A man with HIV is swimming in a public pool. He scrapes his hand on the ladder and a little blood drips into the water. No one notices.
Whatโs the real chance another swimmer catches HIV from this, and why?
A woman had symptoms of acidity and heartburn. Doctors gave her general anesthesia and started to look for the cause by doing an endoscopy. A long parasite was removed from her esophagus.
Ascaris lumbricoides is a roundworm that can grow up to 35 cm long. People get it by swallowing tiny eggs from dirty soil or food. The eggs hatch in the intestine. Young worms then travel through the blood to the lungs.
From the lungs the worms are coughed up into the throat. They are then swallowed again and go down into the stomach. They finally settle and grow into adults in the small intestine.
Adult worms normally stay in the intestine. Sometimes they move upward into the stomach or esophagus. This can cause burning pain and the need for removal.
๐ SYNCOPE - Types
๐ธ๏ธNeutrally mediated syncope
๐ธ๏ธOrthostatic hypotension
๐ธ๏ธCardiac syncope
From : 2018 ESC Guidelines for the diagnosis and management of syncope
American Heart Association proposes to omit the following terminologies in it's latest scientific statement (May 2014)
โ๏ธ ๐๐ฎ๐ฅ๐๐ง๐ฉ๐๐ฃ๐จ๐๐ซ๐ ๐ช๐ง๐๐๐ฃ๐๐ฎ
โ๏ธ ๐๐ฎ๐ฅ๐๐ง๐ฉ๐๐ฃ๐จ๐๐ซ๐ ๐๐ง๐๐จ๐๐จ
Use of subjective emotive language such as ๐๐ง๐๐จ๐๐จ and ๐ช๐ง๐๐๐ฃ๐๐ฎ fail to acknowledge the nuances of treatment decisions and may encourage unnecessary antihypertensive treatment.
Therefore in a statement paper from AHA in May 2024, it is proposed the following objective terminology:
โ ๏ธ ๐๐ฎ๐ฅ๐๐ง๐ฉ๐๐ฃ๐จ๐๐ซ๐ ๐๐ข๐๐ง๐๐๐ฃ๐๐ฎ
๐ธ๏ธSBP/DBP >180/110โ120 mm Hg with evidence of new or worsening target-organ damage
โ ๏ธ ๐ผ๐จ๐ฎ๐ข๐ฅ๐ฉ๐ค๐ข๐๐ฉ๐๐ ๐ข๐๐ง๐ ๐๐๐ก๐ฎ ๐๐ก๐๐ซ๐๐ฉ๐๐ ๐๐ฃ๐ฅ๐๐ฉ๐๐๐ฃ๐ฉ ๐ฝ๐
๐ธ๏ธSBP/ DBP >180/110โ120 mm Hg without evidence of new or worsening target-organ damage
โ ๏ธ ๐ผ๐จ๐ฎ๐ข๐ฅ๐ฉ๐ค๐ข๐๐ฉ๐๐ ๐๐ก๐๐ซ๐๐ฉ๐๐ ๐๐ฃ๐ฅ๐๐ฉ๐๐๐ฃ๐ฉ ๐ฝ๐
๐ธ๏ธSBP/DBP โฅ130/80 mm Hg without evidence of new or worsening target-organ damage.
Source : The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association