Also called acute coryza or upper respiratory infection, the common cold is characterised by in?ammation of any or all of the airways – NOSE, sinuses (see SINUS), THROAT, LARYNX, TRACHEA and bronchi (see BRONCHUS). Most common, however, is the ‘head cold’, which is con?ned to the nose and throat, with initial symptoms presenting as a sore throat, runny nose and sneezing. The nasal discharge may become thick and yellow – a sign of secondary bacterial infection – while the patient often develops watery eyes, aching muscles, a cough, headache, listlessness and the shivers. PYREXIA (raised temperature) is usual. Colds can also result in a ?are-up of pre-existing conditions, such as asthma, bronchitis or ear infections. Most colds are self-limiting, resolving in a week or ten days, but some patients develop secondary bacterial infections of the sinuses, middle ear (see EAR), trachea, or LUNGS.
Treatment Symptomatic treatment with ANTIPYRETICS and ANALGESICS is usually su?cient; ANTIBIOTICS should not be taken unless there is de?nite secondary infection or unless the patient has an existing chest condition which could be worsened by a cold. Cold victims should consult a doctor only if symptoms persist or if they have a pre-existing condition, such as asthma which could be exacerbated by a cold.
Most colds result from breathing-in virus-containing droplets that have been coughed or sneezed into the atmosphere, though the virus can also be picked up from hand-to-hand contact or from articles such as hand towels. Prevention is, therefore, di?cult, given the high infectivity of the viruses. No scienti?cally proven, generally applicable preventive measures have yet been devised, but the incidence of the infection falls from about seven to eight years – schoolchildren may catch as many as eight colds annually – to old age, the elderly having few colds. So far, despite much research, no e?ective vaccines have been produced.... cold, common
Habitat: In damp places throughout the plains and low hills in India.
English: Sneezewort.Ayurvedic: Kshavaka, Chhikkini, Chhikkikaa.Folk: Nak-chhikani.Action: Used for the treatment of rhinitis, sinusitis, nasopharyngeal tumors and obstructions, asthma and cold; also used in hemicrania.
The plant extract showed a good an- titussive and expectorant activity on mice. The flavonoids, sesquiterpenes and amide exhibited significant antial- lergy activity in passive cutaneous anaphylaxis (PCA) test.... centipeda orbicularisSneezing may be caused by the presence of irritating particles in the nose, such as snu?, or the pollen of grasses and ?owers. It is also an early symptom of colds, INFLUENZA, MEASLES, and HAY FEVER, being then accompanied or followed by running at the nose (RHINITIS).... sneezing
The manoeuvre occurs naturally when an attempt is made to breathe out while holding the vocal cords tightly together.
This happens, for example, at the beginning of a sneeze.
When performed deliberately by pinching the nose and holding the mouth closed, the manoeuvre can prevent pressure damage to the eardrums (see barotrauma).... valsalva’s manoeuvre
Language function in the brain lies in the dominant cerebral hemisphere (see cerebrum). Two particular areas in this hemisphere, Broca’s and Wernicke’s areas, and the pathways connecting the two, are important in language skills. Damage to these areas, which most commonly occurs as a result of stroke or head injury, can lead to aphasia.
Some recovery from aphasia is usual following a stroke or head injury, although the more severe the aphasia, the less the chances of recovery. Speech therapy is the main treatment. (See also dysphasia; speech; speech disorders.)
SIGN | SCORE 0 | SCORE 1 | SCORE 2 |
Heart-rate | None | Below 100 beats per minute | Over 100 beats per minute |
Breathing | None | Weak cry; irregular breathing | Strong cry; regular breathing |
Muscle tone | Limp | Some muscle tone | Active movement |
Response to stimulation | None | Grimace or whimpering | Cry, sneeze or cough |
Colour | Pale; blue | Blue extremities | Pink |
strains: type A has been the cause of pandemics in the last century.
Types A and B produce classic flu symptoms; type C causes a mild illness that is indistinguishable from a common cold. The illness usually clears up completely within 7–10 days. Rarely, flu takes a severe form, causing acute pneumonia that may be fatal within a day or 2 even in healthy young adults. Type B infections in children sometimes mimic appendicitis, and they have been implicated in Reye’s syndrome. In the elderly and those with lung or heart disease, influenza may be followed by a bacterial infection such as bronchitis or pneumonia. Analgesic drugs (painkillers) help to relieve aches and pains and reduce fever. The antiviral drug amantadine may be given if the person is elderly or has another lung condition. Antibiotic drugs may be used to combat secondary bacterial infection.
Flu vaccines, containing killed strains of the types A and B virus currently in circulation, are available, but have only a 60–70 per cent success rate.
Immunity is short-lived, and vaccination (recommended for older people and anyone suffering from respiratory or circulatory disease) must be repeated annually.... influenza
In about another 5 per cent of cases, bacteria held in a dormant state by the immune system become reactivated months, or even years, later. The infection may then progressively damage the lungs, forming cavities.
The primary infection is usually without symptoms. Progressive infection in the lungs causes coughing (sometimes bringing up blood), chest pain, shortness of breath, fever and sweating, poor appetite, and weight loss. Pleural effusion or pneumothorax may develop. The lung damage may be fatal.
A diagnosis is made from the symptoms and signs, from a chest X-ray, and from tests on the sputum. Alternatively, a bronchoscopy may also be carried out to obtain samples for culture.
Treatment is usually with a course of 3 or 4 drugs, taken daily for 2 months, followed by daily doses of isoniazid and rifampicin for 4–6 months. However, bacteria are increasingly resistant to the drugs used in treatment, and others may have to be used and treatment carried out for a longer period. If the full course of drugs is taken, most patients recover.
can be prevented by BCG vaccination, which is offered routinely at birth or age 10–14.
Any contacts of an infected person are traced and examined, and, if infected, are treated early to reduce the risk of the infection spreading.... tuberculosis