உணவு சமைத்த பின் பிரஷர் குக்கரை தண்ணீரில் நனையும்படியோ தண்ணீருக்கு பக்கத்திலோ வைக்க வேண்டாம்..
அது மிகப்பெரும் ஆபத்து எச்சரிக்கையாக இருங்கள்.
அனைவருக்கும் பகிருங்கள் .🙏
@_MIGZ29 Hala same .. unfriend ko n rin parang walang isip e kahit nakikita n ngang puro akusasyon,paninira at pagbabanta ginagawa ng magkakapatid na dudirty e support pa rin . D nagiisip
Adult-Onset Still's Disease (AOSD)
This image illustrates the classic triad of Adult-Onset Still's Disease (AOSD), a rare systemic inflammatory disorder characterized by:
🛑High-spiking quotidian fever
The fever is typically the earliest and most prominent feature. It often exceeds 39°C and follows a quotidian pattern, with one or two daily spikes separated by periods during which the temperature returns to normal. Fever frequently precedes the appearance of other symptoms.
🛑Evanescent salmon-pink rash
The characteristic rash is transient, salmon-colored, and macular or maculopapular in appearance. It usually coincides with fever spikes and fades as the temperature normalizes. The rash most commonly affects the trunk and extremities and is generally non-pruritic.
🛑Arthralgia or inflammatory arthritis
Joint symptoms occur in most patients and may initially present as mild arthralgia before progressing to persistent inflammatory arthritis. The knees, wrists, and ankles are most commonly involved, although multiple joints can be affected.
Beyond the classic triad, patients frequently experience myalgia, recurrent sore throat, lymphadenopathy, splenomegaly, hepatomegaly, pleuritis, or pericarditis, reflecting the systemic nature of the disease.
A key laboratory clue is marked hyperferritinemia, with serum ferritin levels often exceeding 1,000 ng/mL and frequently rising to more than five times the upper limit of normal. Elevated ESR, CRP, neutrophilic leukocytosis, thrombocytosis, and abnormal liver enzymes are also common, while rheumatoid factor (RF) and antinuclear antibodies (ANA) are typically absent.
Because no single test is diagnostic, AOSD remains a diagnosis of exclusion. Infectious diseases, malignancies (particularly lymphoma), and other rheumatologic disorders must be carefully ruled out before establishing the diagnosis.
The clinical course may be self-limited, relapsing-remitting, or chronic. Serious complications can occur, including macrophage activation syndrome (MAS), disseminated intravascular coagulation (DIC), pulmonary arterial hypertension, and severe cardiac or hepatic involvement.
Clinical Pearl: The combination of daily high-spiking fever, a transient salmon-pink rash, inflammatory arthritis, and markedly elevated serum ferritin should strongly raise suspicion for Adult-Onset Still's Disease (AOSD).
Reference: Bhargava J, Panginikkod S. Still Disease. StatPearls Publishing; Updated February 26, 2024.
@eto_tome@News5PH Atleast si atty Claire may sense ang mga banat at may mga resibo.. yang bise mo??? Puro paninira. Sa gaya ng bise mo kailangan ang 1 katulad ni atty claire
@ItsmeJacqSy@anakmartiallaw Nakalimutan ko yun name ng show ni Barry guttierez at Ed lacierda dun kinuwento nya bakit nya tinanggap para dika naghuhula lang
@_dacoconutnut@anakmartiallaw Panoorin mo sagot nya kina Barry guttierez at ed lacierda bakit nya tinanggap ang offer. Can you help the country yan sabi ni pbbm sa kanya