1. Acute appendicitis is caused by obstruction of the appendix, most commonly from lymphoid hyperplasia or fecaliths. It presents with migrating pain from the epigastric to right lower quadrant along with nausea, vomiting, and fever.
2. Diagnosis is based on history and physical exam findings like rebound tenderness. Differential diagnosis includes other abdominal and gynecological conditions. Complications include perforation and peritonitis if not treated surgically.
3. Appendectomy remains the standard treatment, though diagnosis can be challenging in atypical cases like retrocecal or pelvic appendicitis or in children and elderly patients where symptoms may be milder
Ureteric colic is defined as a medical condition characterized by the presence of a urinary stone, leading to a severe urinary system pain. An excruciating pain that can strike without a warning, ureteric colic or renal colic is caused by dilation, stretching and spasm of the ureter.
Ureteric colic is defined as a medical condition characterized by the presence of a urinary stone, leading to a severe urinary system pain. An excruciating pain that can strike without a warning, ureteric colic or renal colic is caused by dilation, stretching and spasm of the ureter.
here give the knowledge that you should possess to manage acute and chronic urine retention. the lecture is more concerned about practical patient care and ward setting management. you should minimally be aware about following facts regarding urine retention. the multiple causes of retention will be discussed later in detailed manner. Direction of the lecture seems more toward BPH and acute retention management. beware there are many aspects of a patient present with an AUR. do no harm and always try to keep patient satisfaction. Let me know about your comments an Ideas. try to improve the quality. good luck.
Gastrointestinal bleeding (GI bleed), also known as gastrointestinal hemorrhage, is all forms of bleeding in the gastrointestinal tract, from the mouth to the rectum. When there is significant blood loss over a short time, symptoms may include vomiting red blood, vomiting black blood, bloody stool, or black stool.
here give the knowledge that you should possess to manage acute and chronic urine retention. the lecture is more concerned about practical patient care and ward setting management. you should minimally be aware about following facts regarding urine retention. the multiple causes of retention will be discussed later in detailed manner. Direction of the lecture seems more toward BPH and acute retention management. beware there are many aspects of a patient present with an AUR. do no harm and always try to keep patient satisfaction. Let me know about your comments an Ideas. try to improve the quality. good luck.
Gastrointestinal bleeding (GI bleed), also known as gastrointestinal hemorrhage, is all forms of bleeding in the gastrointestinal tract, from the mouth to the rectum. When there is significant blood loss over a short time, symptoms may include vomiting red blood, vomiting black blood, bloody stool, or black stool.
Abdominal pain is one of common problems
encountered by doctors, either in primary or
secondary health care (specialists). It may be
mild, but it may also a life-threatening sign. It
has been estimated that almost 50% adults have
experienced abdominal pain. In general, abdominal pain is categorized
based on the onset as acute or chronic pain.
Sudden onset of abdominal pain that lasts for less
than 24 hours is considered as acute abdominal
pain.
The problems of a surgeon
If 'I' operate 'and 'the' problem 'is' not 'surgical, Pt
exposed 'to' unnecessary 'risk ,'anesthetic,'etc.'
Risks 'greater' with 'concomitant 'illness,'older 'age'
If 'I' do 'not' operate 'and' problem 'is' surgical, 'patient 'at'
risk 'because' of 'wrong' therapy.'
Again 'the' older 'patient 'is' under 'greater' burden.'
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
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June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
3. Etiology and pathogenesis Obstruction of the narrow appendiceal lumen initiates the clinical illness of acute appendicitis. Obstruction has multiple causes, including lymphoid hyperplasia (related to viral illnesses, including upper respiratory infection, mononucleosis, gastroenteritis), fecaliths, parasites, foreign bodies, Crohn's disease, primary or metastatic cancer and carcinoid syndrome. Lymphoid hyperplasia is more common in children and young adults, accounting for the increased incidence of appendicitis in these age groups.
4.
5. Symptoms of simple appendicitis 1. Pain localized in a right iliac area. In 70 % of patients the pain arises in a epigastric area – it is an epigastric phase of acute appendicitis. In 2-4 hours it migrates to the area of appendix (the Kocher’s sign). 2. Single nausea and vomiting. 3. Fever to 37.5-38 0 C. 4. Retention of stool or single diarrhea. 5. Muscular tension in a right iliac area. Rovsing's sign - pain in right lower quadrant during palpation of left lower quadrant Sitkovsky’s sign - increase of pain in a right iliac area when the patient lies on the left side Bartomier’s sign - the increase of pain intensity during the palpation of right iliac area when the patient lies on the left side. Dunphy's sign-increased pain with coughing
6. Symptoms of phlegmonous appendicitis 1. Expressed pain in a right iliac area. 2. Fever to 38-39 0 C. 3. Muscular rigidity in a right iliac area. 4. Peritoneal signs Blumberg’s sign. After gradual pressing by fingers of anterior abdominal wall quick taking off the hand causes the sharp increase of pain. Voskresenky’s sign. The increase of pain during quick sliding movements by the tips of fingers from epigastric to right iliac area. Rozdolskyy’s sign. Painfulness in a right iliac area during percussion.
7. Symptoms of gangrenous appendicitis 1. Expressed pain in a right iliac area. 2. Grave condition of the patient. 3. Signs of local peritonitis. 4. Signs of intoxication
8. Symptoms of retrocaecal appendicitis 1. Non-expressive abdominal clinic. 2. Expressed pain in a right lumbar area. 3. Pain and muscular rigidity in a right iliac area during palpation. Yaure-Rozanov sign - Painfullness during palpation of Petit triangle Gabay’s sign - Blumberg’s sign in Petit triangle Pasternatsky’s sign - tapping of lumbar region cause the pain Psoas sign-pain on extension of right thigh
9. Symptoms of retrocaecal retroperitoneal appendicitis 1. Clinic of retroperitoneal phlegmon. 2. The signs of retrocaecal appendicitis. 3. Flank tenderness in right lower quadrant .
10. Symptoms of pelvic appendicitis 1. Clinic of irritation of pelvic organs (dysuria, pulling rectal pain, tenesmi). 2. Absence of muscular tenderness. 3. Painfullness of anterior rectal wall and posterior vaginal vault.
11. Symptoms of left-side appendicitis All the appendicular signs locate on the left iliac region
12. Clinic of appendicitis in children In infants acute appendicitis occurs infrequently, but quite often has atypical character. It results from the peculiarities of anatomy of appendix, insufficient plastic properties of the peritoneum, short omentum and high reactivity of child’s organism. The inflammatory process in the appendix of children rapidly progresses in the first half of the day, resulting in destruction, even perforation. The children more frequently than an adult suffer from vomiting. General condition worsening quickly and the positive peritoneal symptoms have been shown already during the first hours of the disease. The temperature reaction is also considerably expressed. In blood revealed high leukocytosis. It is necessary to remember, that the examination of anxious children requires to use a chloralhydrate enema.
13. Clinic of appendicitis in elderly patiens This group of patients is hospitalized rather late, usually in 2-3 days after the beginning of the disease. Because of the increased threshold of pain sensitivity, the pain in such patients is slightly expressed, therefore they almost do not pay attention to the epigastric phase of appendicitis. Frequently nausea and vomiting is present, and the temperature reaction is expressed poorly. Tension of muscles of abdominal wall is absent or is insignificant due to old-age relaxation of muscles. But the symptoms of irritation of peritoneum keep the diagnostic value in this group of patients. Thus, the sclerosis of vessels of appendix results in initially-gangrenous forms of appendicitis in this group.
14. Clinic of appendicitis during pregnancy Enlarged uterus bends the appendix and disturbs its blood flow resulting in appendicitis. In the first half of pregnancy the clinic of appendicitis usually without peculiarities. In the second half of pregnancy, the enlarged uterus displaces the caecum together with the appendix upwards, and overdistension of abdominal wall does not create adequate tension. It is necessary also to remember, that pregnant women periodically can have a moderate pain in the abdomen and changes in the blood test. Nevertheless, psoas-sign and the Bartomier’s sign has a diagnostic value.