A young man came to the OPD with fever and shivering for the past two months. Fever was undocumented with shivering and especially would spike at night. It was associated with sweating as well. The patient has been visiting different hospitals and private clinics and received antibiotics and analgesic medicines multiple times. He also received …
Fever With Shivering for Two Months in a Young Man Read More »
Pulsus paradoxus is an exaggerated fall in a patient’s systolic blood pressure during inspiration by greater than 10 mm Hg. The fall in systolic blood pressure during inspiration in normal individuals is less than 10 mmHg. How to check for pulses paradoxus? Pulsus paradoxus is not checked as you check for radial, brachial, or carotid …
The government of Pakistan is doing its best to contain the coronavirus pandemic by imposing a lockdown. The infected counts are deceptively low more because of our reliance on the daily sick reports than provocative testing of the general public. The dissipation of Non-technical information and negative criticism is apparently adding to the confusion in …
When you get old, you become more prone to infections. Although “50 years” is not considered aged, you need to start taking vitamins to boost immunity and fight the infections. Aging is not a disease state but physiologic changes that do occur. Most patients note subtle changes like body temperature and sleep abnormalities after the …
Symptoms of Blood cancer are usually subtle and missed. Certain symptoms may point towards the disease and should not be taken lightly if present. Blood cancer means leukemias. Leukemias are classified as acute or chronic leukemia. Acute leukemia can be either myeloid leukemia or lymphoblastic leukemia. Chronic leukemia can be chronic myeloid leukemia or chronic …
What is osteoporosis? It is a disease characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in the risk of fracture. The Wolrd Health Organization (WHO) defines osteoporosis as a bone density that falls 2.5 standard deviations (sd) below the mean for young healthy …
Metabolic syndrome is also called “syndrome X” and “insulin resistance syndrome”. It consists of metabolic abnormalities that increase the risks of cardiovascular diseases (CVD) and diabetes mellitus. The main features of the metabolic syndrome are: Central obesity Hypertriglyceridemia Low levels of high-density lipoprotein (HDL) cholesterol Hyperglycemia Hypertension Prevalence of Metabolic syndrome: The highest recorded prevalence …
Difficulty in walking may be secondary to a disorder in the joints, muscles, peripheral nerves, or a central cause. This is a story of our patient who presented with vertigo and walking difficulty for the past six months. This patient has no comorbid conditions like Diabetes, Hypertension, or Cardiovascular diseases. He noticed that while walking, …
A 20 years old male previously in good health presented with a history of bouts of cough from the last week. The cough was associated with a low-grade fever but got settled after two days. It was not associated with any specific posture or day-night variation. The patient denied any history of shortness of breath, …
Can you diagnose this patient with bouts of cough? Read More »
Dengue Fever was previously (and even now) known for the classic symptoms of high-grade fever with severe body aches. The term “Bone-Breaking Fever” was derived because of the severe pains associated with it. However, with each epidemic, patients who get infected, acquire life-long immunity to one strain but at the same time become more hypersensitive …
Dengue Fever Symptoms and Dengue Hemorrhagic Fever Read More »