Monthly Archives: September 2020

hypercoagulable states in Covid

 Guidelines for Anticoagulation in Hospitalized COVID-19 Patients ≥ 18 Years of Age BACKGROUND • Severe COVID-19 disease is associated with features of disseminated intravascular coagulation (DIC) and hypercoagulable states which can manifest as venous thromboembolism (VTE) and/or microthrombosis.1,2 • Centers for Disease Control and Prevention (CDC) estimates approximately 90% of hospitalized COVID-19 patients have […]

Signs in Neuroradiology: A Pictorial Review

Özgür Kizilca, MD, Alp Öztek, MD, […], and Utku Şenol, MD Additional article information Abstract article-meta One of the major problems radiologists face in everyday practice is to decide the correct diagnosis, or at least narrow down the list of possibilities. In this context, indicative evidences (signs) are useful to recognize pathologies, and also to […]

Twenty classic signs in neuroradiology: A pictorial essay

The Indian Journal of Radiology & Imaging Wolters Kluwer — Medknow Publications Govind B Chavhan and Manohar M Shroff Additional article information Abstract article-meta In this article we describe 20 classic signs in neuroradiology and provide illustrations of each; we also discuss the causes for their appearance, their reliability and sensitivity, and the differential diagnoses […]

CORADS

Based on the CT findings, the level of suspicion of COVID-19 infection is graded from very low or CO-RADS 1 up to very high or CO-RADS 5 and the severity and stage of the disease is determined with remarks on comorbidity and a differential diagnosis. Regular updates will be provided.CORADS-1 has a high negative predictive […]

कोरोना से मुलाकात

मेरे कुछ मित्रों ने मेरे कोरोना से टकराव का व्यक्तिगत अनुभव साझा करने को कहा। सोमवार से अपने मरीजों के बीच लौट रहा हूँ , उसके बाद शायद इतना लिखने का मौका न मिल पाए इसलिए अभी साझा कर रहा हूँ। मैं अपने मरीजों के सब्र और उनके मुझमे असीम विश्वास का कायल हूँ जो […]

InstructionsforNeighborsofCovid-19Patients

        Dear Members, Greetings from IMA Nagpur. Amid the ongoing Covid-19 Pandemic, we have witnessed a massive surge of cases. The biggest challenge to fight against Covid-19 is – the population, the attitude and action of the people and the existing healthcare structure. Recent guidelines by MOHFW-GOI (Ministry […]

COVID PROTOCOL*

    MILD   MODERATE   SEVERE Clinical Criteria  SPO2  > 94 % in Room Air  90 – 94 % in Room Air < 90 % in Room Air RR < 24 / min 24 – 30 > 30  No Pneumonia  Pneumonia +  Pneumonia ++ […]

COMPLETED COVID TREATMENT WHAT NEXT? POST COVID CARE

PROF NIBEDITA PANI DEPT OF ANASTHESIOLOGY AND CRITICAL CARE SCB MEDICAL COLLEGE,CUTTACK INTRODUCTION • If you have just recovered from COVID-19 or returned home from the hospital, you have already won the war. Pat yourself and get ready for some smaller battles as you get back to your routine life.      […]

TREATMENT PROTOCOL FOR COVID19 PATIENTS (VERSION 3.0

TREATMENT PROTOCOL FOR COVID19 PATIENTS (VERSION 3.0) DISCLAIMER: This Recommendation is derived from the prevailing trials published and collation of various guidelines. These guidelines would change with the evolving evidences DEFINITIONS: • ILI is defined as one with acute respiratory infection –  with fever ≥ 380 C (100.40F) and –  cough –  with onset within […]

Chest CT: Can it aid in COVID-19 diagnosis in patients with first negative RT-PCR results?

M3 India Newsdesk Sep 24, 2020 A A A Dr. Monish Raut elaborates on the role of HRCT as a valuable tool in confirming COVID-19 diagnosis and studying disease progression and severity among patients who test negative for RT-PCR initially. He also adds a note on the accuracy of the CO-RADS scoring system. For our […]

The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes

Western Journal of Emergency Medicine The University of California, Irvine James A. Nelson, MD and Erik Viirre, MD, PhD Additional article information Abstract article-meta This article summarizes the emergency department approach to diagnosing cerebellar infarction in the patient presenting with vertigo. Vertigo is defined and identification of a vertigo syndrome is discussed. The differentiation of […]

Neuro covid

Mebourne, Australia – Is the world prepared a wave of neurological consequences that may be on its way as a result of COVID-19? This question is at the forefront of research underway at the Florey Institute of Neuroscience and Mental Health. A team of neuroscientists and clinicians are examining the potential link between COVID-19 and […]

COMPLETED COVID TREATMENT WHAT NEXT? POST COVID CARE

PROF NIBEDITA PANI DEPT OF ANASTHESIOLOGY AND CRITICAL CARE SCB MEDICAL COLLEGE,CUTTACK INTRODUCTION • If you have just recovered from COVID-19 or returned home from the hospital, you have already won the war. Pat yourself and get ready for some smaller battles as you get back to your routine life.      […]

Methylene blue may have a role in the treatment of COVID-19

Medical Hypotheses Volume 144, November 2020, 110163 Author links open overlay panel Seyyed MohammadGhahestaniaMohammad HamidiMadanid Show more https://doi.org/10.1016/j.mehy.2020.110163 Get rights and content Abstract In this paper, we raise the hypothesis that Methylene Blue may be a treatment option for Corona Virus Disease of 2019 specially when combined with Non Steroid Anti-Inflammatory Drugs. In previous publications […]

Covid criteria

MILD MODERATE SEVERE Clinical Criteria SPO2 > 94 % in Room Air 90 – 94 % in Room Air < 90 % in Room Air RR < 24 / min 24 – 30 > 30 No Pneumonia Pneumonia + Pneumonia ++ CT Chest Criteria Normal or < 25 % 25 % – 75 % 75 […]

KEM Mumbai Guidelines*

Covid management: 👉🏻Viral replication generally stops by 9th day – which means if you want any benefit of anti-viral it should be given within 9 days. 👉🏻RT PCR may be negative in late stages of infection. So, don’t forget to rely on clinical, epidemiological and radiological guidance to DIAGNOSE A CASE !! 👉🏻”Best time for […]

Key points on COVID19-

(A)When virus enters the cell (naso oropharyngeal), different scenarios can result. 1. One, it is taken up and is killed by the macrophages. No antibodies are formed, the patient is asymptomatic. 2. In some persons, the virus enters the blood → dendritic cells in thymus →T cells and then to B cells and produces IgG […]

संजय दीक्षित ने बयान में कहा कि “कौन कहता है मंदिरों में जाति पूछी जाती है ?

IAS संजय दीक्षित ने बयान में कहा कि “कौन कहता है मंदिरों में जाति पूछी जाती है ? जाति मंदिरों में नहीं, सरकारी नौकरी में, राशन, स्कालरशिप और संविधान में पूछी जाती है।” हालांकि इससे पहले भी IAS दीक्षित ने टिप्पणी में कहा था कि “ब्राह्मण का बेटा ब्राह्मण और शूद्र का बेटा शूद्र ही […]

टेलीमेजडजसन

BOARD OF GOVERNORS In supersession of the Medical Council of India Telemedicine Practice Guidelines Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine [This constitutes Appendix 5 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics Regulation, 2002] 25 March 2020 2 These Guidelines have been prepared in partnership with NITI Aayog 3 TABLE […]

Are Masks a Kind of Vaccine Against COVID-19?

A New Theory Asks: Could a Mask Be a Crude ‘Vaccine’? Scientists float a provocative — and unproven — idea: that masks expose the wearer to just enough of the virus to spark a protective immune response. A new scientific paper explores the concept of variolation, the deliberate exposure to a pathogen to generate a protective immune […]

Summary- Telemedicine guidelines 2020

The guidelines have been prepared with NITI Aayog, the guidelines include definitions of Telemedicine, telehealth and registered medical practitioners, scope of telemedicine and its applications. It also explains the mode of communication and responsibilities of registered medical practitioner. Definitions: TELEMEDICINE ‘The delivery of health care services, where distance is a critical factor, by all health […]

Covid

 17th WHO Regulatory Update on COVID-19 28 August 2020  Key Messages The unprecedented rapid development of multiple candidate diagnostics, therapeutics and vaccines against COVID-19 more than ever requires regulators of the world to work together collaboratively. Strong engagement through regulatory networks is key to make this happen efficiently and quickly. Highlights and main […]

Covid Three stages:

1. Covid only in nose – recovery time is half a day. (Steam inhaling), vitamin C. Usually no fever. Asymptomatic. 2. Covid in throat – sore throat, recovery time 1 day (hot water gargle, warm water to drink, if temp then paracetamol. Vitamin C, Bcomplex. If severe than antibiotic. 3. Covid in lungs- coughing and […]

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name “mama”.

A young boy from a remote town of Dondiacha, enters a prestigious medical college, in his simple attire, thin, short, wearing a topi, sadra and pyajama, to join, the college as 1st year medical college. Many of his classmates, look past him, some ridicule him, some already have coined a pet name “mama”. But, this […]

India’s new Telemedicine Practice Guidelines – Analysis and Do’s and Don’ts for Doctors offering teleconsultation

India March 29 2020 Summary: The Indian Government has published Telemedicine Practice Guidelines (“Telemedicine Guidelines”) on March 25, 2020. These guidelines finally clarify India’s position on the legality of teleconsultation. It is now perfectly legal to provide teleconsultation by registered medical practitioners (M.B.B.S and above) in line with the requirements of the Telemedicine Guidelines. It […]

Accidental Deaths & Suicides in India 2019

Accidental Deaths & Suicides in India 2019 National Crime Records Bureau (Ministry of Home Affairs) Government of India National Highway – 8, Mahipalpur, New Delhi – 110 037. Published By: National Crime Records Bureau (Ministry of Home Affairs) Government of India National Highway-8, Mahipalpur, New Delhi-110 037. Phone : 011-26735450 Email : stat@ncrb.nic.in Website : […]

Suicide

Each suicide is a personal tragedy that prematurely takes the life of an individual and has a continuing ripple effect, dramatically affecting the lives of families, friends and communities. Every year, more than 1,00,000 people commit suicide in our country. There are various causes of suicides like professional/career problems, sense of isolation, abuse, violence, family […]

डॉक्टर gurnani

आत्महत्या हो या हत्या, दोनों ही हालत में होने वाली हत्या मनोरोगियों के एक ही विकार की वजह से हुई घटना है। मरीज की मानसिक हालत पर निर्भर करता है कि वह आत्महत्या करेगा या हत्या। मिसाल के लिए, एक मामला सामूहिक आत्महत्या का है, जिसमें अवसाद से पीड़ित एक मां आत्महत्या करती है, लेकिन […]

MENTAL HEALTH REHABILITATION HELPLINE 1800-599-0019

            Department of Empowerment of Persons with Disabilities (Divyangjan) Ministry of Social Justice and Empowerment Government of India   What is mental health rehabilitation ? • Mental Health Rehabilitation promotes • Problem identification; and not being in a state of denial • Building […]

Pulse Oximetry

Which is the best finger Dr. Krishan Chugh Pulse Oximetry Thumb/Any Finger Can Be Used But Which Is The Best ? In a survey of health care workers for monitoring pulse oximetry, index finger was selected by 80 % for SpO2 measurement  Dr. Krishan Chugh  Principle of optical plethysmography & photospectrometry The diode […]

Drugs and Addictive Behaviour

 MMMM This page intentionally left blank In this completely revised and updated third edition of his highly successful book, Hamid Ghodse presents a comprehensive overview of substance misuse and dependence. There is a particular emphasis on practical, evidence-based approaches to the assessment and manage- ment of a wide range of drug-related problems in a […]

The Encyclopedia of ADDICTIVE DRUGS

 RICHARD LAWRENCE MILLER GREENWOOD PRESS The Encyclopedia of ADDICTIVE DRUGS The Encyclopedia of ADDICTIVE DRUGS RICHARD LAWRENCE MILLER  GREENWOOD PRESS Westport, Connecticut • London Library of Congress Cataloging-in-Publication Data Miller, Richard Lawrence. The encyclopedia of addictive drugs / Richard Lawrence Miller. p. cm. Includes bibliographical references and index. ISBN 0–313–31807–7 (alk. paper) 1. […]

Masks

Do A Task , Wear A Mask On , Smile On !    DR. MANOJ GUMBER • MD,DM • FORMER PROFESSOR IKDRC • SENIOR CONSULTANT NEPHROLOGIST AND TRANSPLANTPHYSICIAN APOLLO HOSPITAL INTL LTD , AHMEDABAD c  Hon. Consultant –IIM Ahmedabad Hon. Consultant- Sola Civil Ahmedabad Ph. : 9879511234 Email ID : manojrgumber@gmail.com  […]

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Recommend for covid

Recommendation here is, Doxy 100 BD 10 days, Ivermectin 12 OD 3 days, Zinc 50 BD 10 days, Vit. C 500 BD 10 days, Vit. D 60000 daily for 3 days, then weekly, Supradyn OD, Calpol 650 SOS, for pain and fever, Isolation and absolute bedrest. Lying in prone position, Checking SPO2 every 3 – […]

The moral law

The source of what the philosopher Immanuel Kant called “the moral law within” may be mysterious, but its role in the social order is not. In any nation short of dictatorship some form of moral compact, implicit or explicit, should be the basis of a just society. Without a common sense of what is “right,” […]