"Comprehensive Guide to Gout and Crystal Deposition Diseases: Insights from Orthopedic Expert Dr. Zeeshan Chaudhary"

 

GOUT/URIC ACID CRYSTALS

If you're interested in learning about crystal deposition diseases, especially Gout, this presentation by Dr. Zeeshan Chaudhary from the Orthopedic Surgery Unit at Mayo Hospital Lahore is an excellent resource. The presentation covers key insights into the causes, symptoms, and treatment options for crystal deposition diseases. It's perfect for medical professionals, students, and anyone curious about orthopedic conditions related to crystal formations in the joints.

 

Here is the download link.

https://docs.google.com/presentation/d/1df9gxu41uzO5CgVESHn-E5R6o9E4hOTO/edit?usp=drive_link&ouid=111119032816180859524&rtpof=true&sd=true

Volkman Ischemic Contracture

Volkmann’s Ischemic Contracture Presentation

This presentation on Volkmann’s Ischemic Contracture, prepared by Dr. Zeeshan Chaudhary from the Orthopedic unit at Mayo Hospital Lahore, provides a thorough overview of this severe condition. Designed for a medical or clinical audience, it explains the irreversible muscle contractures that occur due to ischemia and muscle necrosis in the forearm, wrist, and hand.

The presentation begins with an introductory segment that highlights Volkmann’s Ischemic Contracture as a permanent flexion deformity resulting from delayed treatment of compartment syndrome. It effectively covers the critical aspects of pathophysiology, detailing how ischemic injury progresses to muscle necrosis and fibrosis, leading to the hallmark deformity known as the 'claw hand.'

Key topics include:

- **Etiology**: Primarily caused by untreated compartment syndrome, with other factors such as fractures, burns, and crush injuries.

- **Clinical Features**: Recognizable by severe pain, swelling, and the characteristic claw-like hand deformity.

- **Diagnosis**: Based on clinical examination and patient history, with imaging as a supplementary tool.

- **Treatment Options**: Ranging from early fasciotomy to prevent ischemia to advanced surgical interventions like tendon transfers for severe cases.

- **Prognosis**: Emphasis on early intervention to improve outcomes, highlighting that delays can result in permanent functional loss and chronic pain.

The presentation also touches on the prognosis and complications associated with delayed intervention, reinforcing the importance of timely treatment. Its structured approach makes it ideal for educating healthcare providers on recognizing, diagnosing, and managing this serious condition.

In summary, this presentation is a valuable resource for understanding Volkmann’s Ischemic Contracture and could benefit both medical students and practicing clinicians.

Download Presentation

 

 

Measles outbreak in Kasur

Measles Outbreak in Kasur: Healthcare Promises Fall Flat

Measles outbreak in kasur.
Preventive health downfall.

In recent days, the district of Kasur in Punjab has been struck by a severe measles outbreak, resulting in the tragic deaths of five children within five days. In the village of Kamiannah Thath, near Pattoki, children named Yaseen, Shehzad, Zubaida, Zainab, and Nawaz succumbed to the disease. Parents attribute these deaths to the lack of timely and adequate medical treatment.

A baby girl getting vaccination injection.

Last month, a similar outbreak in the nomadic settlement of Phool Nagar resulted in the deaths of three children. These incidents highlight the shortcomings and negligence of the health department, directly contradicting the claims made by the provincial government. The vision of Punjab Chief Minister Maryam Nawaz to deliver healthcare services at the doorstep seems to be failing in reality.

Young boy getting vaccine.

Parents have voiced their concerns, blaming the health department's incompetence and inattention for the rapid spread of the measles outbreak. Protecting children's lives should be a top priority for the government, and the loss of these young lives due to insufficient medical care is a deeply tragic matter.

Citizens are now calling on Chief Minister Maryam Nawaz to take immediate action to prevent such heartbreaking incidents in the future. The government must urgently review the performance of the health department and implement appropriate measures to ensure that healthcare services genuinely reach the public and safeguard children's lives.

Measles outbreak in slums

Healthcare Services: Promises vs. Reality

The glaring gap between the government's lofty promises and the harsh reality has once again disappointed the public. The spread of the measles outbreak and the resulting deaths of children in Kasur have exposed the failures of the healthcare system. There is an urgent need for the government to translate its promises into action and take concrete steps to improve the healthcare system.

Providing basic healthcare facilities to the people of Punjab is a fundamental responsibility of the government. The spread of measles and the ensuing deaths are a stark reminder that much work remains to be done. The government should immediately deploy medical camps in the affected areas, launch vaccination campaigns, and raise public awareness about health issues.

The Way Forward

To control the measles outbreak, it is essential to improve healthcare facilities and ensure they are delivered promptly to the public. The government must prioritize health in its agenda and take swift action to enhance the performance of the health department. Protecting the lives and property of the public is the government's foremost duty, and any negligence in this regard is unacceptable.

Dr.ZeeshanChaudhary Orthopedic Surgeon|Public Health Expert | KEMU|MHL https://medcm.blogspot.com/

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Third Polio Case of 2024 Detected in Pakistan

Third Polio Case of 2024 Detected in Pakistan

In a concerning development, Pakistan has reported its third polio case of the year.

Polio vaccination drive in pakistan.
A child getting polio drops.

The case involves a young girl from Killa Abdullah district in Balochistan who tested positive for Wild Poliovirus Type 1 (WPV1). Additionally, WPV1 was detected in environmental samples collected from Hyderabad in Sindh, as well as Chaman and Pishin districts in Balochistan. Officials from Pakistan’s polio eradication initiative are closely monitoring the situation.

The Regional Reference Laboratory for Polio at the National Institute of Health confirmed that the virus was found in stool samples from a child in Darozai union council of Killa Abdullah. This child exhibited symptoms of paralysis on April 20. Genetic sequencing of the isolated virus is currently underway to better understand its origin and characteristics.

Polio eradication campaign pakistan

Efforts to combat polio remain critical, and vaccination campaigns continue to be essential in protecting children from this debilitating disease. Let’s work together to ensure a polio-free future for all.

Please note that polio is a highly infectious disease that mainly affects children under the age of five. It invades the nervous system and can cause paralysis or even death. Vaccination remains the most effective way to protect children from polio. If you have any other requests or need further assistance, feel free to ask! 😊

Dr.ZeeshanChaudhary Orthopedic Surgeon|Public Health Expert | KEMU|MHL https://medcm.blogspot.com/

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Protecting Children: Addressing the Measles Crisis in K-P

 Measles outbreak

In Khyber-Pakhtunkhwa (K-P), the recent measles outbreak has raised serious concerns about the health and safety of children, particularly in remote areas where access to vaccinations is limited.

Vaccination of children

Parents like Bakhtwar Gul from South Waziristan are worried about the well-being of their children, as the lack of available vaccinators and resources hampers efforts to combat the spread of measles.

The Extended Programme on Immunisation (EPI) is facing challenges due to protests by vaccinators, who cite inadequate funding and support from the government. Hasan Ali, an EPI vaccinator, highlights the urgent need for increased resources to ensure effective routine immunization.

Dr. Muhammad Hussain, President of the Pakistan Paediatric Association KP-Chapter, emphasizes the importance of measles vaccination in preventing the spread of the disease. Dr. Hamid Bangash echoes this sentiment, advocating for higher vaccination coverage to protect children from measles-related complications.

However, the EPI's efforts have been hindered by operational difficulties and resource reallocation for COVID-19 vaccination campaigns. As a result, many children remain vulnerable to measles, highlighting the need for sustained support and investment in immunization programs.

To address the crisis, targeted vaccination campaigns are being conducted in affected areas, with plans for an upcoming initiative called 'Big Catch-up' to bridge the immunity gap in older children. Nevertheless, continued efforts and collaboration are essential to overcome the challenges facing the EPI and ensure the health and safety of children in K-P.

References

•  https://tribune-com-pk.cdn.ampproject.org/v/s/tribune.com.pk/story/2462580/measles-outbreak-imperils-children-in-k-p?amp=1&amp_js_v=0.1&amp_gsa=1#webview=1
• GENEVA (Web Desk/WHO)

Dr.ZeeshanChaudhary Orthopedic Surgeon|Public Health Expert | KEMU|MHL https://medcm.blogspot.com/

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"Challenges in Polio Eradication: Thousands Decline Vaccination in Recent Nationwide Drive"

In a recent national anti-polio campaign, a significant hurdle emerged as over 63,000 parents opted out of vaccinating their children, posing a setback to the ongoing fight against polio eradication in Pakistan.

The refusal rates were notably high in the province of Sindh, where 38,749 parents declined the vaccination. This was followed by 20,392 refusals in Khyber Pakhtunkhwa (KP) and 4,081 in Balochistan. Moreover, smaller numbers of refusals were reported in Punjab, Islamabad, and Azad Kashmir.

The nationwide campaign, conducted from February 26 to March 15, aimed to reach children across the country. However, the Ministry of Health revealed another concerning development: the detection of the polio virus in environmental samples from eight cities. Among these samples, 12 contained traces of the virus, including one case of wild polio virus and three YBA cluster cases.

These refusal rates, combined with the presence of the polio virus in multiple cities, highlight the immediate need for heightened public awareness and education on the importance of polio vaccination in eliminating the disease from Pakistan.

Fasting and kidney disease patients: Ramzan,Holy month.

 

Ramzan and patients 

Patients afflicted with kidney ailments or diminished kidney function risk severe complications if they undertake a month-long fast during the holy month of Ramadan without caution. Health professionals warn that individuals with reduced kidney function are especially vulnerable to serious, potentially life-threatening conditions if they fail to recognize the severity of their condition and fast without consulting their doctors beforehand. Kidney diseases, often dubbed as silent killers, encompass various conditions such as urinary tract infections, kidney cysts, kidney stones, acute kidney injury, and chronic kidney disease (CKD), which can be particularly perilous as symptoms may not manifest until significant, irreversible damage has occurred.

Research indicates that CKD is characterized by kidney damage or reduced function lasting more than three months. As kidney function declines, waste products and excess fluids accumulate in the body, leading to symptoms like ankle swelling, vomiting, weakness, poor sleep, and shortness of breath. Left untreated, these symptoms can progress to complete kidney failure, posing a serious and potentially life-threatening situation.

Experts stress the importance of individuals with CKD consulting their doctors and undergoing a comprehensive medical evaluation before embarking on fasting during Ramadan. Those with diminished kidney function should take precautions to avoid dehydration, a common cause of acute kidney injury, which can result in sudden kidney failure, a critical condition. Kidneys play vital roles in maintaining bodily functions, including filtering blood, regulating electrolyte balance, and controlling blood pressure. They also produce essential substances like renin for blood pressure regulation and active Vitamin D for bone health and stimulate red blood cell production.

Health professionals caution that individuals with type 1 or type 2 diabetes and hypertension are at heightened risk of kidney-related complications if they do not take extra precautions while fasting. Diabetes and high blood pressure are identified as leading causes of CKD. Individuals with reduced kidney function should promptly seek medical attention if they experience any complications while fasting. Those with urinary tract infections, mild kidney stones, or kidney cysts may be able to fast during Ramadan under medical guidance.

In cases of asymptomatic kidney stones, fasting may be feasible, but individuals experiencing pain due to stones should seek medical advice before fasting. Dehydration can exacerbate acute kidney injury and further harm kidneys. Likewise, individuals with CKD, hypertension, and high blood sugar may suffer irreversible damage if they fast without proper guidance from a qualified physician.

strawberry:A fruit for diabetes patients.

 Strawberry 🍓 : A fruit for diabetes patients.

Diabetes is a significant global health issue impacting millions worldwide and leading to severe complications like cardiovascular problems, kidney damage, and nerve disorders. Type 2 diabetes (T2D) comprises about 90% of all diabetes cases globally, often influenced by lifestyle factors such as poor diet, sedentary lifestyle, and obesity. Pakistan particularly bears a heavy burden of diabetes, with around 19.4 million adults affected, ranking among the top ten countries with the highest prevalence.

Common treatments for diabetes involve anti-diabetic medications, which can have adverse effects like gastrointestinal discomfort and adherence issues. Hence, there's a growing need for innovative approaches to address this health challenge.

To explore potential solutions, a study investigated the effects of strawberry extracts on Alloxan-induced diabetic rats, focusing on their anti-diabetic, antioxidant, and antihyperlipidemic properties. Strawberries are known for their abundance of bioactive compounds, offering various health benefits. Results revealed that strawberries possess inherent health-promoting qualities due to their phytochemical content, antioxidant capacity, and nutritional richness.

The study suggests that consuming strawberry fruit extract could serve as a practical strategy for managing hyperglycemia and hyperlipidemia in diabetic individuals. Overall, these findings underscore the promising role of strawberry extracts in alleviating diabetes-related complications, advocating for healthier dietary choices.

کمر درد کے علاج کی ورکشاپ

 

پارٹمنٹ آف آرتھوپیڈک سرجری یونٹ 1، کنگ ایڈورڈ میڈیکل یونیورسٹی، میو ہسپتال لاہور نے *'کمر کے درد کے انتظام اور ریڑھ کی ہڈی کے انجیکشن کی تکنیک'* پر 2 روزہ ورکشاپ کا انعقاد کیا۔

 ورکشاپ کی نگرانی چیئرمین پروفیسر ڈاکٹر محمد اقبال نے پروفیسر فیصل مسعود کے ہمراہ کی. ڈاکٹر محمد اکرم نے شریک چیئرمین کے طور پر خدمات انجام دیں اور ڈاکٹر شاہد علی اس کورس کے ڈائریکٹر تھے۔

*پروفیسر ڈاکٹر محمود ایاز، وائس چانسلر کنگ ایڈورڈ میڈیکل یونیورسٹی تقریب کے مہمان خصوصی تھے۔

 ملٹی ڈسپلنری فیکلٹی میں پروفیسر شہزاد شمس* ڈین سرجری اینڈ الائیڈ کے ای ایم یو، *پروفیسر۔ عتیق درانی معروف سپائن سرجن ڈاکٹرز ہسپتال لاہور اور *پروفیسر۔ لیاقت علی، ایف جے ایم یو میں اینستھیزیا کے چیئرمین شامل تھے*۔

 *پروفیسر محمد اقبال،* چیئرمین شعبہ آرتھوپیڈکس نے تعارفی نوٹ پیش کیا اور تعلیمی سال میں ہونے والی سرگرمیوں کا خلاصہ پیش کیا، اور وائس چانسلر کے تعاون پر ان کا شکریہ ادا کیا۔

 *پروفیسر ڈاکٹر محمود ایاز وائس چانسلر نے اپنے خطاب میں ہماری روزمرہ کی زندگی میں درد کے انتظام کی اہمیت پر زور دیا اور انہوں نے متعلقہ موضوع پر مفید ورکشاپ منعقد کرنے پر آرتھوپیڈک سرجری کے شعبہ کی کوششوں کو سراہا۔

 ورکشاپ کے دونوں دن میو ہسپتال اور آزاد کشمیر، کے پی کے، پنجاب اور دارالحکومت کے مختلف ہسپتالوں سے نوے سے زائد شرکا نے شرکت کی تصوراتی لیکچرز، پینل ڈسکشنز، ریڑھ کی ہڈی کے انجیکشنز کی مختلف تکنیکوں اور آرتھوپیڈکس کے سینئر پروفیسر حضرات کی موجودگی بشمول *پروفیسر رانا محمد ارشد اور پروفیسر غلام مرتضیٰ چیمہ نے تقریب کو رونق بخشی۔ تقریب کی کوریج کے لیے دونوں دن پرنٹ اور الیکٹرانک میڈیا موجود تھا۔

 *ڈاکٹر علی رضا شیرازی، ڈاکٹر فہیم مبشر اور ڈاکٹر وقاص اعظم کو خصوصی محنت اور انتظامات کے لیے باقاعدہ سراہا گیا۔

 پہلے دن فیکلٹی کو شیلڈز دی گئیں اور دوسرے دن کے اختتام پر چیئرمین پروفیسر ڈاکٹر اقبال مرزا اور کورس کے ڈائریکٹر سپائن سرجن ڈاکٹر شاہد علی کے اختتامی کلمات اور شکریہ کے ساتھ شرکاء میں اسناد تقسیم کی گئیں

Back pain management workshop at orthopaedic unit 1 mayo hospital lahore

 

The Department of Orthopedic Surgery unit 1 , King Edward Medical University, Mayo Hospital Lahore organized a 2-days workshop on the *'Management of Back Pain and Hands-on Spinal Injection Techniques.'* 

The workshop was supervised by Chairmen *Prof. Muhammad Iqbal* and *Prof. Faisal Masood,* with *Dr. Muhammad Akram* serving as the Co-Chairman and *Dr. Shahid Ali* spearheading as the Course Director.

*Prof. Dr. Mahmood Ayyaz,* Vice Chancellor King Edward Medical University was the Chief Guest of the event. 

The multi-disciplinary faculty included *Prof. Shahzad Shams* Dean Surgery & Allied at KEMU, *Prof. Atiq Durrani,* a renowned spine surgeon and *Prof. Liaquat Ali,* Chairman of Anesthesia at FJMU.* 

*Prof. Muhammad Iqbal,* Chairman of the Department of Orthopaedics, provided an introductory note and presented a synopsis of the activities in the academic year, expressing gratitude to the Vice Chancellor for his support.

*Prof. Mahmood Ayyaz* in his address emphasized the importance of Pain Management in our daily lives and He appreciated the effort of the Department of Orthopaedic Surgery for organizing a useful workshop on a pertinent topic.  

Both days of the workshop saw more than *90 participants* from Mayo hospital & various hospitals of azad kashmir, kpk, Punjab & capital. Conceptual lectures, panel discussions, hands on spinal injections and the presence of senior academics in Orthopaedics, including *Prof. Rana Muhammad Arshad* and *Prof. Ghulam Murtaza Cheema,* enriched the event. Print & electronic media was present on both days to cover the event. 

Special acknowledgments were given to *Dr. Ali Sherazi, Dr. Faheem Mubashir* and *Dr. Waqas Azam* for the impeccable arrangements.

Shields were given to faculty on 1st day & certificates were distributed among participants at the end of 2nd day with concluding remarks & note of thanks from Chairman prof dr Iqbal Mirza & course director spine surgeon Dr Shahid Ali..

فالج اور جدید علاج۔

 

حال ہی میں ایک کانفرنس میں شرکت کی جہاں ایک کیس زیر بحث آیا۔ لاہور کے جنرل ہسپتال میں ایک نوجوان مریض کو لایا گیا جس کو فالج ہوا تھا اور اس کا بائیں ساٸڈ کا بازو اور ٹانگ  مکمل طور پر مفلوج ہو گٸ تھی۔ وہاں کے ڈاکٹروں نے فالج کے علاج کے لیے مخصوص انجکشن مریض کو لگایا اور مریض بغیر کسی کمزوری کے  کچھ ہی گھنٹوں  گھر چلا گیا پاٶں پر چل کر گیا۔

یہ میڈیکل  سائنس کے حقیقی معجزات ہیں اور آج اس پر ھم  بات کریں گے۔ یہ معلومات ہم سب کے لیے بہت اہم ہیں کیونکہ فالج زندگی بھر کی معزوری کا باعث بن سکتا ہے جہاں زندگی دوسروں پر منحصر ہوجاتی ہے۔

فالج بنیادی طور پر ایک ایسی حالت ہے جس میں دماغ کو خون کی فراہمی بند ہو جاتی ہے۔ یہ دو طرح کا ہوتا ہے, ایک جس میں خون کے جمنے  کی وجہ سے خون کی شریانوں میں رکاوٹ پیدا ہو جاتی ہے اور دوسرا جس میں خون کی شریانیں پھٹ جاتی ہیں۔

فالج کے بعد مریض کو عام طور پر جسم کے ایک ساٸڈ اور چہرےکی کمزوری  ہو جاتی ہے۔

ہمارا موضوع خون کی نالیوں میں خون کے  جمنے کی وجہ سے فالج کے علاج پر ہے ۔

ٹی پی اے (TPA) نامی انجیکشن ہے جو اس جمے ہوۓ خون یا کلاٹ  کو تحلیل کر سکتا ہے۔ لہٰذا اگر بروقت یہ انجکشن دماغ کے ٹشوز کے مکمل ضاٸع ہو جانے پہلے دے دیا جائے تو خون کی شریانوں کی رکاوٹ دور ہو سکتی ہے۔

خوش قسمتی سے یہ انجکشن پاکستان میں کئی مراکز میں دستیاب ہے۔ 

اہم بات یہ ہے کہ آپ فالج کی ابتداٸ علامات کو  پہچانیں اور بر وقت ہسپتال پہنچیں۔ اگر آپ ساڑھے 3 گھنٹے کے اندر ہسپتال پہنچ جاٸیں تو انجکشن لگایا جا سکتا ہے۔ اگر یہ وقت گزر جاۓ  تو دماغ کے ٹشوز ضاٸع ہو جاتے ہیں اور انجیکشن سے  کمزوری میں بہتری نہیں آۓ گی۔

فالج کی ابتداٸ علامات کا جاننا اور یاد رکھنا سب کے لیے بے ح ضروری ہے ۔

اہم علامات کو  لفظ FAST یا BE FAST کے ذریعے یاد رکھی جاتی ہیں۔

B۔balance ... توازن برقرار) نہ رکھ پانا)

            (آنکھ کا مسئلہ)E.eye

F.face ( چہرے کی کمزوری)

A.arm(  بازو کی کمزوری )

S. speech ( بات کرنے میں مشکل)

T.time (  وقت پر ہسپتال پہنچنا)

حکومت پنجاب نے اس کے علاج کے لیے صوبے کے مختلف علاقوں میں پرائمری سٹروک سینٹر بنائے  ہیں جن کی تفصیلات نیچے ہیں۔ یہاں پر 24 گھنٹے ایمرجنسی میں دو بیڈ سٹروک یا فالج کے مریضوں کے لیے رکھے جائیں گے۔

لہذا اگر کسی کو بھی  یہ علامات نظر آئیں تو فوری طور پر ہسپتال جائیں۔

برائے مہربانی اس پیغام کو دوسروں تک پہنچائیں تاکہ لوگوں کی زندگیاں بچ سکیں۔ جزاک اللہ

Prepare yourself to drive during winter.

 

Get ready for winter driving with these safety tips:

**Winter Driving Risks:**

Winter brings hazardous conditions, contributing to 21% of over 5.8 million annual vehicle crashes. Wet pavement (70%) and rainfall (46%) pose the most risks, followed by snow or sleet (18%), icy pavement (13%), and snowy or slushy roads (16%).

**Driving in Snow:**

- Before driving, check National Weather Service advisories.

- Clear snow off your car for visibility.

- Follow road rules, avoid distractions, and drive sober.

- Slow down on snow or ice; maintain extra space.

- Be cautious around snowplows; keep a safe distance.

**Winter Weather Driving Tips:**

- Slow down and increase following distance on slick surfaces.

- Avoid crowding snowplows; maintain a safe distance.

  

**Emergency Situations:**

- Stay with your car if stopped in wintry weather.

- Make your car visible with markers and keep the interior light on.

- Beware of carbon monoxide; clear the exhaust pipe.

**Tire Care:**

- Regularly inspect tires for damage, tread, and sidewalls.

- Check inflation pressure per the owner's manual.

- Monitor tire age and replace every six years if needed.

**Battery Check:**

- Cold weather reduces battery power; have a mechanic check it.

  

**Safety Technologies:**

- Understand vehicle safety features, especially in winter.

- Properly use antilock brake systems for effective braking.

**Floor Mats:**

- Use appropriate, well-fitted floor mats for winter conditions.

**Vehicle Preparation:**

- Check lights, including trailer lights.

- Ensure windshield wiper fluid is full.

- Consider a mechanic tune-up for leaks, worn hoses, and other repairs.