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A case to crack π and don't forget to share
Chioma is a 22 year old girl who came to the hospital with joint and muscle pain.
She's very athletic winning medals and her breakthrough came after representing Nigeria in swimming . She won gold
Chioma has been invited around Nigeria to teach upcoming swimmers.
Two weeks ago she visited the village to say hello to Grannies. The village herbalist has always had issues with Chioma and Western Education.
But Chioma still paid him a visit nevertheless
Back in the city
On this fateful day after a swimming class. Chioma retreated back home.
She noticed she could not breath later that evening..she doesn't have Asthma.
She called an Uber and rushed to the hospital
At the hospital Chioma was having joint pains ..and muscle pains.. Chioma's breathing got worse.
Chioma's mum thinks it's the village herbalist who is jealous
What could have happened to Chioma?
Don't forget to tag your friendsπ and answer
NB...
The name mentioned above isn't associated with anyone living or dead. And most likely a coincidence if it bears any similarity
Chioma has actually been practicing Diving Lessons for her next competition.
She developed Decompression sickness.
Not very common but happens when some dissolved gases form bubbles within the body during high altitude diving.
It is common amongst Divers
Usually the air bubbles can be present in a lot of places with Joints being the most common location.
Others Lungs (shortness of breath, etc), Brain, Skin,
Chioma was admitted given 100% hyperbaric oxygen, fluids and she's better.
Stay tuned for more cases π
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Friday let's crack this case. RT tooπ
50 year old woman presents with history of cough of 2 months duration
She had history of joint pain which was always associated with early morning stiffness
significant history was that she has had Tuberculosis in the past
After tests were done she was told she had Rheumatoid arthritis.
She was put on medications
Unsatisfied with the Doctor's plan she jetted out to Helsinki for vacation where she met another Doctor who gave her a trial of Infliximab and she got better
She was to attend her daughter's wedding in Nigeria.
During the Owambe planning she noticed she was coughing
Diabetes is popularly thought to be only a problem with body to control sugar.
This isn't true
Check out this thread on Diabetes, care and RT #diabetes #sugar
Your body produces a chemical called Insulin.
Insulin controls breakdown of sugar, fats, proteins and other things
Diabetes happens when you either are not producing insulin or Insulin isn't acting well.
So definitely sugar, protein, fats etc will be affected
Usually symptoms can include
-No symptom
-drinking too much water from thirst
-urinating too much
-waking up at night to urinate
-losing weight
-increased appetite despite eating so much
(This isn't to create a scare this is my personal experience and how it was managed)
Had the vaccine on my left arm.
Day 1-Well little pain at the site
I was fine till around 10 hours after when it all started. I wasn't ready
I noticed I had Fever, Body ache..well started mildly..after about an hour it got a bit bad. I could barely move
Started having chills and rigors and was biting my teeth
I could not sleep I was just rolling like a log of Eba looking for bearing
I went to get Analgesics and immediately I took it I felt a little relief.
At some point I was feeling dizzy thankfully there was an elevator for me to move
Woke up next morning with weakness, took another dose of analgesic felt better but I started having loss of appetite
Lately we have been seeing them develop DVTs (clots in the leg),Well 4 cases of Pulmonary embolism (clot in the lungs)
Due to sitting in a position for long. If you're in this category. Try getting TED stockings it reduces the risk
DVT means Deep Vein Thrombosis, when you are in one position for long, chances are the blood can stay in one position and harden to form clot (Imagine PAP)
Pulmonary embolism- the clot can move from the legs to your chest. It can kill you ( This killed GOLDIE the musician RIP.
TED Stockings means Thromboembolic Deterrent Stockings also called Compression stockings
Basically how it works it is squeezes the muscle of the legs and prevent blood from staying in the legs and reduce the chances of having clots. It is cheap and easy to wear
Basically CIPA is a condition in which due to mutation of a gene that is involved in production of a protein that is involved in pain and temperature sensation. The patient does not feel pain, there is also destruction of nerves to sweat glands so patients don't sweat
a way this patients present is with injuries from skin even to bone injuries. this occurring repeatedly can cause infections in the patient.
Sweating is a way the body cools off, no sweat disturbs body function and can cause Fever and seizures
This rare syndrome is similar though with subtle difference to Congenital Pain Asymbolia which was described by Late Nigerian Ibadan Professor, Prof Osuntokun in 1968.
I will find the article and send to you. A similar case was seen in 1966 in ibadan but with deafness