for Indian adult man is 1mg per kg of weight. Average weight of an Indian adult man is 60 kg so daily protein requirement is 60 mg.
The child reaches double of his birth length by 4 years of age.
Cause vitreous hemorrhage?
‘’Proliferative diabetes retinopathy is the commonest cause of spontaneous vitreous hemorrhage in adults’’. ‘’Trauma is the commonest cause in young’’.
Other common causes are retinal tear, vitreous retraction, venous thrombosis and peripheral retinal neovascularization.
If hemorrhage does not clear with in 6 months, vitero-retinal surgery should be considered.
Neovascular glaucoma (NVG) is classified as a secondary glaucoma. Retinal ischemia is the most common and important mechanism in most, if not all, cases that result in the anterior segment changes causing NVG. Various predisposing conditions cause retinal hypoxia and, consequently, production of an angiogenesis factor. Several angiogenesis factors have been identified as potential agents causing ocular neovascularization. Recent studies suggest that vascular endothelial growth factor (VEGF) might play a central role in angiogenesis. There are long list of Causes and examination for NVG so you guys can check it in Harrishon.
Dg C.I in b.asthma ?
Adverse drug reactions (ADRs) associated with the use of beta blockers include: nausea, diarrhea, bronchospasm, dyspnea, cold extremities, exacerbation of Raynaud's syndrome, bradycardia, hypotension, heart failure, heart block, fatigue, dizziness, abnormal vision, decreased concentration, hallucinations, insomnia, nightmares, clinical depression, sexual dysfunction, erectile dysfunction and/or alteration of glucose and lipid metabolism. Mixed alfa and beta antagonist therapy is also commonly associated with orthostatic hypotension.
One of the most serious potential adverse effects of -blockade is an exacerbation of reactive airway disease, possibly leading to respiratory arrest and so they are CI in bronchial asthma.
-transmitted by aedes egypti
-cause arbo virus
-self limiting disease
2.dengue hemorrhagic fever-torniquet test positive
3.dengue shock syndrome
1st half- mottling and fleeting pin pt eruptions
2nd half - maculopapular,scillintiform rash
go off by scaling.