Virtual Clinic v5
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thanksOriginally posted by alexkusu:not necessarily.
Ask reno for a more detail explanation
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...continued from first explanation...
There are altogether 2 main coronary arteries, the right and the left...
Let's make up some initials to get things going easily...
Right Coronary Artery (RCA)
Left Coronary Artery (LCA)
Please note that these are the two major branch, they will branch out to smaller arteries which serves the whole portion of the heart...
When an artery clogs up, the area before the clogging gets all the nutrition, and their waste products gets transfered out from that area...
But the area after the clogging gets no blood, or little blood, hence the active heart which requires a lot of oxygen and energy cannot function. Aside from that, toxic waste which is supposed to be transferred out stays there and accumulates behind leading to cell injury. Cell lacking of oxygen is called ischemia, and if this results in injury, the term is infarction, and if not intervene, the cell will die, which is then called necrosis.
During an infarction, the patient will present with symptoms of heart attack, such as fever, sweating, shortness of breath, giddiness, chest pain radiating to the left arm, general discomfort and a feeling of fainting...
These are important signs to look out for and to initiate the emergency system mentioned above... -
Yes... the brain will be lack of oxygen and this is called cerebral hypoxia... it is one of the important complications and the patient will become unconscious (hence the resuscitation)...Originally posted by alfagal:so..if e heart fails to pump blood, then e brain will lack of oxygen right?
The patient need to be sent immediately for advance support as the brain cells degenerate and die and cannot be reversed if this measure is taken too lightly. The brain cells can survive without oxygen within 2-5 minutes, more than that, and it will start to develop problems...
Hence, recognizing the symptoms is vital... -
Nephritis is a condition... may I know... if you have the full diagnosis? It would save some time for me to explain to you...Originally posted by Master -_-:My grandmother died of Nephritis which is inflammation of the kidney.
It has the effect of damaging and closing up the microscopic filters in the kidney. This means that in addition to various toxic waste products, the inflamed kidney filters out important proteins (larger molecules) from the blood. Therefore the characteristic symptom of nephritis is proteinuria which means the excessive removal of protein from the blood and its excretion in urine.
Will there be repercussions if treated regularly? And how come it is incurable?
But since it is proteinuria, I am suspecting a possibility of Nephrotic Syndrome...
How old is your granny when she contracted this disease?
Was there any notifiable information of cancer?
Did this kidney problem run in the family?
Does she have any medically related illnesses such as hypertension or diabetes?
Any history of kidney stones?
Any history of gouty arthritis? -
my question left unanswered...
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Ok thanks a lot guys
How about the leg ??
If get clog and not treated immediately
Will die????
What is the cause of it???? -
Ish... can't you be patient?Originally posted by Master -_-:my question left unanswered... 
I have to answer 3 other related medical problems... so your replies slow a bit lar... sorry yar...
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Originally posted by renorenal:Ish... can't you be patient?
I have to answer 3 other related medical problems... so your replies slow a bit lar... sorry yar... 
Seems I need to ask the question slowly
Sorry -
Yes, there is a condition of the leg vessels getting clogged up... this is referred to as Deep Vein Thrombosis, and one of it's complication which is death is Pulmonary Embolism whereby part of the clot in the leg veins break apart and makes its way to the blood vessels of the lungs, and if it is big enough, it blocks the T-junction (pulmonary arteries - recall anatomy) and stops all blood to the lungs and heart... this will cause an immediate death...Originally posted by gorby107:Ok thanks a lot guys
How about the leg ??
If get clog and not treated immediately
Will die????
What is the cause of it????
The best way is to PREVENT it by identifying risk factors... such as...
1) Obesity
2) Smokers
3) Pregnant ladies
4) Pelvic tumors
5) Varicose Veins
6) Hypercholesterolemia / Hyperlipidemia
7) Old age
Patient confined to bed
9) Post operative patients
Treatment once it has developed is first by identifying the clot through a Doppler Ultrasound which shows the blood flow capacity in the leg vessels.
Once recognized, we can either treat the patient with an anti-coagulant such as heparin or warfarin. We may also decide on surgery if the clot is huge enough and this is called embolectomy... -
Originally posted by gorby107:
Seems I need to ask the question slowly
Sorry -
seems like in other thread i heard someone calling my name ??Originally posted by renorenal: -
Yeah lor...Originally posted by subarugal:seems like in other thread i heard someone calling my name ?? -
who leh ?Originally posted by renorenal:Yeah lor... -
Originally posted by subarugal:who leh ?
me... oh yeah... kenot talk lovey dovey stuff here leh... for medical purposes only... have to talk outside in another thread... k? -
oh ok.. i do have something to ask.Originally posted by renorenal: me... oh yeah... kenot talk lovey dovey stuff here leh... for medical purposes only... have to talk outside in another thread... k?
i think if not wrong i came across you guys saying there is some back threads about weightloss or control threads of the past ? where is it ?
i am interested in keep carboh low .. and diet too.. not satisfied with current..
duromine ? or etc pills ? definate not Xenical ?
what is your recommend ? -
Errr... it's my suggestion that you should do without medications...Originally posted by subarugal:oh ok.. i do have something to ask.
i think if not wrong i came across you guys saying there is some back threads about weightloss or control threads of the past ? where is it ?
i am interested in keep carboh low .. and diet too.. not satisfied with current..
duromine ? or etc pills ? definate not Xenical ?
what is your recommend ?
Xenical = Orlistat is only used preferably for patients like I told you last time in PM, who are grossly obese...
Still, it is vital to keep to a controlled diet and exercise 3 times a week, 30-45 minutes per session...
Running and jogging are the best exercise which burns quite a substantial amount of calories accumulated over the past few days...
Keeping carbo low means you have to reduce the amount of rice you eat, the sugary drinks or gassy drinks, chocolates, sweets and hmmm... there are more of which I believe you would know
Keep a healthy balanced diet... you can refer to alex for this advise... I believe he will be able to calculate the right amount of calories for you, intake, output and balance per se... -
CLINIC CLOSED FOR THE DAY
Discussions for the day:-
1) Drug Resistance / Tolerance / Dependency
2) Urinary Retention - Complications
3) Presbyopia (thread in CC)
4) Haemorrhoids (thread in CC)
5) Muscle Relaxants (in *Ouch-Ouch*)
6) Haematinics (in *Ouch-Ouch*)
7) Myocardial Infarction / Heart Attack - Causes, Management, Resuscitation
8 ) Deep Vein Thrombosis (Causes and Complications)
9) Nephrotic Syndrome (Prevention and Management)
10) Reducing Weight (Methodology) -
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me is here
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Is the diabetes included?Originally posted by renorenal:Yes, there is a condition of the leg vessels getting clogged up... this is referred to as Deep Vein Thrombosis, and one of it's complication which is death is Pulmonary Embolism whereby part of the clot in the leg veins break apart and makes its way to the blood vessels of the lungs, and if it is big enough, it blocks the T-junction (pulmonary arteries - recall anatomy) and stops all blood to the lungs and heart... this will cause an immediate death...
The best way is to PREVENT it by identifying risk factors... such as...
1) Obesity
2) Smokers
3) Pregnant ladies
4) Pelvic tumors
5) Varicose Veins
6) Hypercholesterolemia / Hyperlipidemia
7) Old age Patient confined to bed
9) Post operative patients
Treatment once it has developed is first by identifying the clot through a Doppler Ultrasound which shows the blood flow capacity in the leg vessels.
Once recognized, we can either treat the patient with an anti-coagulant such as heparin or warfarin. We may also decide on surgery if the clot is huge enough and this is called embolectomy... -
There's also a surgery for those that grossly overweight who can't shed weight despite medications, balanced diet and exercising?Originally posted by renorenal:Errr... it's my suggestion that you should do without medications...
Xenical = Orlistat is only used preferably for patients like I told you last time in PM, who are grossly obese...
Still, it is vital to keep to a controlled diet and exercise 3 times a week, 30-45 minutes per session...
Running and jogging are the best exercise which burns quite a substantial amount of calories accumulated over the past few days...
Keeping carbo low means you have to reduce the amount of rice you eat, the sugary drinks or gassy drinks, chocolates, sweets and hmmm... there are more of which I believe you would know
Keep a healthy balanced diet... you can refer to alex for this advise... I believe he will be able to calculate the right amount of calories for you, intake, output and balance per se... -
It is possible... but not a major risk, unless combined with others factors...Originally posted by ndmmxiaomayi:Is the diabetes included? -
Yes... there is a surgery to remove the short intestines to disable food absorption into the body, hence the food will travel from the stomach into the large bowels to be excreted with minimial absorption.Originally posted by ndmmxiaomayi:There's also a surgery for those that grossly overweight who can't shed weight despite medications, balanced diet and exercising?
However, most of these patients restrict their diet to fluids and very soft diet.
Imagine the trauma to see you pooping what you ate...
But of course, there are different surgery, depending on which small intestines you want removed... -
CLINIC IS OPEN
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Eh I got question...these few days I have been feeling rather breathless and bloated after having my meals...is it because of the weather has become colder?