Gaby medical centre

18/02/2018

Cranial Nerves.

02/01/2018

AMNESTIC STATE ( FORGETFULLNESS)
The limbic and para limbic system form the limbic network.

The behavioral affiliations of this network include:
1. The coordination of emotion, motivation, autonomic tone.
2. Endocrine function.
3. Declarative (conscious) memory for recent episodes and experiences. A disturbance in this function is known as an amnestic state.

In the absence of deficits in motivation, attention, language, or visuospatial function, the clinical diagnosis of a persistent global amnestic state is always associated with bilateral damage to the limbic network, usually within the hippocampo-entorhinal complex or the thalamus.

However, it should be noted that the limbic system is not the storage site of memory. Memory is stored throughout the cerebral cortex.
The role of the limbic network network is to bind these
distributed fragments into coherent events and experiences that can sustain conscious recall. Damage to the limbic network does not necessarily destroy memories but interferes with their conscious (declarative) recall in coherent form.

Differentials ( Always consult)
1. Temporal lobe epilepsy, mild head injury or early dementia, . 2. Confusional states caused by toxicmetabolic
encephalopathies and frontal lobe damage
3. Many neurologic diseases; Tumors (of the sphenoid wing, posterior corpus callosum, thalamus, or medial temporal lobe), infarctions (in the territories of the anterior or posterior cerebral arteries), head trauma, herpes simplex encephalitis, Wernicke-Korsakoff encephalopathy, paraneoplastic limbic
encephalitis, and degenerative dementias such as Alzheimer’s or Pick’s disease.

13/12/2017

An efficient laboratory assistant is needed at Gaby medical centre ugently. Those interested can drop their application forms at the facility.
Merry Christmas to all our esteemed clients/well wishers

13/12/2017

Gaby medical centre is in need of a nursing assistant/enrolled nurse to work over the weekends(Saturday and sunday) from 8am to 9:30pm. He/she should be staying around kireka/bweyogerere.

13/12/2017

CATARACT

Cataract is the term used to describe a clouding of the lens of the eye.
The lens is a transparent oval shaped structure located near the front of the eye. Light, entering the eye through the cornea, passes through the lens and strikes the retina, and the optic nerve transmits this light signal to the brain. The lens is suspended from the ciliary body by a series of fibres, and is bathed in the fluid of the anterior chamber to the front, and the vitreous body to the rear.

The lens can be stretched by the muscles of the ciliary body and this alters the focal length and allows objects at different distances to be seen clearly.
The lens consists of three layers, an outer sac or envelope, a frontal epithelial layer and the body of the lens. All of these layers are made of transparent fluid filled cells.

The lens is normally a crystal clear structure allowing the uninterrupted passage of light.

Any damage to the cells of the lens caused by trauma, radiation, UV light, drugs or systemic diseases can result in a loss of transparency and impaired vision.
Cataracts are most often associated with ageing, and it is thought that this may be due to degeneration or loss of the frontal epithelial cells with consequent reduction in the generation of new fibre cells and the exchange of fluid and nutrients with the existing fibre cells. Fibre cells deprived of nutrients and fluid undergo degenerative changes, including the deposition of clumps of protein. These degenerative changes result in a gradual clouding of the lens which affects light transmission and interferes with vision.
Senile cataracts have been associated with a number of systemic conditions including hypertension, cardiovascular disease, diabetes, allergies and cholelithiasis.

SIGNS & SYMPTOMS
- Patients usually present with a gradual blurring of vision, fading or yellowing of colours and poor night vision. .
- They may also complain of glare from bright light, sunlight or headlights or see haloes surrounding light globes or street lights.
- In some cases patients with cataracts experience changes in the lens which alter the focus and this can temporarily improve short sight.

Conditions with Similar Symptoms
• Age related macular degeneration

•Retinal detachment

•Keratitis

•Uveitis

•Tumor

INVESTIGATIONS
Optometry to determine visual acuity, contrast sensitivity etc
Slit lamp examination for evidence of lens changes
CT or MRI scan if cataract not detected

TREATMENT.
Although a number of medications including aldose reductase inhibitors and sorbitol lowering agents are under investigation for the treatment of cataracts, none of these medications are of proven efficacy.

Current treatment consists of surgical removal of the defective lens and replacement with an artificial plastic lens. This is a relatively simple procedure which is done under local anaesthetic.

A small incision is made in the cornea and a probe is inserted through the incision into the defective lens. The probe uses ultrasonic waves to break up and emulsify the cells of the lens and this material is then sucked out through the probe. A replacement lens is then inserted through the incision in the cornea. The replacement lenses are made of soft pliable plastic and are folded so that they can fit through the small incision in the cornea. There are a number of different types of lens available which can correct a variety of vision problems, resulting in significantly improved vision for most cataract patients.

Patient Management
After surgery, patient should avoid heavy lifting or straining to prevent increased intraocular pressure.

Refer all Cients with Cataract to Eye Specialits.

06/11/2017

Folic acid (vitamin B9) is vital for the female body because it:

− participates in the synthesis of erythrocytes
− improves memory
− contributes to the renewal and division of cells (i.e., it preserves skin, nails, hair youthfulness)
− participates in the metabolism of carbohydrates, proteins, and fats
− is necessary for the health of the cardiovascular system
− supports mental and emotional health

Spinach, parsley, cabbage, cauliflower, broccoli, potatoes, liver, eggs, citrus, mango and raspberry are rich in folic acid, but its concentration is low and decreases with heat treatment.

Folates are not stored by the body. Many women experience folate deficiency in the diet. That's why it is important to take vitamin B9 supplements.

20/10/2017

DEFINITION OF INFERTILITY.

Infertility is defined as the inability to conceive after 12 months of unprotected sexual in*******se.

Infertility has two types:
1. Primary, no prior pregnancies.
2. Secondary, previous conception.

In a study of about 5574 women, who ultimately conceived, pregnancy occurred in 50% within 3 months, 72% in 6 months and 85% within 12 months. These findings are consistent with findings on fecundability.

Fecundability is the probability of achieving a pregnancy in one menstrual cycle. Assuming a fecundability of 0.25%, 98% of couples should be able to conceive in 13 months.

COMMON CAUSES.
1. Male factors include inadequate or abnormal production of s***m eg in smokers, injury, malignant disease, malnutrition. And s***m delivery problems eg erectile dysfunction.

2. Female factors include ovulatory dysfunction eh stress, polycystic ovarian syndrome.
Tubal factors, cervical factors, uterine factors.

TREATMENT.
1. Education.
2. Medical. Ovulation induction.
3. Surgical for example tuboplasty, s***m washing.

18/10/2017

BACTERIAL VAGINOSIS

It is now established that women with BV are at a greater risk of second trimester miscarriage and preterm delivery during pregnancy, which may result in perinatal mortality or cerebral palsy.

"Women with a prior history of second trimester loss or idiopathic preterm birth should be screened for BV and treated with metronidazole early in the second trimester.

It has also been demonstrated that treating women with BV with metronidazole prior to termination of pregnancy reduces the subsequent incidence of endometri-tis and pelvic inflammatory disease (PID).

04/07/2017

15/04/2016

15/04/2016

We currently offer medical ,laboratory and radiography services. Come for quality health care.