Rautahat Association of Medicos, Nepal

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Membership form for Rautahat Association of Medicos,Nepal ( RAM-NEPAL)

Copy of Untitled form Membership form of Rautahat Association of Medicos (RAM-Nepal)

Congratulations to all the well wishers and Executive members of Rautahat Association of Medicos, Nepal (RAM - Nepal)
Finally , we got the approval on 2079-01-25 and now we are registered as Rautahat Association of Medicos, Nepal (RAM -Nepal) which is specially for Medical student of Rautahat. So if you are a medical student of Rautahat then you can contact the following address to become member.
Inspire Hope

Special thanks to the Board members and Bikash Yadav , Bipul Jha, Lucky Pradeep , shah, yadav, ali, sah, Raj Kumar Sah
Yadav for their special contribution and suggestions ❤️
Also we wants to thanks all the members of Rautahat Association of Medicos, Nepal
And we are very greatfull to the people Rautahat.

President
Deepak Shah
Phone number - 9843710173
Central Office - Madhavnarayan-2 , Khesarahiya
Email - [email protected]

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Rautahat Doctor Nurse And Paramedical Association( )

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Types of aneurysms
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Kawasaki disease

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⬇️ Hypoglycemia ⬇️

🧠 Remember this:
🍭 𝗖𝗼𝗹𝗱 𝗮𝗻𝗱 𝗖𝗹𝗮𝗺𝗺𝘆, 𝗻𝗲𝗲𝗱 𝘀𝗼𝗺𝗲 𝗖𝗮𝗻𝗱𝘆 🍭

🥱 Symptoms: 𝗧𝗜𝗥𝗘𝗗

🫀 𝗧achycardia
🤯 𝗜rritibility
🦵 𝗥estlessness
🍔 𝗘xcessive hunger
🥵 𝗗iaphoresis

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Fat embolism syndrome (FES) is an ill-defined clinical entity that arises from the systemic manifestations of fat emboli within the microcirculation. Embolized fat within capillary beds cause direct tissue damage as well as induce a systemic inflammatory response resulting in pulmonary, cutaneous, neurological, and retinal symptoms. This is most commonly seen following orthopedic trauma; however, patients with many clinical conditions including bone marrow transplant, pancreatitis, and following liposuction. No definitive diagnostic criteria or tests have been developed, making the diagnosis of FES difficult. While treatment for FES is largely supportive, early operative fixation of long bone fractures decreases the likelihood of a patient developing FES.

Keywords: Fat embolism, fat embolism syndrome, trauma
Go to:
OVERVIEW
Over 150 years ago, Zenker described the first case of fat embolism syndrome (FES) in a patient suffering from crush injury.[1] While FES was later clinically diagnosed and often reported in the literature over the next 100 years, Gurd's clinical description of the FES renewed interest in studying this syndrome.[2,3]

Fat embolism is the presence of fat particles within the microcirculation, while FES is the systemic manifestation of fat emboli within the microcirculation. Common systemic manifestations include respiratory distress, altered mental status, and a rash.

FES is most often associated with orthopedic trauma. Rare cases of FES have been reported to occur following bone marrow transplantation, osteomyelitis, pancreatitis, alcoholic fatty liver, and even liposuction.[4] Since most cases of FES occur following orthopedic trauma, available research focused on FES in orthopedic trauma patients.

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Doctor Nurse And Paramedical Association

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Even as a deadly second wave of Covid-19 ravages India, doctors are now reporting a rash of cases involving a rare infection - also called the "black fungus" - among recovering and recovered Covid-19 patients.

🔊What is mucormycosis / Black Fungus?
👉Mucormycosis is a very rare infection. It is caused by exposure to mucor mould which is commonly found in soil, plants, manure, and decaying fruits and vegetables. "It is ubiquitous and found in soil and air and even in the nose and mucus of healthy people,"

👉Steroids reduce inflammation in the lungs for Covid-19 But they also reduce immunity and push up blood sugar levels in both diabetics and non-diabetic Covid-19 patients.
It's thought that this drop in immunity could be triggering these cases of mucormycosis.

🔊Risk of mucormycosis infection:
1) Uncontrolled diabetes
2) Weakening of immune system due to use of steroids

3) Prolonged ICU/hospital stay

4) Co-morbidities / post organ transplant / cancer
5) Voriconazole therapy (used to treat serious fungal infections)

🔊What are possible symptoms of Mucormycosis?
👉Pain or redness around the eyes, fever, headache, coughing, shortness of breath, bloody vomit and altered mental status are possible symptoms of the infection, the minister added

🔊How to prevent :

👉 Do's:-
-Control hyperglycemia
-Monitor blood glucose level post-COVID-19 discharge and also in diabetics
-Use steroid judiciously
-Use clean, sterile water for humidifiers during oxygen therapy
-Use antibiotics/antifungals judiciously

👉 Don'ts :-
-Do not miss warning signs and symptoms
-Do not consider all the cases with blocked nose as cases of bacterial sinusitis, particularly in the context of immunosuppression and/or COVID-19 patients on immunomodulators
-Do not hesitate to seek aggressive investigations, as appropriate (KOH staining & microscopy, culture, MALDITOF), for detecting fungal etiology

̇d19

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Red man syndrome associated with vancomycin is due to vasodilation caused by the increased release of

A. Nitric oxide (NO)

B. Histamine

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The correct answer is C,