Dose of Adrenaline :
Anaphylaxis :- 0.5mg 1:1000 IM
Anaphylactic Shock :- 1mg 1:10000 IV
Cardiac Arrest :- 1:10000 IV
CPR :- 1:10000 IV/IO, if not accessible 1:1000 ET
With LA :- 1:200000 SC
-Md Mobarak Hussain (Maahii)
Dose of Adrenaline :
Anaphylaxis :- 0.5mg 1:1000 IM
Anaphylactic Shock :- 1mg 1:10000 IV
Cardiac Arrest :- 1:10000 IV
CPR :- 1:10000 IV/IO, if not accessible 1:1000 ET
With LA :- 1:200000 SC
-Md Mobarak Hussain (Maahii)
DD of white membrane over tonsil -
" MALA VIT DC"
M- Membranous tonsillitis
A - Aphthous ulcers
L - Leukocytosis
A - Agranulocytosis
V - Vincent Angina
I - Infectious mononucleosis
T - Traumatic ulcers
D- Diphtheria
C - Candidia infection
Thank you :)
~Pratheek Prabhu
Sequels of corneal ulcer perforation :
"SILICA PAPA"
S- Subluxation of lens
I - Iris prolapse
L- Leucoma
I - Intraocular haemorrhage
C- Corneal fistula
A- Adherent Leucoma
P- Phthisis bulbi
A- Anterior synechiae
P- Purulent infection
A- Anterior Staphyloma
Thank you :)
~Pratheek Prabhu
Complications of corneal ulcer - "DEPICT"
D- Descemetocele
E- Ectatic cicatrix ( Keratectasia )
P- Perforation
I - Inflammatory glaucoma
C- Corneal scarring
T- Toxic iridocyclitis
Thank you :)
~ Pratheek Prabhu
Differential diagnosis of neonatal cloudy cornea - "STUMPED"
S-Sclerocornea
T-Tear in Descemet's membrane
U-Ulcer
M-Metabolic condition
P-Posterior corneal defect
E- Endothelial dystrophy
D-Dermoid
Thank you :)
~Pratheek Prabhu
Hello friends,
This post is about the importance of desmosomes in various dermatological conditions.
Basics:
Desmosomes are present in stratum spinosum of epidermis. They are calcium channel dependent adhesion molecules (cadherins) and hence form intercellular connections.
Desmosomes are seen all through the epidermis, but are obvious as spines in spinous layer.
They have many constituents. Important transmembranous parts are:
•Desmoglein (DSG)
•Desmocollin (DSC).
Now we will focus on Desmoglein (DSG) .
•DSG-3 is present mainly in basal layer of epidermis and strongly seen in mucosae.
•DSG-1 is present in superficial epidermis and is not seen in mucosae.
Clinical importance:
* If DSG-3 is damaged --->
early, severe mucosal involvement.
Lower level of damage to epidermis.
* If DSG-1 is damaged --->
No mucosal involvement.
Superficial epidermal damage.
° If IgG antibody is formed against DSG-3, then the resulting disease is known as Pemphigus vulgaris.
° If IgG antibody is formed against DSG-1, then the resulting disease is known as Pemphigus foliaceous.
A mnemonic to remember DSG-3 for basal layer and mucosal involvement :
Thanks for reading
Madhuri.
Hello!
Here's a post on the categories of Patients with Swine flu.
The categories are A, B1, B2 & C.
Category A:
Mild fever plus Cough, Sore throat, Headache, Body ache, Diarrhoea, Vomitting.
Action in Category A:
No Testing for H1N1
No Temiflu
Only daily observation for symptoms
Category B1:
Category A symptoms plus high grade fever, severe sore throat.
Action in Category B1:
No Testing for H1N1
Tab Temiflu as per dose
Home isolation
Avoid public places
Category B2:
Category A symptoms plus high risk conditions such as
Child< 5 yrs
Age > 65 yrs
Pregnancy
Chronic disease
Diabetes
On long term treatment with steroids
Action in category B2:
Tab Temiflu as per dose
Home Isolation
No H1N1 Testing
Category C:
Category B symptoms plus
Chest pain
Breathlessness
Blood in cough
Blue nails
Worsening of underlying disease
Action in category C:
Tab Temiflu as per dose
H1N1 Testing
Hospitalization isolation
~Pratheek Prabhu
Courtesy :- Comprehensive Ophthalmology 6th edition ; AK Khurana ; Pg.314 |
Sl . no
|
Site of lesion
|
Type of lesion
|
1
|
Optic nerve
|
Complete blindness on ipsilateral side
|
2
|
Anterior Chiasma
|
Junctional scotoma
|
3
|
Central chiasma
|
Bitemporal hemianopia
|
4
|
Lateral chiasma
|
Binasal hemianopia
|
5
|
Optic tracts / LBG
|
Incongruous homonymous hemianopia
|
6
|
Part of optic radiations in temporal lobe
|
Superior quadrant hemianopia (pie in sky )
|
7
|
Part of optic radiations in parietal lobe
|
Inferior quadrant hemianopia (pie on floor )
|
8
|
Optic radiations
|
Complete homonymous hemianopia
|
9
|
Visual cortex sparing macula
|
Congruous homonymous hemianopia
|
10
|
Visual cortex , only macula
|
Congruous homonymous macular defect
|
11
|
Bilateral Visual cortex , only macula
|
Bilateral homonymous macular defect
|