Wednesday, December 21, 2016

Hypernatremia - Signs And Symptoms - Menemonic

Monday, December 19, 2016

Brief Description Of Abdominal Wall Hernias

Abdominal wall hernias: 
Definition: The classical surgical definition of a hernia is the protrusion of an organ or the fascia of an organ through the wall of the cavity that normally contains it.

Risk factors for abdominal wall hernias include:

  • obesity
  • ascites 
  • increasing age 
  • surgical wounds

Clinical  Features include:

  • a palpable lump 
  • cough impulse 
  • pain 
  • obstruction: more common in femoral hernias 
  • strangulation: may compromise the bowel blood supply leading to infarction 

Types of abdominal wall hernias:

1. Inguinal hernia:

  • Inguinal hernias account for 75% of abdominal wall hernias. 
  • Around 95% of patients are male; men have around a 25% lifetime risk of developing an inguinal hernia. 
  • Above and medial to pubic tubercle Strangulation is rare

2. Femoral hernia

Sunday, December 4, 2016

Toxic Epidermal Necrolysis

Toxic epidermal necrolysis (TEN) is a potentially lifethreatening skin disorder that is most commonly seen secondary to a drug reaction.
In this condition the skin develops a scalded appearance over an extensive area. Some authors consider TEN to be the severe end of a spectrum of skin disorders which includes erythema multiforme and Stevens Johnson syndrome

Clinical Features

  • systemically unwell e.g. pyrexia, tachycardic
  • positive Nikolsky's sign: the epidermis separates with mild lateral pressure

Drugs known to induce Toxic epidermal necrolysis (TEN)