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Health knowledge, Phnom Penh (2025)

27/05/2025

តើរោគសញ្ញានៃជំងឺខ្សោយក្រពះ ពោះវៀនមានអ្វីខ្លះ?

រោគសញ្ញានៃជំងឺខ្សោយពោះវៀន រួមមាន៖
- ការឈឺពោះរ៉ាំរ៉ៃ
- ចុកឆ្អល់ ក្នុងពោះ
- តឹងណែនក្នុងពោះ
- ញ៉ាំឆាប់ឆ្អែត

បញ្ជាក់៖ ដោយជំងឺខ្សោយពោះវៀនជាជំងឺមួយដែលគេតែងជួបប្រទះញឹកញាប់ តែរោគសញ្ញានៃជំងឺនេះមានការភាន់ច្រឡំទៅនឹងជំងឺមួយចំនួនដែលអាចមានលក្ខណៈធ្ងន់ធ្ងរ អ្នកជំងឺដែលមានរោគសញ្ញានៃជំងឺខ្សោយពោះវៀន គួរតែជួបពិគ្រោះជាមួយវេជ្ជបណ្ឌិតឯកទេស ផ្នែកថ្លើម-ក្រពះ-ពោះវៀន ដើម្បីធ្វើរោគវិនិច្ឆ័យអោយបានច្បាស់លាស់ និងទទួលនូវសេវាព្យាបាលអោយបានត្រឹមត្រូវ។
“ចូលរួមយល់ដឹងអំពីបញ្ហាសុខភាពខ្លួន ដើម្បីសុខុមាលភាពយូរអង្វែង!”

#មន្ទីរពេទ្យកាល់ម៉ែត

27/05/2025

⚠️ Anaphylactic Shock – Emergency Overview

⸻

1️⃣ Definition

A life-threatening systemic hypersensitivity reaction causing airway, breathing, and circulatory compromise.

⸻

2️⃣ Causes

➊ Drugs – antibiotics (penicillin), NSAIDs, anaesthetic agents
➋ Foods – nuts, shellfish, eggs
➌ Insect stings
➍ Blood transfusion reactions – severe acute hemolytic transfusion reactions (AHTR) can mimic anaphylaxis:
• Occur rapidly during or after transfusion
• Symptoms: Fever, hypotension, dyspnea, back/chest pain
• Always consider in post-transfusion collapse

⸻

3️⃣ Management (ALS Adult Protocol)

➊ Remove trigger if known (e.g. stop transfusion or drug)

➋ Call for help / 2222 / resuscitation team

➌ IM Adrenaline (Epinephrine)
➤ 0.5 mg IM (1:1000) in mid-anterolateral thigh
➤ Repeat every 5 minutes if needed

➍ ABC approach:
1. Airway – High-flow O₂, consider airway adjuncts if compromised
2. Breathing – Monitor SpO₂, give oxygen, support ventilation if needed
3. Circulation – Lie patient flat, elevate legs, give IV fluids rapidly (e.g. 500–1000 mL crystalloid bolus)

➎ Additional Medications:
➤ Chlorphenamine 10 mg IV
➤ Hydrocortisone 200 mg IV
➤ Salbutamol neb for bronchospasm

➏ Monitor continuously:
➤ ECG, BP, pulse oximetry, urine output

➐ Post-crisis care:
➤ Observe for biphasic reaction (4–6 hours or longer)
➤ Refer to allergy/immunology
➤ Educate on adrenaline autoinjector use (e.g. EpiPen)

⸻

📚 Master medical emergencies with our high-yield clinical guides on our website:
🔗 www.mediconotes.com

⸻

27/05/2025

Metabolic Vs Respiratory Alkalosis

27/05/2025

Every Little Sip Counts – A Journey Through Your Baby’s First Feedings

Feeding your baby is more than nutrition — it’s love in its purest form. From the very first ounce cradled in your arms at midnight, to watching their tiny hands reach

Absolutely. Here’s a long, emotionally resonant caption for your baby feeding chart image:

⸻

“In Every Ounce, There’s a Story of Love.”

They don’t tell you how much power there is in a 3 a.m. bottle.
Or how those quiet, sleepy feedings — when the world is still and it’s just you and your baby — will someday become the memories you hold closest.

This chart may look simple — ounces, hours, milestones — but behind every number is a parent’s tired hands, a baby’s sleepy smile, and a thousand moments of silent strength.

From the tiny sips of the newborn days to the sticky bowls of first solids, every feeding is a love letter.
One that says:
“I’m here.”
“I’ve got you.”
“We’re learning together.”

There will be spills. There will be nights when you feel like you’re doing it all wrong.
But every bottle you prepare, every spoon you offer, every time you answer their cry — you’re writing their story.
A story of nourishment, of care, of showing up even when it’s hard.

This isn’t just a baby feeding chart.
It’s a timeline of the love you’ve poured — one ounce, one meal, one moment at a time.

So breathe. Cry if you need to. Laugh at the mess.
Because you’re doing more than feeding a baby.
You’re growing a heart that knows it is safe, seen, and loved.

27/05/2025

Drug used in Pediatrics

27/05/2025

Postpartum haemorrhage Causes & Risk factors

27/05/2025

UTERINE FIBROIDS (leiomyomas)
They are benign smooth muscle tumors of the uterus.
Fibroids occur in about 70% of women by age 45 but do not always cause symptoms.

While the exact causes aren't fully understood, potential contributing factors include:

Hormonal Influences
1. Estrogen and progesterone. Fibroids tend to grow during reproductive years when estrogen and progesterone levels are high.

Genetics
1. Family history: Women with a family history of fibroids are more likely to develop them.

Other Potential Factors
1. Age: Fibroids are more common in women 30-50 years old.
2. Obesity: Being overweight or obese may increase the risk.
3. Diet and lifestyle: Some research suggests a possible link between diet, lifestyle, and fibroid development.

Fibroids frequently cause the following
📝abnormal uterine bleeding
📝pelvic pressure
📝 sometimes urinary symptoms
📝intestinal symptoms
📝 infertility
📝 pregnancy complications.

Diagnosis is by:
📨 pelvic examination
📨 ultrasonography, or other imaging studies.

Treatment of patients depends on symptoms and desire for fertility and preferences regarding surgical treatments. Treatment may include
📝 estrogen-progestin contraceptives
📝progestin therapy
📝 tranexamic acid
📝 surgical procedures (eg, hysterectomy, myomectomNurse's networkse's network for more

27/05/2025

Pharmacology Basics!💪💪💪

Follow for more ✅

27/05/2025

Hallmark Signs/symptoms

27/05/2025

FEVER & TYPES, TREATMENT...............✍🏾
.................📌DESCRIPTION.......................

The "Pharmacology and Medicine" page provides accurate, educational content on pharmacology, medical advancements, and health topics, fostering informed and respectful discussions. This page does not promote anything.It is created only for medical students. It fully complies with Facebook's Community Guidelines, ensuring no misinformation, harmful content, or violations, and is dedicated to engaging its audience responsibly.
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27/05/2025

Emergency dose in 10kg Paediatric

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Fatty-Liver

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