This document summarizes complications that can arise from rhinosinusitis, including orbital, intracranial, and bony complications. It describes the classification, diagnosis, and treatment of various complications such as orbital cellulitis, subperiosteal abscess, orbital abscess, cavernous sinus thrombosis, meningitis, and intracranial abscesses. Controversies around treatment approaches like the role of steroids and anticoagulation are also discussed.
Complications of rhinosinusitis(Dr ravindra daggupati)Ravindra Daggupati
orbital complications of rhino sinusitis,intra cranial complications of rhino sinusitis,classification of complications,diagnosis and treatment of complications
Complications of rhinosinusitis(Dr ravindra daggupati)Ravindra Daggupati
orbital complications of rhino sinusitis,intra cranial complications of rhino sinusitis,classification of complications,diagnosis and treatment of complications
Sinus tymapni shape and depth can influence surgical approach in cholesteatoma surgery. In the case of a shallower ST, an exclusive endoscopic exploration is chosen; while in the case of a deeper ST, a retrofacial approach is usually preferred.
Neoplasms of the nose and paranasal sinus /certified fixed orthodontic course...Indian dental academy
Dental Courses by Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
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Slides prepared and compiled by highly experienced ENT teacher, Dr. Krishna Koirala from Nepal , for teaching undergraduate and postgraduate ENT students in the field of otorhinolaryngology.
A clear and concise explanation of the basic concepts in the subject matter concerned.
He is the Head of department with a sound knowledge in the field of ENT to teach both undergraduate and postgraduate ENT students
Sinus tymapni shape and depth can influence surgical approach in cholesteatoma surgery. In the case of a shallower ST, an exclusive endoscopic exploration is chosen; while in the case of a deeper ST, a retrofacial approach is usually preferred.
Neoplasms of the nose and paranasal sinus /certified fixed orthodontic course...Indian dental academy
Dental Courses by Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Slides prepared and compiled by highly experienced ENT teacher, Dr. Krishna Koirala from Nepal , for teaching undergraduate and postgraduate ENT students in the field of otorhinolaryngology.
A clear and concise explanation of the basic concepts in the subject matter concerned.
He is the Head of department with a sound knowledge in the field of ENT to teach both undergraduate and postgraduate ENT students
Pengertian Diaper Rash
Diaper Rash (eksim popok) adalah kelainan kulit pada bayi & balita yang terjadi karena pemakaian popok.
Biasanya timbul pada kulit didaerah yang terkena popok yakni alat kelamin, sekitar dubur, bokong, lipat paha dan perut bagian bawah.
Penyebab Diaper Rash
tidak segera mengganti popok setelah bayi/balita buang air besar, tinja bercampur dengan air seni,terjadi pembentukan ammonia ( zat dari kotoran bayi ),keasaman kulit meningkat,keasaman kulit meningkat
faktor-faktor yang menyebabkan terjadinya Diaper Rash adalah:
Kelembaban kulit
Air seni dan kotoran
Jamur/kuman ( saat kulit lembab akibat pemakaian popok jamur tumbuh lebih cepat)
Jenis-jenis Iritasi Pada Kulit Bayi
Intertigo:peradangan pada lipatan tubuh
Biang keringat (miliaria): terlihat kulit kemerahan disertai rasa gatal dengan gelembung-gelembung kecil berair.
Seborrhea: suatu peradangan pada kulit bagian atas, yang menyebabkan timbulnya sisik
Eksim /eksema(dermatitis): peradangan hebat yang menyebabkan pembentukan lepuh atau gelembung kecil (vesikel) pada kulit hingga akhirnya pecah dan mengeluarkan cairan.
Dermatitis kontak: inflamasi pada kulit yang telah terpapar oleh bahan yang mengiritasi atau menyebabkan reaksi alergi
Candidal diaper dermatitis, yakni ruam popok yang disebabkan oleh infeksi jamur Candida albicans
Bacterial diaper dermatitis, yakni ruam popok yang disebabkan oleh infeksi kuman (bakteri),
Granuloma gluteal infantum, timbul karena terlalu lama iritasi dan infeksi mikro-organisme yang tidak diobati.
Cara Mencegah Diaper Rash
Ganti popok setelah buang air besar.
Gunakanlah popok sekali pakai sesuai dengan daya tampungnya.
Bersihkan kulit dengan air hangat setelah buang air besar. Gunakan sabun, bilas sampai bersih lalu keringkan. Anginkan sebentar baru pakai popok yang baru.
Agar kulit bayi/balita tidak lembab, setiap hari paling sedikit 2-3 jam bayi/balita tidak memakai popok.
Pilih popok yang sesuai ukurannya dan terbuat dari bahan yang menyerap air.
Merawat Bayi yang Menderita Diaper Rash
Perawatan bayi ruam popok
Ganti popok lebih sering dari biasanya
Cuci bersih kulit bayi dengan sabun yang lembut, lalu keringkan.
Setelah dibersihkan, biarkan kulit terbuka terhadap udara, tanpa popok beberapa saat.
Makanan tertentu mungkin dapat memperburuk ruam. Jangan memberikan makanan tersebut pada bayi sampai ruam hilang.
Jika ruam disebabkan oleh dermatitis alergi, hentikan penggunaan sabun, yang dapat menyebabkan ruam.
Jika ruam ternyata disebabkan oleh infeksi candida, gunakan krim obat luar anti jamur.
Perawatan Medis Ruam Popok
Jika infeksi candida >dengan krim atau obat anti jamur.
Jika ruam bukan infeksi jamur > dengan krim atau salep steroid topikal
Jika bayi memiliki impetigo (infeksi bakteri) > dengan obat antibiotik.
A Case Report of Sub Periosteal Abscess by Munish Kumar Saroch in Crimson Publishers: International Journal of Medical Sciences
Acute and chronic rhino sinusitis are amongst the most frequently encountered conditions by the otolaryngologist in dayto- day practice. These are usually easily manageable with proper and effective antibiotic therapy and decongestants. However, despite widely available appropriate antibiotics, the otolaryngologist often finds himself face-to-face with complications of sinusitis especially in the pediatric population. These may affect the soft tissues, bones, the orbit and even the brain with a possible fatal or functionally impairing outcome (visual loss) at times. Here we present a case of orbital complication secondary to frontoethmoidal sinusitis.
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
13. Chandler´s classification Bilateral eye findings and worsening of all other previously described findings. V. Cavernous sinus thrombosis Discrete pus collection in orbital tissues, proptosis and chemosis with ophthalmoplegia and decreased vision. IV. Orbital abscess Collection of pus between medial periosteum and lamina papyracea, impaired extraocular movement. III. Subperiosteal abscess Diffuse orbital infection and inflammation without abscess formation. II. Orbital cellulitis (postseptal) Lid edema, no limitation in ocular movement or visual change. I. Inflammatory edema (preseptal)
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30. Transcaruncular approach Bailey, BJ (2006). Head & Neck Surgery - Otolaryngology. 4th ed. Philadelphia: Lippincott Williams & Wilkins. 499.
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35. Ebright JR, Pace MT, Niazi AF. Septic thrombosis of the cavernous sinuses. Arch Intern Med 2001;161:2671-2676.
45. Intracranial abscess ESS / Neurosurgery (stereotactic vs. open) IV Abx., craniotomy, ESS, anticonvulsivants, +/- steroids IV Abx. + Surgery (craniotomy / ESS) Treatment MRI (T2) Hypointense with capsule CT may show it but MRI is better CT or MRI Diagnosis Subtle if frontal (mood) H/A, lethargy, seizures, focal deficits Meningismus, rapid progression to coma Mild, non-specific for weeks. Increase ICP Symptoms Asymptomatic phase while it coalesces Spreads diffusely convexities, interhemispheric Slow expanding Progression Frontal/frontopariental white/gray matter Subdural space no boundaries Between skull and dura Location Intracranial Subdural Epidural *
CT was initial test always. Obtained in first 48h in all pt. MRI only obtained when there was clinical suspition of intracranial complication or failure to improve to medical therapy. Indications for surgery (abscess suspected, or failure to improve after 24h of abx.)
Authors recommeded MRI in addition to CT along with aggressive management in children older than 7. Age of frontal being radiologicaly present
15 to 30% of patients will develop various visual sequelae, despite aggressive medical and surgical intervention.
Suggesting younger children have less virurent infections than older children. Even though there is high variavility in studies… these are inclussion criteria suggested for medical management:
In contrast to other series… Criteria for medical management… In conclusion there is a subset of pt that can be treated medically (as long as there is close ophto/otorrino f/u)
Surgical approaches to drain a PTA include external, endoscopic and combined.
Combined approaches have the advantage of preserving lamina. Keeping separate compartments. This technique useful when FRONTAL also involved.
Say the nerves after 2.
Otolaryngol Head Neck Surg 2003
No concensus on timing of sinus surgery ( no controlled trials)