Health Aware

Sister oh sister… # 2

Dr.Irham — Sun, 14 Mar 2010 10:56:43 +0000

We can do no great things – only small thingswith great love. ~Mother Teresa~ Personally, I think if a woman hasn’t met the right man by the time she’s 24, she may be lucky. ~Deborah Kerr~ It’s the good girls who keep diaries; the bad girls never have time. ~Tallulah Bankhead (1903-1968) American Actress~ Sisterly love is, of all sentiments, the [...]

Sister oh sister… # 1

Dr.Irham — Fri, 12 Mar 2010 14:05:17 +0000

My sister! My sweet sister! Dearer and purer were, it should be thine. ~Lord Byron~ Big sisters are the crab grass in the lawn of life. ~Charles M. Schultz, Peanuts (1952~ There is no friend like a sister in calm or stormy weather; to cheer one on the tedious way, to fetch one if one goes astray, to [...]

Mnemonic for premature senile dementia

Dr.Irham — Mon, 08 Mar 2010 11:07:19 +0000

Dementia is defined by a progressive decline of cognitive function (i.e.: forgetfulness, increase incompetence of doing daily tasks). Senile dementia is diagnosed when the cause of dementia is due to old age. Premature senile dementia is the cause of dementia that occur earlier and due to other etiologies. Causes of premature senile dementia = DEEP SHIT D [...]

Mnemonic for cerebellar signs

Dr.Irham — Sat, 06 Mar 2010 01:50:47 +0000

Cerebellar signs indicate lesions that occur at cerebellar lobe. Some causes of cerebellar lesion are multiple sclerosis, space occupying lesion (e.g.: brain tumour), anticonvulsant drugs and chronic alcohol abuse. Cerebellar signs = PINARDS P = Past pointing / Pendullar reflexes I = Intention tremor N = Nystagmus (ipsilateral) A = Ataxia R = Romberg’s sign positive D = Dysdiadochokinesia S = Staccato / [...]

Mnemonic for multiple sclerosis

Dr.Irham — Thu, 04 Mar 2010 10:00:19 +0000

Multiple sclerosis is a chronic inflammatory, autoimmune disorder of the central nervous system. It is a relapsing / remitting disorder in which there are multiple areas of demyelination within the brain and the spinal cord. Features of multiple sclerosis = CURSED HIV C = Cerebellar signs U = Upper Motor Neuron Lesion (UMNL) R = Retrobulbar neuritis S = Spastic [...]

Mnemonic for carpal tunnel syndrome

Dr.Irham — Fri, 19 Feb 2010 10:24:53 +0000

Causes of carpal tunnel syndrome = DOG ARMPIT D = Dialysis O = Obesity G = Gout A = Amyloid / Acromegaly R = Rheumatoid arthritis M = Myxoedema P = Pregnancy /Pill I = Idiopathic T= Trauma / Tuberculosis Related: Carpal tunnel syndrome - median nerve entrapment

O’Sullivan hydrostatic technique

Dr.Irham — Sun, 14 Feb 2010 08:41:21 +0000

This method is used to reduce uterine inversion if manual method is unsuccessful. Need to exclude uterus perforation by clinical inspection. The operator need to hold the inverted uterus within the vagina The introitus need to be sealed by the 2 hands of an assistant Infuse 2 litre of warm saline (e.g.: use 1000ml bags of saline through a [...]

Uterine inversion – an obstetric emergency

Dr.Irham — Fri, 12 Feb 2010 04:34:18 +0000

Uterine inversion is one of the obstetric emergencies. It means that the fundus of the uterus has prolapsed through the cervix. In other words, the uterus is turned inside out. Uterus inversion occurs after delivery and worsened by excess traction on the cord before placental separation. Luckily, the incidence of uterine inversion has decreased (particularly [...]

Love says… #4

Dr.Irham — Thu, 11 Feb 2010 12:31:21 +0000

True love doesn’t have a happy ending; true love doesn’t have an ending. Love conquers all – even snoring. The best things in life are not things. Love doesn’t really make the world go round. It just makes people so “dizzy” it looks like it. A girl may love you from the bottom of her heart, but there’s always [...]

Love says… #3

Dr.Irham — Wed, 10 Feb 2010 18:57:02 +0000

To love others makes us happy; to love ourselves makes us lonely. Love is sharing a part of yourself with others. True love doesn’t consist of holding hands – it consists of holding hearts. Of all human passions love is the strongest, for it attacks simultaneously the head, the heart and the senses. Everything in the household runs smoothly [...]

Love says… #1

Dr.Irham — Mon, 08 Feb 2010 13:39:23 +0000

Ay! Without love life is no better than the unhewn stone, which in the quarry lies, before the sculptor, has set God within it – Oscar Wilde Danger no refuge holds, and war no peace. For him who hears love sing and never cease. – William Butler Yeats Come live with me, and be my love and [...]

Love says… #2

Dr.Irham — Sun, 07 Feb 2010 11:30:36 +0000

Love is a disease by itself that no physician knows how to cure. Love can hurts, but it can heal by itself. That is the beauty of love. Love is the quest, marriage the conquest, divorces the inquest. And the moral of that is – “Oh ‘tis love, ‘tis love that makes the world goes round!” – [...]

QUOTES OF THE DAY

Dr.Irham — Thu, 28 Jan 2010 15:09:59 +0000

ATTITUDE – “A bump in the road is either an obstacle to be fought or an opportunity to be enjoyed … it is all up you!” If you get a misfortune, you can choose to be a victor, or a victim. As for me… it will always be the former. TEAM WORK – Everything in this [...]

Mnemonic for rheumatic fever

Dr.Irham — Wed, 27 Jan 2010 11:16:38 +0000

Revised Jones Criteria is used as a guidance for the diagnosis of rheumatic fever. Major criteria = CASES C = Carditis A = Arthritis (migratory) S = Subcutaneous nodule E = Erythema nodosum S = Sydenham’s chorea Minor criteria = 4PA P = Pyrexia P = Prolonged PR interval P = Past history or rheumatic fever P = Positive (raised) ESR and CRP A = Arthralgia Other related [...]

Mnemonic for pruritus

Dr.Irham — Mon, 25 Jan 2010 07:13:49 +0000

Non dermatological causes of pruritus (itchiness) = DULL JAM D = Drugs U = Uremia L = Lymphoma L = Leukemia J = Jaundice A = Anemia M = Myxoedema

Differential diagnosis of erectile dysfunction

Dr.Irham — Sun, 24 Jan 2010 21:51:04 +0000

Erectile dysfunction means an inability for an adult male to sustained an adequate erection to allow penetration. Organic causes Drug causes Smoking - major Alcohol – major Diabetes mellitus (DM) – major Endocrine causes : hypogonadism, hyperthyroidism, prolactin excess, androgen deficiency, primary gonadal failure Neurological causes: spinal cord lesions, myasthenia gravis, autonomic neuropathy (e.g.: DM) Radiotherapy Renal failure Hepatic failure Prostatic hyperthrophy Surgical causes : post bladder-neck [...]

Mnemonic for dystrophia myotonica

Dr.Irham — Sat, 23 Jan 2010 15:34:47 +0000

Dystrophia myotonica is a rare genetic disorder characterized by myotonia, muscle atrophy, cataracts and hypogonadism. Clinical features of dystrophia myotonica = BIG CHIPS B = Balding frontal I = Intellectual impairment G = Glucose intolerance C = Cataracts / Cardiomegaly H = Hypereflexia I = decreased IgG P = Ptosis S = Small ovaries / testes

Differential diagnosis of dysphagia

Dr.Irham — Mon, 18 Jan 2010 18:07:44 +0000

Dysphagia means difficulty swallowing. Intrinsic lesion Benign (peptic) stricture Malignant stricture Reflux stricture Foreign body Oesophageal ring or web Oesophageal cancer Pharyngeal pouch Zenker diverticulum Infectious oesophagitis Radiation injury Globus hystericus Neuromuscular disorder (transfer dysphagia) Bulbar palsy Pseudobulbar palsy Dermatomyositis Muscular dystrophy Pharyngeal disorders Myasthenia gravis Motility disorder Achalasia Scleroderma Diffuse oesophageal spasm Presbyoesophagus (oesophagus of old age) Diabetes mellitus Chagas’ disease Botulism Extrinsic pressure (external compression) Goiter or thyromegaly Mediastinal glands Mediastinal mass Descending thoracic aortic aneurysm Paraesophageal diaphragmatic hernia Enlarged left atrium in mitral valve disease Reference: Stephen Patchett [...]

Infertility – male factors

Dr.Irham — Sat, 16 Jan 2010 11:17:25 +0000

Problems with ejaculation and sustaining an erection Diabetes mellitus Peripheral vascular disease Spinal injury Reduced sperm quality Smoking Sexual transmitted disease infection Medical condition ( e.g.: on chemtotherapy) Undescended testis Past medical history – orchitis, mumps, varicocoele, post herniotomy Other related topic: Infertility – overview Infertility –female factor

Thoughtful words…

Dr.Irham — Fri, 15 Jan 2010 13:02:30 +0000

My grandfather once told me that there were two kinds of people: those who do the work and those who take the credit. He told me to try to be in the first group; there was much less competition – Indira Gandhi A good plan implemented today is better than a perfect plan implemented tomorrow – George Patton Strength [...]