An error occoured at http://www.prep4usmle.com/comments.php?rewritten=1&id=16136 on 2008-12-03 06:22:56. Please relay this data to support. Error #2: 'mysqli_num_rows() expects parameter 1 to be mysqli_result, boolean given' in /home/prep4usm/public_html/databases/mysqli.php on line 42. Debug info: file`,`caneditalllinks`,`caneditallcategories`,`caneditallcomments`,`caneditallprofiles`,`candownloadfiles`,`canupload`,`canviewip`,`limitlinks`,`canemailmembers`,`canusehtml`,`limitlinksdaily`,`canalias`,`candeleteown`,`candeleteall`,`candofulledit`,`candeletecategories`,`candeletecomments`,`candeleteowncategories`,`candeleteowncomments`,`candeletemembers`,`candeleteownmembers`,`canaliascategories`,`canviewpages`,`caneditvotes`,`numaliases`,`canviewvotes`,`canhideownlinks`,`canhideowncategories`,`canhideowncomments`,`canhidealllinks`,`canhideallcategories`,`canhideallcomments`,`canratecomments`,`bytespermem`,`canpm`,`canim`,`canharddelete`,`limitpms`,`limitpmsdaily`,`canviewdeleted`,`cansubmitpolls`,`candeletepolls`,`candeleteownpolls`,`caneditpolls`,`caneditownpolls`,`attachperpost`,`attachperpm`,`canviewshouts`,`caneditshouts`,`caneditownshouts`,`candeleteshouts`,`candeleteownshouts`,`cansubmitshouts`,`canpollvote`,`customtitle`,`canviewinvisible`,`namestyle`,`canpmimportant`,`canviewmodlog`,`isleader`,`cansubmitquotes`,`validatequotes`,`candeletequotes`,`candeleteownquotes`,`canreport`,`canusesearch`,`validateattachments`,`caneditownquotes`,`caneditallquotes`,`canviewchat`,`caneditownevents`,`caneditallevents`,`candeleteownevents`,`candeleteevents`,`cansubmitevents`,`validateevents`,`bulkpms`,`issupermod`,`cansuggestban`,`shoutsperday`,`cancopy`,`attachperlink`,`numinv`,`allowugspec`,`validateemails`,`validatesponsorlinks`,`cansubmittags`,`candeletetags`,`cansubmitfeeds`,`validatefeeds`,`validatefeeditems`,`numaliasestot`,`validatetrader`,`renewdays`,`renewtimes`,`canviewownfulltrc`,`canviewallfulltrc` FROM wsnforum_membergroups
Load time so far: 0.06 seconds.
Query 5: SELECT `id`,`to`,`subject`,`message`,`headers`,`replacement`,`mime` FROM wsnforum_email WHERE timesent=0 AND inprogress=0 ORDER BY id ASC LIMIT 0,10
cheyne stoke -chronic heart failure?? ___________________ life is guud
Kazem Forum Elite
Topics: 76 Posts: 296
01/29/05 - 06:09 AM  
 
   
 
  #3
you've got the kussmaul right. I'm not sure whether CHF can cause cheyne stoke breathing pattern. I only know it happens when central respiratory mechanism don't function properly.
ssrpk Forum Fanatic
Topics: 154 Posts: 2,819
01/29/05 - 06:13 AM  
 
   
 
  #4
yeah u got tht rite .....tht leads to delayed negative feedback response....
i am guessing CHF ledas to slow perfusion :arrow: of brain stem....
any explanation? ___________________ life is guud
Kazem Forum Elite
Topics: 76 Posts: 296
01/29/05 - 06:24 AM  
 
   
 
  #5
well I can see your logic, but as you know cheyne stoke has a cyclical pattern with a period of increased tidal volume followed by apnea. if low perfusion was to have caused this then what would be cause of its cyclical pattern?
ssrpk Forum Fanatic
Topics: 154 Posts: 2,819
01/29/05 - 06:35 AM  
 
   
 
  #6
look the basis of this defect in cyclical pattern is redued negative feedback effect
reduced flow becoz of CHF will also delay the monitoring of atreial PO2 and the subsequent regulatory maneuver played by brain ...slow update of brain.....
wht do u comment? ___________________ life is guud
phuluong2k Forum Fanatic
Topics: 714 Posts: 2,008
01/29/05 - 07:37 AM  
 
   
 
  #7
Biot's irregular apnea, seen in increase intracranial pressure
How about the two others ?
Kazem Forum Elite
Topics: 76 Posts: 296
01/30/05 - 02:37 PM  
 
   
 
  #8
Cheyne stoke----> cyclical changes in tidal volume. the tidal volume first increases and then decreases to the point of apnea.
Apneustic-----> is seen after head trauma and is characterised by inspiratory breath holding that lasts many seconds, followed by brief exhalations.
Biot's------> is seen in some patients with CNS disease (e.g. menengitis). it consists of periods of normal breathing interrupted suddenly by periods of apnea.
Hysterical-----> may produce hyperventilation, i.e. rapid, intense breathing that causes the PaCO2 to decrease.
Kussmaul-----> occurs in Diabetic coma or ketoacidosis and consists of continuous, rapid, deep breathing.