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Dengue and Scrub Typhus: Management and Treatment
Dengue and scrub typhus is endemic in many parts of India and Asia Pacific region and is considered to be a major cause of acute undifferentiated febrile illness. It is difficult to differentiate both the infections at their initial presentation as they share similar clinico-epidemiological features. Mosquito-borne infection, dengue is caused by one of the four dengue virus serotypes belonging to the genus Flavivirus. Despite providing supportive management, mortality rates due to dengue shock syndrome (DSS) and dengue hemorrhagic fever ranges from 3% to 11%. Scrub typhus is caused by Gram-negative intracellular bacterium, Orientia tsutsugamushi. It is associated with a 14%-20% mortality rate due to delay in diagnosis and initiation of antibiotic therapy. Hence, early detection is crucial in the management of these infections and can improve patient outcomes.
About the Speaker
Dr. Harikishan Boorugu
Internal Medicine Yashoda Hospital
Hyperlipidemia: Prevention and Management Strategies
Hyperlipidemia is a major risk factor for cardiovascular disease, which can lead to heart attack, stroke, and other serious health problems. There are two main types which include primary hyperlipidemia, which is caused by genetic factors, and secondary hyperlipidemia, which is caused by underlying health conditions such as diabetes, hypothyroidism, or kidney disease. Symptoms of hyperlipidemia are generally not noticeable, but it can be detected through a blood test called a lipid panel. Treatment typically involves lifestyle changes such as diet and exercise, and medications such as statins or fibrates may be prescribed to lower lipid levels.
Role of Anaesthesia in sustainable environment
Anesthesia plays a crucial role in reducing the carbon footprint of medical procedures by reducing the length of surgery and recovery time, leading to lower energy consumption and waste generation. The implementation of sustainable practices in anesthesia can also lead to cost savings for healthcare systems, further promoting environmental sustainability. By carefully monitoring and controlling the use of anesthetic drugs, waste and pollution can be reduced, while ensuring patient safety and comfort.
Decoding of Infection prevention
Since the advent of international jet travel, bacteria and viruses once confined to remote regions have frequently hitched rides with passengers, crossing multiple time zones in a matter of hours. As globalization continues apace, the public health community is redoubling its efforts to contain the spread of infections. Researchers at Boston University are bringing together their expertise in science, engineering, medicine, and health care management, as well as the specialized skills of investigators scheduled to work at BU’s National Emerging Infectious Diseases Laboratories (NEIDL) when the facility is fully functional, to speed up vaccine and drug discovery and to advance innovative health care delivery solutions for some of the world’s most vulnerable populations.
Resuscitation of Trauma
The goal of resuscitation following trauma is to restore blood flow and oxygenation to vital organs and prevent further injury. Trauma patients are often critically ill and may require rapid transport to a trauma center for advanced care. The use of advanced imaging and diagnostic techniques, such as CT scans, can aid in the identification and treatment of injuries. Hemorrhage control, either through direct pressure or surgical intervention, is often a key component of trauma resuscitation. The use of damage control surgery, which focuses on stabilizing the patient's condition rather than definitive repair, may be necessary in some cases.
Ultrasound in ER
Ultrasound is a non-invasive diagnostic tool that uses high-frequency sound waves to create images of the inside of the body. It can be performed at the bedside, which allows for rapid diagnosis and treatment. Ultrasound is particularly useful in ER because it does not expose the patient to ionizing radiation, unlike X-ray and CT scans. It is also useful in evaluating pregnancy-related emergencies such as ectopic pregnancy and miscarriage.