Ruai Lieth Kuon Khan

Ruai Lieth Kuon Khan Soft hearted but a silent🔕 warrior ✊who aspire to inspire before expired.

08/01/2026

Sending love to the ones healing and struggling in silence,your strength doesn’t go unnoticed.
Kuarmuøn 👑✊✨✍️

08/01/2026

We are living the age the Bible references "Bad will be called Good and Good will be called Bad"

Kuarmuøn 👑✊✨✍️

08/01/2026

Everyone needs to remember a simple truth: Wrong is wrong, even if everyone is doing it, and right is right, even if no one is doing it.

Kuarmuøn 👑✊✨✍️

08/01/2026

I accepted 1 fan badge from HISKI Unruly Man.

08/01/2026

COYG
North London forever, whatever the whether, these streets our own

Another year holding onto the One who holds my future in His hands and trusting Him to direct my paths…Kuarmuøn 👑✊✨✍️
06/01/2026

Another year holding onto the One who holds my future in His hands and trusting Him to direct my paths…

Kuarmuøn 👑✊✨✍️

❇️ Pleural Space Disorders (Respiratory Disorders)The pleural space normally contains a thin layer of lubricating fluid ...
06/01/2026

❇️ Pleural Space Disorders (Respiratory Disorders)

The pleural space normally contains a thin layer of lubricating fluid (~5–10 mL). Any abnormal accumulation of air, blood, pus, or excess fluid disrupts lung expansion and causes respiratory compromise.

1. Pneumothorax

Definition
→ Presence of air in the pleural space, leading to partial or complete lung collapse.

Pathophysiology
→ Loss of negative intrapleural pressure
→ Lung recoils inward → reduced ventilation

Types (High-yield)
→ Primary spontaneous (rupture of subpleural bleb)
→ Secondary spontaneous (COPD, TB, ILD)
→ Traumatic
→ Tension pneumothorax (life-threatening)

Clinical Features
→ Sudden pleuritic chest pain
→ Dyspnea
→ Hyperresonant percussion
→ Decreased breath sounds

Key Exam Point
→ Tension pneumothorax causes tracheal deviation, hypotension, raised JVP → immediate needle decompression

2. Hemothorax

Definition
→ Accumulation of blood in the pleural space.

Diagnostic Criterion
→ Pleural fluid hematocrit ≥ 50% of peripheral blood hematocrit

Common Causes
→ Chest trauma (most common)
→ Ruptured blood vessels
→ Malignancy
→ Anticoagulation

Clinical Features
→ Dyspnea
→ Chest pain
→ Signs of hypovolemia if massive

Management
→ Tube thoracostomy
→ Surgical exploration if ongoing bleeding (>200 mL/hr)

3. Empyema

Definition
→ Collection of pus in the pleural space, usually secondary to infection.

Etiology
→ Complication of pneumonia (parapneumonic effusion)
→ Lung abscess rupture
→ Post-thoracic surgery

Pathophysiology
→ Bacterial invasion → fibrin deposition → loculated pus

Clinical Features
→ Fever
→ Toxic appearance
→ Dull percussion
→ Reduced breath sounds

Pleural Fluid Characteristics
→ Thick, purulent
→ Low pH (

The gun we used for hustling during Xmas session to make money which this generation knows nothing about
03/01/2026

The gun we used for hustling during Xmas session to make money which this generation knows nothing about

🚨 Arteta really cooked here, Gabriel and Saliba are just a work of art for real💯 The two are a jackpot, we surely hit th...
03/01/2026

🚨 Arteta really cooked here, Gabriel and Saliba are just a work of art for real💯 The two are a jackpot, we surely hit the lotto twice here

The traditional spiritual man’s daughter.‎‎In the year 2014, when the country was already collapsing under crisis civili...
03/01/2026

The traditional spiritual man’s daughter.
‎
‎In the year 2014, when the country was already collapsing under crisis civilian targeting one another in brutal killing and chaos, we reshuffle to the village and I decided to add my own personal apocalypse: I fell in love. Not just with any girl, but with a goddess so radiant she could blind the sun itself. My only mistake? She wasn’t just beautiful, she was the freshly imported daughter of a traditional spiritual man. Yes, a man whose handshake feels like a military coup and whose stare could demote you from human to fly in zero minutes flat.
‎
‎To make matters worse, she was crushing on me too. Destiny clearly wanted me dead.
‎
‎One of my ancestors whispered the cursed words: “son, that’s the spiritual man’s daughter and we can't win him.” I swear my soul left my body, packed its bags, and booked a one-way ticket to safety. But the lady? Oh no, she was persistent. She hunted down all my ways like a CIA agent on a mission.
‎
‎Then came the night that changed everything. I saw the spiritual man himself beating another poor soul who had dared to flirt with his first daughter. The man’s life was dangling like a cheap Christmas ornament on a dry tree. That was my wake-up call.
‎
‎I sprinted to church next to our residential village at 10 a.m., collapsed on my knees, and begged the pastor to let me confess. I confessed sins I didn’t even commit. I confessed sins from the 1990s, sins from my neighbors, sins from Adam and Eve, just to be safe.
‎
‎I fasted for 40 days and 40 nights like a biblical marathon runner. I became the church’s unpaid intern, sweeping floors, singing hymns, and polishing pews until my fingerprints were holy.
‎
‎From that time update to date, I swore off women entirely. If a lady asked me for directions, I ran like Usain Bolt powered by fear. I changed my number, sold my phone, deleted Facebook, and was one step away from applying for witness protection.
‎‎Because let me tell you: this gender called female? Fear them. Fear them every two minutes of every hour. Fear them like rent day. Fear them like exam results. Fear them like the General’s belt.
‎
‎Life is yours, but survival requires one golden rule: fear women before they fear you.
‎
‎fiction
‎
‎✍️ kuarmuøn 👑✊✨✍️
‎

Quote of the day 😊!make an in and out list for yourself…in for 2026 more God and try dating…out for 2026 negative self t...
03/01/2026

Quote of the day 😊!
make an in and out list for yourself…in for 2026 more God and try dating…out for 2026 negative self talk, shame, and guilt Caring

Life advice!Take down the block walls of pain and set boundaries so you can still go through life and grow, experience a...
03/01/2026

Life advice!

Take down the block walls of pain and set boundaries so you can still go through life and grow, experience a plus feel your emotions.

Address

Juba
Sudan

Telephone

+256783005866

Website

Alerts

Be the first to know and let us send you an email when Ruai Lieth Kuon Khan posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Ruai Lieth Kuon Khan:

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram