-Treatment of dry eye.

Treatment of dry eye
"Spot"

Systemic steroids(in autoimmune cases).
Protective glasses and conycy lenses.
Occulsion of puncti to reduce tear drainage.
Tear substitutes (eye drops,eye gel)
Treatment of any associated diseases.

Dr Ibrahim

-Signs of Acute Dacryocystitis.

Signs of Acute Dacryocystitis
"Rate"

Marked Redness of skin over the sac.
Regurgitation test: -ve due to congestion of canaliculi.
Abscess formation with flactuation.
Tender swelling of lacrimal sac.
Marked Edema of skin over the sac.

Dr Ibrahim

-Protozoa causing Dermatologic lesions.

Protozoa causing Dermatologic lesions.
"late"

• Leishmania donovani(Post Kala azar dermal leishmaniasis).
• Leishmania brasiliense(Ulcer).
• Leishmania donovani(oriental ulcer).
• Acanthamoeba castellanii (Skin granuloma)
• Trypanosoma cruzi(chagoma)
• Trypanosoma brucei gambiense,rhodesiense(Chancre).
• Entamoeba histolytica(Cutaneous ulcer in the right hypochondrium and perianal area.)

Dr Ibrahim

- Mesothelioma Treatment Options.

Mesothelioma Treatment Options.

Dr. Michael Milano, consulting oncologist, discusses the various treatment options available to an asbestos cancer patient..

- What are the symptoms of peritoneal mesothelioma?

What are the symptoms of peritoneal mesothelioma?

Mary Hesdorffer, MS, APRN, nurse practitioner with the Mesothelioma Applied Research Foundation discusses the symptoms of peritoneal mesothelioma.

- Clinical Picture of Symblepharon.

Clinical Picture of Symblepharon

"Blade"

Bad cosmetic appearance.
Limitation of ocular motility and diplopia.
Ankyloblepharon.
Diminution of vision in cases of corneal affection.
Exposure Keratopathy and chronic conjuctivitis.

Dr Ibrahim

-Sites of esophageal constrictions.

Sites of esophageal constrictions are
collected in the word "Dial" at

Diaphragm (15 inches from incisor).
Inlet of the esophagus(6 inches from incisor).
Aortic arch crosses it(9 inches from incisor).
Left main bronchus crosses it (12 inches from incisor).

Importance :-

• During passage of insturments (gastroscope) along the esophagus.
• Lodging of swollen foreign bodies.

Dr Ibrahim