Case of uterine fibroid and RHD on pregnancy.
•Download as PPTX, PDF•
0 likes•2 views
Sharing experience about patient management, which can help improving health care, In this regard Sharing my interesting case can be useful to my fellow physicians who will have access on the case that I am now Sharing. So the presenting symptoms of the
Report
Share
Report
Share
Recommended
DY 17,08.2023-1.pptx
1) A 35-year-old woman at 37 weeks and 3 days with twin pregnancy presented in late labor and was admitted. She delivered via c-section twins A and B weighing 4kg and 2.8kg respectively.
2) A 57-year-old woman with a history of 6 pregnancies and 5 live births presented with abdominal pain, distension and weight loss. Imaging found abdominal masses. She was admitted for hydration and further investigation including CT scan and ultrasound.
3) A 29-year-old primigravida at 41 weeks gestation by dates was admitted for induction of labor by cervical ripening with cytotec. She had not achieved active labor after her fifth dose.
DAY DUTY 02 ST AUGUST 2023.pptx
1. 41 year old G4P3003 woman at 34 weeks and 5 days gestation admitted with severe polyhydramnios and intrauterine growth restriction with multiple congenital anomalies.
2. She developed severe low back pain and shortness of breath 5 days prior and was transferred for further management after being evaluated at Remera Rukoma District Hospital.
3. On examination, she was in moderate respiratory distress. Vital signs were stable. Lungs were clear on auscultation.
Day duty.pptx
This document summarizes the case of a 29-year-old woman who is 39 weeks pregnant with her second child. She has a history of one previous cesarean section and is scheduled for another. On examination, she is stable with normal vital signs. An ultrasound shows a single intrauterine pregnancy in cephalic presentation with normal fetal heart rate and estimated fetal weight. The plan is to admit her and schedule her for a cesarean section.
A case of Acute RVF
Munuswamy, a 24-year-old male, presented with progressive swelling of the limbs and increasing difficulty breathing over the past few days. Examination found edema in all four limbs, reduced air entry in the right lung, and signs of right heart failure. Initial diagnosis was of acute pulmonary thromboembolism; however, further echocardiograms found no clots and signs of severe pulmonary hypertension. The patient deteriorated despite treatment and died of respiratory and cardiac arrest. Autopsy was unable to be performed to determine the underlying cause of pulmonary hypertension, which can be idiopathic or related to other conditions.
OMPHALITIS
A 4-day-old male infant was admitted to the hospital for vomiting. He was diagnosed with sepsis neonatorum and omphalitis (umbilical infection). He received intravenous antibiotics and wound care. His condition improved and he was discharged after 6 days with oral antibiotics to complete the course of treatment.
fggh
Mr. P/67 yo presented with shortness of breath. He has a history of hypertension, CKD stage 5, and essential thrombocytosis. On examination he had edema, elevated JVP, crackles on lung exam, and lab findings consistent with metabolic acidosis, anemia, and renal failure. His problems include CKD stage 5, congestive heart failure, essential thrombocytosis, hepatitis C, and drug-induced anemia and leukopenia from hydroxyurea. He requires hemodialysis, diuretics, and management of his various conditions.
Nicu 3 2012 - interdepartment case copy - copy
1. The document describes the case of a newborn baby boy admitted to the NICU with respiratory distress. He was born full term via normal spontaneous vaginal delivery to a 30-year-old mother. His condition deteriorated and he was intubated. He was diagnosed with meconium aspiration pneumonia, persistent pulmonary hypertension, and sepsis. Despite aggressive treatment, his condition continued to worsen and he suffered cardiopulmonary arrest and passed away.
gustave.pptx
A 29-year-old woman, G2P1001 at 39 weeks and 3 days gestation by dates, presented with headache, epigastric pain, and preeclampsia with severe features. She was admitted and stabilized with IV magnesium sulfate loading and maintenance doses, nifedipine tablets twice daily, and antibiotics. Her ultrasound showed a cephalic presentation with normal fetal growth and Doppler studies. She was started on induction of labor with cytotec 50mcg orally every 4 hours if the non-stress test was reactive. Her labor was monitored closely and she delivered vaginally with a good outcome, giving birth to a 4kg baby with APGAR scores of 9-10.
Recommended
DY 17,08.2023-1.pptx
1) A 35-year-old woman at 37 weeks and 3 days with twin pregnancy presented in late labor and was admitted. She delivered via c-section twins A and B weighing 4kg and 2.8kg respectively.
2) A 57-year-old woman with a history of 6 pregnancies and 5 live births presented with abdominal pain, distension and weight loss. Imaging found abdominal masses. She was admitted for hydration and further investigation including CT scan and ultrasound.
3) A 29-year-old primigravida at 41 weeks gestation by dates was admitted for induction of labor by cervical ripening with cytotec. She had not achieved active labor after her fifth dose.
DAY DUTY 02 ST AUGUST 2023.pptx
1. 41 year old G4P3003 woman at 34 weeks and 5 days gestation admitted with severe polyhydramnios and intrauterine growth restriction with multiple congenital anomalies.
2. She developed severe low back pain and shortness of breath 5 days prior and was transferred for further management after being evaluated at Remera Rukoma District Hospital.
3. On examination, she was in moderate respiratory distress. Vital signs were stable. Lungs were clear on auscultation.
Day duty.pptx
This document summarizes the case of a 29-year-old woman who is 39 weeks pregnant with her second child. She has a history of one previous cesarean section and is scheduled for another. On examination, she is stable with normal vital signs. An ultrasound shows a single intrauterine pregnancy in cephalic presentation with normal fetal heart rate and estimated fetal weight. The plan is to admit her and schedule her for a cesarean section.
A case of Acute RVF
Munuswamy, a 24-year-old male, presented with progressive swelling of the limbs and increasing difficulty breathing over the past few days. Examination found edema in all four limbs, reduced air entry in the right lung, and signs of right heart failure. Initial diagnosis was of acute pulmonary thromboembolism; however, further echocardiograms found no clots and signs of severe pulmonary hypertension. The patient deteriorated despite treatment and died of respiratory and cardiac arrest. Autopsy was unable to be performed to determine the underlying cause of pulmonary hypertension, which can be idiopathic or related to other conditions.
OMPHALITIS
A 4-day-old male infant was admitted to the hospital for vomiting. He was diagnosed with sepsis neonatorum and omphalitis (umbilical infection). He received intravenous antibiotics and wound care. His condition improved and he was discharged after 6 days with oral antibiotics to complete the course of treatment.
fggh
Mr. P/67 yo presented with shortness of breath. He has a history of hypertension, CKD stage 5, and essential thrombocytosis. On examination he had edema, elevated JVP, crackles on lung exam, and lab findings consistent with metabolic acidosis, anemia, and renal failure. His problems include CKD stage 5, congestive heart failure, essential thrombocytosis, hepatitis C, and drug-induced anemia and leukopenia from hydroxyurea. He requires hemodialysis, diuretics, and management of his various conditions.
Nicu 3 2012 - interdepartment case copy - copy
1. The document describes the case of a newborn baby boy admitted to the NICU with respiratory distress. He was born full term via normal spontaneous vaginal delivery to a 30-year-old mother. His condition deteriorated and he was intubated. He was diagnosed with meconium aspiration pneumonia, persistent pulmonary hypertension, and sepsis. Despite aggressive treatment, his condition continued to worsen and he suffered cardiopulmonary arrest and passed away.
gustave.pptx
A 29-year-old woman, G2P1001 at 39 weeks and 3 days gestation by dates, presented with headache, epigastric pain, and preeclampsia with severe features. She was admitted and stabilized with IV magnesium sulfate loading and maintenance doses, nifedipine tablets twice daily, and antibiotics. Her ultrasound showed a cephalic presentation with normal fetal growth and Doppler studies. She was started on induction of labor with cytotec 50mcg orally every 4 hours if the non-stress test was reactive. Her labor was monitored closely and she delivered vaginally with a good outcome, giving birth to a 4kg baby with APGAR scores of 9-10.
D10.pptx
A 49-year-old woman was admitted to undergo a total abdominal hysterectomy for symptomatic uterine fibroids. Examination found her to be stable with elevated blood pressure. Tests were ordered and consent was signed. She was started on intravenous and oral medications for her blood pressure and transferred internally.
A 45-year-old woman was admitted to undergo a total abdominal hysterectomy for symptomatic uterine fibroids. Examination found her to be stable. Tests showed anemia and uterine fibroids. She was admitted and tests and consent were obtained.
A 28-year-old woman with a 5-year history of secondary infertility due to bilateral tubal blockage was admitted for laparoscopy and hysteroscopy.
Emphysematous pyelonephritis- case discussion
A 59-year-old diabetic male presented to the emergency department with left-sided abdominal pain, abdominal distension, and decreased urine output over two days. Imaging revealed gas in the left renal calyces and retroperitoneal spaces, consistent with emphysematous pyelonephritis. The patient was admitted to the ICU for IV fluids, antibiotics, and glycemic control. A nephrostomy tube was placed and aspirated pus and air. Antibiotics were adjusted based on culture results identifying E. coli. The patient's condition improved with treatment and he was later discharged.
Haemoptysis
This 81-year-old male presented with a 2-week history of haemoptysis. He had a history of smoking and comorbidities including heart disease and hypertension. Initial workup found a lung mass and CT showed possible liver lesions. Bronchoscopy confirmed squamous cell carcinoma of the right lower lobe. He was discharged after his haemoptysis resolved with follow up by oncology.
Presentation2
The 62-year-old man presented with chest pain, difficulty breathing, palpitations, and fever for 4 weeks. Tests showed signs of a prior heart attack and severely reduced heart function. He was admitted to the intensive care unit for treatment of heart failure due to ischemic cardiomyopathy with an ejection fraction of 20%, borderline shock, and arrhythmia risks as an early complication of his heart attack.
Pneumothorax
This patient is a 20-year-old male who presented with sudden difficulty breathing, non-productive cough, and chest pain. His history includes treatment for pulmonary tuberculosis in 2018. Physical exam and chest X-ray revealed a massive left-sided pneumothorax. A chest tube was inserted, providing some relief. Further imaging showed evidence of prior PTB as well as pulmonary blebs. The patient was admitted and treated conservatively with oxygen, analgesics, and incentive spirometry. His pneumothorax gradually resolved over four days of inpatient monitoring.
Case Presentaion R3
The patient presented with 3 days of intermittent chest pain. Exams and tests showed normal vitals, ECG with ST elevation, and negative troponins. Angiogram showed normal coronaries with good LV function. The diagnosis was likely pericarditis given the clinical picture and normal angiogram. Treatment involved antibiotics and anti-inflammatories with a plan for cardiology follow up.
POMR Ny. Khiptiyah TAVB_ edited by KIT, CIK + condition this morning.pptx
Mrs. K, a 68-year-old woman, presented with worsening dizziness, near syncope, and chest discomfort. Her ECG showed third-degree atrioventricular block with a ventricular rate of 20-30 bpm. She underwent transvenous pacemaker implantation and was admitted to the CVCU for management and monitoring. Her hospital course was notable for uncontrolled hypertension, obesity, and minor coronary artery disease on angiography.
Mortality meeting
This document summarizes the hospital course of a 66-year-old male patient who presented with chest pain and was treated for acute myocardial infarction. He was admitted to the intensive care unit and treated conservatively but developed pulmonary edema and respiratory failure. Despite treatment with diuretics and inotropic support, his condition deteriorated and he suffered cardiac arrest and could not be resuscitated.
Benigh prostatic hyperplasia
This case report summarizes the treatment of a 66-year-old male patient presenting with benign prostatic hyperplasia (BPH). The patient reported symptoms of dysuria, urinary frequency, and lumbar pain. Physical examination and tests revealed an enlarged prostate, elevated creatinine, and urinary tract infection. The patient was treated with antibiotics and combination drug therapy. He later underwent a cystoscopy and transurethral resection of the prostate, which successfully resolved his symptoms.
Final case protocol 'abortion'
This document presents the case of a 26-year-old female, G3P2, who presented with vaginal bleeding. On examination, her cervical os was open and placental tissues were observed. She reported a 3-day history of bleeding. Based on her uterine size and exam findings, she was diagnosed with incomplete abortion at 12 weeks 3 days gestation. She underwent curettage under general anesthesia to complete the abortion procedure. Her bleeding was stabilized with medications and blood transfusion.
Myoma and Ovarian New Growth Case
This document summarizes the medical history and examination of a 56-year-old female patient presenting with an abdominopelvic mass. Key details include:
- The patient has a history of 5 pregnancies and 4 deliveries, with her last delivery in 2001.
- Ultrasound showed a myoma uteri and right ovarian mass with benign features measuring 16.8 x 13.7 cm.
- On examination, the patient had a globularly enlarged abdomen with a cystic mass measuring 21 x 26 cm that was movable and non-tender.
Churg Strauss Syndrome
A 59-year-old Thai woman presented with weakness in her arms and legs over the past week. She had numbness that started in her right toes and progressed to involve her right leg up to the knee and left hand. She was diagnosed with inflamed nerves by a private hospital but showed no improvement with medication. Examination found weakness and impaired sensation in her extremities. Tests showed eosinophilia, positive P-ANCA, and nerve biopsy demonstrated vasculitis. She was diagnosed with Churg-Strauss syndrome.
case presentation .pptx
Decompensated undiagnosed liver disease 2ry to brucellosis
Lever involvement in brucellosis :
Brucellosis involves the liver in varying ways, ranging from benign subclinical increases in serum aminotransferase levels to chronic suppurative disease
brief prabowo nsteacs.pptx
This morning report from RSSA provides details on a 60-year-old male patient presenting with chest pain. Key details include:
- The patient presented with chest pain for over 30 minutes, accompanied by cold sweats. Initial vitals and exam findings are provided.
- The patient has a history of NSTEMI 1 year ago with 3 vessel CAD on angiography but refused further treatment. He also has a history of hypertension for 20 years.
- Initial labs, ECGs, chest x-ray, and past medical records are summarized. Echocardiogram from last year showed LV hypertrophy and diastolic dysfunction. Coronary angiogram showed 3 vessel CAD.
-
S
1. The patient presented with septic shock, acute respiratory failure requiring mechanical ventilation, and pneumonia. Additional issues included obstructive uropathy from benign prostate hypertrophy, hypoalbuminemia, and hypocalcemia.
2. Treatment included aggressive fluid resuscitation, antibiotics, stress dose steroids, and monitoring. Procedures such as cystostomy were considered to address the obstructive uropathy.
3. On follow up, the patient remained on ventilator support with low grade fever and dyspnea. Treatment continued with albumin, antibiotics, steroids, and close monitoring of vital signs and respiratory status.
Dr ayman elshahawy case2
This case report summarizes 3 patients with end-stage renal disease undergoing hemodialysis.
Patient 1 is a 53-year-old man who has been on hemodialysis for 9 years. His anemia is being treated but his PTH level needs correction. Improving his nutrition is also recommended.
Patient 2 is a 72-year-old man who has had carpal tunnel surgery. His anemia and dialysis efficiency need improvement.
Patient 3 is a 53-year-old man whose high blood pressure is being treated. However, his hemoglobin is elevated and repeated blood removal from the dialysis circuit is recommended to address this polycythemia.
Hypothyroidism in SLE
This document provides a case summary of an 18-year-old female patient admitted to the hospital with difficulty breathing. She has a history of hypothyroidism and presented with edema, joint pain, and respiratory distress. During her hospital stay she was found to have pericardial effusion, pleural effusion, and seizures. Tests showed positive ANA and anti-DS DNA, leading to an impression of systemic lupus erythematosus with pericardial involvement. Her hospital course involved treatment for heart failure, infections, and electrolyte imbalances.
A case of SLE polyserositis & pneumonitis
Mrs Mariapalam, a 61-year-old woman, was admitted with fever, breathlessness, and joint pain. Initial tests showed pericardial effusion, hypothyroidism, and an equivocal leptospirosis test. She was started on antitubercular treatment but symptoms persisted. Further evaluation at a new hospital found pleural effusions, pneumonia, positive antinuclear antibody and low complement levels, consistent with a diagnosis of lupus pneumonitis. She improved dramatically on high-dose intravenous steroids.
Cyanosis OVERVIEW # MBBS#BDS#BPTH#ALLIED SCIENCES
Cyanosis can be caused by conditions that increase the amount of reduced hemoglobin or involve abnormal hemoglobin in the bloodstream. The document outlines an approach to evaluating cyanosis in newborns, including defining the condition, discussing mechanisms, diagnostic testing, and classifications of cardiac lesions that can cause cyanosis. A thorough clinical evaluation is important for diagnosis, and stabilization and monitoring of the newborn is critical when congenital heart disease is suspected.
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
UoA毕业证学历书【微信95270640】办文凭{昆士兰科技大学毕业证}Q微Q微信95270640UoA毕业证书成绩单/学历认证UoA Diploma未毕业、挂科怎么办？+QQ微信：Q微信95270640-大学Offer（申请大学）、成绩单（申请考研）、语言证书、在读证明、使馆公证、办真实留信网认证、真实大使馆认证、学历认证
办理国外昆士兰科技大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等
真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查.
真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认.
留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
昆士兰科技大学昆士兰科技大学毕业证文凭证书毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同.
国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
1客户提供办理昆士兰科技大学昆士兰科技大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作昆士兰科技大学毕业证成绩单电子图；
3昆士兰科技大学毕业证成绩单电子版做好以后发送给您确认；
4昆士兰科技大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5昆士兰科技大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感
More Related Content
Similar to Case of uterine fibroid and RHD on pregnancy.
D10.pptx
A 49-year-old woman was admitted to undergo a total abdominal hysterectomy for symptomatic uterine fibroids. Examination found her to be stable with elevated blood pressure. Tests were ordered and consent was signed. She was started on intravenous and oral medications for her blood pressure and transferred internally.
A 45-year-old woman was admitted to undergo a total abdominal hysterectomy for symptomatic uterine fibroids. Examination found her to be stable. Tests showed anemia and uterine fibroids. She was admitted and tests and consent were obtained.
A 28-year-old woman with a 5-year history of secondary infertility due to bilateral tubal blockage was admitted for laparoscopy and hysteroscopy.
Emphysematous pyelonephritis- case discussion
A 59-year-old diabetic male presented to the emergency department with left-sided abdominal pain, abdominal distension, and decreased urine output over two days. Imaging revealed gas in the left renal calyces and retroperitoneal spaces, consistent with emphysematous pyelonephritis. The patient was admitted to the ICU for IV fluids, antibiotics, and glycemic control. A nephrostomy tube was placed and aspirated pus and air. Antibiotics were adjusted based on culture results identifying E. coli. The patient's condition improved with treatment and he was later discharged.
Haemoptysis
This 81-year-old male presented with a 2-week history of haemoptysis. He had a history of smoking and comorbidities including heart disease and hypertension. Initial workup found a lung mass and CT showed possible liver lesions. Bronchoscopy confirmed squamous cell carcinoma of the right lower lobe. He was discharged after his haemoptysis resolved with follow up by oncology.
Presentation2
The 62-year-old man presented with chest pain, difficulty breathing, palpitations, and fever for 4 weeks. Tests showed signs of a prior heart attack and severely reduced heart function. He was admitted to the intensive care unit for treatment of heart failure due to ischemic cardiomyopathy with an ejection fraction of 20%, borderline shock, and arrhythmia risks as an early complication of his heart attack.
Pneumothorax
This patient is a 20-year-old male who presented with sudden difficulty breathing, non-productive cough, and chest pain. His history includes treatment for pulmonary tuberculosis in 2018. Physical exam and chest X-ray revealed a massive left-sided pneumothorax. A chest tube was inserted, providing some relief. Further imaging showed evidence of prior PTB as well as pulmonary blebs. The patient was admitted and treated conservatively with oxygen, analgesics, and incentive spirometry. His pneumothorax gradually resolved over four days of inpatient monitoring.
Case Presentaion R3
The patient presented with 3 days of intermittent chest pain. Exams and tests showed normal vitals, ECG with ST elevation, and negative troponins. Angiogram showed normal coronaries with good LV function. The diagnosis was likely pericarditis given the clinical picture and normal angiogram. Treatment involved antibiotics and anti-inflammatories with a plan for cardiology follow up.
POMR Ny. Khiptiyah TAVB_ edited by KIT, CIK + condition this morning.pptx
Mrs. K, a 68-year-old woman, presented with worsening dizziness, near syncope, and chest discomfort. Her ECG showed third-degree atrioventricular block with a ventricular rate of 20-30 bpm. She underwent transvenous pacemaker implantation and was admitted to the CVCU for management and monitoring. Her hospital course was notable for uncontrolled hypertension, obesity, and minor coronary artery disease on angiography.
Mortality meeting
This document summarizes the hospital course of a 66-year-old male patient who presented with chest pain and was treated for acute myocardial infarction. He was admitted to the intensive care unit and treated conservatively but developed pulmonary edema and respiratory failure. Despite treatment with diuretics and inotropic support, his condition deteriorated and he suffered cardiac arrest and could not be resuscitated.
Benigh prostatic hyperplasia
This case report summarizes the treatment of a 66-year-old male patient presenting with benign prostatic hyperplasia (BPH). The patient reported symptoms of dysuria, urinary frequency, and lumbar pain. Physical examination and tests revealed an enlarged prostate, elevated creatinine, and urinary tract infection. The patient was treated with antibiotics and combination drug therapy. He later underwent a cystoscopy and transurethral resection of the prostate, which successfully resolved his symptoms.
Final case protocol 'abortion'
This document presents the case of a 26-year-old female, G3P2, who presented with vaginal bleeding. On examination, her cervical os was open and placental tissues were observed. She reported a 3-day history of bleeding. Based on her uterine size and exam findings, she was diagnosed with incomplete abortion at 12 weeks 3 days gestation. She underwent curettage under general anesthesia to complete the abortion procedure. Her bleeding was stabilized with medications and blood transfusion.
Myoma and Ovarian New Growth Case
This document summarizes the medical history and examination of a 56-year-old female patient presenting with an abdominopelvic mass. Key details include:
- The patient has a history of 5 pregnancies and 4 deliveries, with her last delivery in 2001.
- Ultrasound showed a myoma uteri and right ovarian mass with benign features measuring 16.8 x 13.7 cm.
- On examination, the patient had a globularly enlarged abdomen with a cystic mass measuring 21 x 26 cm that was movable and non-tender.
Churg Strauss Syndrome
A 59-year-old Thai woman presented with weakness in her arms and legs over the past week. She had numbness that started in her right toes and progressed to involve her right leg up to the knee and left hand. She was diagnosed with inflamed nerves by a private hospital but showed no improvement with medication. Examination found weakness and impaired sensation in her extremities. Tests showed eosinophilia, positive P-ANCA, and nerve biopsy demonstrated vasculitis. She was diagnosed with Churg-Strauss syndrome.
case presentation .pptx
Decompensated undiagnosed liver disease 2ry to brucellosis
Lever involvement in brucellosis :
Brucellosis involves the liver in varying ways, ranging from benign subclinical increases in serum aminotransferase levels to chronic suppurative disease
brief prabowo nsteacs.pptx
This morning report from RSSA provides details on a 60-year-old male patient presenting with chest pain. Key details include:
- The patient presented with chest pain for over 30 minutes, accompanied by cold sweats. Initial vitals and exam findings are provided.
- The patient has a history of NSTEMI 1 year ago with 3 vessel CAD on angiography but refused further treatment. He also has a history of hypertension for 20 years.
- Initial labs, ECGs, chest x-ray, and past medical records are summarized. Echocardiogram from last year showed LV hypertrophy and diastolic dysfunction. Coronary angiogram showed 3 vessel CAD.
-
S
1. The patient presented with septic shock, acute respiratory failure requiring mechanical ventilation, and pneumonia. Additional issues included obstructive uropathy from benign prostate hypertrophy, hypoalbuminemia, and hypocalcemia.
2. Treatment included aggressive fluid resuscitation, antibiotics, stress dose steroids, and monitoring. Procedures such as cystostomy were considered to address the obstructive uropathy.
3. On follow up, the patient remained on ventilator support with low grade fever and dyspnea. Treatment continued with albumin, antibiotics, steroids, and close monitoring of vital signs and respiratory status.
Dr ayman elshahawy case2
This case report summarizes 3 patients with end-stage renal disease undergoing hemodialysis.
Patient 1 is a 53-year-old man who has been on hemodialysis for 9 years. His anemia is being treated but his PTH level needs correction. Improving his nutrition is also recommended.
Patient 2 is a 72-year-old man who has had carpal tunnel surgery. His anemia and dialysis efficiency need improvement.
Patient 3 is a 53-year-old man whose high blood pressure is being treated. However, his hemoglobin is elevated and repeated blood removal from the dialysis circuit is recommended to address this polycythemia.
Hypothyroidism in SLE
This document provides a case summary of an 18-year-old female patient admitted to the hospital with difficulty breathing. She has a history of hypothyroidism and presented with edema, joint pain, and respiratory distress. During her hospital stay she was found to have pericardial effusion, pleural effusion, and seizures. Tests showed positive ANA and anti-DS DNA, leading to an impression of systemic lupus erythematosus with pericardial involvement. Her hospital course involved treatment for heart failure, infections, and electrolyte imbalances.
A case of SLE polyserositis & pneumonitis
Mrs Mariapalam, a 61-year-old woman, was admitted with fever, breathlessness, and joint pain. Initial tests showed pericardial effusion, hypothyroidism, and an equivocal leptospirosis test. She was started on antitubercular treatment but symptoms persisted. Further evaluation at a new hospital found pleural effusions, pneumonia, positive antinuclear antibody and low complement levels, consistent with a diagnosis of lupus pneumonitis. She improved dramatically on high-dose intravenous steroids.
Cyanosis OVERVIEW # MBBS#BDS#BPTH#ALLIED SCIENCES
Cyanosis can be caused by conditions that increase the amount of reduced hemoglobin or involve abnormal hemoglobin in the bloodstream. The document outlines an approach to evaluating cyanosis in newborns, including defining the condition, discussing mechanisms, diagnostic testing, and classifications of cardiac lesions that can cause cyanosis. A thorough clinical evaluation is important for diagnosis, and stabilization and monitoring of the newborn is critical when congenital heart disease is suspected.
Similar to Case of uterine fibroid and RHD on pregnancy. (20)
POMR Ny. Khiptiyah TAVB_ edited by KIT, CIK + condition this morning.pptx
POMR Ny. Khiptiyah TAVB_ edited by KIT, CIK + condition this morning.pptx
Laporan kasus TBC paru Di rumah sakit rujukan .pptx
Laporan kasus TBC paru Di rumah sakit rujukan .pptx
Recently uploaded
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
UoA毕业证学历书【微信95270640】办文凭{昆士兰科技大学毕业证}Q微Q微信95270640UoA毕业证书成绩单/学历认证UoA Diploma未毕业、挂科怎么办？+QQ微信：Q微信95270640-大学Offer（申请大学）、成绩单（申请考研）、语言证书、在读证明、使馆公证、办真实留信网认证、真实大使馆认证、学历认证
办理国外昆士兰科技大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等
真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查.
真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认.
留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
昆士兰科技大学昆士兰科技大学毕业证文凭证书毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同.
国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
1客户提供办理昆士兰科技大学昆士兰科技大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作昆士兰科技大学毕业证成绩单电子图；
3昆士兰科技大学毕业证成绩单电子版做好以后发送给您确认；
4昆士兰科技大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5昆士兰科技大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感
Fit to Fly PCR Covid Testing at our Clinic Near You
A Fit-to-Fly PCR Test is a crucial service for travelers needing to meet the entry requirements of various countries or airlines. This test involves a polymerase chain reaction (PCR) test for COVID-19, which is considered the gold standard for detecting active infections. At our travel clinic in Leeds, we offer fast and reliable Fit to Fly PCR testing, providing you with an official certificate verifying your negative COVID-19 status. Our process is designed for convenience and accuracy, with quick turnaround times to ensure you receive your results and certificate in time for your departure. Trust our professional and experienced medical team to help you travel safely and compliantly, giving you peace of mind for your journey.www.nxhealthcare.co.uk
Management of Post Operative Pain: to make doctors conscious about the benefi...
Multimodal analgesia.
Daughter's of Dr Ranjit Jagtap (Poulami & Aditi)
The story of Dr. Ranjit Jagtap's daughters is more than a tale of inherited responsibility; it's a narrative of passion, innovation, and unwavering commitment to a cause greater than oneself. In Poulami and Aditi Jagtap, we see the beautiful continuum of a father's dream and the limitless potential of compassion-driven healthcare.
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
Monopoly PCD Pharma Franchise in Tripura
Our company incorporates various drug formulations covering pharma tablets, syrups, capsules, gels, sachets, ointments, creams, injectables.
Hypotension and role of physiotherapy in it
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
EXAMINATION OF HUMAN URINE AND FAECES.pdf
This presentation will help to develop in-depth knowledge of the examination of Urine and Faeces.
Pneumothorax and role of Physiotherapy in it.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiological Perspective with Experimental Insights
Enhancing Hip and Knee Arthroplasty Precision with Preoperative CT and MRI Im...
Enhancing Hip and Knee Arthroplasty Precision with Preoperative CT and MRI Im...Pristyn Care Reviews
Precision becomes a byword, most especially in such procedures as hip and knee arthroplasty. The success of these surgeries is not just dependent on the skill and experience of the surgeons but is extremely dependent on preoperative planning. Recognizing this important need, Pristyn Care commits itself to the integration of advanced imaging technologies like CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) into the surgical planning process.PrudentRx: A Resource for Patient Education and Engagement
PrudentRx enhances healthcare by educating patients and ensuring effective medication management in a complex, evolving landscape.
Sexual Disorders.gender identity disorderspptx
Gender identity disorder, paraphilias , sexual dysfunction
Test bank clinical nursing skills a concept based approach 4e pearson educati...
Test bank clinical nursing skills a concept based approach 4e pearson educati...rightmanforbloodline
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson educationMental Health and Physical Wellbeing.pdf
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
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
EUR毕业证offer【微信95270640】《鹿特丹伊拉斯姆斯大学毕业证书原版制作EUR成绩单》【Q微信95270640】《仿制EUR毕业证成绩单鹿特丹伊拉斯姆斯大学学位证书pdf电子图》，A.为什么留学生需要操作留信认证?
留信认证全称全国留学生信息服务网认证,隶属于北京中科院。①留信认证门槛条件更低,费用更美丽,并且包过,完单周期短,效率高②留信认证虽然不能去国企,但是一般的公司都没有问题,因为国内很多公司连基本的留学生学历认证都不了解。这对于留学生来说,这就比自己光拿一个证书更有说服力,因为留学学历可以在留信网站上进行查询!
B.为什么我们提供的毕业证成绩单具有使用价值？
查询留服认证是国内鉴别留学生海外学历的唯一途径，但认证只是个体行为，不是所有留学生都操作，所以没有办理认证的留学生的学历在国内也是查询不到的，他们也仅仅只有一张文凭。所以这时候我们提供的和学校颁发的一模一样的毕业证成绩单，就有了使用价值。
实体公司，专业可靠，办理加拿大毕业证|办美国成绩单|做德国文凭学历认证|办新西兰学位证，办澳洲文凭认证，办留信网认证（网上可查，实体公司，专业可靠）铸就十年品质！信誉！实体公司！
办理国外鹿特丹伊拉斯姆斯大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等
真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查.
真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认.
留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同.
国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
1客户提供办理鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作鹿特丹伊拉斯姆斯大学毕业证成绩单电子图；
3鹿特丹伊拉斯姆斯大学毕业证成绩单电子版做好以后发送给您确认；
4鹿特丹伊拉斯姆斯大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5鹿特丹伊拉斯姆斯大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭）。地跟着父亲昼夜兼程第二天凌晨就辗转到了父亲的城哇父亲的城真的好大好美哟走出广州火车东站的那一刻山娃感受到了一种从未有过的激动和震撼太美了可爱的广州父亲的城山娃惊喜得几乎叫出声来山娃觉得父亲太伟大了居然能单匹马地跑到这么远这么大这么美的地方赚大钱高楼大厦鳞次栉比大街小巷人潮涌动山娃一路张望一路惊叹他发现城里的桥居然层层叠叠扭来扭去桥下没水却有着水一般的车水马龙山娃惊诧于城里的公交车那么大那么美不的
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf
Air Ambulance Services In Rewa works in close coordination with ground-based emergency services, including local Emergency Medical Services, fire departments, and law enforcement agencies.
More@: https://tinyurl.com/2shrryhx
More@: https://tinyurl.com/5n8h3wp8
nursing management of patient with Empyema ppt
prepared by Prof. BLESSY THOMAS, SPN
Empyema is a disease of respiratory system It is defines as the accumulation of thick, purulent fluid within the pleural space, often with fibrin development.
Empyema is also called pyothorax or purulent pleuritis.
It’s a condition in which pus gathers in the area between the lungs and the inner surface of the chest wall. This area is known as the pleural space.
Pus is a fluid that’s filled with immune cells, dead cells, and bacteria.
Pus in the pleural space can’t be coughed out. Instead, it needs to be drained by a needle or surgery.
Empyema usually develops after pneumonia, which is an infection of the lung tissue. it is mainly caused due in infectious micro-organisms. It can be treated with medications and other measures.
Recently uploaded (20)
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...
Fit to Fly PCR Covid Testing at our Clinic Near You
Fit to Fly PCR Covid Testing at our Clinic Near You
Management of Post Operative Pain: to make doctors conscious about the benefi...
Management of Post Operative Pain: to make doctors conscious about the benefi...
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
Enhancing Hip and Knee Arthroplasty Precision with Preoperative CT and MRI Im...
Enhancing Hip and Knee Arthroplasty Precision with Preoperative CT and MRI Im...
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx: A Resource for Patient Education and Engagement
Test bank clinical nursing skills a concept based approach 4e pearson educati...
Test bank clinical nursing skills a concept based approach 4e pearson educati...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf
Case of uterine fibroid and RHD on pregnancy.
- 1. 51 Y.O G4P4004 ADMITTED WITH SYMPTOMATIC UTERINE LEIOMYOMA SCHEDULED FOR TAH+BS TODAY ID 633054 - she come complaining of pv bleeding like menses twice a month progressively exacerbated by heavy lifting associated with pain radiating to the back, - -ROS= vaginal bleeding, urge and urgency ATCDs: ⮚G4P4004 uneventfully ⮚multinodular goiter since january ⮚No Hx of Allergy reported. P/E: VS: BP=119/52 mmHg, HR= 81bpm, T= 36.4, RR= 18c/min, O2 sat= 98% in RA, CNS= Fully awake, GCS=15/15 CVS= Warm extremities, regular S1 & S2, No added sounds RS= clear lungs abdomen not distended fatt, slightly palpable mass in hypogastric GUS: bleeding pv MSK= no oedema GYN U/S:fundal myometrial leiomyoma with 6cmx5cm previous ct scan& MRI revealed huge focal fundal myometrial fibroid, ovary normal thyroid u/s: multinodular goiter Labs Inv: FBC: Hb= PLT= BGRh= Hep BsAg= Glyc= HIV: Ass: 51 Y.O G4P4004 admitted with symptomatic leiomyoma with pv bleeding, pelvic fullness and pain radiating in the back. on b/c of multinodular goiter Plan: 1. Admit in ward2 2. Anesthesia visit 3. blood booking 4. laparotomy today for TAH+BS Evolution: Stable Vitals
- 3. 19 Y.O G1P0 AT 40W1D BY DATES ON B/C OF RHD 686260 Cc: gush of clear fluid pv symptoms started 14hrs prior to our admission with spontaneous with gush of fluid paravaginally progressively increasing. associated with lumbopelvic pain. ROS: gush of fluid, no pv bleeding, quickening+, G&O Hx: G1P0, LMP= 13/08/2022 GA= 40W1D, Had 3 x ANC at HC, TORCH (-) PMHx: Rheumatic heart disease since 2015 on captopril12.5mg tds, lasix40mg od, and penicillin V 250mg BID PSH: heart surgery for valve replacement P/E: BP 119/52 ,HR:99 bpm T:36., spo2= 96% General status : GOOD CVS: chest scar, holosystolic murmur 3/6 S1&S2: well audible regular RS: bilateral air entry Clear lungs Abd : gravidic, SFH: 28 cm ,FHR=135,with false UC - dve= - cervix at 4cm , 50% effaced, anterior, soft, station at-2, head not engaged, membrane ruptured, pooling test + MSK: normal no pedal edema Obst U/S: SIUP, cephalic , FHR= 135 , AFI= 2.4cm, BPP= 8/8, ,placenta: anterior fundic , EFW= 3.2KGS EGA 38W1D Labs:: Hb : Plt : BG&RH= HIV -, hep b,? Glycemia: Assess: 19 Y.O G1P0 AT 40W1D by dates on b/c of RHD, repaired valve with features of PROM in latent phase of labor. Plan : 1. Admit in ward2 2. Anesthesia visit 3. emergency c/s 4. FP: implanon Evolution: Stable Vitals FP: Implanon c/s done with good out come