CHIKUNGUNYA chikungunya fever could be a infectious agent malady transmitted by the bite of infected dipterous insect|Aedes aegypti|mosquito} mosquito.the term chikungunya derived from kungunyala which means \'to become contorted\' additional specifically bend up.this refers to round-backed posture adopted by patient as a results of rheumatoid symptoms of fever.the malady is nearly forever self restricted and rarly fatal. CLINICAL options - time period of sometimes three to seven days -sudden onset of respiratory disease like symptoms together with severe headache,chills,fever ,malaise etc - high grade fever get up to 104 f -arthralgia and inflammatory disease, joints of extrimites perticularly swollen and painfull to the touch,in some joints pain is crippling and inflammatory disease might last for weeks and months -conjunctival diffusion and gentle photophobia CHIKUNGUNYA RASH AND SWELING OF RIGHT LEG -petechial or maculopapular rash on limbs -aphthous like ulcers over pouch ,crural space and armpit -lichenoid eruption and hyper pigmentation in exposure distributed areas. -acute chikungunya fever usually last some days however rheumatoid pain might last for months or additional in some patients. check|diagnostic assay|assay} Detection of matter and protein in blood by ELISA test MANAGMENT -treatment is symptomatic -advice rest -advice correct association by drinking innumerable water -antipyratics like paracetamol\' ,nimesulide and mefanamic acid -prescribe antiinflammatory medicine like Motrin ,accelofenac and diclofenec Na -chloroquine phosphate 250 mg /day has been found helpful.
ACUTE Bright\'s disease It is most typical in kids,characterised pathologically by diffuse inflammatory changes within the glomeruli and clinically by typically abrupt onset of macroscopic haematuria, protienuria, oedema, high blood pressure and impaired excretory organ operate with or while not oliguria. CLINICAL options OEDEMA could {also be|is also} come back on suddenly or bit by bit swelling of face and whitish wanness represent \"nephritic faces\"swelling of face typically in morning generalised hydrops could happens edema is also absent in gentle cases and also in terribly severe cases HYPERTENSION hypertension happens in majority of cases,the blood pressure being ninety to one hundred twenty metric linear unit . in five to ten take advantage of patients hypertensive neurological disorder develops. high blood pressure could create to pulmonic edema. JVP is often elevated and with peripheral edema presents an image of CHF excretory organ reten...