Cardiology

male patient Age 44yrs.Parkinsons disease, Thyrotoxicosis. Bed ridden for 6yrs.unable to move ,turn side on his own ,very weak ,thin,lean.can take only liquids.that too sweet,pulses cause nausea. Bed sores left hip,left side thoracic region left shoulder Bursitis. Aphonia since last 2 wks.fever 2 months ago with loose motions since then weakness and voice unclear. plz suggest.

EMBELIA RIBES EMBELIA RIBES (Biranga) A children’s remedy; killer of worms; diarrhoea, dyspepsia and flatulence due to worms. Mind :- Morose; fretful; irritable. Head :- Headache with nausea, worse from 9 a.m. to 11 a.m. Eyes :- Heaviness of upper eyelids, better washing with cold water. Burning sensation in upper eyelids with mild heaviness better washing with cold water. Nose :- Itching of the nostrils; picking of the nose. Coryza with discharge first thin and then turning to thick yellow, worse lying down, from cold bathing, with uneasiness in back of head and neck in the evening. Mouth :- Dry. Grinding of teeth. Tongue coated white in the posterior part. Throat :- Irritation in throat, better for hot drink. Stomach :- Excessive thirst. Distension; nausea; great hunger, soon after a meal. Abdomen :- Cramping pain in lower abdomen with ineffectual desire for stool and nausea. Griping pain around umbilicus with diarrhea, worse bending forward, pressure, movement; ameliorated by cold application after stool; with loss of appetite, fear of death and weakness. Pain in whole abdomen, better after stool. Pain in abdomen with flatulence, better for pressure; thirst increased. Constant passing of flatus. Rectum :- Stool constipated, hard, insufficient. Constipation with headache. No urge for stool with frequent thirst for small quantity. Diarrhoea; thin, yellowish, offensive stool; ineffectual urging with nausea and thirstlessness. Stool loose, watery, profuse with fishy odor ameliorated rest, open air. Griping pain in abdomen and increased thirst. Passes undigested stool. Itching. Expulsion of worms. Urinary :- Pungent and red coloured. Respiratory :- Dry cough with hoarseness. Chest :- Pain, aching right side. Back :- Backache lower part, worse movement. Sleep :- Disturbed. Shrieking out during sleep. Fever :- Starts in the morning and rises up to 103° in the evening with thirst, with frontal headache, worse morning.

76M c/o general weakness and nausea, denies cardiac hx, chest pain, and dyspnea. Cath Lab activated on scene. Bilateral 18G IVs placed and pt given NTG SL, ASA PO, 4 mg Zofran, and 5mg morphine. 100% RCA and 90% LAD occlusion.

65 yr old male presented wid complaints of left sided weakness n tingling sensations n left side chest pain intermittently once or twice every month..b.p 160/100 .gcs 15/15 power 5/5 in all 4 limbs. has received ecosprin150/ clonazepam 0.5 n b12 in the past.been irregular on amlo/atenolol/telmisartan for b.p.kindly suggest further management.ecg wnl.

THE COVID-19 SYMPTOMS WE DID NOT KNOW ABOUT As the pandemic spreads around the world, doctors are beginning to scope the coronavirus’s damage. Seen initially as a cause of viral pneumonia during the chaos of an explosion of cases in China, it’s now emerging as an enigmatic pathogen capable of harming the body in a myriad of unexpected, and sometimes lethal, ways. Clinical manifestations range from common cold-like symptoms and bronchitis to more severe disease such as pneumonia, severe acute respiratory distress syndrome, multi-organ failure and even death. The illness may occur as a direct result of viral infection, as well as the body’s response to it. Here’s a snapshot of some of the symptoms Covid-19 causes, including some you might not have heard about. Blood Fever and inflammation may disrupt blood vessels, rendering blood cells more prone to clumping while interfering with the body’s ability to dissolve clots. That may trigger a clotting cascade that can lead to blood-vessel blockages in tissues and organs throughout the body. Life-threatening clots in the arteries of the lung, known as pulmonary emboli, may occur even after symptoms of the infection have resolved. Damaged blood vessels may become leaky and prone to bleeding. In children, inflammation of veins and arteries triggered by excessive immune activation may cause an illness similar to Kawasaki disease, an inflammatory disorder. Brain Dysfunction in the lining of blood vessels and associated bleeding and clotting disorders may cause strokes and bleeding in the brain. Patients may also experience headache, dizziness, confusion, impaired consciousness, poor motor control, delirium and hallucinations. Eyes Red, puffy eyes, sometimes referred to as pink eye, may result from infection in the conjunctiva, the tissue that lines the inside of the eyelids and covers the white part of the eye. Gastrointestinal tract Infection of cells lining the digestive tract may cause diarrhea, nausea, vomiting and abdominal pain. Blood-vessel blockages caused by abnormal clotting have been found to damage the bowel, requiring emergency surgery and resection. Hands Prickling or burning sensation in the hands and limbs may indicate Guillain-Barré syndrome, a rare nervous-system disorder that may be triggered by aberrant immune responses to viral infection. Other symptoms of the syndrome include poor coordination, muscle weakness and temporary paralysis. Heart Cardiac injury, sometimes leading to irregular heartbeat, heart failure, and cardiac arrest, may occur as a result of excess strain, inflammation of the heart muscle and coronary artery, blood clots, and overwhelming multi-organ illness. Infection, fever, and inflammation in people with existing heart-vessel blockages may cause their fatty plaques to break off, blocking or stopping blood flow in organs and tissues. Limbs Obstructions in large blood vessels may cause insufficient flow, or acute ischemia, in the limbs. Severe vascular complications can be lethal. At least one reported cases resulted in lower limb amputation. Liver Liver dysfunction may occur as a direct result of the viral infection, or more likely because of immune-mediated, systemic inflammation and circulatory blockages cutting blood flow to the organ. Lungs The virus targets the epithelial cells that line and protect the respiratory tract as well as the walls of the tiny grape-like air sacs, or alveoli, through which gas exchange occurs to oxygenate the blood. Damage to alveoli and inflammation in the lungs can cause pneumonia, characterized by chest pain and shortness of breath. In severe cases, the lack of oxygen can trigger acute respiratory distress syndrome, leading to multi-organ-system failure. Kidneys Acute kidney injury may result from clots and impaired blood supply, or as a direct result of infection. Nose and tongue While the virus can cause the sneezing and runny nose typical of a common cold, it can also disrupt the olfactory system, causing an abrupt full or partial loss of the sense of smell known as anosmia. Taste may also become distorted in a condition known as dyguesia. Skin Hive-like rashes, small red dots and purplish discolorations on the legs and abdomen are part of a complex category of so-called paraviral dermatoses that may result from the body’s immune response to the virus or from benign, superficial blood-vessel damage beneath the skin. Toes Purple rashes that resemble chickenpox, measles or chilblains may appear on the feet, especially of children and younger adults.