Mental Health is Very Important ..

The COVID-19 pandemic is likely to be the defining global health crisis of our generation. As the United Nations Development Programme highlighted in their recent call to action, the impact of this pandemic will extend beyond the immediate medical consequences to have far-reaching and long-lasting social and economic impacts, threatening to disproportionately affect poorer people in poorer countries. Income losses are anticipated to exceed $220 billion in developing countries, where many people live day-to-day without access to social protection, and food security is precarious. Strikingly, a recent United Nations study suggests that the social and economic consequences of the COVID-19 pandemic could increase the number of people living in poverty by as much as half a billion, with the majority of these newly poor people living in Africa, South-East Asia, and Central and South America It is no coincidence that the areas of the world predicted to be most affected by the social and economic consequences of COVID-19 are also the areas with the highest tuberculosis burden. This is because tuberculosis is a social as well as infectious disease – poorer, undernourished people living in densely populated areas are at higher risk of tuberculosis, and tuberculosis entrenches poverty by increasing costs, reducing income, and causing stigma and discrimination. Indeed, poverty is the key driver of the tuberculosis pandemic, with several studies demonstrating how tuberculosis incidence rates rise and fall in association with measures of socioeconomic development and social protection. COVID-19 and tuberculosis diagnosis The COVID-19 pandemic is also likely to have a significant impact on the provision of biomedical care for tuberculosis-affected households. Access to diagnostic testing is likely to be reduced, partly because of limited human and material resources, but also because of the social stigma of having a cough or being unwell. This stigma has always been important for tuberculosis and has been exacerbated by the COVID-19 pandemic, potentially driving people with tuberculosis to hide their illness from others and delay accessing healthcare until disease and infectiousness are advanced. COVID-19 and tuberculosis treatment and prevention Provision of appropriate treatment for people who are diagnosed with tuberculosis might also be affected, particularly for people with drug resistant tuberculosis, due to disruptions in the production and transportation of medicines and supplies, reduced nutritional and mental health support, limited access to healthcare facilities, and reduced clinical care to manage adverse drug reactions and comorbidities, such as HIV, diabetes, and cancer. Furthermore, impaired management of these comorbidities is also likely to significantly increase the risk of progression from latent tuberculosis infection to active disease in the general population. To read more-https://erj.ersjournals.com/content/early/2020/05/19/13993003.01348-2020

My prayers for Peace (yes)+ content (Thank you) for you, your family n friends in this COVID19 times. Please guide, bless me with values, virtues perseverance, support and strength to create a Truth Era in the world governed by Fifth Front and work towards a heaven on earth. Thank you *Dr Banu Prakash.A.S* 9241204669 Preventive Holistic Ecologically effective Humanitarian Truth Seeker Politician Life coach Neurosurgeon (Brain,Spine,Nerve,KARMA) Vishwamaanava. MBBS(BMC) M.S(Bombay) MCh.NS. PGIMERchandigarh, Obs.BNI.USA *Member*- NSI Neurological society, ISNO society of neuro oncology. Ex Executive member Bangalore Neurological society, Secretary IMA Bengaluru south, CoConvener IMPA Karnataka-Indian medical practitioner association, Advisor IMHF international mental health forum. https://twitter.com/banuprakashas. , www.banuprakashas.blogspot.in , www.fb.com/banuprakashas , www.youtube.com/user/drbanuprakash , drbanuoffice@gmail.com 8197818581 *KSHEMA SPECIALTY CLINIC* 9am-7pm 7259337591, Girinagar, seetha circle, saligrama party hall, https://goo.gl/maps/4YP5kmiwGyq *SHREYAS CLINIC* 8pm-8am (Home)160,10main bikasipura ISRO lyt 26664993, 9945697889 http://goo.gl/maps/LHLU8 *Contestant*- 2019 Karnataka Medical Council, Bharath Cooperative Bank, 2018 BangaloreSouth MP, 2017 Basavanagudi MLA, 2016 RGUHS senate, 2015 KumarswamyLytBBMP Founder president #SATHYAYuga Samithi, #FIFTHfront politics, Ex President Bahujan Kranthi Morcha- Karnataka, Ex-Pyramid Party of India-National Spokes Person, Karnataka Deputy Secretary Ex- AAP, Loksatta Party, Rotary Basavanagudi Dr Nandini.A.S.9886829579, Dermatologist+Cosmetic Surgeon Let us - 1 Demand people capturing government to employ more health care personal to treat all COVID19 patients effectively and allow all private hospitals to treat them. Make 6 hr working shifts to employ more. Insist all professionals especially judges to work/loss of pay or recruit new young 2. Every one insist to dismiss those capturing people representative posts through manipulated elections, do paper ballot elections for BBMP to dcurban@nic.in , deo.bangaloreu@gmail.com, sec.karnataka@ka.gov.in , karsec@gmail.com , 08022205182, 08022205193, MLA/MP election SMS to CEO 96111 34231 & create FIFTH front truthful democratic partyless government and create SATHYA YUGA 3. Do business n banking with in your loco-regional community of maanavatavaadi truthful contacts, reform Manuvaadi(racial/religion/family supremists) bjp/congress/jds,etc people. 4. Let us join together and KICK the vice of Racial Supremism Manuvaada from governance n humanity. Remind the corporator, MLA, MP, ministers, officers, judiciary, media members everywhere and every time to prevent Karma cancers. *Truthful Doctors should take over world governance* Corona karma of health care and judiciary https://www.facebook.com/banuprakashas/videos/10222789376304007/?d=n Citizen Duty in Corona Epidemic https://www.facebook.com/banuprakashas/videos/10221931174769505/?d=n Zionist destroying the world http//youtu.be/Zw9EhjyU3JU Corona COVID19 subtypes https://youtu.be/nQ2qwYV4xAo Corona virus truth exposed - Dr Shiva Ayyadurai talks about covid 19 https://youtu.be/4ikFPe1k_Ig via @YouTube‬ Vaccine scam of Corona https://youtu.be/eDDCz1IsXF0 *CoroNAtion by COVID19* https://youtu.be/8A0XKyZd4Ek Lockdown duration Is it Logical? https://youtu.be/puqIKGrl_38

30 year old male, 10 day history of diarrhoea and reduced oral intake, presented with lethargy and ongoing abdominal cramps. No respiratory symptoms, but O2 sats noted to be on the lower side, exertional O2 sats dropped to 86%. No past medical history of note, normal white cell count, not lymphopenic, urea 18.9 mmol/L, creatinine: 489 µmol/L, amylase 600 (30-118), ALT: 65, CRP: 100, Trop I 267 (0-46). Chest X-ray as shown. What do you think the patient is suffered from?

40y old male pt, symptoms of viral fever, such eruptions on 3rd day, paracetamol and cough syrup was prescribed, could it be drug related? what investigations are required?

plz diagnose the case a and advice suitable treatment ....