From my chamber: 10th September 2018

Today's (10.9.18) chamber statistics
Total patients: 25
Pediatric patients(age < 10 years): 0
Male patients: 23
Female patients: 2

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Mention-able diseases/conditions(top 5) I have treated today

• Herpes zoster: A lady came with vesicular lesions along a band like area in one side of her abdomen for 2 days.
• Severe headache due to migraine: This patient presented with typical left sided migraine i.e. migraine with aura.
• Insect in the right ear canal: An interesting case. A flying insect forget it's route and entered into an adult male's right ear canal. I brought out a dead insect with an alligator forceps.
• Pain in the multiple body site following fall in the bathroom: A guy slipped in the bathroom and got hit on multiple body site notably back of the head and left elbow. Luckily there was no vomiting history.
• Fracture in the right third metatarsal: An old lady fall at home while walking and broke her foot bone.

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Take home massage
Herpes zoster: We all know about chicken pox and I think there is hardly any person who hasn't suffer from it in his/her lifetime. Chickenpox is caused by a virus named varicella-zoster virus(VZV). After initial infection i.e. chicken pox, sometimes the virus may not completely clear from our body and take a deep sleep ( remain inactive) in its favourite place (dorsal root ganglion of sensory nerves). In the latter part, it may wake up and creates a similar disease to chickenpox. It is then known as herpes zoster.
Although the virus is the same, the disease pattern is quite different than chicken pox.

Image on left: chicken pox and image on the right: Herpes zoster
You can see that in case of chicken pox, the lesions are almost everywhere but in case of herpes zoster, it is distributed in a band like fashion. The area of lesion coincide with dermatome, the area of the skin supplied by a single spinal nerve where the virus takes the long nap.

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