Sepsis is a potentially life-threatening complication of an infection. Sepsis occurs when chemicals released into the bloodstream to fight the infection trigger inflammatory responses throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems, causing them to fail. If sepsis progresses to septic shock, blood pressure drops dramatically, which may lead to death. Anyone can develop sepsis, but it's most common and most dangerous in older adults or those with weakened immune systems. Early treatment of sepsis, usually with antibiotics and large amounts of intravenous fluids, improves chances for survival. Symptoms & causes Symptoms Many doctors view sepsis as a three-stage syndrome, starting with sepsis and progressing through severe sepsis to septic shock. The goal is to treat sepsis during its early stage, before it becomes more dangerous. Sepsis To be diagnosed with sepsis, you must exhibit at least two of the following symptoms, plus a probable or confirmed infection: Body temperature above 101 F (38.3 C) or below 96.8 F (36 C) Heart rate higher than 90 beats a minute Respiratory rate higher than 20 breaths a minute Severe sepsis Your diagnosis will be upgraded to severe sepsis if you also exhibit at least one of the following signs and symptoms, which indicate an organ may be failing: Significantly decreased urine output Abrupt change in mental status Decrease in platelet count Difficulty breathing Abnormal heart pumping function Abdominal pain Septic shock To be diagnosed with septic shock, you must have the signs and symptoms of severe sepsis — plus extremely low blood pressure that doesn't adequately respond to simple fluid replacement. When to see a doctor Most often sepsis occurs in people who are hospitalized. People in the intensive care unit are especially vulnerable to developing infections, which can then lead to sepsis. If you get an infection or if you develop signs and symptoms of sepsis after surgery, hospitalization or an infection, seek medical care immediately. Causes While any type of infection — bacterial, viral or fungal — can lead to sepsis, the most likely varieties include: Pneumonia Abdominal infection Kidney infection Bloodstream infection (bacteremia) The incidence of sepsis appears to be increasing in the United States. The causes of this increase may include: Aging population. Americans are living longer, which is swelling the ranks of the highest risk age group — people older than 65. Drug-resistant bacteria. Many types of bacteria can resist the effects of antibiotics that once killed them. These antibiotic-resistant bacteria are often the root cause of the infections that trigger sepsis. Weakened immune systems. More Americans are living with weakened immune systems, caused by HIV, cancer treatments or transplant drugs. Risk factors Sepsis is more common and more dangerous if you: Are very young or very old Have a compromised immune system Are already very sick, often in a hospital's intensive care unit Have wounds or injuries, such as burns Have invasive devices, such as intravenous catheters or breathing tubes Complications Sepsis ranges from less to more severe. As sepsis worsens, blood flow to vital organs, such as your brain, heart and kidneys, becomes impaired. Sepsis can also cause blood clots to form in your organs and in your arms, legs, fingers and toes — leading to varying degrees of organ failure and tissue death (gangrene). Most people recover from mild sepsis, but the mortality rate for septic shock is nearly 50 percent. Also, an episode of severe sepsis may place you at higher risk of future infections.

This hormone, insulin, causes the liver to convert more glucose into glycogen (this process is called glycogenesis), and to force about 2/3 of body cells (primarily muscle and fat tissue cells) to take up glucose from the blood through the GLUT4 transporter, thus decreasing blood sugar.

Hepatitis B is a serious disease caused by a virus that attacks the liver. The virus, which is called hepatitis B virus (HBV), can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death. Hepatitis B vaccine is available for all age groups to prevent HBV infection.

www.diabetes.org > Living With Diabetes > Treatment and Care > Medication > Insulin & Other Injectables Share: Print PageText Size:A A A Listen How Do Insulin Pumps Work? If you have been diagnosed with diabetes, you may feel overwhelmed by all the new information you have learned and will continue to learn about managing your diabetes. You already know your main goal should be to get your blood glucose (sugar) levels under control in order to increase your chances of a complication-free life. Many people know this, but need to know how to achieve good diabetes management, while balancing the day-to-day demands of diabetes with other life demands. An insulin pump can help you manage your diabetes. By using an insulin pump, you can match your insulin to your lifestyle, rather than getting an insulin injection and matching your life to how the insulin is working. When you work closely with your diabetes care team, insulin pumps can help you keep your blood glucose levels within your target ranges. People of all ages with type 1 diabetes use insulin pumps and people with type 2 diabetes have started to use them as well. - See more at: http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/how-do-insulin-pumps-work.html?referrer=https://www.google.com/#sthash.XD56v351.dpuf

Comprehensive physical examination

There’s a strange, mysterious world inside us, an alien-looking environment that turns the food we eat into nutrients that keep us alive. Michael Mosley swallows a camera to take a closer look.

Uterine fibroid embolization (UFE), also known as uterine artery embolization, is a minimally invasive procedure that is performed by an Interventional Radiologist (IR), a doctor who uses advanced imaging technology to see inside the body without surgery. UFE is often performed as an outpatient service and offers a much shorter recovery time than surgery. For more information on uterine fibroids and all your treatment options, including UFE,

Recommended range without diabetes is 70 to 130mg/dL. (The standard for measuring blood glucose is "mg/dL" which means milligrams per deciliter.) If your blood glucose level is above 130mg/dL, that's fasting hyperglycemia. Fasting hyperglycemia is a common diabetes complication.

plastic surgeon demonstrates the results of a muscle separation(rectus diastasis) repair using 3 dimesional CAT scan and photographic images

Myeloma is a cancer of the plasma cell, a type of white blood cell that is part of the immune system. This animation explains how a plasma cell can become cancerous and turn into a myeloma cell.

Hepatitis C is an infection caused by the hepatitis C virus (HCV) that attacks the liver and leads to inflammation. The World Health Organization (WHO) estimates that about 3% of the world’s population has been infected with HCV and that there are more than 170 million chronic carriers who are at risk of developing liver cirrhosis and/or liver cancer. The image below depicts the HCV genome.

The cyst was technically 46.5 pounds and her doctors call it the largest in world history. I am not sure if that is true, but it is a massive cyst

Water Birth

The importance of uninterrupted contact between mother and newborn SHOW MORE

http://vencer-la-diabetes-rapido.info-pro.co/ Como Controlar La Diabetes Tipo 2 Naturalmente Sin Medicamentos, Pre Diabetes Y Diabetes Tipo 1. https://youtu.be/BOSkQ5MnjT0 Que es la Insulina? Una definición practica sin adentrarnos en terminos estrictamente medicos es que la insulina es una hormona formada por 51 aminoácidos. Dentro del páncreas, las células beta producen la hormona llamada insulina. Con cada comida, las células beta liberan insulina para ayudar al cuerpo a utilizar o almacenar en la sangre la glucosa que se obtiene de los alimentos. Su déficit provoca la diabetes mellitus y su exceso provoca hiperinsulinismo con hipoglucemia. En las personas con diabetes tipo 1, el páncreas no produce insulina. Las células beta han sido destruidas y se necesitan inyecciones de insulina para utilizar la glucosa de las comidas. Las personas con diabetes tipo 2 producen insulina, pero sus cuerpos no responden bien a la misma. Algunas personas con diabetes tipo 2 necesitan medicamentos para la diabetes o inyecciones de insulina para ayudar a su cuerpo a utilizar la glucosa para obtener energía. * La insulina no se puede tomar como una píldora, ya que se descompone durante la digestión al igual que la proteína en los alimentos. Se debe inyectar en la grasa debajo de la piel para que llegue a la sangre. Existen diferentes tipos de insulina en función de la rapidez con que trabajan, y en funcion de su duración. La insulina viene en diferentes concentraciones, la más común es U-100. Tipos de insulina: * De Acción Rápida: Comienza a trabajar unos 15 minutos después de la inyección, con picos en aproximadamente 1 hora, y continúa trabajando por un tiempo de 2 a 4 horas. Tipos: Insulina glulisina (Apidra), la insulina lispro (Humalog) y la insulina aspart (NovoLog). * Regular o de Acción Corta: Generalmente llega al torrente sanguíneo a los 30 minutos después de la inyección, picos de entre 2 a 3 horas después de la inyección, y es efectiva durante aproximadamente 3 a 6 horas. Tipos: Humulin R, Novolin R * De Acción Intermedia: Generalmente llega al torrente sanguíneo de aproximadamente 2 a 4 horas después de la inyección, picos de 4 a 12 horas y eseficaz durante aproximadamente 12 a 18 horas. Tipos: NPH (Humulin N, Novolin N) * De Acción Prolongada: Alcanza el torrente sanguíneo varias horas después de la inyección y tiende a disminuir los niveles de glucosa de manera bastante uniforme durante un período de 24 horas. Tipos: La insulina detemir (Levemir) y la insulina glargina (Lantus) Nota: Esta información debes consultarla siempre con tu medico especialista. La insulina Tiene 3 Características: El inicio: Es el tiempo antes de que la insulina alcance el torrente sanguíneo y se inicie la reducción de la glucosa en sangre. Pico: Es el tiempo durante el cual la insulina está surtiendo el máximo efecto en términos de reducción de la glucosa en sangre. La duración: Es cuánto tiempo la insulina continúa reduciendo la glucosa sanguínea.

A short story about Warts, Are they contagious?

Dealing with choking

Dealing with burns

One technique to relocate a dislocated elbow with anatomy diagrammed out.

Urinary incontinence isn't a disease, it's a symptom. It can be caused by everyday habits, underlying medical conditions or physical problems. A thorough evaluation by your doctor can help determine what's behind your incontinence. Temporary urinary incontinence Certain drinks, foods and medications can act as diuretics — stimulating your bladder and increasing your volume of urine. They include: Alcohol Caffeine Decaffeinated tea and coffee Carbonated drinks Artificial sweeteners Corn syrup Foods that are high in spice, sugar or acid, especially citrus fruits Heart and blood pressure medications, sedatives, and muscle relaxants Large doses of vitamins B or C Urinary incontinence also may be caused by an easily treatable medical condition, such as: Urinary tract infection. Infections can irritate your bladder, causing you to have strong urges to urinate, and sometimes incontinence. Other signs and symptoms of urinary tract infection include a burning sensation when you urinate and foul-smelling urine. Constipation. The rectum is located near the bladder and shares many of the same nerves. Hard, compacted stool in your rectum causes these nerves to be overactive and increase urinary frequency. Persistent urinary incontinence Urinary incontinence can also be a persistent condition caused by underlying physical problems or changes, including: Pregnancy. Hormonal changes and the increased weight of the uterus can lead to stress incontinence. Childbirth. Vaginal delivery can weaken muscles needed for bladder control and also damage bladder nerves and supportive tissue, leading to a dropped (prolapsed) pelvic floor. With prolapse, the bladder, uterus, rectum or small intestine can get pushed down from the usual position and protrude into the vagina. Such protrusions can be associated with incontinence. Changes with age. Aging of the bladder muscle can decrease the bladder's capacity to store urine. Menopause. After menopause women produce less estrogen, a hormone that helps keep the lining of the bladder and urethra healthy. Deterioration of these tissues can aggravate incontinence. Hysterectomy. In women, the bladder and uterus are supported by many of the same muscles and ligaments. Any surgery that involves a woman's reproductive system, including removal of the uterus, may damage the supporting pelvic floor muscles, which can lead to incontinence. Enlarged prostate. Especially in older men, incontinence often stems from enlargement of the prostate gland, a condition known as benign prostatic hyperplasia. Prostate cancer. In men, stress incontinence or urge incontinence can be associated with untreated prostate cancer. But more often, incontinence is a side effect of treatments for prostate cancer. Obstruction. A tumor anywhere along your urinary tract can block the normal flow of urine, leading to overflow incontinence. Urinary stones — hard, stone-like masses that form in the bladder — sometimes cause urine leakage. Neurological disorders. Multiple sclerosis, Parkinson's disease, stroke, a brain tumor or a spinal injury can interfere with nerve signals involved in bladder control, causing urinary incontinence.