Toxoplasma Gondi


S/S: Mild s/s in healthy adults, mild flu like s/s, swollen lymph nodes, during pregnancy: congenital toxoplasmosis. Headache, confusion, seizures hemiparesis, CN + brainstem involvement, hemiparesis, focal neurological symptoms, CD 4 count < 100 cells / mic L in people with AIDS. II Spread: poorly cooked food containing a spores, infested cat feces, infected mother & blood transfusion. Imaging: MRI: show Ring enhancing lesions in the white matter , basal ganglia, corticomedullary junction. Labs: + antibodies in serology amniotic fluid or positive CSF polymerase chain reaction. Rx : 👉🏿 Wash hands and wear gloves if you clean the cat litter. Cook meals well.

Prognosticating Multiple sclerosis

Prognosis of Multiple sclerosis 👉 Older age at onset đź‘‰ Male👉Low VIT D👉Smoking👉Multiple comorbidities👉Higher number & volume of T-2 …

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Amitriptyline (Elavil)

Amitriptyline (Elavil)
Uses: :
Neuropathic pain
Postherpetic Neuralgia
Migraine prophylaxis
Eating disorder
effective in 3 weeks
10-25 mg hs; 100-300 mg po / d as hs

CPOT : Critical care pain observation tool

Not intubated
Facial expression : 0= relaxed, 1= tense 2= grimacing
Body movement : 0 = no movement, 1= protection 2 = restless
Muscle Tension: 0= relax 1= tense 2 = Stiff / very tense

< 2 : not in pain > 2 : unacceptable pain