Hepatitis A

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This are the flash informations given by PHS Kerala for public.

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Spilt of S2

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Physiologic Split S2 This happens during inspiration when increased venous return to the right side of the heart delays the closure of the pulmonic valve (major effect), and decreased return to the left side of the heart hastens the closure of the aortic valve (minor effect), thereby further separating A2 and P2. Split is best commented in Pulmonary area Abnormal spilts   different types of split S2 can be associated with medical conditions: Wide splitting : seen in conditions that delay RV emptying (pulmonic stenosis, right bundle branch block).  Delay in RV emptying causes delayed pulmonic sound (regardless of breath); it is an exaggeration of normal splitting sounds Split during expiration : Reverse splitting (paradoxical splitting) indicates pathology due to delay of aortic valve closing. Aortic stenosis, hypertrophic cardiomyopathy, left bundle branch block (LBBB), and a ventricular pacemaker could all cause a reverse splitting of the se...
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Unintentional Losses in our Life!

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Unintentional Losses in our Life! 1 Samuel 9:3 – “ now the donkeys of Kish, Saul’s father were lost.   So kish told Saul his son, “ take one of the young men with you, arise and go and look for the donkey” Sometimes, we might be so heartbroken by the losses of our lives. The hardships we would have been through, when gets shattered in a day or less, our mind may even question the creator. In all these situations, we might blame ourselves or our friends or kins. We fail to recognize the plan, Lord has for this very loss / failure that we are in. This entire chapter 9 and 10 reveals us the hard ways   laid forward by our   creator to bring his plans in our life.    This is the first verses in the   bible about king Saul’s life.   It starts from a loss in   his   life. Yes. They lost their donkey and Saul is supposed to get it back for his father. When we read   1 Samuel 9:16- we realize that on the day before this inci...
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