amlodipine induced pedal edema .plz switch over to other agents gradually. big joint pain may b due to gouty arthritis.-investigate accordingly. plz advice a C/S test for urine sample
Anti CCP is negative so ruled out RA. Low level of T3 is suggestive of hypothyroidism. Start with Levothyroxine 25mcg . Repeat thyroid function tests after 1 months Piroxicam or meloxicam or tramadol can be given as pain killer.
Osteoarthritis, amlodipene induced oedema, UTI and obesity are the cause of his present complaint. Rx 1 Life style modification to control her wt. 2 gradual exercises for joints. 3 Stop CCB amlodipene. You can add diuretic or cilnidipin. 4 urine culture and AST. Antibiotic according to culture report. 5 NASID for pain relief.
Plz do sr uric acid. That pedal edema due to ling term intake if AMLODIPINE . . Discontinued AMLODIPINE. . Treat accordingly sr uric acid .
Inferior wall ischaemia with sinus tachycardia, advised renal function tests.
First of all you Advice CBC,RFT, WITH S.URIC ACID.and repeat usg whole abdomen and electrolyte. Then start treatment.
Stop Amlo C & S urine Do Echo to ruled out pumping capacity Add Dieuretic Do S . protein & stop steriod if any
Ecg show Little st depression in lead 3, avf Non Nonspecific
Hypothyroidism + fatty liver +uti start with Thyronorm50 microgm then adjust dose. Antibiotics Vitamins and micronutrients. Inj vit D calcium
Pedal oedema due to Amlodipine discontinue it Go for CBC RFT Lipid profile Uric acid RA factor ANA till that start CTD 12.5 Ramipril 5mg
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Friends today I am discussing about Avery disgusting problem said to be obesity. What is obesity? Obesity is an epidemic condition puts people at a higher risk for serious diseases, such as type 2 diabetes, heart disease, and cancer. Obesity is defined as having a body mass index (BMI) of 30 or more. BMI is a calculation that takes a person’s weight and height into account. However, BMI does have some limitations. According to the CDC, “Factors such as age, sex, ethnicity, and muscle mass can influence the relationship between BMI and body fat. Also, BMI doesn’t distinguish between excess fat, muscle, or bone mass, nor does it provide any indication of the distribution of fat among individuals.” What causes obesity? Eating more calories than you burn in daily activity and exercise (on a long-term basis) causes obesity. Over time, these extra calories add up and cause you to gain weight. Common specific causes of obesity include: eating a poor diet of foods high in fats and calories having a sedentary (inactive) lifestyle not sleeping enough, which can lead to hormonal changes that make you feel hungrier and crave certain high-calorie foods genetics, which can affect how your body processes food into energy and how fat is stored growing older, which can lead to less muscle mass and a slower metabolic rate, making it easier to gain weight pregnancy (weight gained during pregnancy can be difficult to lose and may eventually lead to obesity) Certain medical conditions may also lead to weight gain. These include: polycystic ovary syndrome (PCOS): a condition that causes an imbalance of female reproductive hormones Prader-Willi syndrome: a rare condition that an individual is born with which causes excessive hunger Cushing syndrome: a condition caused by having an excessive amount of the hormone cortisol in your system hypothyroidism (underactive thyroid): a condition in which the thyroid gland doesn’t produce enough of certain important hormones osteoarthritis (and other conditions that cause pain that may lead to inactivity) Who is at risk for obesity? A complex mix of genetic, environmental, and psychological factors can increase a person’s risk for obesity. Genetics Some people possess genetic factors that make it difficult for them to lose weight. Environment and community Your environment at home, at school, and in your community, can all influence how and what you eat and how active you are. Maybe you haven’t learned to cook healthy meals or don’t think you can afford healthier foods. If your neighborhood is unsafe, maybe you haven’t found a good place to play, walk, or run. Psychological and other factors Depression can sometimes lead to weight gain, as people turn to food for emotional comfort. Certain antidepressants can also increase risk of weight gain. It’s a good thing to quit smoking, but quitting can also lead to weight gain. For that reason, it’s important to focus on diet and exercise while you’re quitting. Medications such as steroids or birth control pills can also put you at greater risk for weight gain. How is obesity diagnosed? Obesity is defined as having a BMI of 30 or more. Body mass index is a rough calculation of a person’s weight in relation to their height. Other more accurate measures of body fat and body fat distribution include skinfold thickness, waist-to-hip comparisons, and screening tests such as ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) scans. Your doctor may also order certain tests to help diagnose obesity as well as obesity-related health risks. These may include blood tests to examine cholesterol and glucose levels, liver function tests, diabetes screen, thyroid tests, and heart tests, such as an electrocardiogram. A measurement of the fat around your waist is also a good predictor of risk for obesity-related diseases. What are complications of obesity? Obesity leads to much more than simple weight gain. Having a high ratio of body fat to muscle puts strain on your bones as well as your internal organs. It also increases inflammation in the body, which is thought to be a cause of cancer. Obesity is also a major cause of type 2 diabetes. Obesity has been linked to a number of health complications, some of which are life-threatening: type 2 diabetes heart disease high blood pressure certain cancers (breast, colon, and endometrial) stroke gallbladder disease fatty liver disease high cholesterol sleep apnea and other breathing problems arthritis infertility How is obesity treated? If you’re obese and haven’t been able to lose weight on your own, medical help is available. Start with your family physician who may be able to refer you to a weight specialist in your area. Lifestyle and behavior changes Your healthcare team can educate you on better food choices and help develop a healthy eating plan that works for you. A structured exercise program and increased daily activity — up to 300 minutes a week — will help build up your strength, endurance, and metabolism. Counseling or support groups may also identify unhealthy triggers and help you cope with any anxiety, depression, or emotional eating issues. Medical weight loss Your doctor may also prescribe certain prescription weight loss medications in addition to healthy eating and exercise plans. Medications are usually prescribed only if other methods of weight loss haven’t worked and if you have a BMI of 27 or more in addition to obesity-related health issues. Prescription weight loss medications either prevent the absorption of fat or suppress appetite. These drugs can have unpleasant side effects. For example, the drug orlistat (Xenical) can lead to oily and frequent bowel movements, bowel urgency, and gas. Your doctor will monitor you closely while you’re taking these medications. Weight loss surgery Weight loss surgery (commonly called “bariatric surgery”) requires a commitment from patients that they will change their lifestyle. These types of surgery work by limiting how much food you can comfortably eat or by preventing your body from absorbing food and calories. Sometimes they do both. Weight loss surgery isn’t a quick fix. It’s a major surgery and can have serious risks. After surgery, patients will need to change how they eat and how much they eat or risk getting sick. Candidates for weight loss surgery will have a BMI of 40 or more, or have a BMI of 35 to 39.9 along with serious obesity-related health problems. Patients will often have to lose weight prior to undergoing surgery. Additionally, they will normally undergo counseling to ensure that they’re both emotionally prepared for this surgery and willing to make the necessary lifestyle changes that it will require. There’s been a dramatic increase in obesity and in obesity-related diseases. This is the reason why communities, states, and the federal government are putting an emphasis on healthy food choices and activities to help turn the tide on obesity. How can you prevent obesity? Help prevent weight gain by making good lifestyle choices. Aim for moderate exercise (walking, swimming, biking) for 20 to 30 minutes every day. Eat well by choosing nutritious foods like fruits, vegetables, whole grains, and lean protein. Eat high-fat, high-calorie foods in moderation. Common and effective homeopathic remedies for weight loss Antimonium crudum. Argentum nitricum. Calcarea carbonica. Coffea cruda. Capsicum. Other homoeopathic medicines can also be given on the basis of totality of symptoms.Dr. Rajesh Gupta7 Likes4 Answers
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A 41 years female who is diabetic and hypothroid.she had symptoms of pain,swelling around knee. patient is obese. pain is increased in walking. diagnose and suggest treatment...Srivalli Jandyala1 Like16 Answers
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