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IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... maintained, whether we can avoid giving antibiotics or not is debatable. These days the surgeons have become over dependant on antibiotics to avoid surgical site infections and have forgotten that inadvertent use of antibiotics can lead to harmful effects like drug toxicity, increased cost burden an ...
MITRAL STENOSIS
MITRAL STENOSIS

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The magic bullets of medicine
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Heart Failure - the Helderberg Cardiac Support Group
Heart Failure - the Helderberg Cardiac Support Group

... coronary heart disease, hypertension, alcohol abuse, and idiopathic dilated cardiomyopathy • Other causes are valvular and pericardial disease; or anaemia, thyrotoxicosis, septicaemia, Paget's disease of bone, and arteriovenous fistulae. ...
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Monoclonal Antibodies
Monoclonal Antibodies

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Intrinsic Conduction System
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POSITIVE INOTROPIC ACTVITY OF AQUEOUS EXTRACT OF PERICARP OF PUNICA
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... When you first start taking warfarin you will attend the anticoagulant clinic weekly as they adjust your dose to suit you. Most people find once they are established on warfarin their INR is pretty stable and they need only attend the clinic every six-eight weeks. However you have to watch out for thi ...
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... Heart failure (HF) is a common cardiovascular condition with increasing incidence and prevalence. Several large clinical trials on use of pharmacological therapy and device have resulted in an increasing use of evidence-based therapy(1). The important risk factor for heart failure includes coronary ...
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... Patient P., 44 years old was hospitalized because of stomach ulcer complicated with bleeding. Which signs are typical for this type of bleeding? Vomiting with scarlet blood mixed with air; Discolorated feces; Increased arterial pressure; Bradicardia. Tarry stools (melena); Patient K., 18 years old, ...
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... is determined. There is a 40% incidence of a thoracic aneurysm in patients with a bicupsid aortic valve. Also there is a 30% incidence of this disorder in 1st degree relatives. FAmily members will either inherit the BAV itself or thoracic aneurysms. Because of this, routine follow ups and screenings ...
Intrinsic Conduction System
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... • This question asks you to create a left bundle branch block and predict what would happen to the ECG tracing. • If you have a difficult time understanding the correct answer, please note that normally the left ventricle is depolarized when impulses move along the left bundle branch and to the Purk ...
Intrinsic Conduction System
Intrinsic Conduction System

... • Begin at the lower interventricular septum to the apex of the heart, then continue superiorly through the myocardium of the ventricles. • The Purkinje fibers convey the action potential to the contractile cells of the ventricle. • Action potentials, which spread from the autorhythmic cells of the ...
Pediatric Exanthems
Pediatric Exanthems

... Continuity ...
antimicrobial resistance - Tayside Respiratory Research Group
antimicrobial resistance - Tayside Respiratory Research Group

... NB All three organisms are present in normal upper respiratory tract flora. ...
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Rheumatic fever



Rheumatic fever, also known as acute rheumatic fever (ARF), is an inflammatory disease that can involve the heart, joints, skin, and brain. The disease typically develops two to four weeks after a throat infection. Signs and symptoms include fever, multiple painful joints, involuntary muscle movements, and a characteristic but uncommon non itchy rash known as erythema marginatum. The heart is involved in about half of cases. Permanent damage to the heart valves, known as rheumatic heart disease (RHD), usually only occurs after multiple attacks but may occasionally occur after a single case of ARF. The damaged valves may result in heart failure. The abnormal valves also increase the risk of the person developing atrial fibrillation and infection of the valves.Acute rheumatic fever may occur following an infection of the throat by the bacteria Streptococcus pyogenes. If it is untreated ARF occurs in up to three percent of people. The underlying mechanism is believed to involve the production of antibodies against a person's own tissues. Some people due to their genetics are more likely to get the disease when exposed to the bacteria than others. Other risk factors include malnutrition and poverty. Diagnosis of ARF is often based on the presence of signs and symptoms in combination with evidence of a recent streptococcal infection.Treating people who have strep throat with antibiotics, such as penicillin, decreases their risk of getting ARF. This often involves testing people with sore throats for the infection, which may not be available in the developing world. Other preventative measures include improved sanitation. In those with ARF and RHD prolonged periods of antibiotics are sometimes recommended. Gradual return to normal activities may occur following an attack. Once RHD develops, treatment is more difficult. Occasionally valve replacement surgery or repair is required. Otherwise complications are treated as per normal.Acute rheumatic fever occurs in about 325,000 children each year and about 18 million people currently have rheumatic heart disease. Those who get ARF are most often between the ages of 5 and 14, with 20% of first-time attacks occurring in adults. The disease is most common in the developing world and among indigenous peoples in the developed world. In 2013 it resulted in 275,000 deaths down from 374,000 deaths in 1990. Most deaths occur in the developing world where as many as 12.5% of people affected may die each year. Descriptions of the condition are believed to date back to at least the 5th century BCE in the writings of Hippocrates. The disease is so named because its symptoms are similar to those of some rheumatic disorders.
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