Lagusta: Dr. Centje, lets yarn more stuff, please tell me a little about tako tsubo cardiomyopathy, we were asked during our final MBBS

i actually never knew of such type of cardiomyopathy,but i researched and got it's a stress induced cardiomyopathy.

~vicky~:
ok am so impatient
is there Clubbing of the toes too?
does lung cancer cause the clubbing too?

yes to both questions. The toes can also club. Have you seen one before?

Nah it's not o!

Ah! This is for chat on a topic. Ask any thing,dear.

Yes,once the condition causing it is treated the clubbing usually resolves.

centje: i actually never knew of such type of cardiomyopathy,but i researched and got it's a stress induced cardiomyopathy.

in fact, that question got my brains boiling!!!!

Now back to turner's, apart from finger clubbing and webbed neck, they also have short stature, widely-spaced ni.pp:les, may be mentally retarded,, and, unfortunately, they are sterile, they can never have children.....

Hope i am correct sir!!!!

Why would someone go that deep for a student

Finger clubbing is not really part of the features. But they can have it if there's cyanotic heat disease. Some of them can have such condition.

Let's chat in the other thread. That's where we have non academic discussions. Click [url=https://www.nairaland.com/1235064/m%C3%ABd%C3%AEx-%C3%A7%C3%A5ll-r%C3%B6%C3%B3m]here[/url]

Lagusta:

in fact, that question got my brains boiling!!!!

Now back to turner's, apart from finger clubbing and webbed neck, they also have short stature, widely-spaced ni.pp:les, may be mentally retarded,, and, unfortunately, they are sterile, they can never have children.....

Hope i am correct sir!!!!

Technically, they arent sterile, rather they are infertile. This is because they actually produce germ cells (oocytes), but these get exhausted even before puberty is reached. By that time, their ovaries are streak and they have no more oocytes, and oocytes are not produced after birth. So i reason that if it's possible to harvest their oocytes at any stage before they are destroyed, and then preserve it, then they can actually have own children. Moreover, Turner's with mosaics may even do better than complete XO's since the chromosomal anomaly isnt total in that case.

centje: Let's chat in the other thread. That's where we have non academic discussions. Click [url=https://www.nairaland.com/1235064/m%C3%ABd%C3%AEx-%C3%A7%C3%A5ll-r%C3%B6%C3%B3m]here[/url]

Seems only one thread is active. Won't it be better if we put both discussions on this thread? We could even replace with the doctor thread on top (that's if more medics come on board). What do you think?

omicron: Technically, they arent sterile, rather they are infertile. This is because they actually produce germ cells (oocytes), but these get exhausted even before puberty is reached. By that time, their ovaries are streak and they have no more oocytes, and oocytes are not produced after birth. So i reason that if it's possible to harvest their oocytes at any stage before they are destroyed, and then preserve it, then they can actually have own children. Moreover, Turner's with mosaics may even do better than complete XO's since the chromosomal anomaly isnt total in that case.

hmmm, i used to believe they were sterile ooo, thanx for the correction

and yes, mosaics have a better prognosis than full-time turners

dominique:

Seems only one thread is active. Won't it be better if we put both discussions on this thread? We could even replace with the doctor thread on top (that's if more medics come on board). What do you think?

Am just trying to avoid off topic in this one...'cause they will definitely come up. And you know health section doesn't have any chat room. My second intention was for the other thread to serve as chat room for health section posters.

You the boss,and oga at the top...i follow your orders

@omicron
Is it in practice now,to harvest their eggs and preserve them?

centje:
Am just trying to avoid off topic in this one...'cause they will definitely come up. And you know health section doesn't have any chat room. My second intention was for the other thread to serve as chat room for health section posters.

You the boss,and oga at the top...i follow your orders

Lols they're your threads, you decide what to do with them. I'm only making a suggestion so as not to make one thread completely obsolete

centje: @omicron
Is it in practice now,to harvest their eggs and preserve them?

I don't think so.

A 31 year old male,who had fracture of both right radius and ulnar. He discontinued management because of financial issues. But later came back with deformity of the right forearm and malunion as shown in the x-ray.

What are the treatment options for this patient?

.

centje: A 31 year old male,who had fracture of both right radius and ulnar. He discontinued management because of financial issues. But later came back with deformity of the right forearm and malunion as shown in the x-ray.

What are the treatment options for this patient?

What should be done for this patient is corrective osteotomy. From the x-ray photos, you can see that there is an exuberant callus formation and malunion at the fracture site. Corrective osteotomy involves "re-creating" the initial fracture surgically, chipping out the useless callus, repositioning of the bone. Then hold it fast with an implant. Then allow a time interval of 3 weeks before light mobilization with the aid of clutches. The patient should also be placed on antibiotics and analgesic cover post-op. Don't forget fluid management. Also remember to group and crossmatch blood before the surgery, then make 4 units available since the area is know to be richly supplied and bled a lot during surgery.

@ACM
What you wrote was almost exactly what was done for the patient.

Bloodless operating field was created using tourniquet-induced exsanguination.

Then corrective osteotomy was done just like you described. It's a challenging surgery.

Wound drain was place after the surgery 'cause of re-perfusion when tourniquet is removed. Elevation of hand is also important.

Am actually tired and drowsy writing this. Maybe tomorrow when my head is clearer i will add more.

But why mobilise him on crutches?

dominique:

Lols they're your threads, you decide what to do with them. I'm only making a suggestion so as not to make one thread completely obsolete

Let's chat in that tried and reach a conclusion on whether to close it.

K

Which procedure is this?
What will be diagnosis?
How will you manage this patient?
What are the complications that may result from the condition and from its treatment?

centje: Which procedure is this?

Looks more like proctoscopy

What will be diagnosis?

Looks more like an internal haemorrhoid

How will you manage this patient?

It depends on the stage.
Stage 1 and 2: managed conservatively with dietary modification, sitzbath, etc
Stage 3 and 4: Managed surgically by haemorrhoidectomy.

What are the complications that may result from the condition and from its treatment?

Haemmorrhage, anaemia, fistula-in-ano, infection, etc

You're right ACM.

.

A

They are related.
What do you think is the problem?
How is the condition managed?
What are the possible complications of the condition?
Can their intelligence be affected?

What? Answer nah...