Sukhakarta clinic and hospital

Sukhakarta clinic and hospital Skin care , Arthritis ,

"Unlock the secret to flawless, youthful skin. 💎"​At Dr. Bhangare’s Sukhakarta Clinic, we provide advanced non-surgical ...
12/04/2026

"Unlock the secret to flawless, youthful skin. 💎"
​At Dr. Bhangare’s Sukhakarta Clinic, we provide advanced non-surgical solutions for all your skin concerns. Our Vampire Facial is a safe, effective way to achieve a radiant complexion in just a few sessions.
​✨ Expert Care
✨ Visible Results
✨ Advanced Technology
​👉 Comment "GLOW" below or DM us to book your consultation!

Call Now on 8856-8856-27

​

‣ A 10-vear-old girl presented with a gradually progressing lesion extending across her anterior neck.‣ The lesion appea...
26/12/2025

‣ A 10-vear-old girl presented with a gradually progressing lesion extending across her anterior neck.

‣ The lesion appeared before 2 vears as an asymptomatic reddish plaque over the right side of the neck. No history of trauma at the site of lesion or any systemic complaints was reported

Examination

▪️A well-defined erythematous, scaly, indurated, 10 cm x 1 cm linear plaque with serpiginous borders was observed. It extended from one side of the neck to the other and was associated with ulceratior and crusting over the right edge.
▪️Multiple discrete, firm, freely mobile cervical and supraclavicular lymph nodes of size varying from 1-1.5 cm were present

Microscopy and Culture Findings

▪️Hematoxylin and eosin staining showed thinning of epidermis, presence of multiple epithelioid cell granulomas with Langhan's giant cells along with few foci of caseous necrosis in dermis

▪️Staining for acid-fast bacilli and mycobacterial culture was negative




《Types of Blood Transfusion》1️⃣ Whole Blood TransfusionContains RBCs, plasma, plateletsUses: acute massive blood loss, t...
22/12/2025

《Types of Blood Transfusion》

1️⃣ Whole Blood Transfusion

Contains RBCs, plasma, platelets
Uses: acute massive blood loss, trauma (rarely used now)

2️⃣ Component Blood Transfusion (Most Common)

A) Packed Red Blood Cells (PRBCs)
Increases oxygen-carrying capacity
Uses: anemia, acute blood loss

B) Platelet Transfusion
Random donor platelets / Single donor platelets
Uses: thrombocytopenia, platelet dysfunction

C) Fresh Frozen Plasma (FFP)
Contains clotting factors
Uses: coagulopathy, liver disease, DIC

D) Cryoprecipitate
Rich in fibrinogen, factor VIII, vWF
Uses: hypofibrinogenemia, hemophilia A

3️⃣ Exchange Transfusion

Patient’s blood replaced with donor blood
Uses: hemolytic disease of newborn, severe jaundice

4️⃣Autologous Transfusion

Patient’s own blood
Uses: planned surgeries
Advantage: no transfusion reaction

5️⃣Directed Donor Transfusion

Blood from a specific donor (relative/friend)
Rarely recommended

6️⃣ Massive Transfusion

Replacement of ≥1 blood volume in 24 hrs
Used in major trauma, obstetric hemorrhage

7️⃣Therapeutic Plasma Exchange
(Plasmapheresis)

Plasma removed and replaced
Uses: TTP, myasthenia gravis, Guillain-Barré

Scabies 🐛《Scabies (खाज रोग)》Scabies is a highly contagious parasitic skin infestation caused by the mite Sarcoptes scabi...
22/12/2025

Scabies 🐛

《Scabies (खाज रोग)》

Scabies is a highly contagious parasitic skin infestation caused by the mite Sarcoptes scabiei var. hominis.

《Cause》

●Female mite burrows into the stratum corneum

●Lays eggs → hypersensitivity reaction → itching

《Mode of Transmission》

🟠Prolonged skin-to-skin contact
Sexual contact

🟠Sharing clothes, bedding, towels (less common)

《Clinical Features》

Severe itching, worse at night 🌙

Burrows: thin, wavy, grayish lines

Papules, vesicles, nodules

Secondary bacterial infection due to scratching

《Common Sites》

Finger web spaces

Flexor aspect of wrist

Elbow

Axilla

Umbilicus

Genitalia (p***s, sc***um)

Buttocks

In infants: scalp, face, palms, soles

《Types》

Classic scabies

Crusted (Norwegian) scabies – immunocompromised

Nodular scabies

Infantile scabies

《Diagnosis》

Clinical features

Skin scraping → mite/eggs/fecal pellets

Dermoscopy (delta wing sign)

《Treatment》

First-line
Permethrin 5% cream
Apply neck to toe
Leave for 8–12 hours
Repeat after 7 days
Alternatives
Benzyl benzoate 25%
Sulfur ointment 5–10%
Ivermectin (oral) – severe/crusted
scabies

《Supportive Care》

Antihistamines for itching
Antibiotics if secondary infection
Treat all close contacts simultaneously

《Prevention》

Wash clothes & bedding in hot water
Sun-dry or iron clothes
Avoid close contact until treatment completed

Never Get menstrual cram again and again ‼️Pain gone naturally ‼️Vitamin D3 and Magnesium IntakeVitamin D3 (cholecalcife...
21/12/2025

Never Get menstrual cram again and again ‼️
Pain gone naturally ‼️

Vitamin D3 and Magnesium Intake
Vitamin D3 (cholecalciferol) plays a vital role in maintaining bone health by regulating calcium and phosphorus absorption from the intestine. Adequate Vitamin D3 levels are essential for proper bone mineralization, muscle strength, and immune function. Deficiency of Vitamin D3 can lead to rickets in children and osteomalacia or osteoporosis in adults. The main source of Vitamin D3 is sunlight exposure, while dietary sources include fortified milk, egg yolk, and fatty fish. The recommended daily intake for adults is about 600–800 IU, depending on age and clinical condition.
Magnesium is an essential mineral involved in more than 300 enzymatic reactions in the body. It is important for muscle contraction, nerve conduction, cardiac rhythm, and energy metabolism. Magnesium also plays a crucial role in the activation of Vitamin D; without adequate magnesium, Vitamin D supplementation may be less effective. Dietary sources of magnesium include nuts, seeds, whole grains, green leafy vegetables, and legumes. The recommended daily intake for adults is approximately 300–420 mg.
Adequate intake of both Vitamin D3 and magnesium is important for optimal bone health, neuromuscular function, and prevention of metabolic and skeletal disorders.

🩸 Blood Collection Tubes – Color Code Guide🔴 Red TopAdditive: None / Clot activatorUse: Serum testsTests: LFT, RFT, Lipi...
20/12/2025

🩸 Blood Collection Tubes – Color Code Guide

🔴 Red Top
Additive: None / Clot activator
Use: Serum tests
Tests: LFT, RFT, Lipid profile, Serology

🟡 Yellow / Gold Top (SST)
Additive: Clot activator + Gel separator
Use: Serum separation
Tests: Biochemistry, Hormones

🟣 Lavender / Purple Top
Additive: EDTA
Use: Hematology
Tests: CBC, Hb, ESR (automated), Blood grouping

🔵 Light Blue Top
Additive: Sodium citrate
Use: Coagulation studies
Tests: PT, INR, APTT

🟢 Green Top
Additive: Heparin
Use: Plasma chemistry
Tests: ABG, Electrolytes, Ammonia

⚫ Black Top
Additive: Sodium citrate (3.8%)
Use: ESR
Tests: ESR (Westergren method)

⚪ Grey Top
Additive: Sodium fluoride + Potassium oxalate
Use: Glucose preservation
Tests: FBS, PPBS, GTT, Lactate

🟠 Orange Top
Additive: Thrombin
Use: Rapid serum tests
Tests: STAT biochemistry

🟤 Royal Blue Top
Additive: None / EDTA / Heparin
Use: Trace elements
Tests: Zinc, Copper, Heavy metals

🩷 Pink Top
Additive: EDTA
Use: Blood bank
Tests: Cross-matching, Blood grouping

📝 Order of Draw (Important for Exams)
Blood culture
Light blue
Red / Yellow
Green
Lavender / Pink
Grey

IV Cannula – All Numbers (Sizes) & Uses 💉IV cannula अलग-अलग color & gauge (number) में होती है। हर size का अपना specific...
20/12/2025

IV Cannula – All Numbers (Sizes) & Uses 💉
IV cannula अलग-अलग color & gauge (number) में होती है। हर size का अपना specific use होता है:

🟠 Orange
14G
Major trauma, massive blood loss, rapid blood transfusion

⚪ Grey
16G
Emergency, surgery, blood transfusion, fluids fast देना

🟢 Green
18G
Blood transfusion, IV fluids, antibiotics

🟣 Pink
20G
Most commonly used – IV fluids, drugs, blood

🔵 Blue
22G
Children, elderly, thin veins, slow IV drugs

🟡 Yellow
24G
Neonates, infants, very fragile veins

🟤 Brown
26G
Premature babies, scalp vein, NICU use

🔑 याद रखने का आसान तरीका
Number कम = Cannula मोटी = Flow ज्यादा
Number ज्यादा = Cannula पतली = Flow कम

📌 Clinical Tips

Emergency / Blood → 14G / 16G
Routine IV / Ward patient → 18G / 20G
Pediatric / Geriatric → 22G / 24G
NICU → 24G / 26G

















Kiran Bhangare

⚜️PEEL AWAY IMPERFECTIONS⚜️●LIGHTEN UNWANTED PIGMENT AND EVEN OUT SKIN TONE●DIMINISH FINE LINES & WRINKLESILL●BRIGHTEN A...
20/12/2025

⚜️PEEL AWAY IMPERFECTIONS⚜️

●LIGHTEN UNWANTED PIGMENT AND EVEN OUT SKIN TONE

●DIMINISH FINE LINES & WRINKLES
ILL

●BRIGHTEN AND SMOOTH OUT ROUGH SKIN

●INCREASE COLLAGEN & ELASTIN

●LIGHTEN ACNE BLEMISHES AND PREVENT FUTURE BREAK OUTS

Anemia – Simple ExplanationAnemia is a condition in which the blood has low hemoglobin or fewer red blood cells, so the ...
18/12/2025

Anemia – Simple Explanation

Anemia is a condition in which the blood has low hemoglobin or fewer red blood cells, so the body does not get enough oxygen.

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🔹 Common Causes

Iron deficiency (most common)

Vitamin B12 or folic acid deficiency

Blood loss (heavy periods, bleeding piles, ulcers)

Chronic diseases (kidney disease, infections)

Bone marrow problems

Genetic causes (thalassemia, sickle cell anemia)

---

🔹 Symptoms

Fatigue, weakness

Pale skin

Shortness of breath

Dizziness or headache

Palpitations

Cold hands and feet

Hair fall (common in iron deficiency)

---

🔹 Types of Anemia

Iron deficiency anemia

Megaloblastic anemia (B12 / folate deficiency)

Hemolytic anemia

Aplastic anemia

Anemia of chronic disease

---

🔹 Diagnosis

CBC (Complete Blood Count)

Hemoglobin level

Peripheral smear

Serum iron, ferritin

Vitamin B12 & folate levels

---

🔹 Treatment

Iron tablets or injections

Vitamin B12 / folic acid supplements

Treat underlying cause (bleeding, infection)

Blood transfusion (in severe cases)

---

🔹 Prevention

Iron-rich diet: green leafy vegetables, dates, jaggery, meat

Vitamin C improves iron absorption

Regular health check-ups




















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Nimgav Sava Tal Junnar
Pune
410504

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