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Bronchovascular Markings These comprise of 98 % vessels, mainly veins. Respiratory passages are not visible as these contain air. Normal shadows start from hila pass through proximal 1/3rd traverse to middle 1/3rd and just reach the border of distal third. Normaly markings are greatest in the medial part of lower zone. To say whether increased or not basically, in the opinion of Dr Tarar, it is an eyeball technique. With the experience your start saying this is increased or this is normal. Increased Markings This always means either Infection in respiratory passages or fluid overload. Infection may be acute or chronic. If radiologist reports increased bronchovascular markings but clinical situation is not supporting any thing it can be ignored and film should be taken as normal. In cardiac failure cases so called reversal of pattern of markings occur. There is increase in markings in midzones due to fluid overload. Actually this is not reversal. This is only increase in midzones. In chronic bronchitis markings are increased. In emphysema these are decreased in hyperinflated areas. In collapse of the lungs beyond the line-demarcating lung, these must be absent. Source: http://www.pakjfm.com/panelinterview/p9.htm
Patients with acidosis (condition of increased acidity in body fluids) or established liver insufficiency should not take methionine
Because patients with Marfan are at increased risk of glaucoma, they should have the fluid pressure inside the eye measured every year as part of an eye examination. Glaucoma can be treated with medications or with surgery.
lowering the concentration of uric acid can cause gout attacks. Thus, patients taking these medications should have the dose slowly increased (and uric acid levels slowly lowered) to prevent acute attacks of gout.
ESWL should not be considered for patients with severe skeletal deformities, patients weighing over 300 lbs, patients with abdominal aortic aneurysms, or patients with uncontrollable bleeding disorders. Patients who are pregnant should not be treated.
ambulatory patients first, then wheelchair patients, then bedbound
By the markings. You can email me at the address on my bio page with photos of the markings, if you should so wish.
Nari is should not increased
health care should be marketed to patients?
When the demand increased, the technology need a kind of limitation. In this case the supply should go for the patients that deserve it, not for lottery or money. People lives should take the first priority in these cases.
Patients looking for a surgeon should be wary of doctors who claim that they have unique skills, "secret" techniques, or an improbably large number of satisfied patients.
Patients who have allergic reactions to aspirin should not be treated with NSAIDs