Showing posts with label D. Show all posts
Showing posts with label D. Show all posts

Saturday, March 21, 2020

‏LABORATORY MARKERS IN COVID-19

‏LABORATORY MARKERS IN COVID-19 PATIENTS :microscope::syringe:
‏MOST FREQUENT
‏Decrease lymphocyte count
‏Decrease albumin
‏Decrease hemoglobin levels
‏Increase C-reactive protein (CRP)
‏Increase Erythrocyte Sedimentation Rate (ESR)
‏Increase Lactate Dehydrogenase (LDH)
‏Increase D-dimer

- Deaths from Covid-19 are due to (1) cytokine storm syndrome and (2) fulminant myocarditis.

- During a cytokine storm, an excessive immune response ravages healthy lung tissue, leading to acute respiratory distress and multi-organ failure.

- All Covid-19 patients sick enough for hospitalization should be given a serum ferritin blood test.

- Elevated serum ferritin values are a good first screening tool for the possibility of a cytokine storm syndrome in sick patients with high fevers.

- Treating Covid-19 infected patients with cytokine storm syndrome with IL-6 blockade (tocilizumab) has recently been reported in China with successful outcomes.

- Fulminant myocarditis :heart: has also been reported in patients with Covid-19

- Fulminant myocarditis is primarily caused by infection with viruses. It arises quickly, progresses rapidly, and may lead to severe heart failure or circulatory failure presenting as rapid-onset hypotension and cardiogenic shock, with mortality rates as high as 50%–70%.

- Physicians should pay attention not only to the symptoms of respiratory dysfunction but also the symptoms of cardiac injury.


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‏Source: Lippi G, Plebiani M. Laboratory
abnormalities in patient with COVID-19 infection. Clin Chem Lab Med. 2020 Mar 3. doi: 10.1515/cclm-2020-0198 Covid-19 🦠 Update:*

Sunday, May 15, 2016

Distichiasis

Distichiasis

 Hereditary and congenital condition

 Extra posterior row of cilia, occasionally present in all four lids

 Partial

Complete 


 They occupy the position of meibomian gland orifices

 Eyelashes may irritate cause to corneal epithelial defects

 May be also seen in Stevens Johnson’s syndrome—acquired distichiasis



 Treatment:

By cryotherapy or excision with grafting.
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