Consider kledadusti and treat accordingly. 1.Nimbadi Kashayam-15ml +Suddha/Kaisora guggulu-1gm + honey twice daily. 2.Trivanga Bhasma-125 mg twice daily with honey.
Seems like abcess. If there is any collection then I&D with symptomatic treatment.
may be it is a case of boil or any injury ? Bella in initial stage...if pus formed thn Heparsulph, mec sol like medicines can be given if healing delayed thn sil can work....
If any collection of pus removed it when in पक्व अवस्था पित्तज विद्रधि Line of treatment Keshor gugglu tablet Mahamanjisthaadi kwath Gandhak rasayan apply on it externally
boils.... I & D....with betadine 10% Dressing then start... Gandhak rasayan Aarogyavrdhini. vati syp. Purodil 10. ml. bd....
Rx Hepar sulph 1m/3dose Ars.alb.30/tds
S n15 Mg tablet dolonex DT tab.phexin.500 Mg cap sofinox.cream
Dx Abcess with Secondary Infection.
Infection , Injury?
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a7 yr old boy this lesions since 1 wk no any other complains kindly suggest management and DxDr. Azeem Sarwar3 Likes24 Answers
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NETTLE LEAVES HEALTH BENEFITS --------------------------------------------------------- BICHUTI LEAVES (NETTLE LEAVES) Nettle is part of the English name of many plants with stinging hairs, particularly those of the genus Urtica. It is also part of the name of plants which resemble Urtica species in appearance but do not have stinging hairs. In Bengali, we call it ‘Bichuti Pata’, owing to the stinging ability of the plant. Even though people steer clear of it, nettle leaves are packed with a package of health-benefiting qualities. We drink nettle leaf tea, as it has the ability to support the whole body, and the hay-like taste is bearable too. Directions to making nettle leaf tea- We pour 8 oz. freshly boiled water over 1 tea bag. We cover cup and steep for 10 minutes. Then, we squeeze tea bag to ensure maximum goodness in your cup. One can enjoy 3-4 cups daily. Nettle leaf for hair- It is said that nettle leaf tonic is the most effective DIY hair care solution. It thickens the hair, and help in gaining fuller locks, with lots of volume. It also prevents hair-fall and is effective against dandruff. How to apply- We begin with an ounce of nettle leaves, two cups of white wine vinegar, and two cups of water. We place all the ingredients in a pan (making sure it’s non-reactive), let it simmer on the stove for two hours, then let the mixture cool before we strain it. Now’s the time for the lavender oil: once we’ve strained our nettle mixture, we stir in about two drops of the oil, then decant everything in a bottle that has a tight lid. We remember to shake it well before use and massage the mixture into our scalp every other day. We let it set for as long or as little as we like; it can be left on overnight, as long as we cover our hair. Health-benefiting properties- 1. Nettle’s iron content makes it a wonderful blood builder, and the presence of vitamin C aids in the iron absorption. As a hemetic (an herb rich in iron), this is an excellent herb for anemia and fatigue, especially in women. 2. Stinging nettle is beneficial during pregnancy due to its rich mineral value and vitamin K, it is also a good supplement to strengthen the fetus. It is used during labor to ease the pains, and will increase milk production in lactating women. 3. As a diuretic, stinging nettle increases the secretion and flow of urine. This makes it invaluable in cases of fluid retention and bladder infections. It is also anti-lithic and nephridic, breaking down stones in the kidneys and gravel in the bladder. 4. Arthritis, bursitis, rheumatism, gout, and tendonitis have all been treated successfully with urtification. 5. There is positive evidence of freeze-dried nettle leaf for treating hay fever, asthma, seasonal allergies, and hives.Dr. Sanjay Kumar Mallick4 Likes17 Answers
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CUSHING'S SYNDROME. Cushing's syndrome is a hormonal disorder caused by prolonged exposure of the body's tissues to the high levels of hormone cortisol.It is also known as HYPERCORTISOLISM.It commonly affects adults aged 20-50. Too much cortisol in the body,regardless of the cause is called CUSHING'S SYNDROME. Pituitary gland tumour which produces excess ACTH leading to hypercortisolism is called CUSHING'S DISEASE. Hypercortisolism due to excess ACTH produced by a tumour elsewhere in the body is called ECTOPIC CUSHING'S SYNDROME. Cushing's syndrome caused by taking excess steroid medications is called EXOGENOUS CUSHING'S SYNDROME. SIGNS AND SYMPTOMS. Patients with Cushing's syndrome have upper body obesity and slender arms and legs. Most people with Cushing's syndrome have Round ,red, full face like a moon. moon facies Truncal obesity,supraclavicular fat pads,buffalo hump,weight gain. SKIN CHANGES. Atrophy, Purple striae. Easy bruising. Hirsutism. Acne, Pigmentation MUSCLE AND BONE CHANGES. Proximal muscle wasting and weakness Bone pain or tenderness. Rib and spine fractures caused by thinning of bones. Osteopenia or osteoporosis. PSYCHOLOGICAL PROBLEMS. Depression Cognitive function. Emotional lability. Diabetes or impaired glucose tolerance. Thirst,polydipsia,polyuria. Hypertension. Nephrolithiasis. Gonadal dysfunction,reduced libido,erection problems. Irregular periods. Growth restriction in a child. Destruction of anterior pituitary may cause hypothyroidism and amenorrhoea. Patients with ACTH producing tumours may develop headache,visual problems and galactorrhea. WHAT CAUSES CUSHING'S SYNDROME. Tasks of cortisol. *Helps maintain blood pressure and cardiovascular function. *Reduces the immune system's inflammatory response. *Balancing the effects of insulin *Regulates the metabolism of carbohydrates,proteins and fats. 1) Most common cause of cushing's syndrome is exogenous intake of steroids.like Prednisone for asthma,rheumatoid arthritis,lupus.Glucocorticoids taken to suppress immune system after transplantation to keep the body from rejecting the new tissue or organ. 2)Next common cause is PITUITARY ADENOMAS. 3) ECTOPIC ACTH SYNDROME. Benign or malignant tumours that arise outside the pituitary can produce ACTH.They are lung tumours especially all cell lung cancer,carcinoid tumours,thymomas,pancreatic islet cell tumours and medullary carcinomas of the Thyroid. 4) ADRENAL TUMOURS. Adrenal adenomas or adrenocortical cancers can cause Cushing's syndrome. DIAGNOSIS. The three most common tests used to diagnose Cushing's syndrome are. 1)24 HOUR URINARY FREE CORTISOL LEVELS. >>>50 - 100 if /day suggests Cushing's syndrome. 2) MEASURE MID NIGHT PLASMA CORTISOL AND LATE NIGHT SALIVARY CORTISOL. Cortisol production is normally suppressed at night ,but in Cushing's syndrome,this suppression doesn't occur . Cortisol levels of >>50 nmol/L , Cushing's syndrome is suspected. 3)LOW DOSE DEXAMETHASONE SUPPRESSION TEST.. (LDDST ).Here patient is given a low dose of dexamethasone ,by mouth every 6 hours for 2 days.Steroids signal the pituitary to release less of ACTH.So the normal response after taking dexamethasone is a drop in blood and urine cortisol levels.If cortisol levels do not drop,cushings syndrome is suspected. TESTS TO FIND THE CAUSE OF CUSHING'S SYNDROME. Once Cushing's syndrome is diagnosed,certain tests are done to locate the exact abnormality that leads to excess cortisol production. 1)CRH STIMULATION TEST. Injection of CRH causes a rise in ACTH and cortisol levels in patients with pituitary adenomas.But this response is not seen in adrenal tumours or ectopic ACTH producing tumours. 2)HIGH DOSE DEXAMETHASONE SUPPRESSION TEST (HDDST.) High doses of dexamethasone suppresses cortisol levels in people with pituitary adenomas but not ectopic ACTH producing tumours. 3)CT AND MRI. TREATMENT. Treatment depends on the exact cause of excess cortisol. PITUITARY ADENOMAS. Trans sphenoidal adenomectomy is most widely used surgery. For patients not suitable for surgery,radiation to the pituitary gland is given over a 6 week period. Cortisol inhibiting drugs like ketoconazole,mitotane,aminoglutethimide and methadone are also used. ECTOPIC ACTH SYNDROME Ectopic ACTH producing tumours or cancerous tissue is treated by surgery //radiation //chemotherapy //immunotherapy. ADRENAL GLAND TUMOURS. Surgery is the mainstay of treatment for benign and cancerous tumours off the adrenal glands. 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Unmarried female aged about 18 years, have started these small finger deformity gradually since last three years. Reports shows elevated RA, taking rx at medical college. Kindly opineDr. Aslam Shaikh4 Likes19 Answers
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