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.

Benefit of dark chocolate!

Chocolate is a delicious food that my daughter always presses me to buy for her. However, this chocolate has greater beneficial effects on cardiovascular health. It is suggested that one bit of dark chocolate per week may reduce the risk of heart disease (risk of heart failure) [source: Journal of Circulation]. The mechanism is not clear enough; however, it is investigated that flavonoid ingedient in the cocoa acts on blood vessel and reduces the blood pressure. Therefore, it is wise to maintain a normal blood pressure as to prevent from heart diseases.

Brain hemodynamic imbalance and antihypertensive drug!

Drugs have therapeutic effects and as well they also have side effects. However, most of the drugs do not show their adverse effects strongly. It is observed that some important drugs sued
in the major clinical disorder, have sometime major side effects. For this purpose, I would mention, one important anti-hypertensive drug (nifedipine) has adverse effect on global cerebral (brain) blood flow. One case study using nuclear medicine technique (SPECT scan) revealed that administartion of anti-hypertensive drug, nifedipine among hypertensive patients initiated inhomogenous global cerebral blood flow; however, cogntive impairment was not suggestive. It is suggested to pursue a close observation of hypertensive patients during antihypertensive drug administration.