Dr Abdikani

05/04/2018

Incision Drainage of skin abscess

04/04/2018

30/03/2018

29/03/2018

21/02/2018

15/02/2018

Medical Terminology for inflammation of 🏥💉.
: inflammation of liver
:inflammation of joint
:inflammation of bronchi
:inflammation of heart
:inflammation of cervix
:inflammation of colon
:inflammation of intestine
:inflammation of stomach
:inflammation of tongue
:inflammation of larynx
:inflammation of uterus
:inflammation of va**na
:inflammation of urinary bladder
:inflammation of spinal cord
:inflammation of kidney

11/12/2017

In light of the announcement by President Trump to recognize Jerusalem as the capital of Israel, Muslims should all know this basic outline of history:

1897: First World Zionist Congress held in Switzerland.
- Announces plans to establish a home for Jews in Palestine.
- Zionism was opposed by a MAJORITY of Jews around the world for the next 50 years (until the Holocaust)
- At the time, Jews lived peacefully with Muslims and Christians in Palestine, and were around 3 % of the population.

1917: Balfour Declaration.
- UK Foreign Minister Lord Balfour agrees to carve out a state for the Jews in Palestine.
- Around 11 % of the land is now occupied by Jews, a majority of whom emigrated from Europe based on Zionist ideology and monetary aid.

1922 onwards: The League of Nations grants the UK a 'Mandate for Palestine'
- Effectively, Britain is given political control of the land, without the consent of those living there.
- While the authorities attempted to limit Jewish emigration, terrorists attacks against them by Jewish groups (most famously, the bombing of the King David Hotel, which left almost a hundred people dead), caused Britain to realize that it had dug itself into a deep hole. In response, it decided to simply walk out of it.

1948 onwards: The nation-state of Israel is created.
- Almost immediately, around a million Palestinians are forced out of lands that are taken over by the state of Israel.
- Massive immigration of European Jews, post World War 2, into Israel. Demographics change, and a majority of the land is now non-Muslim for the first time since the Crusades.
- Jerusalem is controlled by both Jordan (East Jerusalem) and Israel (West Jerusalem), as per UN agreement.

1967: Israel invades East Jerusalem and occupies it. Parts of the al-Aqsa complex are bombed and destroyed. Now Jerusalem is under complete Israeli control.

1967-Dec 2017: No country in the world recognizes Jerusalem as the capital of Israel, understanding its history and appreciating the fact that the UN had declared it to be shared between Muslims and Jews.
- Trump becomes first world leader outside of Israel to consider Jerusalem the political capital of Israel.

Current statistics indicate that around 75 % of Israel is of Jewish background, and 17 % Muslim.

History shows that oppression shall never result in peace. And theology teaches all of us who believe in the Abrahamic message that those who wrong others will be called to account, in this world, and in the next.
Injustice is the greatest sin that man does against man, and Allah does not allow injustice to go unreckoned.

07/12/2017

Health Tip of the Day !!!!!!!!!!!!

27/11/2017

Obesity

A. General characteristics

1. BMI ≥30 kg/m2
2. About one-third of US population is obese (increasing prevalence in adults, adolescents, and children)
3. Obesity is associated with an increased risk of hypertension, dyslipidemia, diabetes mellitus, cardiovascular disease, and osteoarthritis.

B. Causes

1. Result of chronic mismatches in energy balance (energy intake > energy expenditure )
2. Energy balance determined by several variables, including metabolic rate,
appetite, diet, and physical activity.
3. These factors that determine energy balance are influenced by both genetic traits
and environmental behaviors (excessive food intake, decreased physical activity.)
4. Drug-induced (less common)—glucocorticoids, antipsychotics, antidepressants,
oral hypoglycemics, and antiepileptics
5. Neuroendocrine disorders such as Cushing syndrome and polycystic ovarian syndrome (PCOS)

C. Diagnosis

1. All adults should be screened by measuring height, weight, and calculating body
mass index (BMI)
2. BMI = body weight (kg)/height2
(meters)
3. Overweight and obese patient should be further screened with waist circumference
to assess abdominal obesity.
4. Waist circumference of ≥40 in in men and ≥35 in in women is considered elevated
and corresponds with an increased cardiometabolic risk.
5. Patients with abdominal obesity are at increased risk for heart disease, diabetes,
hypertension, dyslipidemia, and nonalcoholic fatty liver disease.

D. Treatment

1. The main treatment for obesity is dieting and physical exercise.
2. Medications if dieting and physical exercise fail. Orlistat (pancreatic lipase inhibitor), lorcaserin (selective 5-HT2C receptor agonist), and combination phentermine
and topiramate (exact mechanism of action unknown), have shown some benefit.
3. Bariatric surgery remains the most effective treatment for obesity. It has been
associated with long-term weight loss, improvement in obesity-related complications, and decreased mortality.
4. Bariatric surgery should only be attempted in patients with a BMI of 40 kg/m2
or
greater who have failed a sufficient exercise and diet regimen (regardless of use
of obesity medication) and who present with obesity-related comorbid conditions
(such as hypertension, diabetes mellitus, and hyperlipidemia).

20/10/2017

15/10/2017

Carpal Tunnel Syndrome

A. General characteristics

1. Caused by median nerve compression within the tight confines of the carpal tunnel, causing numbness and pain in median nerve distribution. If long standing and
severe, atrophy of thenar muscles may be seen.

2. Associated conditions include hypothyroidism, diabetes, repetitive use of hands in
certain activities, pregnancy, recent trauma, or fracture of the wrist.

B. Clinical features

1. Numbness, pain, or tingling in the median nerve distribution—usually worse at
night; sometimes patient has pain/numbness along the entire arm (as far as the
shoulder).

2. Muscle weakness and thenar atrophy may develop later.

C. Diagnosis

1. Physical examination

a. Tinel sign—tap over median nerve at wrist crease; causes paresthesias in medi￾an nerve distribution
b. Phalen test—palmar flexion of the wrist for 1 minute; causes paresthesias in
median nerve distribution

2. Electromyography (EMG) and nerve conduction velocity (NCV) study

a. For definitive diagnosis
b. Indicated if diagnosis is not clear from clinical findings or if patient develops
weakness or persistent symptoms

D. Treatment

1. Wrist splints (volar carpal splint) should be worn at night during sleep. The pur￾pose is to prevent wrist flexion during sleep (which compresses the nerve).

2. Anti-inflammatory medications (NSAIDs).

3. Local corticosteroid injection—relief can be long term in some patients.

4. Surgical release is very effective. Consider this option for patients who have per￾sistent symptoms or if the symptoms are limiting the patient’s activities or quality
of life�.

15/10/2017

Thrombotic Thrombocytopenic Purpura

A. General characteristics

1. TTP is a rare disorder of platelet consumption. Patients with TTP lack functional
ADAMTS13, a protease that cleaves von Willebrand factor (vWF). Ultralarge vWF
multimers build-up in the blood as a result of this deficiency.

2. Microthrombi (mostly platelet thrombi) occlude small vessels leading to microan￾giopathic hemolytic anemia—any organ may be involved. They cause mechanical
damage to RBCs (schistocytes on peripheral smear)

3. This is a life-threatening emergency that is responsive to therapy (see below). If
untreated, death occurs within a few months.

B. Clinical features

1. Hemolytic anemia (microangiopathic)

2. Thrombocytopenia
3. Acute renal failure (mild)
4. Fever
5. Fluctuating, transient neurologic signs—can range from mental status change to
hemiplegia

C. Treatment

1. Plasmapheresis (large volume).

a. Begin as soon as diagnosis is established (delay in treatment is life-threatening).

b. Response is usually good (monitor platelet count, which should increase).

2. Corticosteroids and splenectomy—may be of benefit in some cases.

3. Platelet transfusions are contraindicated.�