Ludwig's angina

1.What is Ludwig's angina? is it same like unstable angina or pectoris angina which common seen in medical. Before we are focussing about the topic of Ludwig's angina, what is actually a definition of angina..

2.Angina comes from the latin verb 'angere' meaning 'to choke or throttle'. Ludwig's angina is far different from unstable angina. Ludwig is named after the German physician Wilheim Freidreich Von Ludwig who first described this condition in 1836.

3. Ludwig's angina is a serious, potentially life threatening infection of the tissue of the floor of the mouth spreading into submandibular space followed by or concomitant dental infection. Ludwig's angina can be emergency condition in ENT due to potential airway compromised.

4.Treatment modalities for Ludwig's angina can be clasiffied into medical and surgical treatment. Usually medical therapy is benefit to reduce the progress of infection. The used of broad spectrum antibiotic such as augmentin, zinacef and or or flagyl id widely used in hospital. However, there is a role of surgical intervention if there is presence of airway compromised that required emergency tracheostomy and incision and drainage to drain out pus.

5.So far,in my limtid experience in ENT field, i had never come with patient with ludwig's angina that need for tracheostomy, but i have done once an incision and drainage for this condition. The important to remember is, do not simply treat Ludwig's angina as such simple cellulitis because it can progress to life threatening condition.

Royal in Malaysia

1.Started today for one week the national and state flags in Johor were lowered to half mast as a mark of passing of Sultan of Johor. The television and radio station begun airing Quran recital.
2.This phenomenon showed us, the royal system in malaysia still being practising and being respected all of Malaysian.
3.For the past few months, we have seen a few occasion related-issue to royal family. The royal of Kelantan also cannot be rule out in talk in almost mass media lately.
4.In early Tanah Melayu, Sultans has a great power at their state. But now, the power of theirs slightly limited. Sultan appointed as a leader of state islamic affair and few things.
5.The Royal institution should be maintained and supported by all malaysian to achieve our vision of 2020 despite of modernisation nowadays.

GEMPA DI HAITI

Seakan-akan dunia kita akhir-akhir ini sering dilanda bencana. Tsunami, gempa bumi, taufan dan banyak lagi. Bila kita berfikir sejenak, kita boleh mengambil iktibar bencana yang berlaku adlah peringatan Allah kepada umat manusia. Akan tetapi manusia masih belum sedar tentang ini. Manusia masih berbalah sesama sendiri mengejar duniawi.
Sebagai saudara seislam, saya ingin menyeru semua pembaca yang beragama islam, marilah kita insaf dan bersiap sedia untuk menghadap Allah. walaupun kita sibuk dengan urusan dunia, jangan kita lupa tanggungjawab kita yang hakiki sebagai hambaNYA..