V v v important DRUGS OF CHOICE ---------------------------------- 1. Paracetamol poisoning- :- - acetyl cysteine 2. acute bronchial- asthma :- salbutamol 3. acute gout :- NSAIDS 4. acute hyperkalemia:- calcium gluconate 5. severe DIGITALIS toxicity :- DIGIBIND 6. acute migraine :- sumatriptan 7. cheese reaction :- phentolamine 8. atropine poisoning :- physostigmine 9. cyanide poisoning :- amyl nitrite 10. benzodiazepine poisoning:- flumazenil 11. cholera :- tetracycline 12. KALA-AZAR :- lipozomal amphotericin- B 13. iron poisoning :- desferrioxamine­ 14. MRSA :- vancomycin 15. VRSA :- LINEZOLID 16. warfarin overdose :- vitamin-K (NIPER- 2009) 17. OCD :- fluoxetine 18. alcohol poisoning :- fomepizole 19.Epilepsy in pregnancy: carbamezepine safe among older epileptics & lamotrigine, levitracetam safe in newer AED! 20. anaphylactic shock :- Adrenaline 21. MRSA Infection-Vancomycin 22. Malaria in Pregnancy-Chloroquine 23. Whooping Cough or Perteusis- Erythromycin 24. Kawasaki disease-IV Ig 25. Warferin Overdose-Vit-K 26. Heparin Overdose-Protamine 27. Hairy Cell Leukemia-Cladirabine 28. Multiple Myeloma- Melphalan 29. CML-Imatinib 30. Wegner's granulomatosis-Cyclophosphamide 31. HOCM- Propranolol 32. Delirium Tremens-Diazepam 33. Drug Induced Parkinsonism-Benzhexol 34. Diacumarol Poisoning-Vit-K 35. Type-1 Lepra Reaction-Steroids 36. Type- 2 Lepra Reaction-Thalidomide 37. Allergic Contect Dermatitis-Steroids 38. PSVT- 1st-Adenosine, 2nd-Verapamil, 3rd-Digoxin 39. Z-E Syndrome- Proton Pump Inhibitor 40. Chancroid-Cotrimoxazole 41. Dermatitis Herpetiformis-Dapsone 42. Spastic Type of Cerebral Palsy-Diazepam 43. Herpis Simplex Keratitis-Trifluridine 44. Herpes Simplex Orolabialis-Pancyclovir 45. Neonatal Herpes Simplex-Acyclovir 46. Pneumocystis carinii Pneumonia-Cotrimoxazole For Nodulo 47. 47. Cystic Acne-Retinoic acid 48. Trigeminal Neuralgia-Carbamezapine 49. Actinomycosis-Penicillin 50. Plague- Streptomycin 51. Opioid Withdrawal- Methadone 2nd-Clonidine 52. Alcohol Withdrawal- Chlordiazepoxide 2nd-Diazepam 53. Post Herpetic Neuralgia- Fluphenazine 54. WEST Syndrome-ACTH 55. Diabetic Diarrhoea- Clonidine 56. Lithium Induced Neuropathy-AmilorideCommunicable Disease: 57. Tetanus: PEN G Na; TETRACYCLINE; (DIAZEPAM 58. Diphteria: PEN G K; ERYTHROMYCIN 59. Pertusis: ERYTHROMYCIN; AMPICILLIN 60. Meningitis: MANNITOL (osmotic diuretic);DEXAM ETHASONE (anti-inflammatory); DILANTIN/PHENYTOIN (anti-convulsive); PYRETINOL/ENCEPHABO L (CNS stimulant) 61. Cholera: TETRACYCLINE 62. Amoebic Dysentery: METRONIDAZOLE 63. Shigellosis: CO-TRIMOXAZOLE 64. Typhoid: CHORAMPHENICOL 65. Rabies: LYSSAVAC, VERORAB 66. Immunoglobulins: ERIG or HRIg 67. Malaria: CHLOROQUINE 68. Schistosomiasis: PRAZIQUANTEL 69. Felariasis: DIETHYLCARBAMAZINE CITRATE 70. Scabies: EURAX/ CROTAMITON 71. Chicken pox: ACYCLOVIR/ZOVIRAX 72. Leptospirosis: PENICILLIN; TETRACYCLINE;ER YTHROMYCIN 73. Leprosy: DAPSONE, RIFAMPICIN 74. Anthrax: PENICILLIN 75. Tuberculosis: R.I.P.E.S. 76. Pneumonia: COTRIMOXAZOLE; ProcainePenicillin 77. Helminths: MEBENDAZOLE; PYRANTELPAMOATE 78. Meningitis: MANNITOL (dec. ICP) ;DEXAMETHASONE ( relieve cerebral edema) ;DIAZEPAM ( anticonvulsant); PENICILLIN 79. Syphilis: PENICILLIN 80. Gonorrhea: PENICILLIN...

A 13 years old boy complains of fever with some chills for 3 days, with Generalized weakness, reduced appetite and headache since two days. Vitals and systemic exams are wnl and no localizing focus of infection is readily evident. CBC and widal were ordered and the reports are as attached. What is the probable diagnosis and how to approach the case?

A young female aged 18 yrs presented with history of Fever with chills , breathlessness since 5-6 days and altered sensorium since 1 day.....On taking history from attendants, it was revealed that She has had 2-3 episodes of Jaundice in last 2 yrs and 3 PRBC transfusions were also done 8 months back due to severe anemia....She was foundto have clubbing...Discuss this interesting case and possible differentials...

World Immunization Week World Immunization Week, 24-30 April 2018 World Immunization Week is celebrated in the last week of April. It aims to highlight the collective action needed to ensure that every person is protected from vaccine-preventable diseases. Immunization saves millions of lives and is widely recognized as one of the world’s most successful and cost-effective health interventions. Expanding access to immunization is crucial to achieving the Sustainable Development Goals. This year’s theme is: “Protected Together, #VaccinesWork”. It encourages people at every level from donors to the general public to go further in their efforts to increase immunization coverage for the greater good. To do so, health care officials must invest in immunization efforts, health workers must make vaccines a priority, and people must get themselves and their families vaccinated. Key facts Immunization prevents illness, disability and death from vaccine-preventable diseases including cervical cancer, diphtheria, hepatitis B, measles, mumps, pertussis (whooping cough), pneumonia, polio, rotavirus diarrhoea, rubella and tetanus. There are more than 19 million unvaccinated or under-vaccinated children in the world, putting them at serious risk of these potentially fatal diseases. There was 84% drop in measles deaths between 2000 and 2016 worldwide, due to measles vaccination. Polio cases have decreased by over 99% since 1988. Today, only 3 countries (Afghanistan, Nigeria and Pakistan) remain polio-endemic, down from more than 125 in 1988. India was declared polio free by World Health Organization in 2014. In India 62% of children in the age group 12-23 months were found to be fully immunized ((BCG, measles, and 3 doses each of polio and DPT) ) during NFHS-4(national family health survey 2015-2016). Immunisation programmes in India: Universal Immunisation Programme(UIP): Government of India is providing vaccination free of cost against vaccine preventable diseases include diphtheria, pertussis, tetanus, polio, measles, severe form of childhood tuberculosis, hepatitis B, meningitis and pneumonia (Hemophilus influenza type B infections), Japanese encephalitis (JE) in JE endemic districts and newer vaccines such as rotavirus vaccine, IPV, adult JE vaccine, pneumococcal conjugate vaccine (PCV) and measles-rubella (MR) vaccine under UIP. Mission Indradhanush: To strengthen and re-energize the UIP and achieve full immunization coverage for all children and pregnant women at a rapid pace, the Government of India launched “Mission Indradhanush” in December 2014. Earlier the increase in full immunization coverage was 1% per year which has increased to 6.7% per year through the first two phases of Mission Indradhanush. Intensified Mission Indradhanush (IMI): To further intensify the immunization programme, Prime Minister Shri Narendra Modi launched the Intensified Mission Indradhanush (IMI) on October 8, 2017. Through this programme, Government of India aims to reach each and every child up to two years of age and all those pregnant women who have been left uncovered under the routine immunization programme to ensure full immunisation to more than 90% by December 2018. NHP Indradhanush Immunization (mobile application): Ministry of Health and Family Welfare (MoHFW), Government of India had launched a mobile application to make parents and guardian aware about the immunization schedule of their children and for tracking their immunization status. Application can be downloaded from Google play store. “Through childhood, adolescence and into adulthood vaccination protects health at every stage of life no matter where you live”. Source : NHP

20yrs female c/o intractable hiccups since 1month CBC uric acid .BL urea Srcret tsh normal what other investigations needed to diagnosis