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General Medicine
MED 501
3(2-1)
Dr. Farrah Deeba
Assistant Professor
Medicine
• The art of healing
• Practice of medicine
i.Principles on which diseases acts on the body
ii. Remedies produce their effects
Adaptation of these principles to the treatment and
prevention of disease is medicine
History of Veterinary
Medicine
1761…Lyon (France)…..First veterinary school
1863….The American Veterinary Medical Association
1870……First Veterinary School….Iowa (USA)
Ashoka …First Veterinary Hospital
Complementary and Alternative Medicine
• Complementary Medicine
• Used together with conventional medicine
• Alternative Medicine
• It is used in place of conventional medicine
• Treatment of cancer with special diet instead of
chemotherapy,radiotherapy or surgery
• Ethno-veterinary Medicine
• Application of indigenous knowledge to treat animal diseases
• Indigenous health care system…traditional
beliefs,skills,knowledge etc.
Scientific Medicine
Art of treatment based on anatomical ,physiological ,chemical
investigation is scientific medicine
Art of treatment based on the observations and experiences as a
source of knowledge
also termed as Quackery
A person who pretend to be skilled and knowledgeable is a quack
Veterinary Medicine
• Diagnosis,treatment and control of disease in
animals
• Farm(food) animal medicine
• Pet(companion )animal medicine
• Clinical Medicine
Therapeutic /internal/curative
It is a branch of medicine which covers the art of achieving correct diagnosis
and treatment of sick animals
Preventive Medicine
• Maintaining health of animal by preventive and control
measures against disease well before its occurrence
Disease
Nutrition and environment adequate……but deviation from
normal physiology
Health
Physical mental and social well being………(humans)
Maximum economical livestock production…..(Farm animals)
Sign and Symptoms
Objective evidence of disease
Signs and symptoms used synonymously
Objective Symptoms
Discovered during clinical examination
Subjective symptoms
ii.Subjective Symptoms
Flank watching
Symptoms ……
Premonitory /precursory…… early phase of the disease shivering
Direct/Idiopathic……..reflect primary disease……dysentery
Mucous and tenesmus
Indirect symptoms…..vomiting…..pyelonephritis
Typical symptoms
Characteristic symptoms with diagnostic value
Crepitation in muscles…..Black leg (Cl.chauvoei)
Atypical symptoms………nervous signs in coccidiosis
Periodical symptoms
• Symptoms disappear and reappear with due coarse of
time in a disease process
• Fever in Trypanosomiasis.
Pathognomonic symptoms
• Definitely or directly point to a particular disease
• Lock jaw
• Tarry blood from natural orifices
• Lesion
• Pathological or structural changes in organ detectable
either by naked eye or microscopically
Prognostic symptoms
• Symptoms frame the basis for a clinician to determine
the outcome of a disease
• High blood urea ……grave situation
• Prognosis
• Opinion….probable outcome of disease
• Favorable,doubtful,poor,hopeless,or grave
• Prognosis imp
Complication
• A morbid condition…not due to primary
factor…..decubitus …..prolonged recombancy
• Sequelae
• Pathological change after apparent recovery…
• Defect from original disease….roaring(strangles)
• Convalescence
• A state patient passes after prolonged illnesstill
• Maximum production(health)
Diagnosis
• (Dia=thorough , Gnosis=knowledge)
• Art to recognize and determine nature of disease and
its distinction from other morbid conditions
• Imp and difficult
• Animals with various normal physiological behaviour
• Animals don’t cooperate while clinical examination
• Lack of laboratory facilities
• Skills and personal experience
Clinical Diagnosis
• Based on history,signs/symptoms
• Differential Diagnosis
• Comparison made on basis of symptoms and rule-out
presence of other disease (blood in urine )
• Laboratory Diagnosis
• Information obtained through laboratory procedures
• New techniques e.g. endoscopy, ultrasound ,radiography etc.
• Postmortem diagnosis
• Based on PM lesions in dead animal,…due to specific
disease
Therapeutic Diagnosis
• Based on the clinical recovery from any disease following
treatment with pharmaceuticals e.g.milk fever calcium therapy
• Tentative Diagnosis
• Based on clinical observations not with solid evidence…may
have some doubts
• Confirmatory Diagnosis
• denotes actual disease condition supported by
• Lab.
• PM
• Therapeutic Diagnosis
Symptomatic Diagnosis
• Based on some leading symptoms
• Treatment or therapy
• To bring the animal back to its normal state of health as
quickly and completely as possible
• Economic aspect of treatment
• Cost should not exceed…..value of the animal
• Protocol of Treatment
• Specific treatment
• Treatment directed…etiology if known…..remove/overcome
cause
Anthelmintics….Helminthiasis
Penicillin…… Strangles
Adrenaline….. Anaphylaxis
• Symptomatic Treatment
• Basis of most of the therapeutic protocols
• Antipyretics….. fever
• Astringents……. diarrhoea
• Expectorants …. Bronchitis
• Supportive Treatment
• During the convalescence period
• Treatment of complications
• Following recovery from primary disease
• Palliative Treatment…incurable disease just to prolong life
span

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first lec.pptx

  • 1. General Medicine MED 501 3(2-1) Dr. Farrah Deeba Assistant Professor
  • 2. Medicine • The art of healing • Practice of medicine i.Principles on which diseases acts on the body ii. Remedies produce their effects Adaptation of these principles to the treatment and prevention of disease is medicine
  • 3. History of Veterinary Medicine 1761…Lyon (France)…..First veterinary school 1863….The American Veterinary Medical Association 1870……First Veterinary School….Iowa (USA) Ashoka …First Veterinary Hospital
  • 4. Complementary and Alternative Medicine • Complementary Medicine • Used together with conventional medicine • Alternative Medicine • It is used in place of conventional medicine • Treatment of cancer with special diet instead of chemotherapy,radiotherapy or surgery • Ethno-veterinary Medicine • Application of indigenous knowledge to treat animal diseases • Indigenous health care system…traditional beliefs,skills,knowledge etc.
  • 5. Scientific Medicine Art of treatment based on anatomical ,physiological ,chemical investigation is scientific medicine Art of treatment based on the observations and experiences as a source of knowledge also termed as Quackery A person who pretend to be skilled and knowledgeable is a quack
  • 6. Veterinary Medicine • Diagnosis,treatment and control of disease in animals • Farm(food) animal medicine • Pet(companion )animal medicine • Clinical Medicine Therapeutic /internal/curative It is a branch of medicine which covers the art of achieving correct diagnosis and treatment of sick animals
  • 7. Preventive Medicine • Maintaining health of animal by preventive and control measures against disease well before its occurrence Disease Nutrition and environment adequate……but deviation from normal physiology Health Physical mental and social well being………(humans) Maximum economical livestock production…..(Farm animals)
  • 8.
  • 9.
  • 10.
  • 11. Sign and Symptoms Objective evidence of disease Signs and symptoms used synonymously Objective Symptoms Discovered during clinical examination Subjective symptoms
  • 13. Symptoms …… Premonitory /precursory…… early phase of the disease shivering Direct/Idiopathic……..reflect primary disease……dysentery Mucous and tenesmus Indirect symptoms…..vomiting…..pyelonephritis Typical symptoms Characteristic symptoms with diagnostic value Crepitation in muscles…..Black leg (Cl.chauvoei) Atypical symptoms………nervous signs in coccidiosis
  • 14. Periodical symptoms • Symptoms disappear and reappear with due coarse of time in a disease process • Fever in Trypanosomiasis. Pathognomonic symptoms • Definitely or directly point to a particular disease • Lock jaw • Tarry blood from natural orifices • Lesion • Pathological or structural changes in organ detectable either by naked eye or microscopically
  • 15. Prognostic symptoms • Symptoms frame the basis for a clinician to determine the outcome of a disease • High blood urea ……grave situation • Prognosis • Opinion….probable outcome of disease • Favorable,doubtful,poor,hopeless,or grave • Prognosis imp
  • 16. Complication • A morbid condition…not due to primary factor…..decubitus …..prolonged recombancy • Sequelae • Pathological change after apparent recovery… • Defect from original disease….roaring(strangles) • Convalescence • A state patient passes after prolonged illnesstill • Maximum production(health)
  • 17. Diagnosis • (Dia=thorough , Gnosis=knowledge) • Art to recognize and determine nature of disease and its distinction from other morbid conditions • Imp and difficult • Animals with various normal physiological behaviour • Animals don’t cooperate while clinical examination • Lack of laboratory facilities • Skills and personal experience
  • 18. Clinical Diagnosis • Based on history,signs/symptoms • Differential Diagnosis • Comparison made on basis of symptoms and rule-out presence of other disease (blood in urine ) • Laboratory Diagnosis • Information obtained through laboratory procedures • New techniques e.g. endoscopy, ultrasound ,radiography etc. • Postmortem diagnosis • Based on PM lesions in dead animal,…due to specific disease
  • 19. Therapeutic Diagnosis • Based on the clinical recovery from any disease following treatment with pharmaceuticals e.g.milk fever calcium therapy • Tentative Diagnosis • Based on clinical observations not with solid evidence…may have some doubts • Confirmatory Diagnosis • denotes actual disease condition supported by • Lab. • PM • Therapeutic Diagnosis
  • 20. Symptomatic Diagnosis • Based on some leading symptoms • Treatment or therapy • To bring the animal back to its normal state of health as quickly and completely as possible • Economic aspect of treatment • Cost should not exceed…..value of the animal • Protocol of Treatment • Specific treatment • Treatment directed…etiology if known…..remove/overcome cause
  • 21. Anthelmintics….Helminthiasis Penicillin…… Strangles Adrenaline….. Anaphylaxis • Symptomatic Treatment • Basis of most of the therapeutic protocols • Antipyretics….. fever • Astringents……. diarrhoea • Expectorants …. Bronchitis • Supportive Treatment • During the convalescence period • Treatment of complications • Following recovery from primary disease • Palliative Treatment…incurable disease just to prolong life span