15 years ago I was in a shit job, fed up and feeling I was a let down to everyone I cared about. I heard the lyrics "oh these times are hard" by the Script and it resonated so much. Last night they closed our show. Never give up ❤️
🔷Pneumocystis jirovecii pneumonia- It is caused by Pneumocystis jirovecii & is a critical opportunistic fungal infection classically seen in HIV positive patients with CD4 counts under 200 cells/mm³.
∆C/F- It characteristically presents as a subacute triad consisting of progressive exertional dyspnea, a dry/non productive cough, and low grade fever.
✓ Diagnosis- Clinical, microscopic visualization of cysts or trophozoites using silver staining on induced sputum or bronchoalveolar lavage (BAL) fluid, alongside PCR assay testing.
∆ Treatment- Trimethoprim-sulfamethoxazole (TMP-SMX) serves as both the definitive first line therapeutic agent and the preferred prophylactic choice.
She had never seen her dad's face before... yet the moment she heard his voice, she stopped crying. 🥹❤️
For 9 months, he talked to her every day. And on the day she was born, she recognized him instantly. A reminder that some bonds begin long before birth. 👶✨
Vemos una cesárea con nacimiento en caul, un caso poco frecuente en el que el bebé nace todavía dentro del saco amniótico intacto. Una escena tan delicada, donde esa membrana lo sigue envolviendo y protegiendo durante sus primeros segundos fuera del útero