Mystic Healthcare – Nepal’s Best Doctor Consultation at Home Facility in Kathmandu

Mystic Healthcare – Best Doctor at Home Facility in Kathmandu is Launched with Home care, online consultation and many more

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Introduction

Mystic Healthcare: Revolutionizing Healthcare in Nepal

Mystic Healthcare is a healthcare service provider, a clinic based in Nepal.

They have a unique approach to healthcare, providing medical services right at the comfort of your home.

They can be contacted through social media, Whatsapp, viber, messenger, calls and you can order OPD based healthcare at your home.

But remember, they’re not emergency healthcare provider hence you should seek legal emergency medical providers if you’re in hurry or emergency.

They’ve also launched a physical clinic where you can visit and get more of healthcare services.

A New Approach to Healthcare

In a world where everything is just a click away, healthcare should be no different.

Mystic Healthcare understands this and has taken a unique approach to healthcare.

They provide medical services right at your doorstep.

This not only makes healthcare more accessible but also adds a level of comfort and convenience that is unparalleled.

Services Offered

Mystic Healthcare offers a wide range of services.

Their main goal is to make healthcare more accessible and convenient for everyone.

They have a team of qualified and experienced doctors who are ready to provide medical assistance at any time.

Whether it’s a regular check-up, Mystic Healthcare ensures that you receive the best care right at your home.

Online doctor consultation
Specialist doctor consultation
Geriatric old age care
Disability and injury care at home
Postpartum care at home and monitoring
Doctor at home
Nurse at home
Minor procedures at home
Dressing at home
Medicine supply at home
Nursing care products supply at home
Physiotherapy at home
Psychological counseling at home/ online
Lab sample and blood test from home
Reports sent at email/whatsapp
Reports interpretation at home/online
Medical instruments and supplies delivery at home
Home x-ray and interpretation
Home portable ultrasound
Home echocardiogram and interpretation
Home ECG and interpretation
Neutraceuticals and supplements delivery

Popularity Among Locals

Mystic Healthcare has gained popularity among the locals.

Their Facebook page, “Mystic Healthcare: Doctor at Home Nepal”, has garnered numerous likes and followers.

This shows the trust and confidence that people have in their services.

The positive reviews and testimonials on their page further attest to their commitment to providing high-quality care.

Impact on the Community

By bringing healthcare services directly to the homes of patients, Mystic Healthcare is making a significant impact on the community.

They are making healthcare more accessible, especially for those who may find it difficult to travel to a hospital or clinic.

This is particularly beneficial for the elderly, people with disabilities, and those living in remote areas.

Social accounts of Mystic Healthcare

You can contact mystic healthcare via one of following:

Facebook
Instagram
Whatsapp
Viber
Twitter/X
TikTok
Messenger
Threads
Phone number of Mystic Healthcare
Website of Mystic Healthcare

Contact information of Mystic Healthcare

Phone number: 9861481571

Whatsapp: 9861481571

Email: mystichealthcarektm@gmail.com

Contact address for business query: 9861481571

Conclusion

In conclusion, Mystic Healthcare is revolutionizing the way healthcare is delivered in Nepal.

Their growing popularity is a testament to their commitment to providing high-quality care.

By making healthcare more accessible and less stressful, they are not only improving individual health outcomes but also contributing to the overall well-being of the community.

They can be contacted via multiple ways for healthcare at your doorstep.

DDA Nepal Banned These Combination Antibiotics 2024/2081

DDA Nepal Banned These Combination Antibiotics 2023/2080

Drugs banned in nepal 2023

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Introduction

Government of Nepal established Department of Drug Administration (DDA) in
1979 A.D (2036/07/01 B.S.) erstwhile under Ministry of forest & soil
conservation and went under Ministry of Health and population after Poush,
2041 B.S.

DDA is one of the three departments under Ministry of Health &
Population.

Drug regulation in Nepal

Nepal has promulgated the Drug Act 1978, to prohibit the misuse or abuse of
medicines and allied pharmaceutical products as well as false or misleading
information relating to efficacy and use of drugs and to regulate and
control the production, marketing, distribution, export, import, storage and
utilization of those drugs which are not safe for the public use,
efficacious and of standard quality.

To implement & fulfill the aim and objectives of Drug Act 1978 and
various regulations are made under it.

Government of Nepal Banned combination antibotics

In accordance with the objectives of the National Health Policy, 1991, to improve & manage by establishing co-ordination among governmental, non-governmental & private organizations involved in activities related to medicine production, import, export, storage, supply, sales, distribution, qualitya ssessment, regulatory control, rational use and information flow, the National Drug Policy, 1995 has been implemented. Achieving the aim & objectives of National drug policy is another important area for DDA.

Laws regarding drugs in Nepal (medicinal)

Under the Drug Act 1978, the following rules/regulations & codes have been implemented as supporting tools for the active enforcement of Drugs Act, 1978.

Drug advisory committee & consultative council regulation, 2037
Drug registration regulation, 2038
Inquiry & inspection regulation, 2040
Drug standard regulation, 2043
Drug donation guidelines have been implemented for the quality assurance of donated drugs
Drug sales & distribution codes, 2071
Good practice codes for drug production, 2072
Medicine registration guidance, 2073

Click the individual link above to read the each law.

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Drug registration regulation, 2038
Inquiry & inspection regulation, 2040
Drug standard regulation, 2043
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Drug sales & distribution codes, 2071
Good practice codes for drug production, 2072
Medicine registration guidance, 2073”
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Acute Gout Diagnosis and Management 2023

Acute gout diagnosis and management 2023

Gout in Right great toe (pic: pixabay)

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Introduction

It is a crystal arthropathy due to deposit of urate or uric acid crystals.

This is usually seen in acted painful join and patients may come to emergency or OPD.

Caused by precipitation and deposition of uric acid crystals in the joints.

Etiology

Primary Hyperuricemia

Idiopathic

Increased production of uric acid

Decreased excretion of uric acid

Aggravated by the dietary habits

Secondary Hyperuricemia

1. Decreased excretion

Most common cause

Medications like pyrizinamide, aspirin, loop and thazide diuretics, niacin

Chronic renal insufficiency

Ketoacidosis

Post-menopausal age

2. Increased Production

Tumor lysis sundrome

Hemolytic anemia

Lesh Nyhan syndrome

Purine rich diets like red meats, sea foods, calcium poor diet

Obesity

3. Combined effect

Alcohol and diet containing high purine (like in a party with barbeque)

Decreased uric acid excretion

Clicnical features of gout and hyperuricemia

1. Asymptomatic stage

(may be more than 10 years) – but slowly this stage keeps on affecting the body

2. Acute gouty arthritis

Acute severe pain with overlying erythema, decreased range of motion, swelling and warmth

Mostly occurs at night and patient usually wakes up from sleep due to pain

Pain peaks in 12-24 hours and regressed ver a period of days to weeks

Acute gouty arthritis

3. Chronic gout

Takes several years

Tophi formation

Types of tophi

Bone tophi
Soft tissue tophi

Renal complications include Nephrolithiasis and nephropathy.

Trigger of acute gouty arthritis

Here is the list of things or events that ma trigger the gouty arthritis episode.

Purine rich meal
Alcohol
Trauma
Surgery
Diuresis
Dehydration

Inflammation of different joints and their names in gout

1. Podagra:

MTP if the big toe

Occurs at night

Wakes up the patient

Most common site

Podagra

2. Gonagra

Inflammation of the knee

Features similar to other joints

3. Chiragra

Inflammation of the fingers

MTP of the thumb mostly involved

Note: Desquamation of the overlying skin may occur in the secondary phase of the disease.

Diagnosis of Gout

Synovial fluid analysis (Gold Standard)

Cell count
Gram staining and culture sensitivity test
Polarised light microscopy

How to differentiate Gouty arthritis vs Septic arthritis?

Gouty arthritis has less cell cunt (<2000 vs >50000)
There will not be any pus like synovial fluid
No crystal in Polarised light microscopy
No bacteria in culture and sensitivity test

Polarised light microscopy for gout

Yellow colored polarised light is used
Crystalls lie parallel to the axis of polarisation of light
It will show needle shaped monosodium urate crystals that are negatively birefringement.

Urate crystals in microscopy

Use of serum uric acid level inacute gout flair up

It is not useful in acute gout management or check prognosis

It is useful for prevention

it is useful for management and monitoring of chronic gout

Xray finding: Punched out lytic lesion called rat bite lesion

What to do if synovial fluid vannot be taken?

Synovial fluid analysis is gold standard

No finding in first episode of gout

Finding will be in repeated episode

Can be useful in chronic gout

Initially there might not be any damage that can be seen in the xray.

Xray finding: Punched out lytic lesion called rat bite lesion

Septic arthritis cannot be ruled out.

Rat bite lesion in chronic gout

Below is another example of rat bite lesion.

rat bite lesion in chronic gout

Treatment of acute gout

Lifestyle modification

Limit alcohol use (has high purine)
Limit intake of high purine diet like red meat, sea foods, sellfish
Limit high fructose corn syrup like sugary foods, juices and non diet sodas
Weight loss

General measures

Change offending drugs like diuretics to ACEI or ARB

Rest and ice the affected joint

Medical management

First lines

NSAIDS
Glucocorticoids(Drug of choice)
Colcicine (Last choice for example PUD)

Second line

IL-1 inhibitors or ACTH

Third line

Combination above medications

Intrarticular corticosteroids

Do not mix NSAIDs and Gucocorticoids

Choice of corticosteroids

Prednisone (0.5 to 1 mg/kg)

Prednisolone (0.5 mg/kg) upto one week

Methylprednsolone (IV/IM/Inaarticular)

NSAIDs choice in Gout:

Naproxen (750 mg stat then 250 mg TDS)

Selecoxib

Etoricoxib

Avoid aspirin because it decreases uic acid excretion and even precipates gout. If patient is taking low dose aspirin continue it.

Colchicine is beneficial if taken within 12 hrs of acute gout.

Dose of colchicine

1.2 mg stat then 0.6 mg after one hout.

Side effects of colchicine

Diarrhea (common)

Myopathy

Contraindication of Colchicine

* CKD patients *

Management of chronic gout

Uric acid lowering drugs

Xanthene oxidase inhibitor: allopurinol 1st line
Uricosuric : Probenecid 2nd line
Recombinant uricase : Pegloticase (uric acid to allantoin) 3rd line

Contraindication: Never start urate loweing therapy in acute gout flare up patient if they’re not taking any already.

Start these drugs after inflammation/acute flare up subsided.

If not other joint will also be involved.

Indication of urate lowering drugs

Damage due to chronic gout

Tophi development

Frequent attacks

Target of treatment is <6mg/dl

General tips on control gout

Checklist of Gout management:

Consider other serious illnesses like septic arthritis
Do diagnostic tests (arthosentesis, blood, imaging)
Consult rheumatology if in doubt
Provide analgesia
Rest and ice
Do not discontinue urate lowering therapy, do not start if not taking
Start as early as possible
NSAIDS
Colchicine
Steroids
Combination (do not combine steroids and nsaids)
Follow up and indication of long term urate lowering therapy.

Development of lungs mnemonics 2023

When does Development of lungs occur??

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Introduction

Development of lungs starts to occur by age of 4 weeks. And it is completed by 8 years of life.

Mnemonics for lungs development

The mnemonic is

Every pulmonary can see alveoli. Continue reading Development of lungs mnemonics 2023

6 P of compartment syndrome menmonics

6 P of compartment syndrome menmonics For medical students and doctors 2023

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Introduction

Snakebite Management Protocol Nepal 2023 PDF

(PDF) Snakebite Management Protocol Nepal 2023 Pdf download is here.

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Introduction

Snakebite is major public health concern here in Nepal especially in Terai
region and in summer.

This is a major challange and governmanet of Nepal has made a protocol to deal
with snake bite.

Government of Nepal Provides Anti Snake-Venom for free in the specialized
settings of Nepal.

Here is the Pdf of the protocol for Snakebite management in Nepal.

Snakebite is recently decided to be included in NTDs list by WHO.

Please go through the Protocoland LEAVE A COMMENT TO ENCOURAGE ME.

Snakebite Protocol

Here is a powerpoint presentation on bites and stings

Thank you for reading Please feel free to comment and encourage me or just provicec me feedback. Thank you.

NHPC 8th license examination notice 2080

NHPC 8th license examination notice 2080 has been published

Please check the full notice below in image.


	NHPC 8th license examination notice 2080 has been published

Please check the seventh license examination result below:

seventh license examination result

Strawberry in Medicine

Strawberry 🍓 in Medicine

Strawberry in medicine:

🍓 tongue-Kawasaki disease
🍓 vagina- Trichomonas
🍓 Gums Wegners
🍓 skull- Edwards syndrome
🍓 gall bladder – Cholesterosis
🍓 hemangioma- Capillary hemangioma
🍓 skin- Sarcoidosis
🍓 nasal mass-Rhinosporidiosis

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2 – 🍓 vagina- Trichomonas

3 – 🍓 Gums Wegners

4- 🍓 skull- Edwards syndrome

5- 🍓 gall bladder – Cholesterosis

6 – 🍓 hemangioma- Capillary hemangioma

7- 🍓 skin- Sarcoidosis

8- 🍓 nasal mass-”

}

Adverse Effects of Oral Contraceptives

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What are the adverse effects of oral contraceptives?

weight gain (fluid retention or anabolic effect)
skin changes (acne and/or increase in pigmentation)
nausea
flushing
headache
breast tenderness
amenorrhea
mood changes
bloating

Thank you for reading. Hope it helps.

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2. skin changes (acne and/or increase in pigmentation)

3. nausea

4. flushing

5. headache

6. breast tenderness

7. amenorrhea

8. mood changes

9. bloating”

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Symptoms of Acidosis Medical Explained

Human Body Anatomy

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What is acidosis?

Acidosis is a condition in which the pH value of our blood is decreased towards acidic side or blood becomes acidic.

This consition happens due to variou reasons which are categorized as Metabolic and Respiratory acidosis.

What are symptoms of acidosis?

Following are the list of symptoms of acidosis:

Central Nervous System

Headache
Sleepiness
Confusion
Loss of consciousness
Coma

Respiratory System

Shortness of breath
Coughing
Muscular and muculoskeletal system
Seizures
Weakness

Heart and cardiovascular

Arrhythmia
Increased heart rate

Gastrointestinal

Diarrhea
Nausea
Vomiting

Treatment of Acidosis

Treatment of Acidosis depends uupon wheather it is respiratory or metabolic.

Respiratory causes can be treated using ventilations and correction of respiratory issues whereas metabolic causes can be treated using sodium bicarbonate and treatment of the cause.

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Sleepiness
Confusion
Loss of consciousness
Coma
Respiratory System
Shortness of breath
Coughing
Muscular and muculoskeletal system
Seizures
Weakness
Heart and cardiovascular
Arrhythmia
Increased heart rate
Gastrointestinal
Diarrhea
Nausea
Vomiting”
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