Complications of ventilation tubes: - Dr. Nassem Talaat
Complications of ventilation tubes: - Dr. Nassem Talaat
Complications of ventilation tubes: - Dr. Nassem Talaat
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3) Moniliasis (oral thruth)<br />
Def: Acute specific inflammation <strong>of</strong> pharynx & oral cavity<br />
Aet : Organism: candida albicans Predisposing factors …..<br />
Symptons : Sore throat & dysphagia , no fever<br />
Signs: Milky white raised patches<br />
Treatment: - Stop antibiotics, adequate nutrition<br />
C) Blood diseases<br />
- Topical antifungal: mycostation , daktarin gel .<br />
-Systemic antifungal in severe cases e.q ketoconazole.<br />
1) Acute leukaemia neoplastic proliferation <strong>of</strong> the precursors <strong>of</strong> WBCS leading to<br />
- Anemia: fatigue pallor.<br />
- Thrombocytopenia : purpura , epistaxis, and bleeding tendency<br />
- Intercurrent infection : fever & sore throat, ulcers & membrane over the tonsils<br />
swollen purpulish gingiva & easy bleeding<br />
- Lymphadenopathy , splenomgaly - Sternal tenderness<br />
Investigations: 1- CBC 2- B.M aspiration<br />
Treatment: Cytotoxic drugs.<br />
2) Agrunulocytosis<br />
Def: marked reduction in formation <strong>of</strong> PNLs<br />
Aet : B.M depression, 1ry or 2ry to drugs (antibiotics: chloramphenicol,<br />
antimetabolites: methotrexate) or radiation.<br />
Clinical picture<br />
- Fever , malaise , rapid deterioration <strong>of</strong> general condition<br />
- Extensive ulceration with no or little surrounding inflammatory reaction<br />
Investigations: 1- CBC 2- MB aspiration<br />
Treatment :<br />
1- Stop <strong>of</strong>fending drug 2- Isolation<br />
3-Antibiotics & blood transfusion 4-B.M transplant
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