Dr.Nezamuddin Jalil

06/12/2025

Social skills don’t come from perfection – they come from practice. 💬🤝
The more you learn to listen, respect, and collaborate, the better your relationships (and life) become. Start with one skill today and keep growing.

06/12/2025

🔍 How to listen
• Move the stethoscope from top (apices) to bottom (bases) of the lungs.
• Always compare left with right at the same level.

🌬️ Asthma
Lung sounds:
• Diffuse wheezing (especially on expiration)
• Sometimes fine crackles
Other clues:
• History of asthma or allergies
• Uses inhalers/bronchodilators
• “Silent chest” = very severe obstruction → emergency

🌬️ Acute Bronchitis
Lung sounds:
• Wheezing
• Crackles that change or clear with coughing
Other clues:
• Recent viral respiratory infection
• Often smoker or recent cold
• Persistent cough, usually days–weeks

💧 Congestive Heart Failure (CHF)
Lung sounds:
• Crackles at the bases (fluid)
• Sometimes wheezing (“cardiac asthma”)
Other clues:
• Pedal edema, raised JVP
• Orthopnea, paroxysmal nocturnal dyspnea
• Often on diuretics

🌫️ COPD / Emphysema
Lung sounds:
• Decreased breath sounds
• Wheezing
• Rhonchi if lots of secretions
Other clues:
• Long smoking history, barrel chest
• Prolonged expiration
• May be on oxygen and multiple inhalers

🚫 Foreign Body Obstruction
Lung sounds:
• Stridor (loud, harsh sound in upper airway)
• Localized wheeze over the blocked area
Other clues:
• Sudden onset choking episode
• Worse when agitated
• Common in children

🦠 Pneumonia
Lung sounds:
• Localized crackles
• Bronchial breath sounds over consolidation
• Possible wheeze, especially in children
Other clues:
• Fever, pleuritic chest pain
• Brown/green/yellow sputum
• Signs of consolidation: increased vocal fremitus, dull percussion

💨 Pneumothorax
• Lung sounds:
• Absent or markedly decreased on the affected side
• Other clues:
• Sudden pleuritic chest pain and dyspnea
• Hyperresonant percussion
• Tracheal deviation (late sign in tension pneumothorax)

💦 Pleural Effusion (important modern addition)
Lung sounds:
• Decreased or absent over the effusion
Other clues:
• Dullness to percussion
• Decreased vocal fremitus
• Can be due to CHF, infection, malignancy

🩸 Pulmonary Embolism (PE) (often missed)
Lung sounds:
• Often normal or near normal
Other clues:
• Sudden dyspnea, pleuritic chest pain
• Tachycardia, hypoxia
• Risk factors: immobility, surgery, pregnancy, OCPs, cancer

23/11/2025

Trust grows when leadership moves from authority to shared responsibility, creating space for people to feel valued and supported while nurturing a culture where clarity, empathy and consistent actions shape a stable environment for growth.

23/11/2025

Hyperthyroidism is an overactive thyroid that produces too much hormone, while hypothyroidism is an underactive thyroid that produces too little. This fundamental difference leads to opposite symptoms: hyperthyroidism causes symptoms like weight loss, rapid heartbeat, and anxiety, while hypothyroidism causes symptoms like weight gain, a slowed heart rate, and fatigue. Both conditions can cause a goiter, and they are often diagnosed through blood tests that measure levels of thyroid-stimulating hormone (TSH) and other thyroid hormones.

22/11/2025

As Steve Jobs famously stated, "The only way to do great work is to love what you do."

Exceptional results are rarely born from obligation; they are fueled by genuine passion. When you love what you do, you approach challenges with curiosity, persist through setbacks, and invest the energy needed to reach a level of mastery. This intrinsic motivation transforms the job from a task list into a calling, pushing you beyond routine and into the realm of great work. Find the intersection of your talents and your heart to unlock your true professional potential.

22/11/2025

How Blood Pressure Measurement Works

1️⃣ Put the cuff on the arm
• The cuff compresses the brachial artery (main artery in the upper arm).

2️⃣ Pump the bulb → cuff tightens
• Pressure becomes higher than systolic →
Artery is fully closed → no blood flows
→ You hear nothing with the stethoscope.

3️⃣ Slowly release valve
• Cuff pressure drops gradually.

4️⃣ FIRST sound = SYSTOLIC BP
• When artery starts to open, blood squirts through.
• This creates Korotkoff sounds (“tap-tap”).
• ➡️ First tapping sound = Systolic BP

5️⃣ Continue releasing
• Artery opens more and more.

6️⃣ Sound disappears = DIASTOLIC BP
• When the artery is fully open, flow becomes smooth.
• No turbulence → sound disappears.
• ➡️ Last sound = Diastolic BP

21/11/2025

Michael E. Kirshteyn - The Writer.

Michael-E-Kirshteyn.com

With over 22+ years of experience and 50+ books published in different genres 📚,
Dr. Kirshteyn's dynamic storytelling skills have garnered the attention of thousands of readers worldwide.

08/11/2025

The risk of measles is high in this season. Don't wait for sickness to hit your family. Go to your local health centre and vaccinate your children now. All children below the age of five will be given free measles vaccine.

04/11/2025

01/11/2025