Swine Flu or Bird Flu
Which do you fear?
Or Zombie Flu ?
click to Enlarge
Stye : External Hordeolum
An External hordeolum
Sty
is an acute small staphylococcal abscess of a lash follicle and its associated gland of Zeis or moll.
Signs:
Tender Inflamed swelling in the lid Margin, which points anteriorly thought the skin.
More than one lesion may be present and occasionally minute abscess may involve the entire lid margin.
In severe case a mild preseptal cellulitis may be present.
Treatment:
No treatment is required in most cases because styes frequently resove spontaneously or discharge anteriorly
Hot compresses
Epilation
Systemic Antibiotics may be necessary.
Schizophrenia: A short summary
Historical Background: in 1896, Emil Kraepelin differentiated psychiatric illness into 2 major groups.
First Rank symptoms
I. Hallucinations
1. Audible thoughts/thought echo 2. Voices heard arguing 3. Voices giving running commentary II. Thought Alienation Phenomenon a) Thought withdrawal b) Thought insertion c) Thought broadcasting
III. Passivity Phenomenon A. Made feelings B. Made volition C. Made impulses IV. Delusional Perception
Epidemiology; Point prevalence of Schizophrenia is 0.5 to 1 %. The Incidence is about 0.5 in 1000 persons
Clinical features Thought and speech Disorders Autistic thinking, loosening of association, thought blocking, neologism, paraphasias, mutism, perseveration, verbigeration Delusions: primary and secondary Disorders Of Perception Hallucinations Disorders of Affect Disorders of Motor Behaviour Negative Symptoms Suicidal Tendency
Clinical types: Simple Schizophrenia Hebephrenic Schizophrenia Catatonic Schizophrenia Residual Schicophrenia Undifferentiated Schizophrenia Post-schizophrenic depression Others
Bad Prognostic Factors Male Negative Symptoms Early Onset Insidious progression Chronic Course
Diagnostic Criteria: According to DSM IV TR 2 or more of the following is required with 6 months of duration of disease with at least 1 month of Active symptoms 1. Delusion Hallucinations Bizzare Behaviour Bizzare thoughts
MANAGEMENT: 1. Pharmacological Treatment: Generally the treatment is continued for 6 months to 1 year for the first episode, for 1-2 year for subsequent episodes. Fluphenazine 25-30 mg IM every 2-3 weeks Penfluridol Flupenthixol Haloperidol ECT ( Electroconvulsive Therapy) Miscellaneous Treatments Limbic Leucotomy Psychosocial Treatment.
- Dementia Precox
- Mani depressive illness( psychosis)
First Rank symptoms
I. Hallucinations
1. Audible thoughts/thought echo 2. Voices heard arguing 3. Voices giving running commentary II. Thought Alienation Phenomenon a) Thought withdrawal b) Thought insertion c) Thought broadcasting
III. Passivity Phenomenon A. Made feelings B. Made volition C. Made impulses IV. Delusional Perception
Epidemiology; Point prevalence of Schizophrenia is 0.5 to 1 %. The Incidence is about 0.5 in 1000 persons
Clinical features Thought and speech Disorders Autistic thinking, loosening of association, thought blocking, neologism, paraphasias, mutism, perseveration, verbigeration Delusions: primary and secondary Disorders Of Perception Hallucinations Disorders of Affect Disorders of Motor Behaviour Negative Symptoms Suicidal Tendency
Clinical types: Simple Schizophrenia Hebephrenic Schizophrenia Catatonic Schizophrenia Residual Schicophrenia Undifferentiated Schizophrenia Post-schizophrenic depression Others
Bad Prognostic Factors Male Negative Symptoms Early Onset Insidious progression Chronic Course
Diagnostic Criteria: According to DSM IV TR 2 or more of the following is required with 6 months of duration of disease with at least 1 month of Active symptoms 1. Delusion Hallucinations Bizzare Behaviour Bizzare thoughts
MANAGEMENT: 1. Pharmacological Treatment: Generally the treatment is continued for 6 months to 1 year for the first episode, for 1-2 year for subsequent episodes. Fluphenazine 25-30 mg IM every 2-3 weeks Penfluridol Flupenthixol Haloperidol ECT ( Electroconvulsive Therapy) Miscellaneous Treatments Limbic Leucotomy Psychosocial Treatment.
Subscribe to:
Posts (Atom)