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Dr. D.S. Merchant's Articles in Health

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  • Atrial fibrillation (AF) with a rapid ventricular response
    A previously healthy 22-year-old woman presents to the emergency department (ED) with acute shortness of breath. Her shortness of breath became worse with exertion and was associated with pleuritic chest pain for 2 days. She has had a fever, nonproductive cough, nausea, vomiting, and arthralgia.

    On presentation, she is febrile with a temperature of 101.5°F (38.6°C), a blood pressure of 88/54 mm Hg, a pulse of 104 bpm, a respiratory rate of 28 breaths/min, and an oxygen saturation of 88% while breathing room air. Her oxygen saturation improved to 92% with supplemental oxygen given at 2 L/min. She is in moderate respiratory distress; however, she can speak in full sentences. Her physical examination reveals absent breath sounds throughout the right thorax, with decreased breath sounds halfway up the left thorax. Other findings include egophony, decreased fremitus, and dullness to percussion on the right thorax. She has no jugular venous distention, edema on her lower extremity, or rash.
  • Acute Liver Failure
    Acute liver failure (ALF), also known as fulminant hepatic failure, is a rare manifestation of liver disease and constittes a medical emergency.

    The syndrome arises from loss of hepatic parenchyma that may result from a variety of insults to the liver.

    Despite advances in medical management and the availability of liver transplantation, mortality rates in patients with ALF remain substantial. It has been estimated that in the United States, 2000 deaths a year are attributable to ALF.
  • Infection Control From A Nursing Perspective
    The practice of medical asepsis helps to contain infectious organisms and to maintain an environment free from contamination. The techniques used to maintain medical asepsis include hand washing, gowning and wearing facial masks when appropriate, as well as separating clean from contaminated or potentially contaminated materials and providing information to patients about basic hygienic practices. Appropriate hand washing by the nurse and the patient remains the most important factor in preventing the spread of microorganisms.
  • Clinical Medicine Cases
    Case 1:
    • 50 year old man presented with generalized weakness, dizziness, lethargy for 10 days. He was also having loose stools for the past 15 days. On examination was pale and thin lean emaciated man. His blood pressure was 70/40 mm of mercury, with pulse of 130 beats / minute. He had bilateral decrease air entry on chest, epigastric tenderness and pedal edema on examination. Neurological exam was non focal. He had some history of undocumented weight loss, but no history of fever. His past history was significant for episodes of loose stools, which would resolve on taking antibiotics


    • Hemoglobin: 8 mg/dl Abumin: 1.5
    • MCV: 68 Total Bilirubin: 8.1
    • WBC: 14 cmm Direct Bilurubin: 5.5
    • Platelet: 176 GGT: 304
    • SGPT:71
    • RBS: 106 AP: 359
    • BUN: 15
    • Cr.:1 mg/dl ESR: 53
    • Na: 126 meq Stool DR: Normal
    • K: 4.6 meq Calcium: 7.3
    • Cl: 111 Phos:1.6
    • HCO: 18
  • Spectrum Of Abdominal Tuberculosis (ATB)
    Epidemiology:
    Tuberculosis is one of the deadliest diseases.

    WHO estimates that each year more than 8 million new cases of tuberculosis occur and approximately 3 million persons die from the disease.
  • Spectrum Of Abdominal Tuberculosis (ATB)
    Epidemiology:
    Tuberculosis is one of the deadliest diseases.

    WHO estimates that each year more than 8 million new cases of tuberculosis occur and approximately 3 million persons die from the disease.
  • Aga Khan Health Services (AKHS)
    The Aga Khan Health Services (AKHS) is one of the most comprehensive non-profit health care systems in the developing world. Building on the Ismaili community's health care efforts during the first half of the century, AKHS now provides primary health care and curative medical care in India, Pakistan, Kenya, Tanzania and Syria. It includes five general hospitals, the Aga Khan University Hospital in Pakistan, six maternity homes and more than 230 health centers. Organized in national service companies in Kenya, Tanzania, India and Pakistan, these health facilities are also linked in internationally through network-wide strategies in human resource development, hospital management, nursing development and primary health care.
  • Panhypopituitarism
    • Hypopituitarism can present with complete or partial deficiency of anterior and/or posterior pituitary hormones.

    • Panhypopituitarism refers to the situation in which more than 80% of the anterior pituitary is lost.

    Aetiology
    • neoplasms in the suprasellar region:
    – pituitary adenoma in adults
    – craniopharyngioma in children
    – glioma
    – meningioma
    – metastatic cancer
  • Nutritional Support For Joint Structure and Function
    The FDA in the United States regulates claims for dietary supplements through a process, which is different than for medicinal drugs; it does not "approve" dietary supplements, but allows producers to substantiate structure/function claims through critical review of scientific studies.
  • New Zealand Athletes Taking Deer Velvet at Olympics
    Carter, number 1 ranked triathlete in the world, has been taking New Zealand deer velvet for about two years now. He is convinced this dietary supplement adds to his own huge training efforts by assisting with his strength and endurance, and providing him faster recovery after training.
  • Deer Velvet Boost to Strength and Recovery
    An Evening Out with Virginia Gift Store:
    Plan an evening out with your family and friends to a cinema or concert and purchase tickets to an upcoming big event. Like this you'll be able to spend time together and also give everyone a gift at one time.
  • What is irritable bowel syndrome (IBS)
    Irritable bowel syndrome (IBS) is one of the most common ailments of the bowel (intestines) and affects an estimated 15% of persons in the US. The term, irritable bowel, is not a particularly good one since it implies that the bowel is responding irritably to normal stimuli, and this may or may not be the case. The several names for IBS, including spastic colon, spastic colitis, and mucous colitis, attest to the difficulty of getting a descriptive handle on the ailment. Moreover, each of the other names is itself as problematic as the term IBS.
  • Natural IBS Treatments
    Irritable bowel syndrome (IBS) is a chronic disorder characterized by recurrent abdominal pain and intermittent diarrhea, which often alternates with constipation. IBS most commonly affects people between the ages of 20 and 30 and is twice as common in women as in men. IBS is known by a variety of other terms: spastic colon, spastic colitis, mucous colitis, nervous diarrhea, nervous colon and nervous or functional bowel.
  • Worst Menopause Symptoms May Start in Brain
    "This is an important new concept: Menopause doesn't just originate in the ovary, but also in the brain," said Laura Goldsmith, a professor of obstetrics and gynecology and women's health at the New Jersey Medical School of the University of Medicine and Dentistry of New Jersey.
  • Study Finds Menopause Symptoms Can Be Predicted
    The authors of this study measured ovarian volume with transvaginal ultrasound, then looked at the relationship between ovarian volume -- ovaries shrink as a woman ages -- and number of eggs. They then applied mathematical and computer models to predict menopause.
  • Irritable Bowel Syndrome Symptoms
    In functional diseases of the gastrointestinal tract such as Irritable Bowel Syndrome Symptoms, the grinding, mixing, digestion, and absorption functions are disturbed to only a minor degree. These functions are essentially maintained, perhaps because of a built-in over-capacity of the gastrointestinal tract to perform these functions. The most commonly affected function in these diseases is transportation. In the stomach and small intestine, the symptoms of slowed transportation are nausea, vomiting, abdominal bloating, and abdominal enlargement. The symptom of rapid transportation usually is diarrhea. The interpretation of symptoms, however, may be more complicated than this. For example, let's say that a person has abnormally rapid emptying of the stomach. The sensing of this rapid emptying by the intestinal sensory nerves normally brings about a motor nerve response to slow emptying of the stomach and transportation through the small intestine. Thus, rapid emptying of the stomach may give rise to symptoms of slowed transportation.
  • Irritable Bowel Syndrome FAQ
    1a: What is Irritable Bowel Syndrome?1b: What is the prevalence of IBS?1c: What factors contribute to the onset of IBS?1d: How long does IBS last?1e: What effect does IBS have on one's lifestyle?1f: Are my symptoms just "all in my head" or psychosomatic?1g: What factors contribute to health care utilization?
  • Menopause Symptoms and Memory Loss
    In the latest study that exonerates menopause as a cause of impairing the ability to recall, Taiwanese researchers compared the memory of hundreds of women before they had any menopausal symptoms to their memory as they entered menopause.

    They found the women who were going through the menopausal process scored as well or nearly as well on five different cognitive function tests. Results of the study are to be presented Oct. 4 at the American Neurological Association annual meeting in Toronto.
  • Irritable bowel syndrome diet
    IBS symptoms of abdominal pain or discomfort, bloating and constipation are associated with impaired quality of life and are the second most common cause of work-related absenteeism, behind the common cold, Canadian researcher, of the University of Alberta, Edmonton, said in a prepared statement.
  • IBS Treatment
    IBS symptoms of abdominal pain or discomfort, bloating and constipation are associated with impaired quality of life and are the second most common cause of work-related absenteeism, behind the common cold, Canadian researcher, of the University of Alberta, Edmonton, said in a prepared statement.
  • IBS Medications
    Bowtrol is the only natural remedy that is clinically proven effective for Irritable Bowel Syndrome. If you are suffering from constipation, diarrhea, or both in alteration, abdominal pain, bloating, and heartburn more than once a month, you are not alone. Irritable Bowel Syndrome (also called IBS) affects about 25 million to 50 million people in US alone.
  • Cause of irritable bowel syndrome
    There has been a great deal of controversy over the role that poor digestion and/or absorption of dietary sugars may play in aggravating the symptoms of IBS. Poor digestion of lactose, the sugar in milk, is very common as is poor absorption of fructose, a sweetener found in many processed foods. Poor digestion or absorption of these sugars could aggravate the symptoms of IBS since unabsorbed sugars often cause increased formation of gas.
  • Tips to Buy Real Hoodia Gordonii
    There are many types of Hoodia plants, but only Hoodia Gordonii species have appetite-suppressing effects. The main point is to note that you should not buy the product with label “100% natural Hoodia.” Of course you are buying natural Hoodia but not the desired Hoodia Gordonii.

    • If you are buying Hoodia Gordonii online then you must see CITES certificate issued by International trade laws. Only then you can be confirmed that you are buying natural Hoodia Gordonii.
  • Science Behind Hoodia Gordonii
    For thousands of years the Bushmen of South Africa having been eating Hoodia Gordonii to fight off hunger during their week long hunting trips. For the Bushmen there is no question as to the appetite suppressant power of Hoodia Gordonii - it is a simple fact of life - if you are going on a long journey you chew on hoodia to avoid hunger.
  • Pure Hoodia
    In a blend test, performed by ‘Phytopharm’, “400 mg per day” of Hoodia Gordonii powder, for 15 days, reduced the calorie intake by 1,000 calorie compared to the control group. Pills, Capsules, diet gum and tincture all followed. To avoid patent violation, many companies claim that their product is a food supplement, an aid for weight loss.

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