1. The document discusses renal disease and renal failure, defining key terms like oliguria, anuria, and uremia.
2. It describes the different types of renal failure - acute renal failure (AKI), chronic renal failure (CKD), and acute on top of chronic renal failure. AKI is a sudden loss of renal function over hours to days, while CKD is a gradual reduction in kidney function.
3. The causes, clinical presentations, complications, diagnostic tests, and treatment approaches are outlined for AKI and CKD. Management may include treating the underlying cause, managing complications, modifying diet and electrolytes, and initiating dialysis in severe cases.
Acute kidney injury, previously known as acute renal failure, encompasses a wide spectrum of injury to the kidneys, not just kidney failure. The definition of acute kidney injury has changed in recent years, and detection is now mostly based on monitoring creatinine levels, with or without urine output. Acute kidney injury is increasingly being seen in primary care in people without any acute illness, and awareness of the condition needs to be raised among primary care health professionals.
Acute kidney injury is seen in 13–18% of all people admitted to hospital, with older adults being particularly affected. These patients are usually under the care of healthcare professionals practising in specialties other than nephrology, who may not always be familiar with the optimum care of patients with acute kidney injury. The number of inpatients affected by acute kidney injury means that it has a major impact on healthcare resources. The costs to the NHS of acute kidney injury (excluding costs in the community) are estimated to be between £434 million and £620 million per year, which is more than the costs associated with breast cancer, or lung and skin cancer combined.
Acute kidney injury (AKI) is a sudden episode of kidney failure or kidney damage that happens within a few hours or a few days.It's most common in those who are critically ill and already hospitalized.
Acute kidney injury, previously known as acute renal failure, encompasses a wide spectrum of injury to the kidneys, not just kidney failure. The definition of acute kidney injury has changed in recent years, and detection is now mostly based on monitoring creatinine levels, with or without urine output. Acute kidney injury is increasingly being seen in primary care in people without any acute illness, and awareness of the condition needs to be raised among primary care health professionals.
Acute kidney injury is seen in 13–18% of all people admitted to hospital, with older adults being particularly affected. These patients are usually under the care of healthcare professionals practising in specialties other than nephrology, who may not always be familiar with the optimum care of patients with acute kidney injury. The number of inpatients affected by acute kidney injury means that it has a major impact on healthcare resources. The costs to the NHS of acute kidney injury (excluding costs in the community) are estimated to be between £434 million and £620 million per year, which is more than the costs associated with breast cancer, or lung and skin cancer combined.
Acute kidney injury (AKI) is a sudden episode of kidney failure or kidney damage that happens within a few hours or a few days.It's most common in those who are critically ill and already hospitalized.
Acute kidney injury is common among hospitalized patients. It affects some 3–7% of patients admitted to the hospital and approximately 25–30% of patients in the intensive care unit.
Acute kidney injury is common among hospitalized patients. It affects some 3–7% of patients admitted to the hospital and approximately 25–30% of patients in the intensive care unit.
Renal failure and its homeopathy treatment in Chembur, Mumbai, India Shewta shetty
"Treatment & remedies for renal failure and its homeopathy treatment.Personalised online consultancy & treatments provided at our clinic by efficient panel of doctors in our center at mumbai,Bombay,Chembur, India.Contact us."/>
Brief Information regarding the disorders of the genitourinary system. This presentation involves the disorders of the urinary system including Chronic Kidney Disease, Congenital problems related to the urinary system, and renal cancers.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
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
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.
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.
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.
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.
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
2. • Some Terminology:
• Oliguria: urine output less than 500 cc/24hr.
• Anuria: urine output less than 50 cc/24hr.
• Uremia: Before the advancement of modern medicine, renal
failure was often referred to as uremic poisoning,
Uremia was the term used to describe the
contamination of the blood with urine. Starting
around
1847, this term was used to describe reduced urine
output that was thought to be caused by the urine
mixing with the blood instead of being voided
through
the urethra.
3. Approach to a patient with renal failure
In the evaluation of patients with an elevated serum
urea and creatinine levels, it is important to establish the
following:
1- The acute or chronic nature of the renal function
impairment or presence of superimposed reversible
factor.
3- The causes of renal dysfunction.
4. Function Of The Kidney
1. Excretion
2. Regulation
3. Formation & Activation
5. • Excretion Of Waste Products & Toxins.
• Excretion Of Excess Body Fluid.
6. • Regulation Of Body Minerals As Sodium,
Potassium, Calcium.
• Acid Base Balance.
7. • Formation & Activation Of Hormones &
Vitamins As: Erythropoietin, Rennin &
Vitamin D.
8. It's Inability Of The
Kidney To Do Its Normal
Function.
Renal Failure
9. 1- Acute Renal Failure (AKI) which is a syndrome defined by
a sudden loss of renal function over several hours to several
days.
2- Chronic Renal Failure (CKD) can be defined as a chronic
reduction of glomerular filtration rate. (i.e. a diminution in
creatinine clearance and corresponding increase in Serum
creatinine.
3- Acute On Top Of Chronic Renal Failure
Types Of Renal Failure
11. ETIOLOGY
•Pre renal (70%): A sudden serious drop in blood flow to the
kidneys due to Heavy blood loss (injury) or sepsis, Decrease
body fluid (dehydration, burn).
•Renal (11%): Damage from some medicines, poisons, or
infections as.
1.Antibiotics, such as gentamicin and streptomycin.
2.Pain medicines, such as aspirin and ibuprofen.
3.Some blood pressure medicines, such as ACE inhibitors.
4.The dyes used in some X-ray tests.
•Post renal (17%): A sudden blockage that stops urine from
flowing out of the kidneys. Kidney stones, a tumor, an injury, or
an enlarged prostate.
•Idiopathic (2%).
15. CLINICAL PICTURE
1. Anuria or Oliguria.
2. Volume overload (edema lower limb, pleural
effusion, pericardial effusion).
3. Nausea and vomiting.
4. Restlessness, confusion, even deep coma.
5. Flank pain.
6. Symptoms of the etiology.
7. Asymptomatic
16. Diagnosis of AKI
• History of medication & other illness.
• Laboratory findings as calcium & hemoglobin.
• U/S: to determine the state of both kidney
& differentiate between anuria & retention.
• Accidental during hospital stay.
17. TREATMENT
• Treatment of the cause: the main line of treatment including
(fluid to restore blood volume, stop any medication that may
harm the kidney, bypass or remove any urinary tract
obstruction).
• Treatment of complication as antibiotics to prevent sepsis,
medication for volume overload and restore electrolyte
balance.
• Diet which may include sodium, potassium, phosphorus
restriction.
• Dialysis may be used to help patient to feel better and
prevent complication due to loss of kidney function on other
system as uremia, acidosis & volume overload.
19. Chronic Kidney Disease:
- Is a general term for heterogeneous disorders affecting
the structure and function of the kidney.
- Kidney failure is defined as GFR of less than 15 ml/min
per 1·73 M², or the need for treatment with dialysis or
transplantation.
- a complex syndrome consisting of anemia, neuropathy,
oesteodystrophy, and acidosis and accompanied by
hypertension, susceptibility to infection and
generalized deterioration in organ function.
22. • Accumulation of waste products (uremia).
• Disturbance of extra cellular fluid balance
(volume over load & hypertension).
• Acid-base imbalance (acidosis).
• Electrolyte and mineral disorders
(hyperkalemia).
Clinical Manifestation Of Renal Failure
26. Description Of Symptoms:
• High levels of urea in the blood, which can result in
Nausea, Vomiting and/or diarrhea, which may lead to
dehydration & Weight loss.
• Nocturnal urination: More frequent urination, or in greater
amounts than usual.
• Increased serum phosphorous in the blood that diseased
kidneys cannot filter out may cause Itching, Bone damage,
Nonunion in broken bones.
27. Description Of Symptoms
• Bone damage, Nonunion in broken bones also with Muscle cramps
(caused by low levels of Calcium (hypocalcaemia).
• Increased serum Potassium in the blood that diseased kidneys cannot
filter out (hyperkalemia) may cause Abnormal heart rhythms & Muscle
paralysis.
• Failure of kidneys to remove excess Fluid may cause: Swelling of the
legs, ankles, feet, face and/or hands & Shortness of breath due to extra
fluid on the lungs (may also be caused by Anemia).
• Polycystic kidney disease, which causes large, fluid-filled cysts on the
kidneys and sometimes the liver, can cause: Pain in the back or side
28. Description Of Symptoms
• Healthy kidneys produce Erythropoietin which stimulates
the bone marrow to make RBCs. As the kidneys fail, they
produce less erythropoietin, resulting in decreased
production of RBCs to replace the natural breakdown of
old RBCs. As a result Anemia is developed which result in
Feeling tired and/or weak Memory problems, Difficulty
concentrating, Dizziness & Low blood pressure.
29. • Proteins are usually too big to pass through the kidneys,
but they can pass through when the glomeruli are
damaged. This does not cause symptoms until extensive
kidney damage after which symptoms include Foamy or
bubbly urine, swelling in the hands, feet, abdomen or face
• Other symptoms include: Appetite loss, a bad taste in the
mouth, Difficulty sleeping, darkening of the skin related to
Uremia.
Description Of Symptoms
30. Laboratory Findings
- Elevated serum urea and creatinine.
- Metabolic acidosis.
- Anemia most commonly Normochromic Normocytic.
- Proteinuria.
- Granular casts in urine analysis.
31. Three interventions have been proved to
slow the progression of kidney disease
• Blood pressure control & glycemic control in patients with
hypertension & diabetes.
• Reduction of Proteinuria with an ACE inhibitor or ARB.
• Other interventions that may be beneficial include:
1. Lipid-lowering measures.
2. Correction of anemia.
3. Limiting dietary protein intake to 0.60 to 0.75 g per kg
of body weight per day in patients in stages 4 & 5.
32. Indication Of Dialysis:
1. acidosis (PH < 7.2)
2. hyperkalemia (K > 5.5 meqL with ECG changes or
> 6.5 without ECG changes)
3. Pleural and pericardial effusion.
4. Severe Hypertension not responding to medication.
5. Uremic encephalopathy.
6. Vomiting not relieved by medical treatment.