Wednesday, August 14, 2013

facts about medical shock

               On 13/8/13 our college conducted an academic carnival on medical shock. Don't confuse it with electric shock because both medical shock and electric shock are different. First what is shock? It is the life threatening condition i.e. imbalance between the circulation and pumping mechanism. There are many types of shock. They were cardiogenic, traumatic, neurogenic, hypovolemic, anaphylactic (allergy) and septic shock (infection due to micro-organism). If the shock is not treated immediately then it will cause multi organ dysfunction and sudden death will occur.

                First I discuss about septic shock. It will attack any age group and it is due to infection by microorganisms. The most common age group is children under 5 years of age in the world. The reason for the septic shock is interruption in the anatomical barriers (skin, wound, fundus, ENT, rectal, vaginal and orifice). Do you know that our blood is a sterile fluid and it does not contain any normal flora. To prevent septic shock, first you want to control infection and use prophylactic antibiotic therapy. The early recognition of patients at high risk of septic shock will cure them and that helps to save their life from death. Some useful websites for more information about septic shock are 1) www.ccforum.com 2) www.atsu.edu 3) www.sepsis.com 4) www.ncbi.nlm.nih.gov.

                The spinal shock (loss of reflex) and the neurogenic shock are different. In neurogenic shock the sympathetic system ( thoraco-sacral out flow) has been cut off. This will go for bradycardia because the parasympathetic (cranio-sacral out flow) will be dominant.

                 In anaphylactic shock, the acute anaphylactic reaction is an uncommon but well recognized cause of sudden death. Some agents are skin contact (poison plants, animal scratches, pollen and latex), injection ( honey bees-Bee sting). At autopsy, the serum tryptase level cannot be determined in anaphylactic shock, but eye witness and records can be useful in determining the cause of death.

                 In burn shock, our body overcomes the shock by increasing the head pressure, increasing the pumping rate of heart and by diverting the fluid from less important to highly important regions. Do you know? Our skin is the largest organ and it covers about 1.8 square meters and has the maximum blood supply. The pathophysiology of burn shock is loss of fluid, proteins and electrolytes. The treatment is given IV fluid immediately, then electrolytes immediately and later the proteins should be injected in the body blood.

                 The management of shock in severe sepsis i.e. systemic inflammatory respond syndrome (SIRS) + infection + organ dysfunction + hypotension. The approach to a case of undifferentiated shock are

- History or evidence of trauma
- Search for bleed, volume loss (vomiting, diarrhea)
- Examine for fever or hypothermia
- ECG evidence for ischaemia
- Unexplained bradycardia or hypotension
- Unexplained hypoxemia
- Abdominal or low back pain caused due to dissection of the aorta
- Skin hives, mottling, flushing. These are the features of sepsis.
- Wheezing

                The more recent treatments are

- Use of heparin (which is the evidence based medicine). The dosage may differ in adult burn and pediatric burn)
- Use of collagen sheet (which reduces evaporative loss and pain)
- Homografting
- Controlled use of antibiotics because it will cause pathologic emergency due to unabsorptive of antibiotic in the gastrointestinal tract.
- supports nutrition.
- Enzyme debridement will digest the dead tissues and the surgical removal becomes easy and helps in early skin grafting.

a medical student and his mental stress

          I know medical profession is like a puzzle game. A medical student will have more stress like physical stress, emotional stress and mental stress too. Why I am saying this is? Because me to a medical student. A medical student will spend more time on studying various subjects and discussing the syllabus for exam preparation.

          As a medical student you should relax, when you get free time. Here I am going to give some tips to relax yourself and to forget the burden. Don't fear to attend the exam that everyone will have the doubt whether I will pass or fail. Just read and put your full efforts on the studying topic and develop some self confidence to write the exam. In the exam paper, write what you know on that particular question and skip to the next question.

          Everyone may ask the question that what to do for a metal relief? Here I am giving a daily chart to follow. In the early morning go for half an hour walking in the playground or along the roadside. This will decrease your blood pressure and increase your body immunity. After walking or jogging, prepare a fresh juice and consume it. Because fresh juice contains more anti-oxidants which will prevent the free radical formation in our body. Many fresh juices like orange juice have more vitamin content.

          After coming from the college, have a small sleep for one hour which will reduce your mental stress and the brain will store the concept of every topic that you learnt on that particular day in the college. Consume 1 cups of tea or milk and get ready for the studying session. Recall what the professor said on that day and relax yourself to gather more information about that topic.

          Plan a schedule for that day for reading different subjects. First read the difficult subject than the easy subject, because the brain will be more active after you wake up. Read till 8'o clock P.M. than go for the dinner. After finishing the dinner, see some interesting movies, comedy, music, etc. Take one hour gap after the dinner and continue your study session till 11:30 P.M.

          The brain needs more sleep to store the data which you read. So sleep at least for 6 hours and wake up at 5:30 A.M. on the next day and repeat the daily cycle. I hope that you got some idea to get free from mental stress and have everyday a wonderful day. 

Friday, May 31, 2013

A nice looking face

                Everyone wishes that they should have a good looking face. No one will oppose this, because we want to make a good looking impression to the person who you like. Among all people, the young persons will prefer that they should have a beautiful hairstyle, dressing code, etc. But if everything suites you and you have a good looking personality then you will not worry about anything because you may have a girlfriend who likes you and a nice job to run your life.

                 People will try to make all this but nothing happens. Some people will use cosmetics to make their face awesome but I suggesting you that don't frequently use cosmetics because it is not a permanent solution. If you have any mumps or moles in your face which makes you disgusting then consult a skin specialist and take some advice and medication to tackle such problems.

                 Here I am giving some useful thoughts to make your face beautiful then before. First you go to some hairstyle shop and ask idea about different styles which suites your face. After seeing the sample pictures according to your skin color and texture, select the accurate hairstyle and see the changes in mirror. About 50% of people will look nice by changing their hairstyle.

                 The next step is to correct your teeth alignment. I consulted a famous dentist, he prescribed me to take a OPG Dental x ray to verify the arrangement of teeth roots and the emerging tooth. He plugged two teeth, I think two first molar teeth in lower jar and he done some procedure to correct the alignment of teeth. Within 3 months, I felt some changes in my face and I compared it with my old photos. You believe or not, I look handsome than before.

                  Some useful natural ideas like consulting some nutritionist and follow a diet chart which will increase your blood supply around the skin and you will look glorious with light pale red colored skin. I will suggest you to change the soap and use a soap which retains the moisture and make the skin wet. Don't use a soap which cause skin allergy because it may vary from person to person.

                  Maintain a balanced diet and do regular exercise to keep your body fit. God gave everyone a nice looking face but it depends on how you look that person. So don't hate anyone who have some deformity. Show affection towards such people because we are all human beings.