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Dr Bettern Chero Kibet

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Deutschland
Munich
Dr Bettern Chero Kibet

General medical and human anatomy consultancy

29/06/2023

Screening for sensory neuropathy in a diabetic patient→ 10g monofilament is used on various parts of the sole of the foot 🦶

16/05/2023

PID
Pelvic inflammatory disease (PID) is a serious infection in your uterus, fallopian tubes and/or ovaries. It affects women. PID develops when certain types of bacteria spread from your va**na to your reproductive organs. Bacteria from untreated s*xually transmitted infections (STIs) are the most common cause of PID. However, bacteria normally found in your va**na can also cause PID so sio lazima iwe s*xual STDs

When you have PID, you feel pain in your lower abdomen (belly) or pelvis. You may also have unusual discharge (leaking) from your va**na. Severe PID can cause permanent damage your reproductive organs and prevent you from getting pregnant. Getting tested and treated for STIs is the best way to prevent PID

Take antibiotics for 14 days Make sure to take all your medicine, even if you start feeling better. Often, your symptoms improve before the infection goes away.

Some people take antibiotics and still have symptoms. If that happens, you may need to go to the hospital to receive antibiotics through an IV.

If you have pelvic inflammatory disease, tell your s*xual partner(s). They should receive treatment. Otherwise, you may get PID again when you resume s*x.

commonly, PID happens when normal bacteria gets into your reproductive organs. This can happen after
👂Childbirth.
👂Pelvic surgery.
👂Miscarriage.
👂Getting an intrauterine device (IUD). The risk is highest in the few weeks after you insert an IUD.

12/05/2023

🫶Non-invasive ventilation: Key indications

🔻COPD with respiratory acidosis (pH 7.25–7.35)
🔻Type II respiratory failure secondary to chest wall deformity, neuromuscular disease or obstructive sleep apnoea
🔻Cardiogenic pulmonary oedema unresponsive to CPAP
🔻Weaning from tracheal intubation

06/02/2023

A marked elevation in AST versus ALT is seen in patients with significant alcoholic liver disease. An AST:ALT ratio of 2:1 or greater is expected in patients with alcoholic liver disease

07/01/2023

The whole kafament is full of pretenders and camera fun people, if being evangelical Christians it’s this type then get right worship centres

22/12/2022

Stroke Is the 1st cause of disability - 2nd
cause of dementia and the 3rd
cause of mortality!

19/12/2022

Paracetamol used for____?🤔
As antipyretic and painkiller 💊
Overuse results to blood disorders, such as thrombocytopenia (low number of platelet cells) and leukopenia (low number of white blood cells) liver and kidney damage

12/12/2022

Dx :Eczema
Rx:
Tab Itraconazole 200mg od week 15days
Tab Azithromycin 500mg od 5days
Tab Defcort 8mg bd 15day
Cream Luliconazole

Eczema Medication will only keeps disease under control.
Proper daily hydration is basic and steroid cream with proper potency on top of that.
Alternative to steroid cream : TACROLIMUS cream

12/12/2022

Dx:- Cellulitis
Rx:- penicillin if tolerated
Or amoxiclav
Or iv ceftraxione

Nothing works then go for iv
peparacilline clindamycine

28/11/2022

Dx :-Post acne keloid scar
Rx :-
Intrakeloid steroid injection

27/11/2022

SO SAD 😭 IN KENYA
Many a time ladies reached out to me on various medical consultancy , moments I mention I will need sonographer report ( ultrasound) report I feel how heart broken they feel .
It has come to my realization in Kenya taking an image it’s damn expensive , am still in shock why should anybody charge for an X-ray facility Kwani price ya film 🎞 paper how much ? Its nearly 2bob why charge surely?
Imaging should never ever exceed ksh 1000 surely , Kwani are you being punished to locate your exact ailment? Aren’t you going to be charged treatment? Do you know in India all this scans are almost free !! Actually X-ray is free zero pay .

My second question 🙋‍♀️ is why should C-section surgical procedures cost anybody past 10k ? Why ? My friend recently told me she paid 375k Private ### hospital for C-section , am still asking myself Hata kaa ni overcharge surely?

Third shock is Fertility treatment in Kenya , why should a mother struggling with fertility treatment be charged a leg 🦵 and foot 🦶 ? Am shocked assisted fertility processes like a) Intrauterine insemination (IUI) b) In vitro fertilisation (IVF) c) Egg and s***m donation cost over ksh 100,000 ? But why surely why ? Sweets kaa you realize ni more than 100k kindly book with hospitals in india get it extremely cheap , they will do it at their best so that you come back next .. it’s not a mother ‘s wish to have fertility issues that treatment is more of a punishment as to why you have the condition .. sad 😢
Let me explain this X-rays

1. Computed Tomography CT / Computerized Axial Tomography CAT ( used to diagnose internal injuries after an accident, locate a tumor, or detect a disease such as cancer etc )

2. Magnetic Resonance Imaging (MRI) used to examine the size of a patient’s heart, the effects of a heart attack, or the inflammation of blood vessels, detect tumors or cancer in a patient’s liver, breast, ovaries, kidney, pancreas, and other organs.

3. Vascular Interventional Radiography ( VIR) used to scan blood vessel disease, resolve issues in dilated or blocked veins, guide benign tumor therapies, and remove kidney or gallbladder stones.

4. Sonography / Ultrasound - used to check on fetal growth and development, helps diagnose conditions when a patient has symptoms relating to pain, swelling, or infection also used to examine a patient’s heart, gallbladder, liver, kidneys, brain, spine, and other organs.

5. X-Ray used to determine the type and extent of a fracture and several other functions if you don’t have other imaging scanners it’s just a general scanner.

Example of various scanners on same item (banana)

Any questions ask here 👇👇👇👇

22/11/2022

Cutis verticis gyrata is a medical condition usually associated with thickening of the scalp associated with acromegaly. Case closed 🔒!
Hii condition is treatable failure to attend to it can be fatal !! I do see very young MP noise from nyanza with this acromegaly condition sadly he has never attended to it . The condition is common to male population and rarely to women .

The condition presents its self with a history of excessive sweating, headaches, and joint pain and increasing skin folds on his scalp a diagnosis we term Acromegaly

Acromegaly happens because your pituitary gland (a pea-sized gland just below the brain) produces too much growth hormone. This is usually caused by a non-cancerous tumour in the pituitary gland called an adenoma.

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