for jess

jess you asked for met. i hope im not confused with abrreviation if so than re reply.

MET :stands for a metabolic equivalent. a met is defined as the oygen consumed(9mili liters) per kilograms of body weight per minute(ml/kg).it is equal to approx 3.5ml/kg per minute square.

ARDS: it stands for acute respiratory distress syndrome. it is one of the leading pathologies of respiratory system.

a brief overview to ards is

it can be caused by peumonia,sepsis,smoking,aspiration,major trauma burns.

inflamation is caused at alveolar epithilium and pulmonary capillaries.pulmonary capillaries become more permeable allowing plasma and blood to leak into the interstitial and alveolar spaces, while at same time the capillaries get blocked with cellular debris and fibres. the lungs become heavy,stiff and water logged and alvioli collapse.this leads to ventillation/perfusion mismatch and hypoxaemia and patients normally require mechanical ventilatory support to achieve adequate gas exchange.
symtoms usually develop with in 24 to 48 hrs after the origianl injury or illness,but can develop 5-10 days later.

CAN IN THIS WHOLE GROUP GIVE PHYSIO MANAGEMENT OF ARDS


VALVE STENOSIS:

SIGNS:EJECTION systolic murmer
slow rising carotid pulse,redused pulse pressure
left ventricular hypertrophy,thrusting left ventricle
signs of left ventricular failure

symtoms:
exertional dysnoea
angina
pulmonary syncope
sudden death

possible investigations:
ECG(LEFT VENTRCULAR HYPERTROPHY LBBB)
CHEST RADIOGRAPH
DOPPLER
ECHO

MANAGEMENT include aortic baloon valvoplsty but of no long term value for elderly patients