What will be mwelcome for nocturnal hypoglycemia with fever. Associated wid CKD and CAD.

what is the most likely cause of this presentation???

a 60 yrs old male patient. brought to the hospital with complaints of SOB since 2 days bp.180/100mmhg bl.urea63mg/DL.sr.creatinine.10.1mg/DL...RBs 180 mg/DL....wbc...17,000...ESR...100..hb%-6.5gms

What is a Total Artificial Heart(TAH)? A total artificial heart (TAH) is a device that replaces the two lower chambers of the heart. You might benefit from a TAH if both of your ventricles don't work due to end-stage heart failure. Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. "End stage" means the condition has become so severe that all treatments, except heart transplant, have failed. (A heart transplant is surgery to remove a person's diseased heart and replace it with a healthy heart from a deceased donor). Overview: You might need a TAH for one of two reasons: 1. To keeep you alive while you wait for a heart transplant. 2. If you're not eligible for a heart transplant, but you have end-stage heart failure in both ventricles. The TAH is attached to your heart's upper chambers—the atria. Between the TAH and the atria are mechanical valves that work like the heart's own valves. Valves control the flow of blood in the heart. Currently, there are two types of TAHs: 1. CARDIOWEST 2. ABIOCOR The main difference between these TAHs is that the CardioWest is connected to an outside power source and the AbioCor isn't. The CardioWest has tubes that, through holes in the abdomen, run from inside the chest to an outside power source. The AbioCor TAH is completely contained inside the chest. A battery powers this TAH. The battery is charged through the skin with a special magnetic charger. Energy from the external charger reaches the internal battery through an energy transfer device called transcutaneous energy transmission, or TET. An implanted TET device is connected to the implanted battery. An external TET coil is connected to the external charger. Also, an implanted controller monitors and controls the pumping speed of the heart. A TAH usually extends life for months beyond what is expected with end-stage heart failure. If you're waiting for a heart transplant, a TAH can keep you alive while you wait for a donor heart. A TAH also can improve your quality of life. However, a TAH is a very complex device. It's challenging for surgeons to implant, and it can cause complications. Currently, TAHs are used only in a small number of people. Researchers are working to make even better TAHs that will allow people to live longer and have fewer complications. With regards, Dr.Ravikanth Moka

30yr Non diabetic,non hypertensive ,non smoker, Alcoholic quarreled with family, complain gross Chest pain went to local doctor in village took some treatment and came to me next day in this situation. vitals normal. Second look is after treatment of 15 days. Let's start some exercise...

Good evening dear friends and colleagues, Today let's have a look at DIABETIC KIDNEY DISEASE. With regards, Dr Sepuri Tirumala Devi.