29
March
2009
March
2009
a new pup !!0
gHad !! MERCIANZ PUPPY !! hehehe
ang cute ng puppy .. nabili rin nmn toh sa araw mismo ng
fairwell party nmn !! hehehe
graveh .. ang cute2 taLaga … “MICKEY” is d nem !! hehehe
29
March
2009
March
2009
mErciaNzzz FAIRWELL PARTY !!0
g0sH .. kaRun paH k0o nKa BLOG naAh mGa 2 daEzZ afTer ..
hmF .. aNywayzz .. faiRweLl nMn !! March 27, 2009 !!
.. gRaBe ! ang eNj0i !!
.. einx saH MARVILLA BEACH nG opol !
.. duN kaSi kaMeh ng dwaNg ..
hehehe .. waT a dAe .. GHAD !! maLas k0o paH
hNdi ako0 nKa pG daLa ng xTraNg daMit ..
pr0 bHaLa naAh !! naLig0 pRin ak0o ! hehehe
ang saya eH !! 8tz ouR lasT g0odbyes saH aDvisEr nMn
Ms. Missessabel Labiano .. mercianz luv yu ma’am !!
hehehehe
mga 5;30 naAh atah ng hapon kami nun umuwi ..
ang saya eh !!
luv d dae !! =)
25
March
2009
March
2009
xaKit k0o !! Pneumonia =(0
Pneumonia is an inflammatory illness of the lung.[1] Frequently, it is described as lung parenchyma/alveolar inflammation and abnormal alveolar filling with fluid (consolidation and exudation).[2]
The alveoli are microscopic air-filled sacs in the lungs responsible for absorbing oxygen. Pneumonia can result from a variety of causes, including infection with bacteria, viruses, fungi, or parasites, and chemical or physical injury to the lungs. Its cause may also be officially described as idiopathic—that is, unknown—when infectious causes have been excluded.
Typical symptoms associated with pneumonia include cough, chest pain, fever, and difficulty in breathing. Diagnostic tools include x-rays and examination of the sputum. Treatment depends on the cause of pneumonia; bacterial pneumonia is treated with antibiotics.
Pneumonia is a common illness which occurs in all age groups, and is a leading cause of death among the elderly and people who are chronically and terminally ill. Vaccines to prevent certain types of pneumonia are available. The prognosis depends on the type of pneumonia, the appropriate treatment, any complications, and the person’s underlying health.
People with infectious pneumonia often have a cough producing greenish or yellow sputum, or phlegm and a high fever that may be accompanied by shaking chills. Shortness of breath is also common, as is pleuritic chest pain, a sharp or stabbing pain, either experienced during deep breaths or coughs or worsened by them. People with pneumonia may cough up blood, experience headaches, or develop sweaty and clammy skin. Other possible symptoms are loss of appetite, fatigue, blueness of the skin, nausea, vomiting, mood swings, and joint pains or muscle aches. Less common forms of pneumonia can cause other symptoms; for instance, pneumonia caused by Legionella may cause abdominal pain and diarrhea, while pneumonia caused by tuberculosis or Pneumocystis may cause only weight loss and night sweats. In elderly people manifestations of pneumonia may not be typical. They may develop a new or worsening confusion or may experience unsteadiness, leading to falls. Infants with pneumonia may have many of the symptoms above, but in many cases they are simply sleepy or have a decreased appetite.[3]
Pneumonia fills the lung’s alveoli with fluid, keeping oxygen from reaching the bloodstream. The alveolus on the left is normal, while the alveolus on the right is full of fluid from pneumonia.
Symptoms of pneumonia need immediate medical evaluation. Physical examination by a health care provider may reveal fever or sometimes low body temperature, an increased respiratory rate, low blood pressure, a high heart rate, or a low oxygen saturation, which is the amount of oxygen in the blood as indicated by either pulse oximetry or blood gas analysis. People who are struggling to breathe, who are confused, or who have cyanosis (blue-tinged skin) require immediate attention.
Physical examination of the lungs may be normal, but often shows decreased expansion of the chest on the affected side, bronchial breathing on auscultation with a stethoscope (harsher sounds from the larger airways transmitted through the inflamed and consolidated lung), and rales (or crackles) heard over the affected area during inspiration. Percussion may be dulled over the affected lung, but increased rather than decreased vocal resonance (which distinguishes it from a pleural effusion).[3] While these signs are relevant, they are insufficient to diagnose or rule out a pneumonia; moreover, in studies it has been shown that two doctors can arrive at different findings on the same patient.[4][5]
Diagnosis
If pneumonia is suspected on the basis of a patient’s symptoms and findings from physical examination, further investigations are needed to confirm the diagnosis. Information from a chest X-ray and blood tests are helpful, and sputum cultures in some cases. The chest X-ray is typically used for diagnosis in hospitals and some clinics with X-ray facilities. However, in a community setting (general practice), pneumonia is usually diagnosed based on symptoms and physical examination alone.[citation needed] Diagnosing pneumonia can be difficult in some people, especially those who have other illnesses. Occasionally a chest CT scan or other tests may be needed to distinguish pneumonia from other illnesses.
Investigations
Pneumonia as seen on chest x-ray. A: Normal chest x-ray. B: Abnormal chest x-ray with shadowing from pneumonia in the right lung (white area, left side of image).
An important test for pneumonia in unclear situations is a chest x-ray. Chest x-rays can reveal areas of opacity (seen as white) which represent consolidation. Pneumonia is not always seen on x-rays, either because the disease is only in its initial stages, or because it involves a part of the lung not easily seen by x-ray. In some cases, chest CT (computed tomography) can reveal pneumonia that is not seen on chest x-ray. X-rays can be misleading, because other problems, like lung scarring and congestive heart failure, can mimic pneumonia on x-ray.[6] Chest x-rays are also used to evaluate for complications of pneumonia (see below.)
If antibiotics fail to improve the patient’s health, or if the health care provider has concerns about the diagnosis, a culture of the person’s sputum may be requested. Sputum cultures generally take at least two to three days, so they are mainly used to confirm that the infection is sensitive to an antibiotic that has already been started. A blood sample may similarly be cultured to look for bacteria in the blood. Any bacteria identified are then tested to see which antibiotics will be most effective.
A complete blood count may show a high white blood cell count, indicating the presence of an infection or inflammation. In some people with immune system problems, the white blood cell count may appear deceptively normal. Blood tests may be used to evaluate kidney function (important when prescribing certain antibiotics) or to look for low blood sodium. Low blood sodium in pneumonia is thought to be due to extra anti-diuretic hormone produced when the lungs are diseased (SIADH). Specific blood serology tests for other bacteria (Mycoplasma, Legionella and Chlamydophila) and a urine test for Legionella antigen are available. Respiratory secretions can also be tested for the presence of viruses such as influenza, respiratory syncytial virus, and adenovirus. Liver function tests should be carried out to test for damage caused by sepsis
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g0sH ma0 naAh ak0o xkeT bEi .. OMG .. hpt najuD k0o datx !!
hpt nk0o kwa0n neH GOD aiE , i min LUCIFER ..
ahw cLa naAh bhaLa mG away saH ak0o kaLag ..
lzt wiSh gur0 .. hmf ..
PEACE nAah TNAN !!
xo0 .. buH bEi naAh daAn haP !!
au2 m0h pErmi !! kam0 nLng !!
LhuB yaH alL !!
25
March
2009
March
2009
keyR ??0
hmf .. i d0nt kEyr f u dnt lyk meE naAh !!
xamuk au uiep !! waZ glEh k0o saLa g buHat,
buHatan juD k0o uG sayup ..
kam0 raH buH diaY ak0o pRndxX ??
dLi kayA !! dgHan paAh ..
aTleasT, i kn0w dEy w0nT EVER NEVER LEAVE ME !!
if y0u coMe bCk t0o mEe ? .. dPend ..
j0kinGzZ .. u r aLweizZ eLcum t0 c0mE t0 my lyP ..
xTah .. b4 i’Ll bE g0nE t0 diz w0rLd ..
i dont lyk daT my kAaway ak0o ..
::juZ tRy t0o lo0k aT mY eyezZ .. in tHere y0u’Ll seE thEiR weak=(::
23
March
2009
March
2009
sad =( fEelin’ l0nLy nPud daTxX !!0
saD kEU k0o kaRun daTxX !!=(
waT a daMn lyP !! hmf ..
i d0nT likE waT s hapPeninG n0w hap !!!
pr0 bHaLa naAh GOD skeN ,. i mEaN LUCIFER diaY ..
waTebuR .. xEyr2 laNg k0o saH g baTi hap !!
y caNt deY unDrstnD waT i feEl …
maY naLng naA paY gaH unDrsTnd nak0o nGa pRndxX ..
aT leasT waZ juD k0o g byaAn bEi !! aHm ,,.. tHaNk GOD naA cLa ..
einx0o au saH waZ naMiya haP !! lhuB yaH aLl !! LhuB yU oL x0o muCh !!
diX gu-gRouPlaManG i meNt abwT .. =)
