Hypertension and Lacunar stroke!

I would like to focus on hypertension-inducing brain stroke. There is always a chance of initiating brain stroke, suffering from malignant hypertension (MHTN). In the chronic stage (MHTN), there might be infarction of deep-brain structures, which is called lacunar stroke. Usually, deep structures of the brain are mostly involved in lacunar stroke, which is caused by the blockage of small arteries of deep brain.
Once this lacunar stroke is developed, it might be symptomless or mild symptoms are pronounced such as mild loss of sensation in the face, limbs or other parts of the body (sensory symptoms). MRI imaging method is useful to find out the lacunar stroke related deep brain lesions among the patients suffering from MHTN. However, it is useful to control chronic hypertension (MHTN) to prevent from lacular stroke.

Symptomless disease!

I desire to write about one devastating pathogenesis of major artery of human – carotid artery stenosis. I use to mention this stenosis carotid artery as carotid artery disease (CAD). The most devastating feature relating with clinical symptom is that this carotid artery stenosis sometime reveals symptomless, which is harmful for developing cerebral ischaemia. If we consider about medical problems that persuading carotid artery stenosis, cardiac disease (CD) or hypertension (HTN) are mentioned. Therefore, in regular medical check up of CD or HTN, it is wise to arrange one bed side examination of carotid arteries using US imaging method (ultrasound imaging).

Predictor of peripheral arterial disease and peripheral neuropathy!

A thorough clinical examination will pursue correct clinical diagnosis. With this perspective, I would mention two diseases - peripheral arterial disease (PAD) and peripheral neuropathy (PN). Peripheral arterial disease is caused due to peripheral arterial occlusion. The most common precipitating factor is atherosclerosis deriving from diabetes, hyperlipidaemia etc. In addition, Peripheral neuropathy is casued by infection related diseases (e.g., viral). Sometime it is a critical issue to assertain the specific physical symptoms of these two diseases - PAD and PN. Assessment of peripheral pulse should be a useful predictor for differentiate PAD and PN diseases.

Self-assessment can be fruitful!

Self-assessment can be a useful procedure in preventing some medical problems. For example, selft-assessment of any surface organ can detect any lump or sweling. We do not have to take these lump or swelling simple sometime. It is always a tendency to omit such lesions. Therefore, it is obligatory to assess the overall characteristics of those lesions in any surface organ of the body - size, shape, consistency are important to assess. For any abnormal score from self-assessment, it is wise to visit doctor for further medical procedures. Usuallay, beyond the 4th decade of life is delicate to grow any medical problem. So, self-assessment should be useful and fruitful, that I suggest.

Gingivitis (periodontal disease) can be fatal!

Gingivitis, a periodontal disease can be fatal in the course of pathogenesis. Sometime, we omit this gingivitis and we take it as a minor medical problem. First, I would like to reveal - what is gingivitis? The gingivitis is the infection of gum of tooth, caused by bacteria in general. When infection spreads upto 3mm or more than 3mm depth of gum, gingivitis is commenced. Now, the worst complications of this disease are heart disease or stroke. Recently, clinical study suggested that blood glucose concentration was increased in the patient, suffered from gingivitis, which is referred to gingivitis related diabetes. Therefore, precaution is to be taken to prevent from gingivitis inducing major medical problems such as heart disease or stroke. 'Dental hygene' is suggested.

Urinary urgency should not be neglected!

A mild medical symptom can be fatal and life-threatening. It is neglected as well. With this view point, I would mention 'urinary urgency' of male individual. It is postulated that some male subjects suggests urinary urgency (intermittent void) at night. Sometime, this persuades wake up at mid-night. This symptom sometime is avoided by someone, who suffers from it. He feels it as normal physiological process; however, this may be fatal and/or life threatening. This should be taken into medical symptom among middle-aged males. Medical check up is suggested for evaluate any abnormal genito-urinary function. Medical assessment of prostate is an appropriate choice with imaging evaluation and PSA assay, to arrange a 'timely medical management'.

Snoring can be a fatal medical problem!

Snoring is a physiological disorder that we often omit. It is always taken as less important physical problem; however, recently, it is studied that this snoring can be fatal medical problem. It is studied that elderly individual suffering from snoring may have absent respiration (apnea) for few
seconds during sleep. Then, intermittent snoring would aggravate cardiac related symptoms. Obesity is a significant cause of snoring among different age group. In another, elderly people suffer from snoring due to aging process. Therefore, physiological rehabilitation would be an important
non-therapeutic management of snoring for different age group individual as to prevent from it. Deep voice training is suggested, revealing useful physiological rehabilitation.