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Written by Xie Ming Feng
Dermatology
1min 21sec home-news-image

What ointment to apply for neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic severe itching and lichenoid skin changes. The characteristic skin lesions mainly consist of polygonal, flat papules that range in color from pale red, pale brown to normal skin tone. They are relatively hard and shiny with a small amount of scale on the surface. Over time, the lesions can merge into plaques, and the local skin becomes thickened and rough with lichen-like changes. Therefore, in clinical practice, various topical medications are rationally used based on the characteristics, types, and locations of these lesions. The common types of topical medications include glucocorticoid ointments, tar ointments, and moisturizing antipruritic ointments. Commonly used medications include hydrocortisone butyrate ointment, desonide ointment, mometasone furoate ointment, halometasone ointment, fluticasone propionate ointment, 10% black soybean distillate ointment, 5%-10% Konju butter or coal tar ointment, pine distillate ointment, urea vitamin E ointment, etc.

Neurodermatitis
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Written by Zhou Qi
Nephrology
38sec home-news-image

Syndrome of kidney disease with manifestations of calcium deficiency

In the state of nephrotic syndrome, if there is a calcium deficiency, it may cause the patient's limbs to twitch, especially sudden twitches and pain in both lower limbs during sleep at night, waking the patient from sleep. If calcium deficiency persists for a long time, it may lead to osteoporosis in the patient, such as osteoporosis of the femoral head, which presents with hip pain, and necrosis of the femoral head, potentially affecting the patient's ability to walk. In children, calcium deficiency may cause night-time convulsions, and external manifestations such as hunchback, pigeon chest, and square skull might appear.

Nephrotic syndrome
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Written by Pang Ji Cheng
Psychiatry and Psychology
1min 13sec home-news-image

Do patients with mild depression need to be hospitalized?

Patients with mild depression can choose inpatient treatment or outpatient treatment. The main decision depends on the communication between the patient, their family, and medical professionals. Patients with mild depression have relatively mild depressive symptoms, so psychological therapy is primarily used, with pharmacotherapy and physical therapy serving as supplementary treatments. Psychological therapy mainly employs cognitive-behavioral therapy to improve the patient’s unreasonable beliefs and alleviate emotional stress. This includes identifying automatic thoughts, recognizing the irrationality of cognition, and employing reality testing, ultimately aiming to improve the patient's symptoms. Pharmacological treatment primarily uses serotonin reuptake inhibitors, and patients can adhere to a regular medication schedule at home during outpatient treatment periods. Physical therapy consists mainly of transcranial magnetic stimulation, which can be administered either as an outpatient or inpatient treatment. The final treatment choice should involve comprehensive communication with the patient's family and physicians to make an informed decision.

Depression
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Written by Liu Hong Mei
Neurology
56sec home-news-image

Parkinson's disease Braak staging

Parkinson's disease Braak staging is generally divided into five stages: Stage 1 refers to unilateral symptoms only, such as tremors or stiffness in one hand or one foot, with symptoms confined to one side of the body and not crossing the midline. Stage 2 refers to mild symptoms on both sides, such as tremors in both hands or throughout the body, but without impairment of balance. Stage 3 refers to more pronounced bilateral symptoms, such as difficulty lifting legs, taking small shuffling steps, leaning forward, or instability when holding a bowl while eating, but capable of living normally. Stage 4 refers to the loss of most of the ability for autonomous activity. Stage 5 refers to a complete loss of the ability to live independently.

Parkinson's disease
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Written by Liu Yong
Traditional Chinese Medicine
39sec home-news-image

Does wind-heat cold cause nasal congestion?

Wind-heat colds can lead to nasal congestion, yellow nasal discharge, and dizziness, making it quite uncomfortable. The main symptoms of wind-heat cold include sore throat, yellow phlegm, yellow urine, dry stools, sweating, coughing, and fever. For nasal congestion, it is important to treat it promptly as symptoms will improve as the condition gets better. When congestion is severe, applying a hot towel to the nasal area can help alleviate discomfort. It is also advisable to drink plenty of water, ventilate indoor areas by opening windows, eat a light diet, and consume fresh fruits and vegetables.

Common cold
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Written by Zhang Xiao Le
Hematology
52sec home-news-image

Mediterranean anemia has symptoms such as fatigue, paleness, delayed growth, and facial bone deformities.

Thalassemia is a hereditary hemolytic anemia, and the symptoms of patients with thalassemia are related to their specific types. Thalassemia can be divided into mild, intermediate, and severe types. Mild thalassemia clinically may have no symptoms or only mild anemia, sometimes accompanied by mild splenomegaly; Intermediate thalassemia can present with moderate anemia, noticeable fatigue, and splenomegaly, with a few cases experiencing mild skeletal changes and delayed sexual development; Severe thalassemia in children manifests within the first half-year after birth with pallor, progressively worsening anemia, jaundice, hepatosplenomegaly, delayed growth and development, and distinctive facial features such as frontal bossing, a depressed nasal bridge, and increased distance between the eyes.

Thalassemia
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Written by Li Jin Quan
General Surgery
40sec home-news-image

How long is a tetanus shot effective?

Tetanus generally refers to a specific type of infection caused by the entry of tetanus bacillus into the body through broken skin or mucous membranes, where it produces a large amount of toxin. Typically, the incubation period for tetanus is 6 to 7 days, but it can be as short as within 24 hours or as long as several months or even years. Therefore, if there is a wound, the first thing to do is to clean the wound with hydrogen peroxide or saline. Then, it is best to go to the hospital to get a tetanus vaccine within 24 hours. If the tetanus vaccine is not administered within 24 hours, it can still be effective if given within a week.

Tetanus
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Written by Liu Huan Huan
General Surgery
47sec home-news-image

Is tetanus administered intramuscularly or subcutaneously?

Tetanus is widely used clinically and is known as tetanus antitoxin, intended solely to prevent the clinical symptoms caused by infection with Clostridium tetani. Therefore, a skin test must be conducted before administering tetanus injections. The common skin test involves creating a skin wheal intradermally; if the skin test is negative, one can proceed with the tetanus antitoxin injection. The injection can be administered intramuscularly or subcutaneously. For example, the common sites include the deltoid attachment area on the upper arm for subcutaneous injections, and the deltoid or the lateral part of the buttock for intramuscular injections, among others. These are the injection sites for tetanus.

Tetanus