When is artificial kidney is expected to hit Indian market? what will be the expected cost & success

22 year old male complaint of palpitation for 2 days Alcoholic No Cardiac family history BP normal Pulse normal Interpretate ECG and treatment ???

A 40yrs old female patient presented in emergency with generalized erythematous eruption throughout her body to unknown drug with C/o Severe difficulty in breathing,Drowsiness,Restlessness.H/o Lap chole on 9/6/18 in other hospital.The next day after surgery she was having fever starting with itching all over body after given an unknown injection.O/e BP on Inotropes,Spo2 - 92%,Patient is on Hydrocortisone,Antihistamines,Broad spectrum antibiotics,Continue Oxygen support. N/h/o Comorbidies.All investigations enclosed. Kindly comment on this case with proper management plan??

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

A 75 year old female under treatment from elsewhere for UTI and CAD *Chief Complaints* She is unable to walk, feeling discomfort in left flank and mild fever too *History* She was started levoflox 500mg OD along with other drugs like wysolone, lorazepam, nitroglycerin, olmesartan etc since 10 February, and at that time she had 25 to 30 pus cells in urine and her S.Cr was 2.41 She has had analgesics for a brief time too few months back *Vitals* 07.03.2021 BP 100/80 P - 133/min Hb - 12.5 TLC - 17000 USG W/A - Raised echogenecity in both kidneys *Management* I have started her on Piptaz 4.5 gm TDS, Levoflox 100ml OD Kindly guide me in taking this case further, regarding management, like does piptaz need dose titration etc

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