I am not sure but think Apoptosis is a sub category of Necrosis
Sam your working at a level below my knowlage level but i dont think so, your talking about programed cell death. What im talking about is cell necrosis
perhaps this will help you (i honestly dont know i cant understand it at a quick glance)
http://www.pnas.org/content/100/5/2825.full.pdf
As i said what we are expected to know is
no glucose\O2 leads to low (and then no) ATP
No ATP = no Na+\K+ pump
No Na+\K+ pump means higher resting potentual
more positive resting potentual means that the Cells deplorise with alot less stimulas leading to sizures, altered concious state, personality changes and all sorts of other simptoms
Further more it leads to changes in the osmotic pressure gradient leading to water rushing into the cells following the flow of ions
This leads to odema (increased cranial pressure) and further hypoxic injury for other cells
the swelling cell membranes reach there max threshold and burst
I work with sportsmen, so I am aware of ATP synthesis. I've also done a seminar on stroke therapy so I am aware of how the GABA cascade works and the role of hypoxia in seizures. But I have to say, I don't see the connection you are making. It seems to me you are bypassing the anxiety which is the main problem in my opinion and focusing on the aggression which is only a minor component and typical in depressed males due to the combination of glucocorticoids and androgens
AF
SVT
Concious VT
Bradycardia
Hypoglycemia
HYPERglycemia
electrolyte imbalance (Na+, K+, Ca++)
Hypotension
Hypertension
Siezure (with a focus in the frontal lobe possibly)
Migraine
Hypoxia
Syncope
TIA
Anemia
Shock
Tumor (malignant or benign)
Truama
Sam, i focused on agression because its what you used to incorectly rule out most of my list. As for why im not willing to say its anxiaty thats really simple, ITS MY TRAINING..
err actually no, those 4 (AF, SVT, concious VT and bradicardia) are the most likly to self resolve even before the ambulance arives. As i said its quite hard to capture these rythams because they tend to self resolve.
Okay, I didn't know that. If you have tachy or brady doesn't it affect your normal activities?
Blue are my comments...then everything around me starts to speed up...perception issues
...I feel agitated and very shaky... Dizzy? balance problems?
... feel like I am going to pass-out... faintness
... I still feel like crap... Generally unwell
...still feeling very shaky, for the second time I feel as though I am going to pass-out...
...start shaking my hands and head, and start hitting my chest (why? i don't know)... perception problems or uncontrolerable movement
...everything is going fast and I can't make sense of anything, my friend is talking but I am not paying attention... concentration, perception
...I feel enraged, I feel extremely angry...Personality changes
... I feel fuzzy, very light-headed... ovious
.... I've had periods of feeling faint after not eating for hours ... History of previous expisodes of faintness
Sam said:You said you don't feel stressed. How does stress feel, in your opinion? We all function at some level of stress in modern life and we all have to suppress our natural responses or sublimate them. And usually if we cannot direct our anger or energy at the person or incident concerned, it just transfers itself to someone or something else. Even ourselves. So headaches, sleeping too much or too little, eating disorders, irritability, muscle stiffness, cramps any of these can be signs of stress. I bet when you were working out you didn't have as many episodes of aggression, because the physical exercise would serve as an outlet for all the frustration.
I take it rabies is completely off the table. We're going with panic attack? Can it be a panic attack because he found out he has rabies? I mean come on...it just sounds so much cooler.
Idle Mind said:Is it possible somebody slipped you something as a prank or random act of mayhem?
...I am sort of scared of dogs but I've not been bitten or anything. Maybe I saw a dog that was frothing at the mouth and crapped myself? So I saw something that possibly had rabies and almost passed out, which would sort of make you right. Can't rule anything out just yet....
Sam, i focused on agression because its what you used to incorectly rule out most of my list. As for why im not willing to say its anxiaty thats really simple, ITS MY TRAINING.
If you go back to my first post you will see that i said "anxiaty is a diognosis of elimination, in order to say something is anxiaty you have to rule everything else out". Further more my training states (VERY clearly) you dont treat for the most benign condition (ie anxiaty). You treat for the most server conditions, ie
As i said before 98% of these cases WILL turn out to be just an anxiaty atack but that isnt good enough to diognose THIS case as anxiaty.
Until proven otherwise i would treat this case as a TIA, cadiac event or seizure, NOT an anxiaty atack. I dont know what your training is like but concidering your training i doubt its in emergency care. Mine is
Only a bad clinicion would take what we have been told by Ghost and dismiss it ON THAT BASIS as being anxiaty, thats why you have humans running Ambulances and A&Es not computers.
I was walking with a friend and felt quite hungry, something I am very used to, I can go for many hours without eating. So I am walking and then everything around me starts to speed up, I feel agitated and very shaky. I walk into a take-away and order some food, I pay for my food etc. as I am standing I feel like I am going to pass-out, I sort of shake my head and body, it was quite busy so without trying to sound rude I asked if I could have my drink straight away. I take a coke and start knocking it back. I still feel like crap.
I sit down with my friend and I'm still feeling very shaky, for the second time I feel as though I am going to pass-out, a part of me wants to lie down on the seat, then I just drink more coke and start shaking my hands and head, and start hitting my chest (why? i don't know), everything is going fast and I can't make sense of anything, my friend is talking but I am not paying attention. Also, I feel enraged, I feel extremely angry, I see a guy standing next to me, I want to get up and hit him, then my food is ready, my friend collects it and I am all over it like a tramp on chips. I don't feel better. I feel like passing out again. To avoid embarrassment I thought I should just go into the bathroom and just pass out there. I try and pull myself together, then tell my friend I need to get out of here, luckily he has a car so we head off.
I am walking very fast (feel as though I will collapse if I slow down), again I feel jittery, all over the place and again, I am feeling the rage. A guy asks me for £1 and I feel like throwing a punch at him, I just swear at him though. Almost get into an incident with another guy. So we finally reach my friends car, I sit down and my hands are shaking. I finally get home and I feel fuzzy, very light-headed, but I don't feel nauseous, I splash some water over my face, drink some too, I get changed, lay down in bed, feel restless and then start blasting some music really loud. Eventually I calm down, and then maybe after 30 mins or so I fall asleep.
I was really freaked out by what happened. I've had periods of feeling faint after not eating for hours but nothing like this at all. I had some toast in the morning and this happened only about 4 hours later, which isn't even that long. I had around 7 hours sleep the night before which is okay. It was sunny during the day, but not too hot.
Going to make an appointment with the doctor tomorrow.
I've been reading up online and people are saying it could be linked with low-blood pressure. What do you guys think?