The document summarizes the investigations and management of stroke. Key points include:
1. Imaging such as CT or MRI is used to distinguish between hemorrhagic and ischemic stroke and identify underlying causes. CT is more widely available while MRI is more sensitive.
2. Risk factors, cardiac investigations, and vascular imaging are also conducted to determine the cause of ischemic stroke.
3. Management of ischemic stroke involves supportive care, thrombolysis within 3 hours, aspirin to prevent recurrence, and carotid surgery for severe stenosis to reduce risk of further stroke.
4. For hemorrhagic stroke, reversal of coagulopathy and surgical evacuation may be considered to control bleeding and intracranial pressure
Interstitial lung disease is a general category that includes many different lung conditions. All interstitial lung diseases affect the interstitium, a part of the lungs' anatomic structure.
Some of the types of interstitial lung disease include:
Interstitial pneumonia: Bacteria, viruses, or fungi may infect the interstitium of the lung. A bacterium called Mycoplasma pneumonia is the most common cause.
Idiopathic pulmonary fibrosis : A chronic, progressive form of fibrosis (scarring) of the interstitium. Its cause is unknown.
Nonspecific interstitial pneumonitis: Interstitial lung disease that's often present with autoimmune conditions (such as rheumatoid arthritis or scleroderma).
Intracerebral hemorhage Diagnosis and managementRamesh Babu
About ICH - Diagnosis and management, Discussed the clinical presentation, evaluation, radiological features and management including recent guidelines
you will learn about brain tumor, types of brain tumor, grading of brain tumor, risk factors for brain tumor, diagnosis for brain tumor, treatment for brain tumor, supportive care and rehabilitation for patients with brain tumor.
Stroke a rare complication in Post PCI patientPRAVEEN GUPTA
In this ppt i am going to describe about one patient who develop acute stroke after PCI in our hospital. Also i am going to discuss how to diagnose, manage and treat such patient, risk factor associated with stroke after PCI.
Interstitial lung disease is a general category that includes many different lung conditions. All interstitial lung diseases affect the interstitium, a part of the lungs' anatomic structure.
Some of the types of interstitial lung disease include:
Interstitial pneumonia: Bacteria, viruses, or fungi may infect the interstitium of the lung. A bacterium called Mycoplasma pneumonia is the most common cause.
Idiopathic pulmonary fibrosis : A chronic, progressive form of fibrosis (scarring) of the interstitium. Its cause is unknown.
Nonspecific interstitial pneumonitis: Interstitial lung disease that's often present with autoimmune conditions (such as rheumatoid arthritis or scleroderma).
Intracerebral hemorhage Diagnosis and managementRamesh Babu
About ICH - Diagnosis and management, Discussed the clinical presentation, evaluation, radiological features and management including recent guidelines
you will learn about brain tumor, types of brain tumor, grading of brain tumor, risk factors for brain tumor, diagnosis for brain tumor, treatment for brain tumor, supportive care and rehabilitation for patients with brain tumor.
Stroke a rare complication in Post PCI patientPRAVEEN GUPTA
In this ppt i am going to describe about one patient who develop acute stroke after PCI in our hospital. Also i am going to discuss how to diagnose, manage and treat such patient, risk factor associated with stroke after PCI.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
Follow us on: Pinterest
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
2. aims of investigation is to confirm the vascular nature of the lesion,
distinguish cerebral infarction from hemorrhage and identify the
underlying vascular disease and risk factors.
INVESTIGATIONS
3. Risk Factors Analysis
Initial investigation of all patients with stroke includes a range of simple blood
tests to detect common vascular risk factors and markers of rarer causes,
an ECG and brain imaging.
4.
5. Neuroimaging
Either CT or MRI should be performed in all patients with acute stroke
CT is the most practical and widely available method of imaging
the brain
It will usually exclude non-stroke lesions, including subdural haematomas and brain
tumours, and will demonstrate intracerebral hemorrhage within minutes of stroke onset
However, especially within the first few hours after symptom onset, CT changes in
cerebral infarction may be completely absent or only very subtle.
Changes often develop over time, but small cerebral infarcts may never show up on CT
scans.
Even in the absence of changes suggesting infarction, abnormal perfusion of brain tissue
can be imaged with CT after injection of contrast media
6. MRI is more sensitive than CT in detecting strokes affecting the brain
stem and cerebellum, and unlike CT, can reliably distinguish haemorrhagic
from ischemic stroke even several weeks after the onset
MRI is not widely available because scanning time are longer and it cannot
be used in some individuals with contraindications; pacemakers
7. Vascular Imaging
Many ischaemic strokes are caused by atherosclerotic thromboembolic
disease of the major extracranial vessels.
Detection of extracranial vascular disease can help establish why the patient
has had an ischaemic stroke and may, in highly selected patients, lead on to
specific treatments including carotid endarterectomy to reduce the risk of
further stroke
8. Cardiac Investigations
app. 20% of ischemic strokes are due to embolism from the heart.
Atrial fibrillation, prosthetic heart valves, other valvular abnormalities and recent MI
Transthoracic or transoesophageal echocardiogram can be useful
To confirm the presence of a clinically apparent cardiac source
To identify an unsuspected source such endocarditis, atrial myxoma and intracardiac
thrombus
Such findings may lead on to specific treatment
9. is aimed at minimizing the vol. of brain that is irreversibly damaged,
preventing complications, reducing the patient’s disability and
handicap through rehabilitation, and reducing the risk of recurrent
episodes.
Primary prevention and secondary prevention
Primary prevention is to treat the factors
Secondary prevention is to avoid the reoccurrences of the stroke
MANAGEMENT (ischemic stroke)
10. Early admission of patients has been shown to reduce both mortality
and residual disability amongst survivors.
Consideration of a patient’s rehabilitation needs should commence at
the same time as acute medical management.
SUPPORTIVE CARE
11.
12. Intravenous thrombolysis with recombinant tissue plasminogen
activator(rt-PA) increases the risk of hemorrhagic transformation of
the cerebral infarct with potentially fatal results.
However if given within 3 hours of symptom onset to highly selected
patients, the hemorrhagic risk is offset by an improvement in overall
outcome
THROMBOLYSIS
13. In the absence of
contraindications, aspirin (300mg
daily) should be started
immediately after ischaemic stroke
unless rt-PA has been given, in
which case it should be withheld
for at least 24 hours.
Aspirin reduces the risk of early
recurrence; it may be given by rectal
suppository or by nasogastric tube in
dysphagic patients
ASPIRIN
14. A small proportion of patients with a TIA will have a greater than
50% stenosis of the carotid artery on the side of the brain lesion.
Such patients have a greater than average risk of stroke recurrence.
The effectiveness of surgery is greatest for those with severe
stenoses (70-90%) and in those in whom surgery can be performed
within the first couple of weeks after TIA or ischemic stroke.
CAROTID ENDARTERECTOMY & ANGIOPLASTY
15.
16. For patient taking VKAs, rapid reversal of coagulopathy can be
achieved by infusing prothrombin complex concentrates which can be
administered quickly, followed by fresh-frozen plasma and vitamin K
If ICH is ass. with thrombocytopenia, transfusion of fresh platelets is
indicated.
Tissue surrounding hematomas is displaced and compressed but not
necessarily infarcted. Major improvement commonly occurs as the
hematoma is reabsorbed and the adjacent tissue regains its function.
Surgical evacuation may be undertaken for cerebellar hemisphere
hematomas >3cm diameter in selected patients
ACUTE MANAGEMENT-INTRACEREBRAL HEMORRHAGE
17. If ICP is low, place a ICP monitor. Further hyperventilation and
osmotic therapy can be tailored to the patient to keep cerebral
perfusion pressure above 60 mmHg.
If ICP is found to be high, CSF can be drained from the ventricular
space and osmotic therapy continued
Persistent or progressive elevation in ICP may prompt surgical evacuation of
the clot
Alternately if ICP become normal or mildly elevated, induced hyperventilation
can be reversed and osmotic therapy tapered.
ICP is often normal even with large intraparenchymal hemorrhages
18. Rehabilitation should be structured to provide as much practice as
possible within the first six months after stroke
For patients undergoing active rehabilitation,
as much physical therapy should be provided as possible with a minimum of
one hour active practice per day at least five days a week
As much therapy for dysphagia or communication difficulties should be
provided as they can tolerate
Patients should be mobilized as early and as frequently as
possible
REHABILITATION
19. • Davidson’s principles & practice of medicine 21st ed
• Harrison’s principle of internal medicine 18th ed
• Clinical Practice Guidelines; Management of Ischaemic Stroke 2nd ed 2012
• Clinical Guidelines for Stroke Management 2010; stroke foundation
THANK YOU