Effect of vitamin E on cell health

A 33yrs male pt presented with painful blisters all over body including oral cavity,genitals since 2 yrs no h/o herpes,drug,Hep A, fever discuss on Dx& Rx he has taken modern Rx but no relief pt tells only pain,no itch, burning

23yrs male having itching and pain from last three days

Dear Friends, Nebulizer is a integral part of a patient management protocol.. Here find an information on this... HOW TO TAKE CARE OF A NEBULIZER….. A nebulizer is a device driven by a compressed air machine or an ultrasonic type. It allows the patient to take medicine in the form of a mist. It consists of a cup, a mouthpiece attached to a T-shaped part or a mask, and thin, plastic tubing to connect to the compressed air machine. Mostly three types of patients use it: (1)Children under age 5. (2)Patients who have problems using inhalers (3)Patients with severe disease. Routinely cleaning the nebulizer is important because an unclean nebulizer may cause an infection. A good cleaning routine keeps the nebulizer from clogging up and also helps it last longer. NEEDED AFTER EACH USE Rinse the mask or mouthpiece and T-shaped part in warm running water for 30 seconds. Shake off excess water. Air dry on a clean cloth or paper towel. Run the machine for 10 to 20 seconds to dry the inside of the nebulizer. The tubing should not be washed or rinsed.   CLEANING NEEDED ONCE EVERY DAY Wash the mask or the mouthpiece and T-shaped part with a mild dishwashing soap and warm water. Rinse under a strong stream of water for 30 seconds. Shake off excess water. Air dry on a clean cloth or paper towel. Run the machine for 10 to 20 seconds to dry the inside of the nebulizer. CLEANING NEEDED ONCE OR TWICE A WEEK…. Soak T-shaped part, medicine cup, and mask or mouthpiece for 30 minutes in a solution that is one part distilled white vinegar and two parts distilled water. Throw out the vinegar water solution after use; do not reuse it. Rinse the nebulizer parts under warm running water for 1 minute. Shake off excess water. Place all parts on a clean dry cloth or paper towel to air dry. Clean the surface of the compressed air machine with a damp, soapy cloth or sponge. The above routine if done regularly avoid nebulizer related infection.. Which is the most common side effects of using a Nebulizer.. Thanks Dr K N Poddar

today this case came in my OPD ,,,,,suggestion required for the treatment,,,,

45 yrs male patient c/o itching with granular patches since one wks . plz suggest t/t and dx.