Zamir guhad

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Pharyngitis and Tonsillitis

Definition
Causes
S&s
Investigation
Treatment

Pharyngitis is an inflammation of the pharynx, it can cause viral and bacteria.
Tonsillitis is an inflammation of the tonsils.

Viral causes
▪common cols
▪ flu (influenza)
Bacterial causes
▪Streptococcus pyogenes (group A streptococcus)

Symptoms
◇Fever
◇Difficulty in swallowing
◇Sore throat
◇Runny nose
◇ Cough
Signs
◇Reddened throat
◇Enlarged and reddened tonsils
◇Sustained high grade fever
◇Palpable tonsillar lymph glands (streptococcal pharyngitis)
◇ Runny nose (suggests viral)
◇ Cough (suggests viral)
◇ Red eyes (suggests viral)
◇ Whitish exudate at the back of the throat as well as whitish tonsillar exudate
◇ Scarlet fever rash
Investigations
◇FBC
◇Monospot test
◇Throat swab for culture and sensitivity

Viral treatment
●paracetamol oral 500mg,250,150
Or
● Ibuprofen, oral 200mg 400mg
Bacterial or infevtion treatment.
First line treatment
●Amoxicillin,oral 500mg,250,125mg
Or
●Amoxicillin + Clavulanic Acid, oral,
1 gram 12 hourly for 10 days.

Dr. Kalid Guhad

Poor Man’s Kindness:

Once Swami ji was for a stay in Rajasthan. When people got to know about him they started coming to him. Swami ji was tirelessly answering questions of everyone who was coming to him.

This way three days and night passed. Swam Vivekananda ji was so involved in talking to people about spiritual matters that he didn’t even took a break to eat of even drink a sip of water.

On third night on his stay after all visitors left, a poor man came to him and said, “Swami ji.. I noticed that you have been answering all people from last two days and night and haven’t even taken a drop of water. This has pained me very much..”

Swami ji felt that in form of poor man, God had appeared before him and said, “Will you please give me something to eat??”

Poor man was a cobbler by profession and traditionally a person from lower caste were even forbid from coming near to Brahman or Sanyasi. So poor man hesitatingly asked, “Swami ji.. I want to bake and bring some bread for you but I am from lower caste.. How can you eat it if i have already touched it..”

Poor man asked, “Swami ji if you allow then i can bring you some ingredient to make food and then you can prepare them as you please..!!”

Swami ji replied, “No.. I shall be happy to eat whatever you bring for me to eat..”

Poor man was frightened and feared that people for higher caste might punish him for giving food to Sanyasi but he wanted to serve to Swami ji and hurriedly went back home and came back with some freshly baked bread..”

Swami ji was moved by the kindness and selfless love of poor man. Swami ji ate that bread and thanked poor man for his kindness.

In meantime some high caste gentleman found that a lower class man had offered food to Swami ji and was accepted by him.

They went to Swami ji and questioned about it and said that it was wrong of him to accept that food.

Swami ji listened to them patiently and replied, “You people made me talk without respite for the past three days but you did not even care to inquire if I had taken any food and rest.

You claim you are gentlemen and boast of your high caste..!! what is more shameful, you condemn this man for being of a low caste. Can you overlook the humanity he has just shown and despise him without feeling ashamed?”

Gentlemen felt ashamed about their behavior.

Allergy
Causes
Sign and symptoms
Treatment

Money Can't Buy Everything:

Nick was a 10 year old boy. He was the only son to his parents. Nick's father was a very busy businessman who could not spend time with his son. He came home after Nick slept, and was off to office before Nick woke up in the morning. Nick yearned for his father's attention. He wanted to go outdoors and play with his father just like his friends did.

One day, Nick was surprised to see his father at home in the evening.

"Dad, it is a big surprise to see you at home," Nick said.

"Yes son, my meeting was cancelled. So I'm at home. But after two hours I have to catch a flight," his father replied.

"When will you be back?"

"Tomorrow noon."

Nick was in deep thought for a while. Then he asked, "Dad, how much do you earn in a year?"

Nick's father was taken aback. He said, "My dear son, it's a very big amount and you won't be able to understand it."

"Ok dad, are you happy with the amount you earn?"

"Yes my dear. I'm very happy, and in fact I'm planning to launch our new branch and a new business in a few months. Isn't that great?"

"Yes, dad. I'm happy to hear that. Can I ask you one more question?"

"Yes, dear."

"Dad, can you tell me how much you earn in a day or even half a day?"

"Nick, why are you asking this question?" Nick's father was perplexed.

But Nick was persistent. "Please answer me. Can you please tell me how much you earn in an hour?"

Nick's father gave in and replied, "It will be around $ 25/- per hour."

Nick ran to his room upstairs, and came down with his piggy bank that contained his savings.

"Dad, I have $50 in my piggy bank. Can you spare two hours for me? I want to go to the beach and have dinner with you tomorrow evening. Can you please mark this in your schedule?"

Nick's father was speechless!

The greatest gift a parent can give his child is time. Money can't buy everything!

Couch zamir

Asthma
Causes
Asthma is a chronic, inflammatory lung disease characterised by symptoms of cough, wheezing,
shortness of breath and chest tightness caused by airway narrowing that is partially or completely
reversible by medications (salbutamol). These symptoms are caused by airflow obstruction resulting
from narrowing of airways from smooth muscle constriction, mucous plugs in the airways and/or wall
thickening from inflammation.

Clinical Signs and Assessment
Patients presenting with asthma may have the following signs and symptoms:
• increased anterior-posterior diameter of the chest due to air
• trapping (see Figure 3.1.2, Air trapping)
• decreased air entry or wheezing on auscultation
• sometimes wheezing is audible without stethoscope
• a prolonged expiratory phase on auscultation
• dry cough
• respiratory distress.

Diagnosis
Asthma can be diagnosed by history, physical examination or spirometry (if available). Asthma is
indicated in instances of wheezing and/or respiratory distress that improve with salbutamol, with or
without fast breathing and chest in-drawing (retractions). If there is sudden onset of wheezing and/or
symptoms associated with certain external factors (smoke, animals, etc.) or is triggered by physical
exercise, these can also be indicators of asthma.