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Sharir kriya ( ayurvedic physiology) instruments

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Sharir Kriya Instuments By Prof.Dr.R.R.Deshpande –

Sharir Kriya ( Ayurvedic Physiology) is Basic subject of First BAMS ( Ayurvedic Graduation).This PPT is very useful as a Teaching Aid for Ayurvedic Teachers & useful Assets for Learning to Ayurveda students.PPT covers all Important Instruments like Microscopes, Stethascope ,BP Apparatus,Haemocytometer,Neubaur’s chamber,Tunning fork,Clinical Hammer,Urinometer,Hepende’s caliper to measure skin fold thickness,ECG Machine,Thermometer,Nasal Speculum,ESR Tubes & Stands,Ryle’s tube,Autoscope,Vaginal Speculum,Proctoscope,Tonometer etc.Another interesting part is you will get Introduction to useful Books & web site Links of Prof.Dr.R.R.Deshpande .Visit – www.ayurvedicfriend.com

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Sharir kriya ( ayurvedic physiology) instruments

  1. 1. 4/16/2014 Prof.Dr.R.R.Deshpande 1 Sharir Kriya( Ayurvedic Physiology) – First BAMS • PDEA’S College of Ayurved & Research Center ,Nigdi Pradhikaran ,sector 25,Pune 44 • Instruments for study of Shari kriya • Teachers & students can be benefited by this ppt
  2. 2. Instruments – Sharikriya ( Ayurvedic Physiology) • Presented By – • Prof.Dr.R.R.Deshpande (M.D in Ayurvdic Medicine & M.D. in Ayurvedic Physiology) • www.ayurvedicfriend.com • Mobile – 922 68 10 630 • Mailme.drrrdeshpande@rediffmail.com 4/16/2014 Prof.Dr.R.R.Deshpande 2
  3. 3. Sharir Kriya Books as per New Syllabus of CCIM 2012 4/16/2014 3Prof.Dr.R.R.Deshpande
  4. 4. 4/16/2014 Prof.Dr.R.R.Deshpande 4 Sharikriya Paper Practical Book • As per Very New Syllabus formed By CCIM IN 2012 • Ayurvedic Practicals like Prakruti,sara,Agni • Modern Haematological Practicals • CNS & CVS Examination 4/16/2014 4Prof.Dr.R.R.Deshpande
  5. 5. 4/16/2014 Prof.Dr.R.R.Deshpande 5 Sharir Kriya Paper 1 • Book in English • Total CCIM Syllabus covered • Chaukhamba Sanskrit Pratisthan Publication • Popular Nationwide & In Germany also • Dosha & Prakruti 4/16/2014 5Prof.Dr.R.R.Deshpande
  6. 6. 4/16/2014 Prof.Dr.R.R.Deshpande 6 Sharir Kriya Paper 2 • Book in English • Total CCIM Syllabus covered • Chaukhamba Sanskrit Pratisthan Publication • Popular Nationwide & In Germany also • Dhatu,Mala 4/16/2014 6Prof.Dr.R.R.Deshpande
  7. 7. 4/16/2014 Prof.Dr.R.R.Deshpande 74/16/2014 7 Microscope (front view)
  8. 8. 4/16/2014 Prof.Dr.R.R.Deshpande 84/16/2014 8 Microscope (lateral view)
  9. 9. 4/16/2014 Prof.Dr.R.R.Deshpande 9 Microscope • Monocular, Binocular (Light, Electron). • Principle – Light rays, coming from on object are gathered by objective lenses. Then real, inverted, magnified images is formed by eyepiece. • Parts – 3 systems Support, Light, Magnification. Base, Arm, Stage, Body tube, Condenser, Diaphragm, Objective lenses – Low power, High power, Oil immersion (10 X, 45x, 100X) ; Eye pieces – 5X, 6X, 10 X, 12 X, 15 X. 4/16/2014 9
  10. 10. 4/16/2014 Prof.Dr.R.R.Deshpande 10 Microscope • Adjustment low power – keep condenser low; High power – condenser middle and for oil immersion – condenser high up ; • • Plain mirror – Low power lenses, In Natural Light and concave mirror – for high power lens and in Artificial Light 4/16/2014 10
  11. 11. 4/16/2014 Prof.Dr.R.R.Deshpande 11 Plasmodium Falciparum - Trophozites
  12. 12. 4/16/2014 Prof.Dr.R.R.Deshpande 12 Neubaur’s Chamber
  13. 13. Neubaur’s Chamber • Principle - Neubaur’s chamber is a thick glass slide with a platform, which consist of rullings which are to be focused & studied. It has two elevated bases, provided on both sides of platform on which coverslip is placed and counting is done. • Parts - It has four squares at corners and central square which contains small 25 squares. 25 smaller squares are further divided into 16 smallest squares • Therefore central square consist of total 400 smallest squares. 4/16/2014 13Prof.Dr.R.R.Deshpande
  14. 14. Neubaur’s Chamber • Uses - 1) Four corner squares are used for WBC counting.(Total 16 x 4 = 64 squares) • 2) Central square is used for RBC counting.(Total 16 x 5 = 80 squares) • 3) This chamber is also used for sperm counting. 4/16/2014 14Prof.Dr.R.R.Deshpande
  15. 15. 4/16/2014 Prof.Dr.R.R.Deshpande 15 Charging of Neubaur’s Chamber
  16. 16. 4/16/2014 Prof.Dr.R.R.Deshpande 164/16/2014 16 Stethoscope
  17. 17. 4/16/2014 Prof.Dr.R.R.Deshpande 17 Stethoscope • Stetho = chest and scope = To inspect. Discovered by Lennace in 1816. • Uses – To hear – Heart sounds, Respiratory sounds, Peristaltic movements, Foetal heart sounds, to measure B.P. by Auscultatory method • Parts – Chest piece, Diaphragm for low pitch sound and Bell for high pitch sound, Conducting tube, Ear frame, Ear piece. 4/16/2014 17
  18. 18. 4/16/2014 Prof.Dr.R.R.Deshpande 18 B.P Apparatus (Mercury)
  19. 19. B.P Apparatus (Mercury) • Principle - The pressure of blood in brachial artery is balanced against the pressure in a rubber culf and then it is measured by Sphygmomanometer. • Parts - 1) Mercurial manometer • 2) Mercury well / reservior • 3) Rubber bag with linen cuff. • 4) The rubber pump / ballon with valve. 4/16/2014 19Prof.Dr.R.R.Deshpande
  20. 20. 4/16/2014 Prof.Dr.R.R.Deshpande 20 B.P Apparatus (Anaeroid)
  21. 21. 4/16/2014 Prof.Dr.R.R.Deshpande 21 B.P Apparatus (Digital)
  22. 22. B.P Apparatus (Digital) • Types - i) Mercurial ii) Aneroid. • Uses - To measure arterial B.P. by 3 methods • a) Palpatory b) Auscultatory c) Oscillatory 4/16/2014 22Prof.Dr.R.R.Deshpande
  23. 23. 4/16/2014 Prof.Dr.R.R.Deshpande 234/16/2014 23 Hb tube (1)
  24. 24. 4/16/2014 Prof.Dr.R.R.Deshpande 24 Sahli’s Haemoglobinometer
  25. 25. Prof.Dr.R.R.Deshpande 254/16/2014 25 Hb tube(2) 4/16/2014
  26. 26. 4/16/2014 Prof.Dr.R.R.Deshpande 264/16/2014 26 Hb tube
  27. 27. RBC & WBC Pipettes 4/16/2014 27Prof.Dr.R.R.Deshpande
  28. 28. RBC & WBC Pipettes • Principle - RBC and WBC pipettes have bulbs with specific volume in which mixing of blood and diluting fluids is done,conveniently and accurately. This mixed solution is used to carry out counting of RBC and WBC. 4/16/2014 28Prof.Dr.R.R.Deshpande
  29. 29. RBC & WBC Pipettes • Parts • 1) Capillary stem with uniform bore. • 2) Bulb – just above the stem is a bulb which contain red/white beads (Beads help to mix blood with RBC/WBC diluting fluid) • 3) Rubber tube • Uses - For dilution of blood with RBC or WBC diluting fluid to count number of RBC’s and WBC’s in 1mm3 of area. • Note - RBC pipette marking – 0.5 – 1 – 101 • WBC pipette marking – 0.5 – 1 – 11 4/16/2014 29Prof.Dr.R.R.Deshpande
  30. 30. 4/16/2014 Prof.Dr.R.R.Deshpande 304/16/2014 30 ESR- Westerngreen
  31. 31. 4/16/2014 Prof.Dr.R.R.Deshpande 314/16/2014 31 Test tube Holder
  32. 32. 4/16/2014 Prof.Dr.R.R.Deshpande 324/16/2014 32 Test Tube with Stands
  33. 33. Test Tubes • Principle • 1) Test tubes are made up of special type of glass which can tolerate • moderate heat during the chemical reaction which are taking • place in contents of test tube. • 2) As the tubes are made up of glass, various chemical reactionscan be observed clearly. 4/16/2014 33Prof.Dr.R.R.Deshpande
  34. 34. Test Tubes • Parts - 1) Test tubes are with or without rim. • 2) For explanation of practical parts of test tubes are • described in terms of bottom and upper part • Uses • 1) Test tubes are used to perform various tests in Lab • eg. In urine practical it is used to detect sugar, albumine • 2) Small sized tubes are used in serological examination. • eg. • Widal test for typhoid. • Kahn / V.D.R.L test for S.T.D (Sexually Transmitted Diseases) 4/16/2014 34Prof.Dr.R.R.Deshpande
  35. 35. 4/16/2014 Prof.Dr.R.R.Deshpande 354/16/2014 35 Sahli’s haemometer – For Hb
  36. 36. Sahli’s haemometer – For Hb • Principle - Blood is taken in the Hb tube and mixed with N/10 HCl. • Brown coloured acid haematin is formed which is • compared with standard colour plates of the instruments. 4/16/2014 36Prof.Dr.R.R.Deshpande
  37. 37. Sahli’s haemometer – For Hb • Parts • 1) Haemoglobinometer with standard colour tubes • 2) Hb tube - This tube has a rounded or square bottom. This graduated tube has red marking from 0 to 22 on one side to indicate Hb gm percent and yellow marking from 0 to 140 to indicate Hb percentage. 4/16/2014 37Prof.Dr.R.R.Deshpande
  38. 38. Sahli’s haemometer – For Hb • 3) Hb pipette - has 20 cubic millimeter marking. Blood is taken • up to this mark. • 4) Stirrer 5) Droppers 6) Brush for cleaning the tube. 4/16/2014 38Prof.Dr.R.R.Deshpande
  39. 39. Sahli’s haemometer – For Hb • Uses • 1) Hb tube is used to take N/10 HCl. • 2) Hb pipette is used to take sample of blood and to mix with • HCl. • 3) Stirrer is used to mix blood and HCl. • 4) Colour plates of the Haemoglobinometer are used to match • with colour of acid haematin (after reaction of blood and HCl) • 5) Droppers are used for taking HCl and for adding distilled water • for diluting mixture • 6) Brush is used to clean the tube after the experiment 4/16/2014 39Prof.Dr.R.R.Deshpande
  40. 40. 4/16/2014 Prof.Dr.R.R.Deshpande 404/16/2014 40 ESR - Westerngreen stand
  41. 41. 4/16/2014 Prof.Dr.R.R.Deshpande 414/16/2014 41 ESR – Wintrobe stand
  42. 42. Stands • Principle - Various stands are used in the Lab. The main purpose of • stand is to keep test tubes or other tubes vertical and • fixed according to size and shape. • Types - 1) Metal stands 2) Wooden stands • Parts - 1) Base 2) Sockets to keep the test tubes 4/16/2014 42Prof.Dr.R.R.Deshpande
  43. 43. Stands • Uses • 1) To keep test tubes in vertical position. • 2) ESR stands are used for holding Wintrobe of Westerngreen tubes • in upright position for accurate reading. • 3) Kahn tubes are kept in specific stands. • 4) For the Leishman’s staining special type of stand is used to keep the slide for staining purpose. 4/16/2014 43Prof.Dr.R.R.Deshpande
  44. 44. 4/16/2014 Prof.Dr.R.R.Deshpande 444/16/2014 44 Tuning Fork
  45. 45. 4/16/2014 Prof.Dr.R.R.Deshpande 45 Tuning Fork • Limbs (U shaped two parallel limbs), Handle (foot plate), • Numbers – 256, 512 and 1024 Hz. • Hearing Test • i) Voice test (Conversation & Whispered) • ii) Tunning fork test (Rinne, Weber, Schwabach) • iii) Audiometry 4/16/2014 45
  46. 46. Tuning Fork • Principle - Tunning fork is set into vibration and then it is kept on mastoid bone and then in front of ear canal and then the vibration of sound are compared for Bone Conduction (B.C.) and Air Conduction. (A.C.) • Use - To measure hearing capacity, by comparing air conduction (A.C.) with bone conduction (B.C.). 4/16/2014 46Prof.Dr.R.R.Deshpande
  47. 47. 4/16/2014 Prof.Dr.R.R.Deshpande 474/16/2014 47 Ear Speculum
  48. 48. 4/16/2014 Prof.Dr.R.R.Deshpande 48 Ear Speculum
  49. 49. Ear Speculum • Principle - Due to specific shape of speculum and hollow cavity one can examine – external auditory canal, ear drum (tympanic membrane) • Parts - This is cone shaped instrument. It has base (broad) and end part is tapering. 4/16/2014 49Prof.Dr.R.R.Deshpande
  50. 50. 4/16/2014 Prof.Dr.R.R.Deshpande 50 Ear Speculum • Uses - Examine Ext. Auditory canal + Tympanic membrane, Remove wax and foreign bodies. • Nasal and Ear speculums are used with head mirror and head light. 4/16/2014 50
  51. 51. 4/16/2014 Prof.Dr.R.R.Deshpande 51 Nasal Speculum
  52. 52. 4/16/2014 Prof.Dr.R.R.Deshpande 52 How to hold Nasal Speculum?
  53. 53. 4/16/2014 Prof.Dr.R.R.Deshpande 534/16/2014 53 Clinical Thermometer
  54. 54. 4/16/2014 Prof.Dr.R.R.Deshpande 54 Clinical Thermometer • Normal Body Temp. 97 – 98.5 F or 36 C to 37.5 C; • C = F – 32 x 5 / 9 • Sites – Axilla, Mouth, Rectum, vagina; • Parts – Bulb, constricted part, Index • Curved surface acts as lens and magnifies level of mercury, • Flat surface Graduated Index 4/16/2014 54
  55. 55. 4/16/2014 Prof.Dr.R.R.Deshpande 55 Clinical Thermometer • Principle • Mercury expands, when it comes in contact with body heat and so temperature can be recorded. • Temperature depends upon – Time of the day (Evening > Early morning) • Sex (In female, temperature on the day of ovulation, during M.C) Organ – In liver, max. heat is produced; clothes – Temperature of organs covered with clothes, is more, Exercise – After exercise temperature 4/16/2014 55
  56. 56. 4/16/2014 Prof.Dr.R.R.Deshpande 56 Clinical Thermometer • Body temperature types • Core Temperature (Inside) > Shell temperature (external skin). • • Temperature regulating center --- Hypothalamus 4/16/2014 56
  57. 57. Prof.Dr.R.R.Deshpande 574/16/2014 57 Ryle’s Tube 4/16/2014
  58. 58. 4/16/2014 Prof.Dr.R.R.Deshpande 58 Ryle’s Tube • Uses – To collect Gastric contents ,for Gastric Analysis • To give Stomach wash in Poisoning • For Artificial Feeding • Parts – Flexible Polythene tube ,diameter 8 mm 4/16/2014 58
  59. 59. 4/16/2014 Prof.Dr.R.R.Deshpande 59 Ryle’s Tube – Markings • 1st Mark – 40 cm from Tip –Indicates tube has passes up to Cardiac orifice of stomach • 2nd Mark – 50 cm – Tube is at body of stomach • 3rd Mark – 55 cm – Tube at Pylorus of stomach • • 4th Mark – 65 cm – Tube has reached in Duodenum 4/16/2014 59
  60. 60. 4/16/2014 Prof.Dr.R.R.Deshpande 60 Naso Gastric Tube
  61. 61. 4/16/2014 Prof.Dr.R.R.Deshpande 61 R.T Feeding
  62. 62. 4/16/2014 Prof.Dr.R.R.Deshpande 624/16/2014 62 Vernier Calliper – Used for Anguli Praman
  63. 63. Vernier Calliper • Principle - To measure length or diameter of an object accurately upto 0.01 cm / 0.1 mm • Parts - 1) Jaws (To hold the object) 2) Ears • 3) Right angled steel plate, graduated in mm and marked in cm. • 4) A small vernier scale, consists of N divisions on one side of vernier. 4/16/2014 63Prof.Dr.R.R.Deshpande
  64. 64. Vernier Calliper • Uses • 1) Vernier calliper is used to measure individual finger unit.(Anguli Praman) • Finger unit is useful to check whether the whole body or body organ are proportionate or not. • 2) Finger unit is also useful for study of Marma (Vital points) 4/16/2014 64Prof.Dr.R.R.Deshpande
  65. 65. 4/16/2014 Prof.Dr.R.R.Deshpande 654/16/2014 65 Clinical Hammer – For Deep Reflexes
  66. 66. 4/16/2014 Prof.Dr.R.R.Deshpande 66 Clinical Hammer
  67. 67. 4/16/2014 Prof.Dr.R.R.Deshpande 67 Clinical Hammer • Parts - Rubber pad, handle, brush; • Principle • By applying external stimulus to joints, bones, tendons, skin –response in the form of Reflex can be observed and Neuromuscular co-ordination and reflex arc can be examined;
  68. 68. 4/16/2014 Prof.Dr.R.R.Deshpande 68 Clinical Hammer • Reflex types – Superficial, Deep, Visceral • Superficial – Plantar, corneal, pupillary, cremasteric, abdominal • Deep – Bicep, Triceps, wrist, knee, Ankle • Note - To divert the mind of the patient, while taking reflexes, Jendrasik's manure is applied (i.e.- asking the patient to clinch • his teeth or tight locking of fingers of both the hands.)
  69. 69. 4/16/2014 Prof.Dr.R.R.Deshpande 69 Clinical Hammer
  70. 70. Clinical Hammer • Parts - 1) Rubber pad 2) Handle 3) Pointed end 4) Brush • • Rubber pad is made up of soft rubber, having triangular shape.This part is used to give stimulus for eliciting reflexes. • Metallic handle is used to hold a hammer. • Pointed end, which is usually covered, is used to elicit pain sensation (sensory tract). Pointed or blunt end is used to take Babinski’s sign. • • Brush is used to elicit touch sensation (sensory tract). 4/16/2014 70Prof.Dr.R.R.Deshpande
  71. 71. Clinical Hammer • Uses - To study reflexes and make diagnosis about • Upper motor neuron (UMN) lesion – Exaggerated • Lower motor neuron (LMN) lesion – diminished. 4/16/2014 71Prof.Dr.R.R.Deshpande
  72. 72. 4/16/2014 Prof.Dr.R.R.Deshpande 72 Albunometer – To measure Urine Albumin
  73. 73. 4/16/2014 Prof.Dr.R.R.Deshpande 734/16/2014 73 Esbach’s albunometer 4/16/2014 73Prof.Dr.R.R.Deshpande
  74. 74. Esbach’s albunometer • Principle - Esbach’s reagent is mixed with urine and kept for 24 hrs. Most of the proteins in the urine settle down and albumin is detected in gms. • Parts • 1) This instrument is vertical instrument made up of glass • 2) Two marks are seen U and R. (U-urine and R- reagent) from base upto the mark U it is graduated from 1 to 12 in gm. • Use - To find out exact amount of protein in urine. 4/16/2014 74Prof.Dr.R.R.Deshpande
  75. 75. Esbach’s albunometer • Procedure - Albuminometer is filled with urine up to the mark U. • Then fill the Esbach reagent up to the mark R. Close the instrument. Solutions are mixed properly and solution is kept for 24 hours. Reading of sedimented proteins in gm. is noted after 24 hours. 4/16/2014 75Prof.Dr.R.R.Deshpande
  76. 76. 4/16/2014 Prof.Dr.R.R.Deshpande 764/16/2014 76 Centrifuge Machine – Used in PCV Practical & Urine Microscopic
  77. 77. 4/16/2014 Prof.Dr.R.R.Deshpande 774/16/2014 77 Centrifuge Machine
  78. 78. Centrifuge Machine • Principle - To separate solid particles from liquid in solution, with the help of high spinning speed of the centrifuge machine. • Parts - 1) The central shaft (Rotating part, connected to motor) • 2) The head (carries 4 - 6 sockets to keep test tubes) • 3) Chamber • 4) Lid • 5) Centrifuge tubes (glass or plastics) - placed in opposite sockets to counter balance. • Types of machine - 1) Manual 2) Electric 4/16/2014 78Prof.Dr.R.R.Deshpande
  79. 79. 4/16/2014 Prof.Dr.R.R.Deshpande 79 Centrifuge Machine
  80. 80. Centrifuge Machine • Uses • 1) To separate serum from blood, for serological tests like LFT. • 2) To separate plasma from blood • 3) To measure packed cell volume (PCV) • 4) To collect sediment of urine • (specially for microscopic examination of urine) 4/16/2014 80Prof.Dr.R.R.Deshpande
  81. 81. 4/16/2014 Prof.Dr.R.R.Deshpande 814/16/2014 81 RBC pipette – For RBC counting
  82. 82. 4/16/2014 Prof.Dr.R.R.Deshpande 824/16/2014 67 WBC pipette – For WBC counting
  83. 83. 4/16/2014 Prof.Dr.R.R.Deshpande 83 Auroscope- For Examination of External Ear
  84. 84. 4/16/2014 Prof.Dr.R.R.Deshpande 84 Examination of Ear by Auroscope
  85. 85. 4/16/2014 Prof.Dr.R.R.Deshpande 85 Herpende’s Caliper for measuring skin fold thickness
  86. 86. 4/16/2014 Prof.Dr.R.R.Deshpande 86 How to measure Skin fold thickness?
  87. 87. 4/16/2014 Prof.Dr.R.R.Deshpande 87 Insulin Syringe, useful to give Insulin in Diabetic Patient
  88. 88. 4/16/2014 Prof.Dr.R.R.Deshpande 88 Intracath – For giving continuous IV fluids
  89. 89. 4/16/2014 Prof.Dr.R.R.Deshpande 89 Needles
  90. 90. 4/16/2014 Prof.Dr.R.R.Deshpande 904/16/2014 90 Compass – To Show Directions – Used in Taila Bindu Pariksha of Urine
  91. 91. 4/16/2014 Prof.Dr.R.R.Deshpande 91 Compass – To Show Directions • Used in the Taila Bindu Examination • This Test indicates Prognosis of Disease of Patient • We have to check in which direction Oil drop spreads ,when it is put in Urine sample
  92. 92. 4/16/2014 Prof.Dr.R.R.Deshpande 924/16/2014 92 Sahli’s haemometer – To Test Hb
  93. 93. 4/16/2014 Prof.Dr.R.R.Deshpande 934/16/2014 93 Sphygmomanometer
  94. 94. 4/16/2014 Prof.Dr.R.R.Deshpande 94 Sphygmomanometer • Riva Rocci- in 1896; • Parts – Mercurial manometer, Rubber bag with linen cuff, ruber pump with valve, • Manometer – 2 limbs - long and graduated (0 - 250 mm) and another short and broad (well). • Types of instrument – Mercurial, Anaeroid.
  95. 95. 4/16/2014 Prof.Dr.R.R.Deshpande 954/16/2014 95 Sphygmomanometer (with rubber pump &cuff)
  96. 96. 4/16/2014 Prof.Dr.R.R.Deshpande 964/16/2014 96 Thermometer – Digital
  97. 97. 4/16/2014 Prof.Dr.R.R.Deshpande 974/16/2014 97 Needles
  98. 98. 4/16/2014 Prof.Dr.R.R.Deshpande 984/16/2014 98 Urinometer – To Test Specific Gravity of Urine
  99. 99. 4/16/2014 Prof.Dr.R.R.Deshpande 99 Urinometer – To Test Specific Gravity of Urine • Used for Testing Sp. Gr. of urine (1.012-1.025). • Specific Gravity – Definition • Density of a substance, which is compared with Density of water (which is 1.0) • Principle - Sp. Gr of urine depends upon solutes present in urine. Increased up thrust of solution means more Sp. Gr. ! • Parts - Steam (graduated – 1.000 at top and 1.060 at bottom), Base (rounded and heavy).
  100. 100. 4/16/2014 Prof.Dr.R.R.Deshpande 1004/16/2014 100 Urinometer (2)
  101. 101. Urinometer (2) • Principle - Specific gravity of urine depends upon solutes present in the urine. When solutes in the urine increases, the specific gravity of urine is reflected on urinometer due to increased up thrust of solution. • Definition of specific gravity • Specific gravity is the density of a substance which is compared with the density of water (which is 1.0) 4/16/2014 101Prof.Dr.R.R.Deshpande
  102. 102. 4/16/2014 Prof.Dr.R.R.Deshpande 1024/16/2014 102 Syringe
  103. 103. 4/16/2014 Prof.Dr.R.R.Deshpande 1034/16/2014 103 Scalp vein set – For giving IV Fluids
  104. 104. Scalp vein set • Principle - At the time of giving intravenous fluid (DNS, Ringer lactate, 5 % glucose) it is necessary to keep needle in the vein for longer time. Scalp vein set is used for this purpose. • Parts - 1) Needle 2) Wing 3) Tube 4/16/2014 104Prof.Dr.R.R.Deshpande
  105. 105. Scalp vein set • Scalp vein needles have the bore of size 18 to 25. 18 to 20 numbers are for adults and 24 number is for children. BT is given with 20 number. • • Scalp vein needle is introduced in the vein with rough surface of the wings facing the body surface of the patient. Wings are having material of soft rubber 4/16/2014 105Prof.Dr.R.R.Deshpande
  106. 106. Scalp vein set • Tube is 30 cm long and made up of flexible polythene. One funnel like broad end of this tube has a lid. This lid is opened and attached to I/V set. One end of I/V set is connected to scalp vein set and other end to I/V fluid bottle (D.N.S. etc). • After discontinuing I/V fluids, scalp vein tube again can be closed with lid. Wings are fixed on the skin with adhesive tape. • Scalp vein sets are available in sterile pack. 4/16/2014 106Prof.Dr.R.R.Deshpande
  107. 107. Scalp vein set • I/V fluids like saline or Dextrose; but sometimes due to the movements of hands of the patient, I/V can go out. To avoid this problem, many a times Intracath is used. • I/V set has outlet, chamber, and pointed end with rubber tubing and valve with screw. 4/16/2014 107Prof.Dr.R.R.Deshpande
  108. 108. Scalp vein set • Uses • 1) For blood transfusion 20 or 21 no. needle is used. • 2) Intra venous set (I.V set is used to give I.V. fluids) • common sites – i) cubital fossa,ii) dorsum of hand 4/16/2014 108Prof.Dr.R.R.Deshpande
  109. 109. 4/16/2014 Prof.Dr.R.R.Deshpande 1094/16/2014 109 Stop watch – Used For BT,CT
  110. 110. Stop watch • Principle - Because of the ability to show the timings at the level of seconds and fraction of seconds, the stop watch is used to know exact period or time required to perform any test. • Parts - 1) Circular dial, showing time 2) Knob (to control start and stop movements) • Now a days, digital stop watch is a better alternative. 4/16/2014 110Prof.Dr.R.R.Deshpande
  111. 111. Stop watch • Uses - 1) To calculate bleeding time. (B.T.) • 2) To calculate clotting time. (C.T.) • 3) To conduct test in given timing. • Eg. - Harward step test. 4/16/2014 111Prof.Dr.R.R.Deshpande
  112. 112. 4/16/2014 Prof.Dr.R.R.Deshpande 1124/16/2014 112 Wintrobe bulb– Collecting Blood for Haemogram
  113. 113. 4/16/2014 Prof.Dr.R.R.Deshpande 1134/16/2014 113 Syringe with needle
  114. 114. 4/16/2014 Prof.Dr.R.R.Deshpande 114 Syringe with needle • Syringe – Barrel, plunger; • Needle – Bevel, shaft, hub, • Uses – To give I.M. or I. V. Injections OR to take out the Blood, • Number of Needles and uses – No. 18, 19 – To take out blood or to give thick injections like Inj Penidure LA 12, 24 for syphilis, No. 21 Oily Inj. No 22, 23 – Watery Inj, No-24 – For children ; Syringes – 2 CC, 5CC, 10 CC, 20 CC, 50 cc.
  115. 115. 4/16/2014 Prof.Dr.R.R.Deshpande 115 Syringe with needle • Types • Disposable syringes and needles, scalp vein set (IV set), Insulin syringe and needle, Glycerine syringe (for giving Glycerine ),Lumber puncture Needle • Sites for giving injection Triceps muscle, Gluteus muscle, Ant. abdominal wall – Subcutaneous (Rabies), Lt. arm – Origin of Deltoid muscle (BCG)
  116. 116. 4/16/2014 Prof.Dr.R.R.Deshpande 116 Lumber Puncture Neddle – For taking CSF sample
  117. 117. 4/16/2014 Prof.Dr.R.R.Deshpande 117 Site & Position for Lumber Puncture
  118. 118. 4/16/2014 Prof.Dr.R.R.Deshpande 118 Portable ECG Machine
  119. 119. 4/16/2014 Prof.Dr.R.R.Deshpande 119 Cushco’s Vaginal Speculum for Per vaginal Examination
  120. 120. Tonometer – To Examine Pressure of Eyeball to rule out Glaucoma 4/16/2014 Prof.Dr.R.R.Deshpande 120
  121. 121. Tongue Depressor curved – For examining Throat 4/16/2014 Prof.Dr.R.R.Deshpande 121
  122. 122. Tongue Depressor Straight 4/16/2014 Prof.Dr.R.R.Deshpande 122
  123. 123. Tunning Fork of different frequencies from 256 to 1024 – For doing Hearing Tests 4/16/2014 Prof.Dr.R.R.Deshpande 123
  124. 124. Urinary Catheters – To remove urine from bladder 4/16/2014 Prof.Dr.R.R.Deshpande 124
  125. 125. 4/16/2014 Prof.Dr.R.R.Deshpande 125 Prof.Dr.R.R.Deshpande • Prof.Dr.R.R.Deshpande • www.ayurvedicfriend.com • Mobile – 922 68 10 630 • Mail ID – mailme.drrrdeshpande@rediffmail.com • professordeshpande@gmail.com
  126. 126. 4/16/2014 Prof.Dr.R.R.Deshpande 126 Ayurved for General Practioner • Very very popular Book in Medical Practioners • 100 common symptoms of General Practice with causes,Investigations & Ayurvedic Treatments
  127. 127. 4/16/2014 Prof.Dr.R.R.Deshpande 127 Clinical Examination • Systemic Examination of 8 systems • Ayurvedic Srotas Examination • Clinical significance of Lab Tests & Radiology,USG,2D Echo
  128. 128. 4/16/2014 Prof.Dr.R.R.Deshpande 128 Notes on Medicine Part 1 • Very very useful Book for all Medical Practioners • Guidelines with causes,symptoms,Ay urvedic & Modern Treatments to treat Fever,Pain in Abdomen & Arthritis
  129. 129. 4/16/2014 Prof.Dr.R.R.Deshpande 129 Best Book for Medical Students & Practioners
  130. 130. Preventive Cardiology & Ayurvedic Management • Best Book for GP • All cardiac problems like Hypertention,CCF, Angina,Myocardial Infarct are discussed with Ayurvedic Management Contact -922 68 10 630 4/16/2014 Prof.Dr.R.R.Deshpande 130
  131. 131. Digestive Problems & Ayurvedic Management • Best Book for GP • All Digestive problems like Acidity,Pain in abdomen, • Constipation ,colitis are discussed with Ayurvedic Management Contact -922 68 10 630 4/16/2014 Prof.Dr.R.R.Deshpande 131
  132. 132. Gynaecological Problems & Ayurvedic Management • Best Book for GP • All Gynaecological problems like Heavy bleeding,White discharge,Infertility,ca ncer are discussed with Ayurvedic Management Contact -922 68 10 630 4/16/2014 Prof.Dr.R.R.Deshpande 132
  133. 133. Arthritis,Backache & Ayurvedic Management • Best Book for GP • All Joint problems like Rheumatoid Arthritis,Osteoarthritis ,Backache are discussed with Ayurvedic Management Contact -922 68 10 630 4/16/2014 Prof.Dr.R.R.Deshpande 133
  134. 134. Neurological Problems & Ayurvedic Management • Best Book for GP • All Neurological problems like Headache,Epilepsy,Al zeimer’s Disease are discussed with Ayurvedic Management Contact -922 68 10 630 4/16/2014 Prof.Dr.R.R.Deshpande 134
  135. 135. Ayurvedic Concept of Diet & Nutrition • Best Book for GP • Dietary Advice according to Prakruti ,Dietary prescriptions for many diseases are given • Contact -922 68 10 630 4/16/2014 Prof.Dr.R.R.Deshpande 135
  136. 136. Prof.Dr.Deshpande’s Popular Links on Internet • Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL • http://www.youtube.com/user/deshpande1 959 • http://www.slideshare.net/rajendra9a/ • http://www.mixcloud.com/jamdadey/ 4/16/2014 Prof.Dr.R.R.Deshpande 136
  137. 137. Prof.Dr.Deshpande’s Popular Links on Internet • Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL • http://professordeshpande.blogspot.in • http://professordrdeshpande.blogspot.in/ • http://www.mixcloud.com/rajendra- deshpande • https://soundcloud.com/professor- deshpande 4/16/2014 Prof.Dr.R.R.Deshpande 137

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