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Sunday, March 25, 2018

Probiotics

Have shown beneficial effects so far in following diseases (but didnt reduce mortality)

G/E
IBD
IBS
Hepatic Enceph
Liver transplant
VAP
Chemo patients against listeria
Pregnant against listeria
Premies
NEC
Psychobiotics(bifido)

Friday, March 2, 2018

Clubbing


1. No visible clubbing. Fluctuation (increased ballotability) and softening of the nail bed only. No visible changes of nails.
2. Mild clubbing. Loss of the normal <165? angle (Lovibond angle) between the nailbed and the fold (cuticula). Schamroth's window is obliterated. Clubbing is not obvious at a glance.
3. Moderate clubbing. Increased convexity of the nail fold. Clubbing is apparent at a glance.
4. Gross clubbing. Thickening of the whole distal (end part of the) finger (resembling a drumstick)
5. Hypertrophic osteoarthropathy. Shiny aspect and
striation of the nail and skin

Recipe of life

The art of history taking of acute case

Xyron printer