₦airaland Forum

Sent to all

I've seen all the mails. I can't upload large files via email so I'm uploading them thru dropbox and you'll all get the download links

Bush2013:
my chief longest time. I sent you a pm

I've seen it. I'm now uploading the files to dropbox

Good evening everyone.

Straight to the point. In all my years of med school, I must say this is the only place I've both been appreciated for my efforts into ensuring we all succeed. One would assume that the medical students in my school would be primary beneficiaries, but that's story for another day.

Some weeks ago, I discovered some textbooks in Internal Medicine and Surgery that will certainly make your journey in Clinicals very easy. They're very straight to the point and contain relevant details that will be required of you. This would be the only place I will give those books to anyone.

Send me a pm using your mail to request for them, and I'll forward it to those interested.

Millex:
If a lady in a very hot room starts to shiver, what nervous system is affected? Or it it as a result of another disease?

How did she know the room was hot?

Room temperature measurement or subjective analysis?

OjoMadiba:
please doc's, anytime I want to sleep at night my nostrils will block, it will be like I have catarrh, but during d day am normal no catarrh ,at night my breathing becomes so strong like snoring, I no know wetin dey worry me ooo.

My contribution.

What you described is called Sinusitis/Rhinitis. It happens because when you lie down at night, blood flow to the head region increases and the blood vessels in the nose become more engorged compared to when you are either sitting, standing or ambulant.

Solution:
1)As recommended above, see an ent surgeon for assessment
2) While at it, you can take either of Procold or Actifed (it must be written Actifed). They're over the counter medications so there's no problem with prescription issues.

Ladybluecash:
Pls doctors in d house i need a med advice,,, my guy ejaculates inside of me during sex nd after he gives me ampiclause, pls is Der any harm to that. Thanks

There is a lot of harm to that
1) Ampiclox (Ampicillin + Cloxacillin) is an antibiotic not a contraceptive. You will get pregnant if you continue.

2) You're putting yourself at the risk of developing resistance to antibiotics

3) If the intercourse is frequent and by extension your intake of Ampiclox is frequent, you're putting your microbial flora (which acts as first line defence against infections) at severe risk.

Amhappy:
Doctors in the house please help me. I gave birth 23days ago. I had heavy bleeding twice including a serious emergency one(it was God that kept me alive)and done 2 mva for retained products on both occasions . The scan I did yesterday said small product is remaining and misoprostol was inserted since yesterday but I had no contraction or saw any products. Is this normal? Also I feel pressure on my vagina and the last time I felt this pressure I had bleeding. My delivery and first mva was at UPTH,the second and more serious one was a close private hospital. Both ends want me to watch and see but I'm worried. Pls help

Misoprostol takes some time to start contractions depending on the dose. Follow the earlier advise

inioluwajoe:
hi doctors
I have been feeling sharp pains in my bones especially in the leg and hands. it lasts about one minute and then stops. in addition I sometimes feel light headed and dizzy. I have ulcer but I don't know if ulcer exhibit such symptoms . finally I recently started experiencing lower back pain. any idea what is wrong with me?

First you don't know what's causing the ulcer. What you're describing fits into what could be the description of the complication of an ulcer or what is causing it.
Go to a hospital that has upper gastrointestinal endocscopy facilities. If the hospital you go to don't have, ask to be referred to one that does.

Tinaslim:
Hi Doctors. Please I need help

.firstly. I am really skinny. Under weight maybe.. I weigh 49kg ... And 5'8tall...
Most times when I stand for long I tend to feel dizzy and it only stops when I throw up... It has embarrassed me a couple of times.
I also tend to be short of breath when I do little things like climb staircases.. my heart beats fast and I loose breath. I don't know what's wrong with me.
I want to do a total body check up. But I don't know where to, here in Lagos. At an affordable rate.

See a doctor fast!!!
Go to a general hospital if you can't afford a private one. But do it fast.

I have been published in the Global Journal of Medicine and Public Health


https://www.dropbox.com/s/u5u7usnxa973b64/O5_Wound.pdf?dl=0

2ruink:
Before u became a mod, I was here. I can tell u d date of ur engagement. We made Seun famous. check my monika and date of registration. u go know say no be today. Telling people to stop madness over a proven fact. Don't u see, u are d mad beast here - clueless and wretched. What gives u joy? She was an Igbo woman?

What else do you expect from a homoerotic fvcktard??

Finally.

Future is looking bleak for Nigeria in this regard.

Keneking:
But where is lalasticlala sef...


Day don break for PPPRA oh -/amazing decision.

Piece of shit.

apese:
Simple and straight forward explaination. Thumps up!!

Thanks

prahcetomi:
Dr lomaxx!!........I believe slaps also helps in Emergencies...like a person who fainted can be revived with a face-tearing threatning slap.

Lmao.

Your sense of humor is dense I can't almost believe it

Sources:

https://www.nlm.nih.gov/medlineplus/ency/article/001927.htm

http://firstaidcourse101..com.ng/2010/08/how-to-recognize-emergencies.html?m=1

http://www.livehealthyaustin.com/2011/11/01/how-to-take-your-own-pulse-something-everyone-should-know/

Remain safe and healthy

Seizure.

The symptoms of seizures vary. The person may fall down and/or make erratic movements. Or their head might jerk and eyes flutter. This can happen to children who have a high fever, to someone with epilepsy, or when someone is having a stroke.


Any seizure warrants medical attention. If they fall down, get everyone away from them. Don't get near them; they could hurt you. Don't try to put something in the person's mouth (as used to be advised); it's too dangerous. Also, watch the clock -- how long the seizure lasts.

Don't make a tourniquet:

We don't use tourniquets anymore.

They cause too much damage to tissues. We advise putting direct pressure on the site. Even if it's a partial amputation, put a rag around it, hold it tight.

Bleeding.

There are nine units of blood in the body. The parts of the body that bleed a lot are the scalp, fingers, and toes. A nosebleed can bleed a lot. A cut in the vaginal area can bleed a lot. But they won't bleed to death.

Nosebleeds can have a serious cause, like high blood pressure, or they can be caused by chronic nose-picking. If someone with high blood pressure has a serious nosebleed, you're looking at potential disaster .

How to give the Helmich maneuver.



https://www.youtube.com/watch?v=7CgtIgSyAiU

Choking.

You're talking at the dinner table, and someone starts coughing. When does it become an emergency?


When they're coughing, it's OK, because there is air movement, they are breathing. If they're not making any noise whatsoever, you need to do the Heimlich maneuver. At that point, they are not breathing.

If they're coughing, doing the Heimlich can make it worse.

Also, hitting a choking person on the back can make the situation worse -- the food may go back into the windpipe. They need to work it out themselves; leave them alone, until they reach a point where there's no airway noise

Chest Pain.

If someone grabs their chest and says "my chest hurts," assume it's a heart attack. Chest pain is a heart attack until proven otherwise.

A 17-year-old can have a heart attack. Anyone can have a heart attack.

Make the patient comfortable:

If this person has been out in the heat, move them to a shady spot. If they're sweating, pour water over their skin.

Elderly people or very young children are more prone to heat-related conditions. If they're awake, give them fluids to drink.

How do you perform a CPR?

Here's a 5 minute video on how to perform a CPR.



https://www.youtube.com/watch?v=cosVBV96E2g

How do you check a pulse?

•Turn your left hand so that your palm is face-up.

•With the index and middle fingers of your right hand, draw a line from the base of your thumb to just below the crease in your wrist.
•Your fingers should nestle just to the left of the large tendon that pops up when you bend your wrist toward you.
•Don’t press too hard, that will make the pulse go away. Use gentle pressure.
•Wait. It can take several seconds—and several micro-adjustments in the placement of your two fingers on your wrist—to find your pulse.
•Just keep moving your fingers down or up your wrist in small increments (and pausing for a few seconds) until you find it.
•Notice whether your pulse is regular (keeps time like a metronome) or irregular (more random, fast-slow, fast-slow). An irregular pulse is a tell-tale sign of AFib or other heart rhythm disturbances.

To take your pulse rate:


•Find a watch with a second hand and place it on your right wrist or on the table next to your left hand.
•After finding your pulse, count the number of beats for 20 seconds.
•Multiply by 3 to get your heart rate, or beats per minute (or just count for 60 seconds for a math-free option).
•Normal, resting heart rate is about 60-100 beats per minute.



https://www.youtube.com/watch?v=W5K_HR6hxMY

Check breathing:

Listen for breathing through the nose, watch the chest for rise and fall.

Check pulse

Take a pulse, either at the wrist or neck. If they are breathing and have a pulse, you should stay with them to offer support.

Check alertness:

Ask, "Are you OK?"

If they respond, ask 'Do you know where you are?'

Ask things to determine level of orientation.

If they become unresponsive, check for pulse, check to see if they're breathing. If you're by yourself, you have to find someone to help you.

Stay calm

We've all heard stories about the Good Samaritan who gets hit by a car while trying to help someone else.

"Creating another accident or another victim complicates things much more -- almost more than not getting involved. If you can't help safely, you shouldn't help," Walters tells WebMD.

"It's important that you stay calm, make sure you're not putting yourself or anyone else in jeopardy, then attempt to help."