Category Archives: diseases

The implications of this change

Enormous investments have gone into CPAS worldwide. The estimated costs for each large hospital are about £33mln., yet the overall benefits and costs of hospital information systems have rarely been assessed 17 . “When systems are evaluated, about three quarters are considered to have failed, and there is no indication that they improve the productivity… Read More »

Introducing Computerized Patient Administration System (CPAS) in the UK

Viktor Poluektovas   “We should connect every hospital to the Internet, so doctors can instantly share data about their patients with best specialists in the field”. President B. Clinton in his State of Union address on Feb. 4, 1997 1 Introduction It seems normal nowadays that progress in hardware development, mix in software applications and… Read More »

Zolling Elison Syndrome

    Definition: Disorder in which severe peptic ulceration is found due to edema or hyperplasia of islet of pancrease which secrete gastrin resulting in hyperchlorhydria. Pathology: Tumor my be benign 40 % and malignant in 60 % cases. it may be located in stomach , duodenum ,spleen or even lymph nodes, multiple endocrine neoplasia… Read More »

Management of patients with Viral Hemorrhagic fever

congovirus.com domain is for sale Tauseef Akhund Research Officer Paediatric Department. Agha Khan University Karachi Pakistan Introduction Viral hemorrhagic fever (VHF) is the illness caused by geographically restricted viruses. Many viruses cause this illness but four viruses including Lassa, Marburg, Ebola, and Crimean-Congo hemorrhagic fever (CCHF) has potential of presenting in outbreak and has potential… Read More »

Signs of multiple pregnancy

    Uterus larger than expected for dates. Excessive maternal weight that is not explained by edema or obesity. Polyhydramnios manifested by uterine size out o proportion to the calculated duration of gestation. ballotment of more than one fetus. Multiplicity of small parts. Simultaneous recording of different fetal heart rate. Complications of pregnancy that is… Read More »

Essay on tuberculosis

Dr. Tauseefullah Akhund M.B.B.S, MPH (Sydney), (Australia) October  20, 2004 Tuberculosis is one of the dreadful diseases affecting a number of people in developing countries including Pakistan. It is one of the most common diseases causing a high mortality and morbidity. The total number of cases is rising every year because of rapidly growing population,… Read More »

Postpartum hemorrhage

    Postpartum hemorrhage denotes excessive bleeding (more than 500 ml in vaginal bleeding) following delivery. Hemorrhage may occur during or after delivery of the placenta.   Management As retained placenta tissue constitutes the main cause in majority of cases of PPH, the patient is managed in following steps.   Predelivery preparation Postdelivery measures Active… Read More »

Pneumonia

  It is an inflammation of lung parenchyma, usually caused by bacteria and characterized by cough, productive sputum and fever.   Classification   a)      on the basis of site of involvement lobar pneumonia bronchopneumonia interstitial pneumonia b)      on the basis of etiology bacterial viral allergic atypical secondary pneumonia (aspiration pneumonia)   Etiology   Precipitating factor… Read More »

STUDENT CONTRACT FOR PERSONAL HEALTH INITIATIVE

   Dr. Tauseefullah Akhund M.B.B.S, MPH (Sydney), (Australia)  Summary Health promotion and health advancement subject has provided each and every student a golden opportunity to achieve something, for which they have only thought of. As for as I am concerned I grabbed this opportunity with both hands because it provided me opportunity to involve me… Read More »

Facts about Obesity

Currently over 1 billion people are overweight and at least 300 million are clinically obese  Women are more obese than men. Obesity risk increases with rising age.  In children of age group 5-17 years, the prevalence of overweight is below 10 percent in Africa   and Asia and in Americas and Europe above 20 percent. Body… Read More »

Maternal Mortality in Developing Countries

  Epidemiology   Statistics The World Health Organization estimates thatapproximately 500,000 women die each year from pregnancy-related causes, more than 98% of these deaths occurring in the developing world. Risk factors: most vulnerable period is postpartum period. > 60% of maternal deaths occurred in the postpartum period;  45% of postpartum deaths occurred within 1 day… Read More »

Complications of 3rd stage of labor.

    delayed labor fetal distress perineal rupture puerperal sepsis rectovaginal fistula labial laceration physical exhaustion of mother Genitourinary fistulas. Trauma to fetal head. fetal acidosis shock   Delayed labor.   Can be avoided by Oxytocin infusion only if cephalopelvic disproportion excluded. Episiotomy if pelvic floor is suspected to cause prolonged labor. Forceps or ventose… Read More »

Kick Counting for Pregnant Women in Central Sydney Area Health Service

   Dr. Tauseefullah Akhund  M.B.B.S, MPH (Sydney), (Australia) 1.      Which aspect of prevention does your project address? This project seeks to reduce (if not prevent) infant mortality and in particular stillbirth. The program will monitor the well-being of unborn babies, by increasing women’s awareness of their unborn baby’s movements during the third trimester of pregnancy. … Read More »

Idiopathic thrombocytopenic purpura

    Definition: It is an autoimmune bleeding disorder in which antibodies are formed against platelets causing the destruction and premature removal by monocyte macrophage system. Exact etiology is not known but is associated with some risk factors mentioned below   Post infection   ITP may follow infection with rubella –HIV-HBV (infectious mononucleosis)   Vertical… Read More »

Intracranial aneurysm

    Most commonly located on the anterior part of circle of Willis (particularly on anterior or posterior communicating arteries, at the bifurcation of middle cerebral artery and at the bifurcation of internal carotid artery.   Forms   Most common are saccular .other forms are fusiform, diffuse, globular etc.   Clinical features 1.      Asymptomatic 2.     … Read More »

Hypoglycemia in 24 hr baby

    Definition Blood glucose level less than 40mg/dl in a term or premature infant is called hypoglycemic.   Etiology   a)      decreased stores ·        prematurity ·        IUGR ·        Starvation   b)      Hyperinsulinism ·        Infant of diabetic mother ·        Erythroblastosis ·        Insulin producing tumors c)      miscellaneous ·        polycythemia ·        sepsis ·        asphyxia ·        hypothermia ·       … Read More »

Hepatic coma

  It is a neuropsychiatric syndrome secondary to liver disease characterized by unconsciousness.   Etiology:   Cirrhosis of liver Acute fulminant hepatitis Biliary cirrhosis Surgical portal venous shunt Portal hypertension   Precipitating factors   High protein intake Alcohol Constipation Infection Fluid electrolyte imbalance GI bleeding   Pathophysiology Hepatic coma occurs when blood bypass the liver… Read More »

HEALTH INEQUALITIES (ESSAY)

 Dr. Tauseefullah Akhund  M.B.B.S, MPH (Sydney), (Australia)   Over past decades most countries around the world have seen widespread disparity in the society, wealth, race and gender. These disparities have affected the health status of the countries badly. Those countries which succeeded to keep the disparity under control eventually succeeded in improving the health of… Read More »

Graves’s disease

  Definition: This is the commonest cause of hyperthyroidism and is due to autoimmune process in which serum IgG antibodies bind to the thyroid TSH receptors and produce stimulation of thyroid hormone production, behaving like TSH.   Clinical features Increased size and secretion of thyroid gland GIT features include weight loss despite normal or increased… Read More »

Complications of gestational diabetes mellitus.

    Maternal complications   Asymptomatic bacteremia   It is thought to occur 2-3 times more frequently in women with glucose in urine. It should be diagnosed early and managed by antibiotics   Pyelonephritis.   It is exaggerated complication of bacteremia that results when women with bacteremia is not treated properly.   Diabetic retinopathy.  … Read More »