NEED'S.. IMMOBILIZATION.. ANALGESICS ANTIINFLAMMATORY AS PER REQUIREMENT.. MULTIVITAMINS.. CALCIUM SUPPLEMENTS.. EXPERTS OPINION..
Suspicious #distal end 1st metatarsal Cast is to be given
Stress fracture of Metatarsal. Hairline or stress fractures are tiny cracks on a bone that often develop in the foot or lower leg. It is common for hairline fractures to occur as a result of sports that involve repetitive jumping or running. Hairline fractures may also occur in the upper limb and are often related to falls or accidents. It usually takes up to six to eight weeks to completely heal from a hairline fracture, it's important to modify your activities during that time. So casting and strict immobilization are advised.
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A 48yrs old male presented to ED having H/o sudden onset LOC and seizure with multiple episode of vomitting.K/c/o HTN not on regular treatment as advice by his family doctor.O/e CNS - conscious,alert,oriented,Right UMN facial palsy,Both pupils are normal in size.GCS-E3V4M4,Bp-170/90mmhg.Diagnosis?Dr. Prashant Ved8 Likes41 Answers
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===Common Causes of piles:=== ------------------------------------------------------------ Constipation :- if there is constipation you will put more strain while passing stool and that will indirectly increase the intra abdominal pressure and affect upon the rectal venous pressure Hard stool- if you have hard stool due to lack of taking fibers rich diet then it will make you to give more strain during stool and cause piles. Chronic hyperacidity and flatulency - condition also increases the intra abdominal pressure and causes pile Prolonged sitting for hours together- if you are in a job where you have to sit for hours together like those who working in IT sector or corporate sector also contribute the chance of increasing intra abdominal pressure due to pressure build up by sitting long time in a seat. So ultimately develop piles. Lacks of physical activities- Lack of physical activities affect the smooth rhythmical peristaltic bowel movement thus contribute a factor for developing constipation and piles. Obesity- The gaining weight or obesity also plays a role for developing piles by increasing pressure in anal venous areas. Pregnancy- The pregnancy also contributes a factor of increasing intra abdominal pressure and developing piles. Chronic diarrhea- It is also have the chance of developing piles, ===Types of Hemorrhoids:=== ---------------------------------------------- Haemorrhoids are classified into two common categories - Internal and External External Haemorrhoids It lies within the anus and if it prolapsed to the outside during the time of passing stool, it can be vi Internal haemorrhoids - It lies deep inside the rectum that can't be seen outside. Usually they do not cause pain as there are very less pain-sensing nerves in the rectum. Bleeding is the common symptom in internal hemorrhoid. Sometimes internal hemorrhoids enlarge and protrude out from the anal sphincter. If so, it may hurt because of rubbing from clothing and sitting. They usually recede into the rectum ====Here are some major homeopathy medicines for piles==== -------------------------------------------------------------------------- 1 Nux vom- Nux Vom helps to cure the constipation. There is heaviness of abdomen after an hour of taking meals. Constipation with ineffectual desires to go for stool. Burning chest with feeling of accumulation of food stuffs in the throat. The person is nervous irritable hypochondriac and fastidious nature. There is a habit of taking oily rich foods or junk fast foods which causes to develop all the symptoms. In piles it is one of the most effective medicines prescribed to cure the constipation or irregular bowel habit due to unhealthy food habits or faulty life style. 2 Bryonia - It is advised in constipation if the stool is very hard and the person gives more strain while passing stool. The stool is hard as well as blackish color and difficult to pass. There is a tendency of taking more water as the person feels thirsty always. 3 Lycopodium -The person having more flatulency problem. There is bloated sensation in stomach with gurgling or rumbling sound in the stomach. There is heaviness of abdomen generally occur in afternoon hour. There is good appetite but a little food makes him full of stomach. There is burning of chest and sour eructation with sour taste in mouth 4 Carboveg - There is flatulency with bloated sensation of stomach. Much more burping and the person feel relief after that. So much flatulency tendency that everything he/ she eats seems to convert in gas. There is heaviness of abdomen generally of upper abdomen. 5 Anacardium- There is constipation tendency with pain in empty stomach. There is headache feeling when the person is in empty stomach. Taking of food relieves the headache and stomach pain. The person is having a tendency of forgetfulness and low confidence. If those symptoms are present in a person anacardium is the suitable remedy 6 Sulphur- There is burning sensation of anus after stool. There is itching of anus always. The person is having a tendency of early morning stool just after waking from bed. There is disturbed sleep habit of waking up in little noise. The person is nervous nature with an unhealthy life style. 7 Aesculus- There is pain like burning and stitching pain in anus persist long hour after the stool. There is itching of anus. Feeling of something stuck inside the anus because of inflammation of piles. There is constipation tendency. The piles problem is associated with backache. 9 Collinsonia- There is tenderness of the piles and the person feels sore and tender while sitting or walking. There is constipation tendency with engorging of anal vein. Piles in pregnancy condition 10 Ratanhia- The piles associated with burning pain occur during and after stool.Anus aches and burns for hours after stool. Feels constricted. Piles associated with fissure 11 Hamamelis - There is venous congestion and bleeding of piles. Bleeding falls drops wise while passing stool. 12 Millefolium- It is also giving in bleeding piles to arrest the bleeding 13 Paeonia-There is itching of anus. Burning in anus after stool. Chronic piles condition of painful nature.But it is always advised to take the medicines under the supervision of any qualified doctor.Dr. Satnam Singh14 Likes22 Answers
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Patient in mid 70s falls onto her bottom, complains of tenderness at L4/L5 region. No neurological deficit on examination, only pain. Where lies the threshold for orthopedic intervention in displaced vertebrae?Dr. Sarath Arora1 Like17 Answers
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Friends today I am discussing about Ringworm of the Scalp (Tinea Capitis). What is ringworm of the scalp? Ringworm of the scalp is not really a worm, but a fungal infection. It gets the name ringworm because the fungus makes circular marks on the skin, often with flat centers and raised borders. Also called Tinea capitis, this infection affects your scalp and hair shafts, causing small patches of itchy, scaly skin. Ringworm is a highly contagious infection that’s usually spread through person-to-person contact or by sharing combs, towels, hats, or pillows. Ringworm is most common in children, but can infect a person of any age. Causes Fungi called dermatophytes cause ringworm of the scalp. Fungi are organisms that thrive on dead tissue, such as fingernails, hair, and the outer layers of your skin. Dermatophytes prefer warmth and moisture, so they thrive on sweaty skin. Overcrowding and poor hygiene increase the spread of ringworm. Ringworm spreads easily, especially among children. You can get ringworm from touching the skin of an infected person. If you use combs, bedding, or other objects that have been used by an infected person, you’re also at risk. House pets, such as cats and dogs, can spread ringworm, too. Farm animals like goats, cows, horses, and pigs can also be carriers. However, these animals might not show any signs of infection. Symptoms The most common symptom of ringworm is itchy patches on the scalp. Sections of hair may break off near the scalp, leaving scaly, red areas or bald spots. You may see black dots where the hair has broken off. Left untreated, these areas can gradually grow and spread. Other symptoms include: brittle hair painful scalp swollen lymph nodes low-grade fever In more severe cases, you may develop crusty swellings called kerion that drain pus. These can lead to permanent bald spots and scarring. How it’s diagnosed A visual exam is often enough for a doctor to diagnose ringworm of the scalp. Your doctor may use a special light called a Wood’s lamp to illuminate your scalp and determine signs of infection. Your doctor may also take a skin or hair sample to confirm the diagnosis. The sample is then sent to a lab to determine the presence of fungi. This involves looking at your hair or a scraping from a scaly patch of scalp under a microscope. This process may take up to three weeks. Treatment Your doctor will probably prescribe fungi-killing oral medication and medicated shampoo. Antifungal medication The leading antifungal medications for ringworm are griseofulvin (Grifulvin V, Gris-PEG) and terbinafine hydrochloride (Lamisil). Both are oral medications that you take for approximately six weeks. Both have common side effects, including diarrhea and upset stomach. Your doctor may recommend taking these medications with a high-fat food such as peanut butter or ice cream. Other possible side effects of griseofulvin include: sun sensitivity vomiting fatigue faintness dizziness allergic reactions in people who are also allergic to penicillin headache rash hives Other possible side effects of terbinafine hydrochloride include: stomach pain itching rash hives loss of taste or change in taste allergic reaction headache fever liver problems, in rare cases Medicated shampoo Your doctor may prescribe a medicated shampoo to remove fungus and prevent the spread of infection. The shampoo contains the active antifungal ingredient ketoconazole or selenium sulfide. Medicated shampoo helps prevent the fungus from spreading, but it doesn’t kill ringworm. You must combine this type of treatment with an oral medication. Your doctor may tell you to use this shampoo a couple times per week for a month. Leave the shampoo on for five minutes, then rinse. Recovery and reinfection Ringworm heals very slowly. It can take more than a month to see any improvement. Be patient and continue taking all medication as directed. Your child can usually return to school once they start treatment for ringworm, but you should ask your doctor when it’s safe for them to return. Pets and other family members should be examined and treated if necessary. This will help prevent reinfection. Do not share towels, combs, hats, or other personal items with other family members. You can sterilize combs and brushes that belong to the infected person by soaking them in bleach water. Follow the directions on the bleach container for the proper dilution ratio. Preventing ringworm of the scalp The dermatophytes that cause ringworm are common and contagious. This makes prevention difficult. Because children are especially susceptible, tell your children about the risks of sharing hairbrushes and other personal items. Regular shampooing, hand washing, and other normal hygiene routines can help prevent the spread of infection. Be sure to teach your children proper hygiene, and follow these practices yourself. Homoeopathic Management: Arctium Lappa: Tinea capitis, head completely covered with a greyish white crust and most of the hair gone, eruptions that extends to the forehead, face and ears. Bad smelling eruptions on head of children , suppuration of axillary glands Arsenicum Album: Scalp perfectly dry and rough covered with dry scales. Itching eruptions painful after itching, falling off in patches. Bromium: Malignant scald head, oozing profusely, in places where the eruptions are dry, skin throws off, extreme tenderness of scalp unbearable offensive smell and eruption, especially children with light hair, and blue eyes. Calcarea Carb: Yellow scabs upon the vertex, covering nearly the entire top of the head. Scabs on the scalp, thick and bleeding when picked also itch with dry thickly encrusted foul smelling on head, aggravation from scratching, unhealthy ulcerative skin, even small wounds suppurative, swelling of cervical region. Mercurius: Pustular foetid eruptions on head with intolerable itching with yellow crusts, hair falls out in temples, and sides, itching all over worse at night and when warm in bed. Mezerium: Dry eruptions on head, with intolerable itching, as if the head were in an ants nest, white scaly peeling off eruption, extending over the forehead, temples, ears and neck, thick leathery crust under which the pus collects and mats the hair, elevated white chalk like swabs. Psorinum: Moist, suppurating foetid eruptions on head averse to having head uncovered, hair dry, lustreless, blotches here and there. The whole body has filthy smell.Dr. Rajesh Gupta9 Likes10 Answers
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Male 21 26/10/2016 CBC WBC 2.6 Platelet 79000 After 1 day admission and treatment I do again CBC Now WBC 2.3 Platelet 105000 Today morning 1st time patient have black stool. Need your diagnosis and suggestion... PleaseSunny Sehgal0 Like8 Answers