SlideShare a Scribd company logo
ALL INDIA INSTITUDE OF
MEDICAL SCIENCE,RISHIKESH
Dr. Malar Kodi
Assistant professor
CON AIIMS RISHIKESH
1
??...
2
POLIOMYELITIS
• Poliomyelitis is the combination of two words "Polio" and
"Myelitis, where
• "Polio" means gray matter and "Myelitis" means
inflammation of spinal cord.
• Poliomyelitis is an acute infectious disease caused by
Enter virus-Polio Type I, II and III.
3
Cont..
 Inflammation of myelin sheet
 Damage to anterior horn cell
 Motor nerve destroy
 Flaccid paralysis (muscle weakness)
4
Cont…
• Poliomyelitis is a viral water born neurological disorder,
destroy PNS(motor neuron) lead to decreased motor
activity and occurs flaccid paralysis
Causes :-
Destruction of myelin sheath of neurone.
Destruction of anterior Horn cell of vertebra.
Destruction of motor neurone of PNS.
5
Cont..
• Polio virus is a entero virus single standards RNA virus
• Mode of transmission:- Water born(indirect transmission )
• Route:- fecal-oral route
• Incubation period:- 10 to 14 day
Type of polio:-
• Polio 1 :- Most common epidemic polio
• Polio 2 :- mostly eradicated
• Polio 3:- vaccine associated paralytic polio virus
6
Cont..
Risk factors:-
 Slums area
 No proper water supply and sanitations
 Poor hygiene
 Crowed area
7
Pathophysiology
• Mode of transmission
• Enter into oral route
• Reach at intestine
• Primary multiplication polio virus
• From payers patches
• Enter into blood and lymph
8
• Migrate to P.N.S
• Secondary multiplication
• Destroy motor neurone
• Decrease muscle tone
• Flaccid paralysis
• Polio
9
Classification according to involvement
Spinal nerve involvement – Spinal polio
Transient urinary retention and constipation due to autonomic
involvement.
Muscle pain, hyperesthesia, tremors and diminished tendon
reflexes.
Cranial nerve/ brain involvement – Bulbar polio
Weakness of soft palate, pharynx and vocal cord.
Voice has a nasal tone and becomes hoarse.
Breathing and swallowing difficulty.
Fluid regurgitate through nose.
Secretions accumulate in pharynx
10
Spinal nerve + cranial nerve involvement – bulbar
spinal polio:-
Irritability
Disorientation
Fits
Tremor
Spastic paralysis
11
Sign and symptoms:-
• Nausea and vomiting
• Diarrhoea
• abdominal pain and
cramp
• Decreases muscle tone
• Flaccid paralysis
• Fever
• Headache
• Sore throat
• Nausea
• Vomiting
• Loss of appetite
12
Complication of polio:-
• Respiratory failure
• Meningitis
• Encephalitis
• Convulsion
• Coma and death
13
Diagnosis:-
• History and physical examination
• Blood test
• Stool examination
• CSF examination
• Nerve biopsy
14
Management and prevention:-
• Close defecation
• Awareness in community
• Use of oral polio vaccine
• Symptomatic treatment will be provided
15
Nursing Management
• Bed rest, because physical activity increases the risk of
paralysis of fatigued muscles.
• Isolation of child and concurrent disinfection.
• Make the child lie down in neutral position on firm mattress
with foot board. This helps to prevent overstretching of
paralyzed muscles.
16
Cont..
• Painful or tender limbs should be immobilized
• Respiration may be affected if diaphragm is paralyzed.
• Apply hot packs, to relieve muscle pain and tenderness.
• Diet should be nutritious and easy to swallow.
• Suctioning to clear pharynx of secretion.
• Maintain personal hygiene of the child.
• Physiotherapy after pain and spasm is relieved.
17
MUMPS
• Mumps is an acute infectious disease caused by a specific
virus affecting the glandular tissues.
• It is also knows as a parotitis and inflammation of parotid
gland
18
Cont..
• It is viral droplet exocrine gland and exocrine gland fluid
disorder, and it is a childhood disorder.
• The causative agent is myxovirus parotitis, aRNA virus.
• Virus family is paromyxo
19
Mode of transmission:-
Mainly droplet infection and direct contact with infected
person. Saliva, fomites and air- borne droplets spread the
disease.
Incubation period is generally 18 days with a range from 2
to 4 weeks.
The period of communicability is usually 4 to 6 days before
the onset of clinical symptoms with salivary gland swelling
and a week or more thereafter.
20
Pathophysiology
• Virus paromyxi
• Droplet
• Enter into via naso-oral route into body
• Migrate to parotid gland
• Multiplication
• Parotitis
• Enter into exocrine gland and exocrine fluids 21
Complication of mumps:-
• CSF– meningitis
• Pancreases – pancreatitis
• Ovary – oopharitis
• Testis – orchitis
• Liver– hepatitis
22
Signand symptoms:-
• Sneezing
• Sore throat
• Coughing
• Swelling of parotid
gland
• Dysphagia
• Dyspnea
• Mild fever
• Anorexia
• Weight loss
• Bull neck
• Pain at mastigation
23
Diagnosticevaluation:-
• History and physical examination
• PCR
• Ig M is increase
• Throat swab
• Blood investigation
24
Managementand prevention:-
Isolation:-
• Respiratory isolation and enteric isolation.
• Isolation of the affected child, disinfection of infected
articles
• Symptomatic treatment provide.
• Warm saline mouth wash and liquid diet is needed in
difficulty of chewing.
• Vaccine:- MMR
25
26
27

More Related Content

Similar to CARE OF CHILDREN WITH POLIOMYELITIS .pptx

Picornaviruses 06.08.11
Picornaviruses 06.08.11Picornaviruses 06.08.11
Picornaviruses 06.08.11
Dr Praveen kumar . V Doddamani
 
Poliomyelitis
PoliomyelitisPoliomyelitis
Poliomyelitis
Ekta Patel
 
06 infectious disease gram negative
06 infectious disease gram negative06 infectious disease gram negative
06 infectious disease gram negative
med_students0
 
PICORNA VIRUS POLIO dr. someshwaran may 2015
PICORNA VIRUS POLIO dr. someshwaran may 2015 PICORNA VIRUS POLIO dr. someshwaran may 2015
PICORNA VIRUS POLIO dr. someshwaran may 2015
SOMESHWARAN R
 
POLIO.pptx
POLIO.pptxPOLIO.pptx
POLIO.pptx
ElizabethPhilip11
 
Picornaviruses presentation Farhang Shapouran
Picornaviruses presentation  Farhang ShapouranPicornaviruses presentation  Farhang Shapouran
Picornaviruses presentation Farhang Shapouran
FarhangShapouran
 
Polio coxsackie mumps virus
Polio coxsackie mumps virus Polio coxsackie mumps virus
Polio coxsackie mumps virus
Prasad Gunjal
 
Chapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).ppt
Chapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).pptChapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).ppt
Chapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).ppt
Dawitashebr
 
Accute flaccid paralysis
Accute flaccid paralysisAccute flaccid paralysis
Accute flaccid paralysis
Safeer Ahmed
 
Poliomyelitis
PoliomyelitisPoliomyelitis
Poliomyelitis
Nimishs Chacko
 
شمسه شميس. pptx
شمسه شميس.                          pptxشمسه شميس.                          pptx
شمسه شميس. pptx
ssuser0ad194
 
Pulmonary Tuberculosis
Pulmonary Tuberculosis Pulmonary Tuberculosis
Pulmonary Tuberculosis
DrFarmanAkhtar
 
Polio pp
Polio ppPolio pp
POLIOMYELITIS.pptx
POLIOMYELITIS.pptxPOLIOMYELITIS.pptx
POLIOMYELITIS.pptx
RitchelleMission
 
Diptheria
DiptheriaDiptheria
Diptheria
adityadayana
 
Acute flaccid paralysis
Acute flaccid paralysisAcute flaccid paralysis
Acute flaccid paralysis
Dr. Kanishk Sharma
 
24. mumps, measels, rubella
24. mumps, measels, rubella24. mumps, measels, rubella
24. mumps, measels, rubella
Ratheeshkrishnakripa
 
Ich by dr rashmi singh
Ich by dr rashmi singhIch by dr rashmi singh
Ich by dr rashmi singh
shailendrasingh598
 
Poliomyelitis- cause, pathology, affected parts, treatment
Poliomyelitis- cause, pathology, affected parts, treatmentPoliomyelitis- cause, pathology, affected parts, treatment
Poliomyelitis- cause, pathology, affected parts, treatment
Mmantthan Purohit
 
TUBERCULOSIS.pptx
TUBERCULOSIS.pptxTUBERCULOSIS.pptx
TUBERCULOSIS.pptx
rajendra gopal
 

Similar to CARE OF CHILDREN WITH POLIOMYELITIS .pptx (20)

Picornaviruses 06.08.11
Picornaviruses 06.08.11Picornaviruses 06.08.11
Picornaviruses 06.08.11
 
Poliomyelitis
PoliomyelitisPoliomyelitis
Poliomyelitis
 
06 infectious disease gram negative
06 infectious disease gram negative06 infectious disease gram negative
06 infectious disease gram negative
 
PICORNA VIRUS POLIO dr. someshwaran may 2015
PICORNA VIRUS POLIO dr. someshwaran may 2015 PICORNA VIRUS POLIO dr. someshwaran may 2015
PICORNA VIRUS POLIO dr. someshwaran may 2015
 
POLIO.pptx
POLIO.pptxPOLIO.pptx
POLIO.pptx
 
Picornaviruses presentation Farhang Shapouran
Picornaviruses presentation  Farhang ShapouranPicornaviruses presentation  Farhang Shapouran
Picornaviruses presentation Farhang Shapouran
 
Polio coxsackie mumps virus
Polio coxsackie mumps virus Polio coxsackie mumps virus
Polio coxsackie mumps virus
 
Chapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).ppt
Chapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).pptChapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).ppt
Chapter 3.8. Family Spirochaetaceae and Leptospiraceae (1).ppt
 
Accute flaccid paralysis
Accute flaccid paralysisAccute flaccid paralysis
Accute flaccid paralysis
 
Poliomyelitis
PoliomyelitisPoliomyelitis
Poliomyelitis
 
شمسه شميس. pptx
شمسه شميس.                          pptxشمسه شميس.                          pptx
شمسه شميس. pptx
 
Pulmonary Tuberculosis
Pulmonary Tuberculosis Pulmonary Tuberculosis
Pulmonary Tuberculosis
 
Polio pp
Polio ppPolio pp
Polio pp
 
POLIOMYELITIS.pptx
POLIOMYELITIS.pptxPOLIOMYELITIS.pptx
POLIOMYELITIS.pptx
 
Diptheria
DiptheriaDiptheria
Diptheria
 
Acute flaccid paralysis
Acute flaccid paralysisAcute flaccid paralysis
Acute flaccid paralysis
 
24. mumps, measels, rubella
24. mumps, measels, rubella24. mumps, measels, rubella
24. mumps, measels, rubella
 
Ich by dr rashmi singh
Ich by dr rashmi singhIch by dr rashmi singh
Ich by dr rashmi singh
 
Poliomyelitis- cause, pathology, affected parts, treatment
Poliomyelitis- cause, pathology, affected parts, treatmentPoliomyelitis- cause, pathology, affected parts, treatment
Poliomyelitis- cause, pathology, affected parts, treatment
 
TUBERCULOSIS.pptx
TUBERCULOSIS.pptxTUBERCULOSIS.pptx
TUBERCULOSIS.pptx
 

More from MrsMalarKodiSAIIMS

DDST,TDST .pptx
DDST,TDST .pptxDDST,TDST .pptx
DDST,TDST .pptx
MrsMalarKodiSAIIMS
 
recruitment.pptx
recruitment.pptxrecruitment.pptx
recruitment.pptx
MrsMalarKodiSAIIMS
 
women empowerment .pptx
women empowerment .pptxwomen empowerment .pptx
women empowerment .pptx
MrsMalarKodiSAIIMS
 
1. Theories of growth & development.ppt
1. Theories of growth  & development.ppt1. Theories of growth  & development.ppt
1. Theories of growth & development.ppt
MrsMalarKodiSAIIMS
 
Assessment of New Born.pptx
Assessment of New Born.pptxAssessment of New Born.pptx
Assessment of New Born.pptx
MrsMalarKodiSAIIMS
 
Birth Asphyxia.pptx
Birth Asphyxia.pptxBirth Asphyxia.pptx
Birth Asphyxia.pptx
MrsMalarKodiSAIIMS
 
Nursing profession and digital future (1).pptx
Nursing profession and digital future (1).pptxNursing profession and digital future (1).pptx
Nursing profession and digital future (1).pptx
MrsMalarKodiSAIIMS
 
non probalilty sampling.ppt
non probalilty sampling.pptnon probalilty sampling.ppt
non probalilty sampling.ppt
MrsMalarKodiSAIIMS
 
national health programme.ppt
national health programme.pptnational health programme.ppt
national health programme.ppt
MrsMalarKodiSAIIMS
 
Neonatal sepsis.pptx
Neonatal sepsis.pptxNeonatal sepsis.pptx
Neonatal sepsis.pptx
MrsMalarKodiSAIIMS
 

More from MrsMalarKodiSAIIMS (10)

DDST,TDST .pptx
DDST,TDST .pptxDDST,TDST .pptx
DDST,TDST .pptx
 
recruitment.pptx
recruitment.pptxrecruitment.pptx
recruitment.pptx
 
women empowerment .pptx
women empowerment .pptxwomen empowerment .pptx
women empowerment .pptx
 
1. Theories of growth & development.ppt
1. Theories of growth  & development.ppt1. Theories of growth  & development.ppt
1. Theories of growth & development.ppt
 
Assessment of New Born.pptx
Assessment of New Born.pptxAssessment of New Born.pptx
Assessment of New Born.pptx
 
Birth Asphyxia.pptx
Birth Asphyxia.pptxBirth Asphyxia.pptx
Birth Asphyxia.pptx
 
Nursing profession and digital future (1).pptx
Nursing profession and digital future (1).pptxNursing profession and digital future (1).pptx
Nursing profession and digital future (1).pptx
 
non probalilty sampling.ppt
non probalilty sampling.pptnon probalilty sampling.ppt
non probalilty sampling.ppt
 
national health programme.ppt
national health programme.pptnational health programme.ppt
national health programme.ppt
 
Neonatal sepsis.pptx
Neonatal sepsis.pptxNeonatal sepsis.pptx
Neonatal sepsis.pptx
 

Recently uploaded

Monopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in TripuraMonopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in Tripura
SKG Internationals
 
一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理
40fortunate
 
leprosy Case detection and diagnosis.pptx
leprosy Case detection and diagnosis.pptxleprosy Case detection and diagnosis.pptx
leprosy Case detection and diagnosis.pptx
habtegirma
 
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
5sj7jxf7
 
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Lighthouse Retreat
 
Hypertension and it's role of physiotherapy in it.
Hypertension and it's role of physiotherapy in it.Hypertension and it's role of physiotherapy in it.
Hypertension and it's role of physiotherapy in it.
Vishal kr Thakur
 
Sexual Disorders.gender identity disorderspptx
Sexual Disorders.gender identity  disorderspptxSexual Disorders.gender identity  disorderspptx
Sexual Disorders.gender identity disorderspptx
Pupayumnam1
 
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdfchatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
marynayjun112024
 
Vicarious movements or trick movements_AB.pdf
Vicarious movements or trick movements_AB.pdfVicarious movements or trick movements_AB.pdf
Vicarious movements or trick movements_AB.pdf
Arunima620542
 
Hypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in itHypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in it
Vishal kr Thakur
 
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Levi Shapiro
 
Emotional and Behavioural Problems in Children - Counselling and Family Thera...
Emotional and Behavioural Problems in Children - Counselling and Family Thera...Emotional and Behavioural Problems in Children - Counselling and Family Thera...
Emotional and Behavioural Problems in Children - Counselling and Family Thera...
PsychoTech Services
 
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
gjsma0ep
 
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
CHAPTER 1 SEMESTER V  COMMUNICATION TECHNIQUES FOR CHILDREN.pdfCHAPTER 1 SEMESTER V  COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
Sachin Sharma
 
Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.
Vishal kr Thakur
 
muscluskeletal assessment...........pptx
muscluskeletal assessment...........pptxmuscluskeletal assessment...........pptx
muscluskeletal assessment...........pptx
RushikeshHange1
 
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf
Data-Driven Dispensing- Rise of AI in Pharmacies.pdfData-Driven Dispensing- Rise of AI in Pharmacies.pdf
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf
Jasper Colin
 
HUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COM
HUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COMHUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COM
HUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COM
priyabhojwani1200
 
GIT BS.pptx about human body their structure and
GIT BS.pptx about human body their structure andGIT BS.pptx about human body their structure and
GIT BS.pptx about human body their structure and
MuzafarBohio
 
geriatric changes in endocrine system.pdf
geriatric changes in endocrine system.pdfgeriatric changes in endocrine system.pdf
geriatric changes in endocrine system.pdf
Yes No
 

Recently uploaded (20)

Monopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in TripuraMonopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in Tripura
 
一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理
 
leprosy Case detection and diagnosis.pptx
leprosy Case detection and diagnosis.pptxleprosy Case detection and diagnosis.pptx
leprosy Case detection and diagnosis.pptx
 
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
 
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
 
Hypertension and it's role of physiotherapy in it.
Hypertension and it's role of physiotherapy in it.Hypertension and it's role of physiotherapy in it.
Hypertension and it's role of physiotherapy in it.
 
Sexual Disorders.gender identity disorderspptx
Sexual Disorders.gender identity  disorderspptxSexual Disorders.gender identity  disorderspptx
Sexual Disorders.gender identity disorderspptx
 
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdfchatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
 
Vicarious movements or trick movements_AB.pdf
Vicarious movements or trick movements_AB.pdfVicarious movements or trick movements_AB.pdf
Vicarious movements or trick movements_AB.pdf
 
Hypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in itHypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in it
 
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
 
Emotional and Behavioural Problems in Children - Counselling and Family Thera...
Emotional and Behavioural Problems in Children - Counselling and Family Thera...Emotional and Behavioural Problems in Children - Counselling and Family Thera...
Emotional and Behavioural Problems in Children - Counselling and Family Thera...
 
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
 
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
CHAPTER 1 SEMESTER V  COMMUNICATION TECHNIQUES FOR CHILDREN.pdfCHAPTER 1 SEMESTER V  COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
 
Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.
 
muscluskeletal assessment...........pptx
muscluskeletal assessment...........pptxmuscluskeletal assessment...........pptx
muscluskeletal assessment...........pptx
 
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf
Data-Driven Dispensing- Rise of AI in Pharmacies.pdfData-Driven Dispensing- Rise of AI in Pharmacies.pdf
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf
 
HUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COM
HUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COMHUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COM
HUMAN BRAIN.pptx.PRIYA BHOJWANI@GAMIL.COM
 
GIT BS.pptx about human body their structure and
GIT BS.pptx about human body their structure andGIT BS.pptx about human body their structure and
GIT BS.pptx about human body their structure and
 
geriatric changes in endocrine system.pdf
geriatric changes in endocrine system.pdfgeriatric changes in endocrine system.pdf
geriatric changes in endocrine system.pdf
 

CARE OF CHILDREN WITH POLIOMYELITIS .pptx

  • 1. ALL INDIA INSTITUDE OF MEDICAL SCIENCE,RISHIKESH Dr. Malar Kodi Assistant professor CON AIIMS RISHIKESH 1
  • 3. POLIOMYELITIS • Poliomyelitis is the combination of two words "Polio" and "Myelitis, where • "Polio" means gray matter and "Myelitis" means inflammation of spinal cord. • Poliomyelitis is an acute infectious disease caused by Enter virus-Polio Type I, II and III. 3
  • 4. Cont..  Inflammation of myelin sheet  Damage to anterior horn cell  Motor nerve destroy  Flaccid paralysis (muscle weakness) 4
  • 5. Cont… • Poliomyelitis is a viral water born neurological disorder, destroy PNS(motor neuron) lead to decreased motor activity and occurs flaccid paralysis Causes :- Destruction of myelin sheath of neurone. Destruction of anterior Horn cell of vertebra. Destruction of motor neurone of PNS. 5
  • 6. Cont.. • Polio virus is a entero virus single standards RNA virus • Mode of transmission:- Water born(indirect transmission ) • Route:- fecal-oral route • Incubation period:- 10 to 14 day Type of polio:- • Polio 1 :- Most common epidemic polio • Polio 2 :- mostly eradicated • Polio 3:- vaccine associated paralytic polio virus 6
  • 7. Cont.. Risk factors:-  Slums area  No proper water supply and sanitations  Poor hygiene  Crowed area 7
  • 8. Pathophysiology • Mode of transmission • Enter into oral route • Reach at intestine • Primary multiplication polio virus • From payers patches • Enter into blood and lymph 8
  • 9. • Migrate to P.N.S • Secondary multiplication • Destroy motor neurone • Decrease muscle tone • Flaccid paralysis • Polio 9
  • 10. Classification according to involvement Spinal nerve involvement – Spinal polio Transient urinary retention and constipation due to autonomic involvement. Muscle pain, hyperesthesia, tremors and diminished tendon reflexes. Cranial nerve/ brain involvement – Bulbar polio Weakness of soft palate, pharynx and vocal cord. Voice has a nasal tone and becomes hoarse. Breathing and swallowing difficulty. Fluid regurgitate through nose. Secretions accumulate in pharynx 10
  • 11. Spinal nerve + cranial nerve involvement – bulbar spinal polio:- Irritability Disorientation Fits Tremor Spastic paralysis 11
  • 12. Sign and symptoms:- • Nausea and vomiting • Diarrhoea • abdominal pain and cramp • Decreases muscle tone • Flaccid paralysis • Fever • Headache • Sore throat • Nausea • Vomiting • Loss of appetite 12
  • 13. Complication of polio:- • Respiratory failure • Meningitis • Encephalitis • Convulsion • Coma and death 13
  • 14. Diagnosis:- • History and physical examination • Blood test • Stool examination • CSF examination • Nerve biopsy 14
  • 15. Management and prevention:- • Close defecation • Awareness in community • Use of oral polio vaccine • Symptomatic treatment will be provided 15
  • 16. Nursing Management • Bed rest, because physical activity increases the risk of paralysis of fatigued muscles. • Isolation of child and concurrent disinfection. • Make the child lie down in neutral position on firm mattress with foot board. This helps to prevent overstretching of paralyzed muscles. 16
  • 17. Cont.. • Painful or tender limbs should be immobilized • Respiration may be affected if diaphragm is paralyzed. • Apply hot packs, to relieve muscle pain and tenderness. • Diet should be nutritious and easy to swallow. • Suctioning to clear pharynx of secretion. • Maintain personal hygiene of the child. • Physiotherapy after pain and spasm is relieved. 17
  • 18. MUMPS • Mumps is an acute infectious disease caused by a specific virus affecting the glandular tissues. • It is also knows as a parotitis and inflammation of parotid gland 18
  • 19. Cont.. • It is viral droplet exocrine gland and exocrine gland fluid disorder, and it is a childhood disorder. • The causative agent is myxovirus parotitis, aRNA virus. • Virus family is paromyxo 19
  • 20. Mode of transmission:- Mainly droplet infection and direct contact with infected person. Saliva, fomites and air- borne droplets spread the disease. Incubation period is generally 18 days with a range from 2 to 4 weeks. The period of communicability is usually 4 to 6 days before the onset of clinical symptoms with salivary gland swelling and a week or more thereafter. 20
  • 21. Pathophysiology • Virus paromyxi • Droplet • Enter into via naso-oral route into body • Migrate to parotid gland • Multiplication • Parotitis • Enter into exocrine gland and exocrine fluids 21
  • 22. Complication of mumps:- • CSF– meningitis • Pancreases – pancreatitis • Ovary – oopharitis • Testis – orchitis • Liver– hepatitis 22
  • 23. Signand symptoms:- • Sneezing • Sore throat • Coughing • Swelling of parotid gland • Dysphagia • Dyspnea • Mild fever • Anorexia • Weight loss • Bull neck • Pain at mastigation 23
  • 24. Diagnosticevaluation:- • History and physical examination • PCR • Ig M is increase • Throat swab • Blood investigation 24
  • 25. Managementand prevention:- Isolation:- • Respiratory isolation and enteric isolation. • Isolation of the affected child, disinfection of infected articles • Symptomatic treatment provide. • Warm saline mouth wash and liquid diet is needed in difficulty of chewing. • Vaccine:- MMR 25
  • 26. 26
  • 27. 27