Myasthenia gravis: the immune system, part 2

Article Abstract:

Myasthenia gravis (MG) is a chronic disorder of the auto-immune system. The symptoms of MG are bouts of tiredness and muscle fatigue followed by remissions. Patient may also be depressed, have muscle inflammation and endocrine problems. The condition affects some people more severely than others and diagnosis can be difficult. Anticholinesterase (AchE) drug therapy using pyridostigmine or immunological treatment can be used. Patients feel improvements in muscle strength 30 minutes after AchE drug therapy but care is needed as an overdose can be fatal.

Myasthenia gravis

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Gastrointestinal bleeding

Article Abstract:

Bleeding which comes from above the duodenum is called a haemorrhage. Patients will vomit blood or pass black, foul smelling stools. Severe bleeds have a mortality rate of between 30-50% and patients are likely to have another bleed. Vomiting may cause a Mallory-Weiss tear, especially if they have drunk a lot of alcohol. A history should be taken to assess the likely cause of the bleed and it is important to measure blood pressure and the pulse. Treatments can include injection sclerotherapy, balloon tamponade and drug therapy and heat therapy.

Gastrointestinal bleeding, Gastrointestinal hemorrhage

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Dementia: knowledge for practice

Article Abstract:

Five percent of people aged 65-plus in the United Kingdom suffer from dementia, with just over 50% of these believed to have Alzheimer's disease. The term dementia signifies a range of diseases involving a loss of thought ability and memory which can adversely impact daily life. Different types of dementia include Lewy body dementia, vascular dementia, alcoholic dementia and Creutzfeldt-Jakob disease. Dementia cannot be cured and resultant death could be due to non-specific causes.

Study and teaching, Dementia

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