CT scans can be used to diagnose several brain disorders:
- Seizures may be caused by abnormalities visible on CT scans, such as low-density areas indicating injuries. CT scans are also used to diagnose concussions by revealing bruising or bleeding in the brain. Meningitis can cause swelling visible on CT scans. Strokes appear as ischemic or hemorrhagic areas that differ between CT and MRI scans. Hydrocephalus enlarges ventricles visible on CT or MRI scans. Parkinson's and Alzheimer's involve degeneration that cannot be seen directly but may be suggested on scans.
Intracranial bleeding encompasses all bleeds that may occur within the cranial cavity including Epidural, Subdural, Sub arachnoid, intraparenchymal and Intraventricular haemorrhages. all are discussed in these slides and relevant references are provided for detailed information.
It is important to note that medicine is not learnt online but through series of organised events under specialised supervision in recognised institutions of learning.
Intracranial bleeding encompasses all bleeds that may occur within the cranial cavity including Epidural, Subdural, Sub arachnoid, intraparenchymal and Intraventricular haemorrhages. all are discussed in these slides and relevant references are provided for detailed information.
It is important to note that medicine is not learnt online but through series of organised events under specialised supervision in recognised institutions of learning.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
3. • a sudden uncontrolled electrical disturbance in
the brain.
• can cause changes in your behavior, movements
or feelings,and in the level of conciousness
• Seizure can happen after a stroke,a closed head
injury,an infection such as meningitis or another
illness.
• Many times,though,the cause of seizure is
unknown.
• If you have two or more seizures or a tendency
to have recurrent seizures you have epilepsy.
4.
5.
6. • Head CT performed after a
seizure showing a low-density
area in the left temporal lobe
DIAGNOSIS
CT scan
EEG
MRI
X-RAY
7. CONCUSSIONS
• A traumatic brain injury that affects brain
function
• Effects include hedache and problems with
concentration,memory and ccoordination
• Range in degree from severe to mild. The most
severe case may result in immediate or later
death of patient.
• Affects the brain in two major ways:
First actual bruising or tearing of brain tissue
Second, bleeding within or surrounding the brain
may occur with subsequent brainswelling(edema)
10. • The yellow arrows show the
affected part of the brain.the
skull has swallowed causing
spinal fluids to build up around
the injury.
Diagsnosis
Imaging test
CT
MRI
Observation
Congnitive
testing
Neurological
Examination
11. • is an inflammation of the membranes(meninges)
surrounding y brain and spinal cord. The swelling
from meningitis typically triggers symptoms such as :
Headache
Fever
Stiff neck
• There are several causes of this disease, including:
bacteria
Viruses
fungi
12. Bacterial
Meningitis
• In many cases,
bacterial meningitis
starts when bacteria
get into bloodstream
from y sinuses, ears,
or throat. The bacteria
travel through
bloodstream to the
brain
• It can be life-
threatening or lead to
brain damage
Fungal
Meningitis
• It usually happens
only in people whose
immune system has
been weakened.
• Fungal meningitis is a
rare form of the
disease.
• Some causes of fungal
meningitis include
Cryptococcus,
Histoplasma,
Blastomyces,
Coccidioides, and
Candida.
Viral
Meningitis
• It is usually mild and
often clears on its own.
• are caused by a group
of viruses known as
enteroviruses, which
are most common in
late summer and early
fall.
• Viruses such as herpes
simplex virus, HIV,
mumps, West Nile
virus and others also
can cause viral
meningitis.
13.
14. • The arrows showing affected
part of brain with bacterial
meningitis
Imaging:
• Computerized tomography (CT) or magnetic resonance
imaging (MRI) scans of the head may show swelling or
inflammation.
• X-rays or CT scans of the chest or sinuses also may show
infection in other areas that may be associated with meningitis.
Lumbar Puncture:
• For a definitive diagnosis of meningitis, you'll need a spinal tap
to collect cerebrospinal fluid (CSF).
• In people with meningitis, the CSF often shows a low sugar
(glucose) level along with an increased white blood cell count
and increased protein.
15. • is a medical condition in which poor blood
flow to the brain results in cell death.
• occurs when the blood supply to part of
your brain is interrupted or reduced,
preventing brain tissue from getting
oxygen and nutrients.
• Brain cells begin to die in minutes.
16. Ischemic stroke Hemorrhagic stroke
• Occurs when a blood
vessel supplying blood
to the brain is
obstructed.
• It accounts for 87
percent of all strokes.
• Occurs when a
weakened blood vessel
ruptures.
• The most common
cause of hemorrhagic
stroke is uncontrolled
high blood pressure.
17. • The arrows showing ischemic
stroke in territory of left
middle cerebral artery
DIAGNOSIS
The first step in assessing a stroke patient is to determine whether the patient
is experiencing an ischemic or hemorrhagic stroke so that the correct
treatment can begin. A CT scan or MRI of the head is typically the first test
performed.
Computed tomography (CT) of the head:
• Physicians use CT of the head to detect a stroke from a blood clot or
bleeding within the brain.
• To improve the detection and characterization of stroke, CT angiography
(CTA) may be performed. In CTA, a contrast material may be injected
intravenously and images are obtained of the cerebral blood vessels. Images
that detect blood flow, called CT perfusion (CTP), may be obtained at the
same time.
18. • A brain hemorrhage is a type of stroke.
• It is caused by an artery in the brain bursting and
causing localized bleeding in the surrounding
tissues. This bleeding kills the brain cells.
• are also called cerebral hemorrhages, intracranial
hemorrhages, or intracerebral hemorrhages.
• They account for about 13% of strokes.
19.
20. • An impairment of language,affecting the
production or comprehension of speech due to
damage to specific region of brain
• People who have aphasia may have difficulty
speaking and finding right words to complete
their thought
• It is usually caused by stoke or injury to one or
more parts of brain
21.
22.
23.
24. • is a learning disorder that affects the ability
to read,speak,spell and write.
• It affects the areas of brain that processes
language
• Dyslexia tends to run in families. It appears
to be linked to certain genes that affect how
the brain processes reading and language,
as well as risk factors in the environment.
25.
26. DIAGNOSIS::
• Dyslexia is a difficult disorder to diagnose. There are
many factors the psychologist or other health
professional reviews to diagnose the disability.
• The testing determines the child's functional reading
level and compares it to reading potential, which is
evaluated by an intelligent test.
• The tests determine whether a child learns better by
hearing information (auditory),
looking at information (visual), or
doing something (kinesthetic)
27. • It is a condition in which excess cerebrospinal fluid (CSF) builds up
within ventricles (fluid-containing cavities), the build-up of CSF
can raise pressure inside the skull, which squashes surrounding
brain tissue.
• In some cases, this can cause the head to steadily grow in size,
convulsions, and brain damage.
• Hydrocephalus can be fatal if left untreated.es)of the brain and
may increase pressure within head.
• Other symptoms include headaches, vomiting, blurred vision,
cognitive problems, and walking difficulties.
28. TYPES OF
HYDROCEPHALUS
1. Communicating hydrocephalus/ Non
obstructive :
• occurs when the CSF flows out of the ventricles and into the
spinal canal, but it is not reabsorbed normally by the tissue
surrounding the brain and spinal cord.
• Sometimes this type of hydrocephalus corrects itself.
2. •Non communicating hydrocephalus/
Obstructive :
• ccurs when the CSF does not flow properly between or out
of the brain ventricles because of an obstruction, such as
from a malformation or narrowing.
29. DIAGNOSIS:
The most common initial diagnostic test to
determine hydrocephalus at any age is an
image of the brain using CT or MRI to
identify if the ventricles or spaces within
the brain are enlarged.
30. • is a brain disorder that leads to shaking, stiffness, and
difficulty with walking,balance,and coordination.
• Tremors are common, but the disorder also commonly
causes stiffness or slowing of movement.
• The signs and symptoms include:
tremors
slowed movement
rigid muscles
impaired posture
speech changes
writing changes
32. • it is an irreversible, progressive brain disorder that slowly
destroys memory and thinking skills and, eventually, the ability to
carry out the simplest tasks.
• it is the most common cause of dementia among older adults.
• Features of Alzheimer’s disease:
the loss of connections between nerve cells (neurons) in the
brain
damage initially appears to take place in the hippocampus, the
part of the brain essential in forming memories
As neurons die, additional parts of the brain are affected.
By the final stage of Alzheimer’s, damage is widespread, and
brain tissue has shrunk significantly.
33.
34.
35. DIAGNOSIS:
There is no single diagnostic test that can determine if a person has Alzheimer’s disease.to
diagnose different tests are performed:
Medical
History Physical
Exam
Mental
Status Test
Brain
Imaging
Neurological
Exam
36. • Structural imaging can reveal tumors, evidence of small or large strokes, damage from severe
head trauma, or a buildup of fluid in the brain.
• In some circumstances, a doctor may use brain imaging tools to find out if the individual has
high levels of beta-amyloid, a hallmark of Alzheimer’s; normal levels would suggest Alzheimer’s
is not the cause of dementia.
BRAIN IMAGING: