“Hand of Hope”

A picture began circulating in November. It should be “The Picture of the Year,” or perhaps, “Picture of the Decade.” It won’t be. In fact, unless you obtained a copy of the U.S. paper which published it, you probably would never have seen it. The picture is that of a 21-week-old unborn baby named Samuel…

Acute intermittent porphyria

The PorphyriasGroup of inherited or acquired disorders of heme productionClassification of the PorphyriasMultiple ways to categorize porphyrias:Hepatic vs. Erythropoietic: Organ in which accumulation of porphyrins and their precursors appearsCutaneous vs. Non- cutaneousAcute and non-acute forms Acute:Aminolevulinate dehydratase deficiency porphyria (ALA-D)Acute intermittent porphyria (AIP)Hereditary coproporphyria (HCP)Variegate porphyria (VP)Chronic:Porphyria cutanea tarda (PCT)Erythropoietic protoporphyria (EPP)Ccongenital erythropoietic porphyria (CEP)Hepatoerythropoietic porphyria…

Fetal Development

Fetal Growth: Conception to BirthYou’re pregnant. Congratulations! Are you curious how big your developing baby is, what your baby looks like as it grows inside you, and when you’ll feel it move? Take a peek inside the womb to see how a fetus develops from month to month. Conception If a sperm cell meets and…

Case of Unidentified Polycystic Ovarian Syndrome complicated in Ovarian Hyper-Stimulation Syndrome (OHSS)

Case of Unidentified Polycystic Ovarian Syndrome complicated in Ovarian Hyper-Stimulation Syndrome (OHSS) Subject – Ovum donor Age 20, unknown case of Polycystic Ovarian Syndrome (PCOS) on COH (Controlled Ovarian Hyper-stimulation) for Ovum Donation was put on Down Regulation Long Protocol. On serial ultrasound, she developed more than 15 follicles in each ovary. HCG 10,000 I.U.…

Hepatocellular Carcinoma or Liver Cancer | MedSted

Hepatocellular Carcinoma Or Liver Cancer: Causes, Clinal Features, Diagnosis and Management • Hepatocellular carcinoma (HCC) is a primary malignancy of the hepatocyte, generally leading to death within 6-20 months. • Hepatocellular carcinoma frequently arises in the setting of cirrhosis, appearing 20-30 years following the initial insult to the liver.• 25% of patients have no history or…

Meningitis : Causative Agents and Lab diagnosis

Objective 1: To list the important causative agents of meningitis. TYPES OF MENINGITIS Acute Pyogenic Meningitis Aseptic Meningitis Chronic Meningitis Tuberculous Fungal Syphillitic Protozoal Helminthe Causative agents of acute pyogenic meningitis • Neonates– Escherichia coli– Group B streptococci– Listeria monocytogenes– Streptococcus pneumoniae • Children– Neisseria meningitidis– Streptococcus pneumoniae,– Haemophilus influenzae • Adults– Streptococcus pneumoniae,– Neisseria meningitidis • Elderly– Listeria species…

Brachial Plexus And Its Injury

Definition:A network of spinal nerves that originates in the back of the neck, extends through the axilla (armpit), and gives rise to nerves to the upper limb. The brachial plexus is formed by the union of portions of the 5th through 8th cervical nerves (C5-C8) and the first thoracic nerve (T1), all of which come…

Shock: Quick Review and Management

SHOCK DEFINITION:- Shock is an acute clinical syndrome characterized by poor tissue perfusion with impaired cellular metabolism, which is manifested as different serious pathophysiological abnormalities. Shocked patient CLASSIFICATION OF SHOCK Hypovolaemia Cardiogenic Intrinsic Compressive Septic Hyperdynamic Hypodynamic Anaphylactic Traumatic Neurogenic Hypoadrenal CAUSES OF SHOCK Hypovolaemia shock:- due to reduction in total Blood volume. Loss of…