Seizure and its types








Comments

Post a Comment

Popular posts from this blog

What is a stomach with a leather bottle and signet ring called?

A man wearing a Signet ring and drinking from a leather bottle would probably be a man from medieval era. However the same cannot be told about stomach having a leather bottle appearance and Signet ring cells . Such a stomach is said to be cancerous, most commonly of the adenocarcinoma type. In order to diagnose the diffuse type of adeno gastic carcinoma an endoscopy followed by microscopic examination of the sample are performed. During endoscopy the stomach looks like a leather bottle and under the microscope signet ring cells make an appearance.  What could possibly be the reason behind these characteristic features? The leather bottle appearance is due to the thick and rigid stomach wall due to tumor infiltrating the submucosa. The Signet ring like appearance of the cells is due to mucin filled vacuoles pushing the nucleus to one side. (FYI - the other type of gastric Ca is the Intestinal type which has better prognosis and does not show the above m...
Read more

Patients in the ICU need "FAST HUGS IN BED P"lease

Here's something that might help you in your daily rounds in the Intensive Care Unit. While examining the patients in the ICU, one may use the following mneumonic to be sure that nothing is missed out. FAST HUGS IN BED P lease F -  Fluids/Feeding A -  Analgesics S  - Sedation T  - Thromboprophylaxis H  - Head up position U  - Ulcer prophylaxis G  - Glycemic control S  - Spontaneous breathing trial I  - Indwelling catheter N -  Nasogastric tube B  - Bowel care E  - Environment (eg Temperature) D  - De-escalation (Stopping a particular treatment) P  - Psychosocial support
Read more

Puddle sign... What's that?

Puddle is a small pool of fluid. Similarly   P uddle sign  is found when a pool of fluid gets accumulated in the peritoneal cavity ( ASCITES ). This  auscultatory sign   can successfully detect as less as  120 ml  of  free fluid in the abdomen.  On the other hand the two signs of percussion and palpation, namely  shifting dullness  and  fluid thrill  are elucited when the peritoneal fluid volume is more than  500 ml  and  1500 ml  respectively. " Like the silence before the storm, there is dullness before the thrill ." Let us presume that we have a patient with ascites and we are required to perform a diagnostic paracentesis (25ml fluid withdrawn using 5ml syringe). What are we required to look at? Color : Clear or cloudy yellow : Normal/TB Straw colored : Cirrhosis, Cancer (Ca), CHF, Nephrotic syndrome Bloody : Ca, TB, Pancreatic (Contain RBCs) Milky (Chy...
Read more