First Complete Electrocardiograph

Ministers of Human Body

Must read & share it to common people,make them know our problems

If by misbehaving and physically assaulting the junior doctors, who 24*7 remain on duty for emergency,
Can no. of beds increase in hospital ?
Would there be availability of more medicines ?
Would the patients get better facilities ?

The general people should decide this and not in for few cooked up news by today's media, which has sold itself to greed for got selling stories and few corrupt politicians.
We are on symbolic cease work to show this bias and atrocity towards the doctors to the general mass. And to the media.,, " Rather than harassing the innocent doctors, go out and expose the corrupt politicians, the scams , the rapes, atrocities on the poor and dalits..."

Please "SHARE" if you agree and let the common mass know.

Triangle of Auscultation

Triangle of auscultation:

The triangle of auscultation of the lungs is a relative thinning of the musculature of the back situated along the medial border of the scapula.

Boundaries:

It has the following boundaries:
-->Superiorly and medially, by the inferior portion of the Trapezius
--->Inferiorly, by the Latissimus dorsi
--->Laterally by the medial border of the Scapula

The superficial floor of the triangle is formed by the serratus anterior, rhomboid major, and the lateral portion of the erector spinae muscles. Deep to these muscles are the osseous portions of the 6th and 7th ribs and the internal and external intercostal muscles.

Function:
Due to the relative thinning of the musculature of the back in the triangle, the posterior thoracic wall is closer to the skin surface, making respiratory sounds able to be heard more clearly with a stethoscope.
To better expose the floor of the triangle, which is made up of the posterior thoracic wall in the 6th and 7th intercostal space, the patient is asked to fold their arms across their chest, medially rotating the scapulae, while bending forward at the trunk.

 

Friedreich ataxia

Friedreich ataxia is an autosomal recessive ataxia resulting from a mutation of a gene locus on chromosome 9.Cardinal features include progressive limb and gait ataxia, dysarthria, loss of joint position and vibration senses, absent tendon reflexes in the legs, and extensor plantar responses.dying back phenomena of axons, beginning in the periphery with ultimate loss of neurons and a secondary gliosis. The primary sites of these changes are the spinal cord and spinal roots. This results in loss of large myelinated axons in peripheral nerves, which increases with age and disease duration.

The cardinal features of FA are:

Progressive limb and gait ataxia develops before the age of 30 years.

Lower extremity tendon reflexes are absent.

Evidence of axonal sensory neuropathy is noted.

Dysarthria, areflexia, motor weakness of the lower extremities, extensor plantar responses, and distal loss of joint position and vibration senses are not found in all patients within the first 5 years, but are eventually universal.

Foot deformity, scoliosis

Clinical evidence of ventricular hypertrophy, systolic ejection murmurs, and third or fourth heart sounds may be noted.

Rx:

5-hydroxytryptophan

Coenzyme Q

Idebenone

Hodgkin disease

Hodgkin disease is a potentially curable malignant lymphoma with distinct histology, biologic behavior, and clinical characteristics.

SYMPTOMS:

Asymptomatic lymphadenopathy

unexplained weight loss

fever

night sweats

classic Pel-Ebstein fever is observed

Chest pain

cough

shortness of breath,

pruritus

Pain at sites of nodal disease by drinking alcohol is specific for Hodgkin lymphoma

Back or bone pain occurs rarely

SIGNS:

Palpable painless lymphadenopathy occurs in the cervical area as rubbery adenopathy

Splenomegaly and/or hepatomegaly

SVC syndrome may develop in patients with massive mediastinal lymphadenopathy

Hodgkin lymphoma–associated anemia is most commonly the anemia of chronic disease.

Best Sleep Position

Generally speaking, side or back sleeping is the best. I say this because true stomach sleepers must wrench their necks to either side. When you are a small child, it works because you can turn your head 90 degrees to either side. As you get older, this becomes more difficult and you can end up with a strained neck. Back and side sleeping will keep your spine in its best alignment.
Sometimes, snorers, sleep apnea sufferers, or people with heartburn/acid reflux may have some difficulty with these sleep positions.
However, with a good neck pillow that opens up the sinuses and restores the neck curve, apnea and snoring are much improved. With a slight incline, reflux disease can be improved also.
A neck pillow also keeps your head level when you are on your side. Put a pillow between your knees and you keep your legs and pelvis level too.
Which is your sleeping position??
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