The Medical Herald
@medicaltalks101

The first medical channel where you can ask to get a free medical advise and know about healthy life style. @Dr_SofoniasErmias
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The Medical Herald
2019-06-05 

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The Medical Herald
2019-05-27 

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The Medical Herald
2019-05-09 

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration.

It can be seen in some forms of heart disease and is usually indicative of limited right ventricular filling due to right heart dysfunction.
Ordinarily the JVP falls with inspiration due to reduced pressure in the expanding thoracic cavity and the increased volume afforded to right ventricular expansion during diastole. Kussmaul sign suggests impaired filling of the right ventricle due to a poorly compliant myocardium or pericardium.
This impaired filling causes the increased blood flow to back up into the venous system, causing the jugular vein distension (JVD) and is seen clinically in the internal jugular veins becoming more readily visible.
@medicaltalks101
@medicaltalks101
The Medical Herald
2019-04-27 

HOW TO SURVIVE A HEART ATTACK WHEN YOU ARE ALONE??

Since many people are alone when they suffer a heart attack, without help,the person whose heart is beating improperly and who begins to feel faint, has only about 10 seconds left before losing consciousness.
However,these victims can help themselves by coughing repeatedly and very vigorously. A deep breath should be taken before each cough, and the cough must be deep and prolonged, as when producing sputum from deep inside the chest.
A breath and a cough must be repeated about every two seconds without let-up until help arrives, or until the heart is felt to be beating normally again.
Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. The squeezing pressure on the heart also helps it regain normal rhythm. In this way, heart attack victims can get to a hospital. Tell as many other people as possible about this. It could save their lives!
A cardiologist says If everyone who sees this post shares it to 10 people, you can bet that we'll save at least one life.
Rather than sharing jokes only please contribute by forwarding this info which can save a person's life.
@medicaltalks101
@medicaltalks101
The Medical Herald
2019-04-16 

Cardiac Tamponade. Cause of death - massive cardiac tamponade!!!

This is a very large tamponade revealed under the pericardium due to a massive amount of hemorrhage.
Notice the heart looks small and collapsed under the massive pressure of the accumulated blood.
Cardiac tamponade is the result of an accumulation of fluid/pus/blood in the pericardium (the sac in which the heart is enclosed), which can occur either rapidly of gradually over time, but eventually, results in impaired cardiac output.
The elevated pericardial pressure puts significant pressure on the heart, causing a decrease in diastolic filling of the ventricles, and hence in stroke volume. The end result is ineffective pumping of blood, shock, and potentially death.
This is to be distinguished from a pericardial effusion, which can be very large but does not necessarily impair cardiac function.
Tamponade occurs when the pericardial space fills up with fluid faster than the pericardial sac can stretch. If the amount of fluid increases slowly (such as in hypothyroidism/cancer) the pericardial sac can expand to contain a liter or more of fluid prior to tamponade occurring. If the fluid occurs rapidly (as may occur after trauma or myocardial rupture) as little as 100 ml can cause tamponade.
If fluid continues to accumulate, then with each successive diastole, less and less blood enters the ventricles, as the increasing pressure presses on the heart and forces the septum to bend into the left ventricle, leading to a decreased stroke volume. This causes obstructive shock to develop, and if left untreated, cardiac arrest may occur (in which case the presenting rhythm is likely to be Pulseless electrical activity).
Treatment involves the expedient drainage of the pericardial collection (pericardiocentesis) either percutaneously, via open sternotomy, or with a balloon pericardiotomy, where fluid is drained out through a long thin tube with a balloon attached.
This is a medical emergency that requires urgent drainage of the accumulated pericardial fluid, and unfortunately some patients run out of luck and never make it to the hospital on time.
@medicaltalks101
@medicaltalks101
The Medical Herald
2019-04-09 

A 48-year-old lady who had a complaint of fever associated with chills and rigors for 3 weeks.

She noticed darkening of right half of the upper lip and all the digits of the both hands and feet, which was painful and progressive over a 1 week period. On physical examination, she was afebrile, dehydrated, and pale. There was no significant peripheral lymphadenopathy. The radial, femoral and popliteal pulses were all palpable. Examination of both upper and lower limbs revealed blackish discoloration of all digits of both hands up to the metacarpophalangeal joints, and all the toes extending up to middle third of the leg. The overlying skin was cold and dry with definite lines of demarcation between the gangrenous and normal skin. A clinical diagnosis of SPG (symmetrical peripheral gangrene) was considered. Initially, she underwent bilateral amputation below the knee joint. Two weeks after the first operation, bilateral digital amputations were carried out at the level of the metacarpophalangeal joints. Wound healing was uneventful and she was discharged from hospital 3 weeks later.
Symmetrical peripheral gangrene is a rare syndrome. It is characterized by bilateral distal ischemia leading to gangrene, in the absence of major vascular occlusive disease. It is considered a cutaneous marker of disseminated intravascular coagulation, and more than half of the patients who survive require amputation of the affected limbs. The etio-pathogenesis of SPG is not well understood, but the hallmark is the occurrence of microcirculatory failure.
@medicaltalks101
@medicaltalks101
The Medical Herald
2019-04-01 

Loa loa filariasis is a skin and eye disease caused by the nematode worm Loa loa.

Humans contract this disease through the bite of a deer fly or mango fly(Chrysops spp), the vectors for Loa loa. The adult Loa loa filarial worm migrates throughout the subcutaneous tissues of humans, occasionally crossing into subconjunctival tissues of the eye where it can be easily observed. Loa loa does not normally affect one's vision but can be painful when moving about the eyeball or across the bridge of the nose.
Treatment of loiasis involves chemotherapy or, in some cases, surgical removal of adult worms followed by systemic treatment. The current drug of choice for therapy is diethylcarbamazine (DEC), though ivermectin use while not curative (i.e., it will not kill the adult worms) can substantially reduce the microfilarial load.
@medicaltalks101
@medicaltalks101
The Medical Herald
2019-03-14 

Pls if you know any orphan in any public university who is at the verge of dropping out because of financial difficulties, tell such person to send his or her mail to:

[email protected]
Do spread this message to other groups so that others may benefit.
The Medical Herald
2019-03-12 

Hutchinson-Gilford Progeria Syndrome. A genetic condition characterized by the dramatic, rapid appearance of aging beginning in childhood.

Affected children typically look normal at birth and in early infancy, but then grow more slowly than other children and do not gain weight at the expected rate (failure to thrive). They develop a characteristic facial appearance including prominent eyes, a thin nose with a beaked tip, thin lips, a small chin, and protruding ears. Hutchinson-Gilford progeria syndrome also causes hair loss (alopecia), aged-looking skin, joint abnormalities, and a loss of fat under the skin (subcutaneous fat). This condition does not affect intellectual development or the development of motor skills such as sitting, standing, and walking.
People with Hutchinson-Gilford progeria syndrome experience severe hardening of the arteries (arteriosclerosis) beginning in childhood. This condition greatly increases the chances of having a heart attack or stroke at a young age.
@medicaltalks101
@medicaltalks101
The Medical Herald
2019-03-11 

☝️☝️☝️☝️☝️☝️☝️☝️☝️☝️☝️☝️☝️☝️. Ok for those of you who are asking me what is the post about..

Yesterday there was a plane crush 149 passengers and eight crew members were on flight ET302 from the Ethiopian capital to Nairobi in Kenya.
It said 32 Kenyans, 18 Canadians, eight Americans and seven British nationals were among the passengers.
The crash happened at 08:44 local time, six minutes after the months-old Boeing 737 Max-8 took off.
A real sad day!!!!