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Most common form of Facial paralysis. Clinical features : Pain behind the ear may preced the palsy for one or two days. Onset is abrupt and maximal weakness is attained by 48 hours. Loss of taste sensation unilaterally (on one side). Hyperacusis may be present. Mild cerebrospinal fluid Lymphocytosis may be present. Presence of incomplete paralysis in first week is most favorable sign. 80% patients recover in few weeks to months. Pathophysiology : Bell's palsy is associated with presence of Herpes Simplex type I DNA in endonueral fluid and posterior auricular muscle.This indicates that reactivation of this virus may have some role.However this is not proven yet. Differenctial Diagnosis : Other causes of Facial Palsy - 1. Tumours of temporal bone - Carotid body tumor, Cholesteotoma, Dermoid cysts.The course is insidious and progressive. 2. Ramsay Hunt Syndrome - Due to Herpis zoster of geniculate ganglion.Consists of : Severe facial palsy; eruptions in pharynx, external auditory ca...

SA (Sinoatrial) node is the pacemaker of human heart.AV (Atrio-ventricular) node is the conduction junction between Atria and ventricles.It transmits the impulses originating in the SA node (present on right atrium) to the ventricles.Any conductional defects in the AV node may cause ventricular tachyarrhythmias and ventricular failure. In any suspected case of conduction disturbances, the physician must assess The site of block The risk of turning into a complete block The probability that a subsidiary escape rhythm develops distal to the block. If the escape rhythm pace maker is in the HIS bundle, the ectopic impulse is stable and the rate is usually 40 - 60 beats/min.QRS complex is normal in duration. If ectopic rhythm is present in HIS-Purkenjee system, ectopic rhythm is unstable and rate is usually 25 - 45 beats/mins.QRS complex id prolonged. Etiology : Seen in following conditions- Chronic athlets have hypervagal stimulation.Mobitz type two AV conduction block is mostly seen in th...

Systemic illness : Cardiac manifestation - Skeletal mucle Dystrophy : Cardiomyopathy, atrial fibrillations, Mitral stenosis. Stroke Mitral stenosis, Atrial fibrillation. Hemochromatosis : Myocardial Infarction, Restrictive heart disease. Congenital deafness : Prolonged QT Interval, arrhythmias. Raynaud's disease : Pulmonary hypertension, Coronary vasospasm. Conective tissue Disorder (Marfan's Syndrome) : Aortic aneurysm, Mitral valve prolapse. Hyperthyroidism : Atrial Fibrillation, Heart failure. Hypothyroidism : Coronary artery disease, pericardial effusion. Rheumatoid arthritis : Pericarditis, Aortic valve disease. Scleroderma : Cor pulmonale, pericarditis, Myocardial fibrosis. SLE : Pericarditis, Vlavulitis, Myocarditis. Sarcoidosis : Arrhythmias, Cardiomyopathy. Lyme Disease : Unexplained fluctuating AV block.

Right Atrial Overload - Leads to Increase in P wave amplitute (>2.5 mm) Left Atrial Overload - Produces biphasic P wave in V1 with a broad negative component or a broad notched P wave in 1 or more limb leads.(This pattern may also occur in left atrial conduction delays.) Right ventricular Pressure overload - Characterised by tall R wave in V1 with right axis deviation.St depression and T wave inversion in right to mideprecordial leads ( Ventricular strain pattern : attributed to repolarisation abnormalities in hypertrophied muscle.) are also often present.There may be qR pattern in V1 or V3R Right Ventricular Volume overload - is associated with complete or incomplete right bundle branch block with rightward QRS axis deviation. Acute Cor Pulmonale - Most commonly due to pulmonary embolism. QRS axis shifts to right.S1Q3T3 pattern (prominence of S wave in lead 1, Q wave in lead 3 and inversion of T wave in lead 3. Chronic Cor Pulmonale - Mostly due to pbstructive lung disease. ...

CardiologyPatients with Ischemic heart disease fall into two categories 1.Stable angina due to chronic Coronary Artery disease 2.Acute Coronary Artery Syndromes (ACS) The latter group are compased of a)Patients with acute myocardial infarction with ST-segment elevation b)Patients with Unstable Angina and non ST segment elevation. Unstable angina is defined as Angina or equivalant ischemic discomfort with atleast one of the three features - 1.It occurs at rest (usually lasting > 10 mins) 2.It is severe and of new onset 3.It occurs with a cresendo pattern(more severe,prolonged or frequentthan the previous attack) Clinical presentation : Chest pain - typically substernal region or epigastric discomfort that frequently radiates to neck,left shoulder or left arm. Dyspnoea Diaphoresis Pale cool skin Tachycardia(Increased heart rate) Audible third or fourth heart sounds Basilar rales Sometimes hypotension Electrocardiogram : ST segment elevation or transient depression are seen.The presenc...

If you know any patient with Kidney failure who does not have the Financial ability to secure medical care, please spread the following details: A prominent Saudi business man, Ma'an Al Sanea, has donated the cost of 60 kidney transplant operations in a Saudi hospital in Dammam, covering all costs. The hospital until now has only received 4 cases! If you know a patient who is in need, let them contact the hospital at: Saad Specialist Hospital Dammam - AL Khobar Telephone 00966 3 8826666 extension 4444 Please spread this message to help save lives ! Ms. Safia Bari, Director, SNF Support Center. (Mobile: 050-6526484) http://www.snfgroup.com/

First ever Free Telemedicine Service (Al-Hamdulillah)has been launched, all the menu’s are updated, kindly check the service for possible errors and do inform us for suitable changes, now the service is on air not only from 5 cities of Pakistan but also from USA, the service numbers are as follows: 021-8301000 (Kharachi) 091-7006744 (Peshawar) 051-8080110 (Islamabad) 053-2007909 (Gujrat) 061-80200050 (Multan) 001-713-481-4679 (USA, Houston). It’s basically related to preventive medicine and the whole service is the research work of consultants of International repute, they had researched for almost 10 years and then they had prepared these FAQ's for the prevention of different disorders and diseases, the service is covering all aspects of human body, male, female, girls, boys and newborns, mental disorders and the service also cover and educate the people about sex, which we lack specially in Pakistan, where we used to hesitate discussing our sexual problems due to modesty, in the ...

Anti cancerous agent - It not only prevents cancer but recently it has proven that garlic kills cancer cells.And garlic eaters have more levels of glutathione-S-transferase which is an anzyme that helps liver in detoxification of chemicals,poisonous and carcinogenous substances. Acts as a broadspectrum antibiotic and antifungal Stimulates immune system Garlic,Monosaturated oils,unsaturated oils from plant products,pumpkins,soyabean,avoiding saturated fats,decreasing body fat content and wieght,Anti oxidants like beta carotene,vitamin E,citrus friuts,apples,orrenges (not only contain vit c,but also contain calcium which also has anti cancerous properties) should be made a routine diet atleast when reaching 40years if not from the begining.These together very effectively prevent cancer and proved in many studies and surveys. Garlic in Constipation : Ginger,zeera,sennah (sana) leaves mix these and crush into powder,take with water (say 10 grams) at bed time works well for people suffering...