Article on Don’t Confuse Fissure with Piles
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For most of us any problem in the anal region is either piles or fissure. I have tried to explain the difference between the two in simple words here. When it comes to one’s health, its best to be well-informed and aware of the condition one is faced with. Click to know more.
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Git j club anal fissure adults22
This document provides guidance on evaluating and managing anal fissures. It discusses taking a thorough history, performing an examination, and initial treatment with lifestyle changes, topical medications like diltiazem or nitroglycerin, or Botox injections. For chronic or non-healing cases, referral for further investigations or surgical options may be needed. The goal of treatment is to relieve spasm and improve blood flow to allow healing of the tear.
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Patient Information Please see attachment for Rubrics and Soap T.docx
Patient Information
Please see attachment for Rubrics and Soap Template
Family Medicine 27: 17-year-old male with groin pain
User:
Beatriz Duque
Email:
[email protected]
Date:
September 5, 2020 11:01PM
Learning Objectives
The student should be able to:
Elicit focused history of patients presenting with scrotal pain.
Demonstrate the ability to perform proficient testicular examination and to elicit signs specific to identify or exclude testicular torsion.
Develop a differential diagnosis for adolescent male presenting with scrotal pain.
Identify appropriate laboratory and radiological studies as it relates to the differential diagnosis of scrotal pain. Outline the algorithmic approach to testicular pain.
Discuss management of testicular torsion.
Recognize sexually transmitted infections as a cause of testicular pain among adolescent males.
Discuss the importance of counseling to prevent sexually transmitted infections.
Discuss epidemiology and USPSTF recommendations for screening for common testicular cancers.
Knowledge
Important Features of the History for a Patient in Pain
The following acronym can be helpful:
LAQ CODIERS:
L
ocation
A
ssociated symptoms
Q
uality
C
haracter
O
nset
D
uration
I
ntensity
E
xacerbating factors
R
elieving factors other
S
ymptoms
HEEADSSS Adolescent Interview
Home
Education / Employment
Eating
Activities
Drugs
Sexuality
Suicide / Depression Safety / Violence
Scrotal Exam Findings
Cremasteric reflex
Cremasteric reflex can be assessed by lightly stroking or pinching the superior medial aspect of the thigh. An intact cremasteric reflex causes brisk ipsilateral testicular retraction. Absence of the cremasteric reflex is a sensitive but nonspecific finding for testicular torsion. It can be absent on physical exam in normal testes. It should be assessed after inspection and before palpation of the testicles.
Blue dot sign
Tenderness limited to the upper pole of the testis suggests torsion of a testicular appendage, especially when a hard, tender nodule is palpable in this region. A small bluish discoloration known as the "blue dot sign", may be visible through the skin in the upper pole. This sign is virtually pathognomonic for appendiceal torsion when tenderness is also present.
Prehn sign
Prehn reported that physical lifting of the testicles relieves the pain caused by epididymitis but not pain caused by testicular torsion. A positive Prehn sign is pain that is relieved by lifting of the testicle; if present this can help distinguish epididymitis from testicular torsion.
Causes of Testicular Torsion
Congenital anomaly
A congenital anomaly that results in failure of normal posterior anchoring of the gubernaculum, epididymis, and testis is called a bell clapper deformity because it leaves the testis free to swing and rotate within the tunica vaginalis of the scrotum much like the gong (clapper) inside of a bell, causing an intravaginal torsion. A large mesentery betwee.
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Patient Information Please see attachment for Rubrics and Soap T.docx
Patient Information
Please see attachment for Rubrics and Soap Template
Family Medicine 27: 17-year-old male with groin pain
User:
Beatriz Duque
Email:
[email protected]
Date:
September 5, 2020 11:01PM
Learning Objectives
The student should be able to:
Elicit focused history of patients presenting with scrotal pain.
Demonstrate the ability to perform proficient testicular examination and to elicit signs specific to identify or exclude testicular torsion.
Develop a differential diagnosis for adolescent male presenting with scrotal pain.
Identify appropriate laboratory and radiological studies as it relates to the differential diagnosis of scrotal pain. Outline the algorithmic approach to testicular pain.
Discuss management of testicular torsion.
Recognize sexually transmitted infections as a cause of testicular pain among adolescent males.
Discuss the importance of counseling to prevent sexually transmitted infections.
Discuss epidemiology and USPSTF recommendations for screening for common testicular cancers.
Knowledge
Important Features of the History for a Patient in Pain
The following acronym can be helpful:
LAQ CODIERS:
L
ocation
A
ssociated symptoms
Q
uality
C
haracter
O
nset
D
uration
I
ntensity
E
xacerbating factors
R
elieving factors other
S
ymptoms
HEEADSSS Adolescent Interview
Home
Education / Employment
Eating
Activities
Drugs
Sexuality
Suicide / Depression Safety / Violence
Scrotal Exam Findings
Cremasteric reflex
Cremasteric reflex can be assessed by lightly stroking or pinching the superior medial aspect of the thigh. An intact cremasteric reflex causes brisk ipsilateral testicular retraction. Absence of the cremasteric reflex is a sensitive but nonspecific finding for testicular torsion. It can be absent on physical exam in normal testes. It should be assessed after inspection and before palpation of the testicles.
Blue dot sign
Tenderness limited to the upper pole of the testis suggests torsion of a testicular appendage, especially when a hard, tender nodule is palpable in this region. A small bluish discoloration known as the "blue dot sign", may be visible through the skin in the upper pole. This sign is virtually pathognomonic for appendiceal torsion when tenderness is also present.
Prehn sign
Prehn reported that physical lifting of the testicles relieves the pain caused by epididymitis but not pain caused by testicular torsion. A positive Prehn sign is pain that is relieved by lifting of the testicle; if present this can help distinguish epididymitis from testicular torsion.
Causes of Testicular Torsion
Congenital anomaly
A congenital anomaly that results in failure of normal posterior anchoring of the gubernaculum, epididymis, and testis is called a bell clapper deformity because it leaves the testis free to swing and rotate within the tunica vaginalis of the scrotum much like the gong (clapper) inside of a bell, causing an intravaginal torsion. A large mesentery betwee.
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This document summarizes the presentation, diagnosis, and management of anal fissures. It notes that anal fissures typically cause sharp pain during bowel movements that can persist for hours afterwards. Examination may reveal a tear at the anal verge. Initial treatment involves lifestyle changes like fiber supplementation and topical medications like diltiazem or glyceryl trinitrate to relieve spasm and promote healing. Patients should follow up within 6-8 weeks to ensure symptoms have resolved, and referral is considered for atypical cases or those that do not improve with initial measures.
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Women need to know some test methods and take precautions as soon as possible. Herbal medicine Fuyan Pill can be a better option for women with adenomyosis
Utility of Murphy’s Repertory in Management of Cases of Haemorrhoids
Haemorrhoids or piles are one of the most common anorectal disease that have been nagging the mankind from ancient times. Haemorrhoids are rarely serious, but it can be extremely troublesome. Women are more commonly affected than male. However haemorrhoids can be managed with Homoeopathic Medical Repertory by Dr. Robin Murphy. This study was conducted to evaluate the efficiency of homoeopathy in the treatment of haemorrhoids with utility of Murphy’s repertory. Dr. Hiral Kashyapbhai Trivedi "Utility of Murphy’s Repertory in Management of Cases of Haemorrhoids" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-1 , December 2021, URL: https://www.ijtsrd.com/papers/ijtsrd48000.pdf Paper URL: https://www.ijtsrd.com/biological-science/pathology/48000/utility-of-murphy’s-repertory-in-management-of-cases-of-haemorrhoids/dr-hiral-kashyapbhai-trivedi
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Anal fissure
Anal fissures are tears in the skin around the anus, usually caused by hard stools or constipation. They can be acute (lasting less than six weeks) or chronic. Treatment focuses on relieving pain and promoting healing through sitz baths, stool softeners, and topical medications. Surgery to cut the internal sphincter muscle may be considered for chronic fissures that do not heal with medical management in order to reduce spasms and promote healing. Education on diet, hydration, and avoiding constipation is important to prevent recurrence.
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Based on the information provided, T.U. likely has an active infection in his diabetic foot ulcer given the presence of purulent drainage from the wound. Appropriate initial treatment would include:
1. Obtaining wound cultures (both superficial and deep tissue) to help guide antibiotic selection.
2. Surgical debridement of the wound to remove non-viable tissue and optimize assessment of wound depth and surrounding soft tissues.
3. Empiric broad-spectrum antibiotics such as piperacillin-tazobactam or amoxicillin-clavulanic acid to cover common pathogens like Staphylococcus and Streptococcus.
4. Reassessment in 5-7 days
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What is hernia:
A hernia is a physical defect and happens when an internal organ like intestine pushes through the week walls of the abdominal or sneaks through an opening in the abdominal muscle or tissue that holds the organs in place which leading the organ to occupy the space under the skin
Types of hernia: a) Umbilical Hernia: Hernia that occurs around your belly button. b) Incisional Hernia: A type of hernia caused by an incompletely-healed surgical wound. c) Femoral Hernia: Caused by fatty tissue or a bowel organs pokes through into the groin towards the top of your inner thigh d) Inguinal Hernia: Occurs When soft tissue bulges through a weak part in the abdominal muscles. e) Lateral Hernia: Hernia that causes a layer of tissue that separates two groups of abdominal muscles f) Epigastric Hernia: Hernia that leads the fat to push through a week area in the walls of the abdomen
Causes of hernia:
All hernias are a result of a plus of pressure and an opening or weakness of muscle in the regions specified in the types of hernia. Sometimes a hernia can be a result of muscle weakness which may be present during the birth, and many a time occurs later in life. Here are a few reasons why the tissues may waken and lead to hernia:
1. Smoking
2. Lifting heavyweight
3. Diarrhoea
4. Constipation
5. Constant Coughing and
6. Constant Sneezing
Symptoms of hernia:
Dull pain in the abdominal area Dull Pain in testicles ( males ) Dull Pain in the pelvis Discomfort in the abdominal region, groin, Unusual BulgeFeeling of strangulation
Treatment of hernia:
There are various treatments of hernia which you can check here on this link: https://www.healinghandsclinic.co.in/hernia-treatment-centre/However, 3D Mesh hernia repair is the best-known treatment for Hernia. It is the most advanced and promising treatment option which covers the hernia from 3 sides. No stitches to fix the mesh, no pain, no scars and negligible reoccurrence rate make it the most advanced technology to treat a hernia.
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Healing Hands Clinic specializes in treating recto vaginal fistula. It is treated in layers. The clinic has centers at Pune, Baner, Chakan, Chinchwad, Navi Mumbai, Mumbai, Thane, Nashik and Bengaluru. All the centers have well-qualified team of doctors and surgeons who are experts in treating all types of anorectal disorders such as piles, fissure, fistula, and other lifestyle disorders.
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For more details, you may also visit: https://www.healinghandsclinic.co.in/varicose-veins/
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Fistula is an abnormal condition in which there is a tunnel from the end of bowel movement to the skin around the anus. Healing Hands Clinic is a certified center of excellence for the treatment of fistula having centers at Pune, Chinchwad, Mumbai, Navi Mumbai, Chakan, Nashik, and Bengaluru. It deals with all type of anorectal disorders such as piles, fistula, constipation, fissure, hernia and others.
For more details visit: https://www.healinghandsclinic.co.in/fistula-treatment-centre/
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Anal fissure
Anal fissures are tears in the skin around the anus, usually caused by hard stools or constipation. They can be acute (lasting less than six weeks) or chronic. Treatment focuses on relieving pain and promoting healing through sitz baths, stool softeners, and topical medications. Surgery to cut the internal sphincter muscle may be considered for chronic fissures that do not heal with medical management in order to reduce spasms and promote healing. Education on diet, hydration, and avoiding constipation is important to prevent recurrence.
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In the recent years, there is a rise in the number of people suffering from piles, a condition medically termed as Haemorrhoids. Since time immemorial haemorrhoids have plagued humankind, yet many misunderstandings regarding haemorrhoidal complaints and disease still exist. Proportionately, there is a hike in the advertisements in different media on various patent products that are supposed to cure piles. But the fact is, majority of the piles patients we come across are self diagnosed cases. Most of them suffer from occasional burning pains or soreness in the anal region and diagnose themselves as piles without a medical consultation. Thereafter, they go on taking patent preparations over the counter without a doctor’s prescription. The present article focuses on homoeopathic approach to a case of haemorrhoids.
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Cancer is regarded as the uncontrollable growth of cells that attack and cause damage to the surrounding tissue. It is regarded as one of the threatening diseases among human beings. Different types of cancers are visible in this world.
L 1. introduction to medicine
Dr. Bilal Natiq Nuaman provides an introduction to internal medicine. He discusses that internal medicine deals with diagnosis and nonsurgical treatment of adult diseases. It includes many subspecialties like cardiology, endocrinology, gastroenterology, and others. The document then outlines the process of medical diagnosis, including taking a history, performing an examination, and ordering investigations. It provides an example of constructing a differential diagnosis for a patient presenting with left leg swelling and pain. Potential diagnoses are narrowed down based on history and exam findings. Tests are ordered to evaluate the leading hypotheses while considering pretest probabilities and potential harms of missing diagnoses or treatments.
WHAT IS NASOPHARYNGEAL CANCER: CAUSES, SYMPTOMS, & TREATMENT?
Nasopharyngeal cancer is a rare cancer that begins in the upper part of the throat behind the nose. It is more common in parts of Asia and Africa. Symptoms can include lumps in the neck, ear problems, headaches, and nosebleeds. Doctors use exams, biopsies, and scans to diagnose it. Treatment depends on stage but may include chemotherapy, radiation, surgery, or clinical trials. Early detection improves survival rates, but it is often diagnosed at later stages due to vague symptoms.
Dr. Ashwin Porwal's Healing Hands Clinic Pune
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This document discusses endometriosis and adenomyosis. It defines endometriosis as endometrial tissue growing outside the uterine cavity, most commonly in the pelvis. Symptoms include painful periods and infertility. Diagnosis requires laparoscopy. Treatment options include pain medications, hormonal therapies, and surgery. Adenomyosis involves the growth of endometrial tissue into the uterine muscle wall. It causes heavy painful periods and a swollen uterus. Ultrasound and MRI can identify adenomyosis, while treatment may involve hormones or hysterectomy.
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Based on the information provided, T.U. likely has an active infection in his diabetic foot ulcer given the presence of purulent drainage from the wound. Appropriate initial treatment would include:
1. Obtaining wound cultures (both superficial and deep tissue) to help guide antibiotic selection.
2. Surgical debridement of the wound to remove non-viable tissue and optimize assessment of wound depth and surrounding soft tissues.
3. Empiric broad-spectrum antibiotics such as piperacillin-tazobactam or amoxicillin-clavulanic acid to cover common pathogens like Staphylococcus and Streptococcus.
4. Reassessment in 5-7 days
Disease of the rectum and anus
This document discusses diseases of the rectum and anus. It begins with definitions and explains that these diseases are commonly seen in primary care. It describes some of the main diseases including their causes, symptoms, and risk factors. Some of the diseases covered include hemorrhoids, anal fissures, abscesses, and anal cancer. The document discusses how these diseases are diagnosed, often through examination with an anoscope or sigmoidoscope. It also outlines treatments for some conditions like surgery, radiation therapy, and chemotherapy for anal cancer. Lastly, it discusses some ways to prevent diseases like avoiding risk factors, screening high risk patients, and vaccinations to prevent HPV infections.
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Complications rise among piles patients in shutdown
A sizable number of people with piles and fistula are taking longer to get cured as most of them are delaying medical care in the wake of the coronavirus triggered lockdowns, resulting in complications.
Varicose Veins | All About Varicose Veins | Varicose Veins Treatment
Visible dilated veins found in the lower extremities are called varicose veins. In these slides, you will understand everything about varicose veins.
Varicose Veins | All About Varicose Veins | Varicose Veins Treatment
Visible dilated veins found in the lower extremities are called varicose veins. In these slides, you will understand everything about varicose veins.
Hernia treatment | Hernia Doctor | Hernia Surgeon | Hernia Specialist
What is hernia:
A hernia is a physical defect and happens when an internal organ like intestine pushes through the week walls of the abdominal or sneaks through an opening in the abdominal muscle or tissue that holds the organs in place which leading the organ to occupy the space under the skin
Types of hernia: a) Umbilical Hernia: Hernia that occurs around your belly button. b) Incisional Hernia: A type of hernia caused by an incompletely-healed surgical wound. c) Femoral Hernia: Caused by fatty tissue or a bowel organs pokes through into the groin towards the top of your inner thigh d) Inguinal Hernia: Occurs When soft tissue bulges through a weak part in the abdominal muscles. e) Lateral Hernia: Hernia that causes a layer of tissue that separates two groups of abdominal muscles f) Epigastric Hernia: Hernia that leads the fat to push through a week area in the walls of the abdomen
Causes of hernia:
All hernias are a result of a plus of pressure and an opening or weakness of muscle in the regions specified in the types of hernia. Sometimes a hernia can be a result of muscle weakness which may be present during the birth, and many a time occurs later in life. Here are a few reasons why the tissues may waken and lead to hernia:
1. Smoking
2. Lifting heavyweight
3. Diarrhoea
4. Constipation
5. Constant Coughing and
6. Constant Sneezing
Symptoms of hernia:
Dull pain in the abdominal area Dull Pain in testicles ( males ) Dull Pain in the pelvis Discomfort in the abdominal region, groin, Unusual BulgeFeeling of strangulation
Treatment of hernia:
There are various treatments of hernia which you can check here on this link: https://www.healinghandsclinic.co.in/hernia-treatment-centre/However, 3D Mesh hernia repair is the best-known treatment for Hernia. It is the most advanced and promising treatment option which covers the hernia from 3 sides. No stitches to fix the mesh, no pain, no scars and negligible reoccurrence rate make it the most advanced technology to treat a hernia.
11 Self Care Tips to Prevent Hemorrhoids
Hemorrhoids or piles are swollen blood vessels near the anal opening and can cause severe pain while passing motions. Dr. Ashwin Porwal, colorectal surgeon and founder surgeon of Healing Hands Clinic, demonstrates some self-care tips to cure hemorrhoidal pain.
Obstetric Fistula: Causes, Symptoms and Treatment
Healing Hands Clinic specializes in treating recto vaginal fistula. It is treated in layers. The clinic has centers at Pune, Baner, Chakan, Chinchwad, Navi Mumbai, Mumbai, Thane, Nashik and Bengaluru. All the centers have well-qualified team of doctors and surgeons who are experts in treating all types of anorectal disorders such as piles, fissure, fistula, and other lifestyle disorders.
Varicose Veins – Causes and Prevention Methods
Varicose Veins are swollen and twisted veins under the skin and are usually found in feet and legs. Dr. Paresh Gandhi is the Varicose Veins expert at Healing Hands Clinic. The clinic has various centers at Pune, Mumbai, Nashik, Bengaluru, Chinchwad, Baner, Thane and Navi Mumbai.
For more details, you may also visit: https://www.healinghandsclinic.co.in/varicose-veins/
Laser Surgery for Fistula
Fistula is an abnormal condition in which there is a tunnel from the end of bowel movement to the skin around the anus. Healing Hands Clinic is a certified center of excellence for the treatment of fistula having centers at Pune, Chinchwad, Mumbai, Navi Mumbai, Chakan, Nashik, and Bengaluru. It deals with all type of anorectal disorders such as piles, fistula, constipation, fissure, hernia and others.
For more details visit: https://www.healinghandsclinic.co.in/fistula-treatment-centre/
How Can You Deal With Anal Fissures
Anal Fissures are small tear near the anal opening through which the stool passes. They cause pain, bleeding or itching near the anal area. Most of the patients assume that these symptoms are related to piles or hemorrhoids or bavasir. But these symptoms can be of fissure also. Treatment for fissure starts at home itself. Use simple home remedies as described above to heal fissures. But if the problem is not resolved using the above methods then a doctor can diagnose the problem and may suggest you medicines, ointments or in rare cases surgery may be recommended. Healing Hands Clinic deals with various anorectal disorders such as piles, fissure, fistula, hernia, constipation, and others at various centers in Pune, Bengaluru, Nashik, Mumbai, and Jaipur. HHC has internationally recognized doctors and surgeons for treatment of all type of anorectal disorders.
Pelvic Organ Prolapse Treatment | Surgeon in Bengaluru | Healing Hands Clinic
Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs such as uterus, bladder, or rectum become weak or loose. This problem is usually found in women and they feel uncomfortable or sometimes feel pain also. But this problem is easily curable with time. At Healing Hands Clinic, Dr. Ashwin Porwal treats patients of pelvic organ prolapse with Pelvic Organ Prolapse Suspension Surgery advanced technique made popular by the world-renowned Colorectal surgeon, Dr. Antonio Longo ( Italy ). Dr. Porwal has mastered the technique from Dr. Longo himself and he was the first to perform this surgery in India.
Constipation after surgery-Care at Healing Hands Clinic
Surgical procedures on body may cause side effects on body. One of the side effects of surgery is constipation. If proper care is taken then you may avoid constipation problem after surgery. Main causes of post surgery constipation are lack of physical activity, little or no food before and after surgery. There are many hospitals that treat constipation but if you want quick relief from constipation then visit Dr. Ashwin Porwal’s Healing Hands Clinic. He is the renowned constipation doctor in India. Clinic has different branches at Pune, Baner, Chakan, Chinchwad, Mumbai, Bengaluru and Jaipur.
Plies Hospital | hospital for bavasir| healing hands clinic
Healing Hands Clinic, a state-of-the-art clinical setup in the heart of Bengaluru, Pune, Mumbai, Navi Mumbai city. it is premier Proctology clinic of India, Effective piles treatment MCDPA, Laser treatment for piles and MIPH. Our team is standing by the motto of 'Curing with Care’. For more information visits us: http://www.healinghandsclinic.co.in
How healthy are you
HHC provides the client a balanced diet with RDA of calories,proteins, fats & multivitamins, making sure the body maintained with adequate exercise as well for it to stay fit & healthy.
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Complications rise among piles patients in shutdown
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Plies Hospital | hospital for bavasir| healing hands clinic
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Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
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V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
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V5:Over left 5th intercostal space on the anterior
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V6:Over left 5th intercostal space on the mid
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Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
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•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
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Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
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Article on Don’t Confuse Fissure with Piles
- 1. Healing Hands Clinic 8/11/2017 Page 1 Don’t Confuse Fissure with Piles For most of us any problem in the anal region is either piles or fissure, the self- diagnosis usually depending upon which of the two words is ingrained in our vocabulary. However, a goofed-up diagnosis not only adds to the misery but makes a simple problem complex. I have tried to explain the difference between the two in simple words here. When it comes to one’s health, its best to be well-informed and aware of the condition one is faced with. What is the difference between piles and fissure? Piles or hemorrhoids are swollen blood vessels near the anal opening whereas fissure is a tear in the delicate skin of the anal opening. Depending upon the severity of the disease, piles are graded from 1 to 4, grade 1 having just swollen vessels while grade 4 has a mass comes out of the opening. What is the difference in symptoms? The predominant symptom of a fissure is intense pain while defecating. The magnitude of the pain is such that one fears going to the toilet. Piles are usually characterized by bleeding after passing stools. The blood is fresh and there is no pain. Sometimes one may feel a mass at the anal opening. Which tests are needed for a diagnosis? A history of symptoms and visual examination is enough to diagnose fissure. In addition to above, a simple painless technique called Proctoscopy is done in case of hemorrhoids, for a more accurate diagnosis and grading. Can these conditions be permanently treated? Modern medicine assures a reliable, quick and effective cure of anorectal problems. Medicines, dietary modifications and lifestyle changes (MCDPA) are enough to treat early piles and acute fissure. In case of chronic cases of fissure, Laser Sphincterotomy provides excellent results. Similarly, for higher grades of piles, Laser Hemorrhoidoplasty (LHP) or Stapler surgery (MIPH) provide a safe, minimally painful and efficient modality of treatment. The earlier techniques weren’t as developed and recurrences were a problem. But with these advanced procedures hemorrhoids can be cured for good.
- 2. Healing Hands Clinic 8/11/2017 Page 2