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Hepatic Encephalopathy

Hepatic encephalopathy is a syndrome which comes under the category of neuro-psychiatric disorder or syndrome. Or in other words, it is one of the types of neuro-psychiatric disorders or syndrome. In hepatic encephalopathy, there occurs disturbed consciousness and behaviour along with some personality changes. There is also found asterixis, which is a kind of tremors. Along with asterixis there is also found fluctuating neurologic signs.

Fulminant Hepatic Failure

Fulminant hepatic failure is a syndrome in which there occurs hepatic encephalopathy caused by sudden severe impairment of hepatic function or due to sudden severe hepatic malfunction. Fulminant hepatic failure is said to occur when hepatic encephalopathy occur within the four weeks of onset of symptoms and there is no pre-existing liver disease.

Lactose Intolerance

Lactose intolerance is a gastrointestinal disease in which there occurs deficiency of an enzyme named lactase which hydrolyzes lactose to its components galactose and glucose. In the absence of this enzyme named lactase , lactose cannot be hydrolyzed and hence, it goes to colon where it is fermented by bacteria causing various gastrointestinal symptoms of lactase deficiency.

Hypertension

Hypertension is increase in blood pressure above normal blood pressure. Normal systolic blood pressure is 120mmHg and diastolic blood pressure is 80mmHg. Therefore, normal blood pressure is 120/80mmHg. In hypertension it is more than 120/80mmHg.

Aortic Regurgitation

Aortic regurgitation is a cardiovascular disease which can be acute as well as chronic. Aortic regurgitation has different causes. It remains asymptomatic for years but in the decompensated phase of disease, patient’s health status starts deteriorating towards ill health continuously.

Aortic Stenosis

Aortic stenosis is valvular disease of heart in which there is narrowing of aortic valve area. Normally aortic valve area is 2.5 cm 2 whereas in aortic stenosis it is decreased and is usually found less than 0.8 cm 2 or there is present gradient of more than 50 mmHg in critical stenosis.

Mitral Valve Prolapse

Mitral valve prolapse is a valvular disease of heart in which the leaflets of the mitral valve bulge or project into left atrium during ventricular systole. It may occur with or without mitral regurgitation. It usually affects people especially females between the age group of fifteen to thirty years of age.

Shock

Acute circulatory failure or shock is a state of body in which there is inadequate cardiac output with compensatory vasoconstriction and tissue hypoperfusion. This tissue hypoperfusion causes cellular injury which can be reversed only if not prolonged for long time and prompt treatment is given at time. But it becomes irreversible if not treated at time.

Haemoptysis

Haemoptysis is expectoration of blood or bloody sputum. Haemoptysis can be caused due to various reasons. It is not a disease itself but it is symptom of various different diseases. There are so many causes of haemoptysis some of which are as follow- 1. Pulmonary tuberculosis is one of the main causes of haemoptysis.

Malignant Pleural Effusion

Malignant pleural effusion is usually caused due to either a primary malignancy of pleura or secondary invasion of pleura by the primary focus of malignancy in any other organ of body. Usually malignant pleural effusion is caused by cancer of lung, cancer of breast or sometimes it can be due to lymphomas. Symptoms -

Tuberculous Pleural Effusion

Tuberculous pleural effusion is caused due to pleural seeding with Mycobacterium tuberculosis through lymphatics, blood stream or by direct extension. Symptoms - Tuberculous pleural effusion usually affects young adults or adolescents. Affected patients complain of symptoms of fever, pleuritic chest pain and weight loss. Dysponea with slight irritating cough is also there.

Cheyne Stokes Breathing

Cheyne stokes breathing is an abnormal pattern of breathing which is not normal. In it there occurs oscillation between apnoea and hypopnoea. That is, there occurs progressive deep and fast breathing that is hyperventilation followed by temporary stoppage of breathing called apnoea. This cycle of hypopnoea followed by apnoea repeats itself which usually consists of time period of 30 seconds to 2 minutes. Causes - The cheyne stokes breathing may be caused by different reasons which are as follows-