BACTERAEMIC (SEPTIC) SHOCK
Written by Dr.ChrisBACTERAEMIC (SEPTIC) SHOCK: Definition: Septicaemic shock is an acute life threatening medical emergency characterized by inadequate tissue perfusion with resultant tachycardia, tachypnoea, hypotension and oliguria.
Etiology: Although septic shock may result from both gram positive and gram negative infections it is much more common with the latter. The usual causative organisms are Streptococci, Staphylococci, E. coli, […]
Tags: catecholamines, glucagon and glucocorticoids, hypotension, Insulin, oliguria, tachycardia, tachypnoea
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HEPATIC PRECOMA: ASSOCIATED METABOLIC CHANGES
Written by Dr.ChrisHEPATIC PRECOMA: Associated Metabolic and Other Changes.:Profound hypoglycemia is not uncommon and is usually overlooked. In addition, marked hypokalaemia often develops early in the course of the disease and may be accompanied by a metabolic alkalosis. In later stages of the disease, however, metabolic acidosis may supervene due to accumulation of lactic acid and other […]
Tags: abdominal paracentesis, anuria, Infection, oliguria, overzealous diuresis
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Treatment Congestive Heart failure
Written by D C MorganTreatment: The patient should be assured complete bed rest in the most comfortable position which is usually semi-sitting. If dyspnoea is overwhelming some relief may be obtained by lowering the legs or applying rotating tourniquets or blood pressure cuffs inflated to about 10 mm Hg below diastolic pressure, on three limbs with a plan to […]
Tags: anticoagulation, oliguria, Treatment CHF
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PSEUDOMONAS AERUGINOSA
Written by Dr.ChrisPSEUDOMONAS AERUGINOSA (Pseudomonas pyocyanea):
Morphology: It is slender, Gram negative bacilli of 1.5 to 3 ,u x 3.5 ,u size, actively motile by polar flagellum. It is non capsulated.
Cultural characters: It is aerobic-growing on simple nutrient media with optimum temperature of 37°C.
Broth culture: After 18 to 24 hours incubation it forms dense turbidity and surface pellicle. […]
Tags: carbencillin., colistin, gentamycin, leucocytosis, leucopenia, oliguria, polymyxin B, shock
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