The document describes a case of a 19-year-old male student who sustained a tibia fracture 4 months ago during a rugby match and was admitted for surgery to treat a non-union of the fracture. Examination found deformity, restricted movement, and mobility at the fracture site. The patient will undergo surgery involving fibular osteotomy, removal of necrotic bone, reamed intramedullary nailing, and compression plating to treat the non-union.
UG CASE PRESENTATION ON INGUINAL HERNIAAyesha Huma
I have added viva notes after this proforma for quick revision of important stuff asked in exam.
LINK FOR EXAMINATION VIDOES :
1. https://youtu.be/uO-w_9w5okI
2. https://youtu.be/Vc_ZH_-Oad4
UG CASE PRESENTATION ON INGUINAL HERNIAAyesha Huma
I have added viva notes after this proforma for quick revision of important stuff asked in exam.
LINK FOR EXAMINATION VIDOES :
1. https://youtu.be/uO-w_9w5okI
2. https://youtu.be/Vc_ZH_-Oad4
the slide describes femoral fracture with case presentations as well as rediological diagnosis ,when opened and closed .the management from emergency period and through to stabilization
this presentation is comparative study on patient. this presentation provide detail and comprehensive knowledge about fracture, its complication as well as fracture of shaft of femur and its treatment and nursing management
the slide describes femoral fracture with case presentations as well as rediological diagnosis ,when opened and closed .the management from emergency period and through to stabilization
this presentation is comparative study on patient. this presentation provide detail and comprehensive knowledge about fracture, its complication as well as fracture of shaft of femur and its treatment and nursing management
Shaunak was diagnosed at birth with achondroplasia, a bone growth disorder that causes a form of dwarfism. Shortly before his sixth birthday, he visited my office with his family to discuss options for limb lengthening and correction of his bowed legs. Shaunak’s limb deformities were corrected in stages over the course of eight months.
Shortly before his 14th birthday we discussed options for additional lengthening and the correction of a deformity that occurred as he grew. This course of treatment is still in progress and Shaunak’s case study will be updated once treatment is complete.
http://www.davidsfeldmanmd.com/patient-education/case-studies/shaunak-achondroplasia
A Medical Summary/Chronology is a record of medical events in the order of their occurrence. This entails sifting through hundreds of pages of medical documents to identify, locate, review and interpret relevant information from the medical records. Please use the link below to see and request
medical records review sample: https://medicolegalrequestllc.com/our-samples
Fracture Neck of the femur with a case presentation and theory background
reference:
Apley's System of Orthopaedics and Fractures
Oxford Handbook of Orthopaedics and Trauma
Anthony was diagnosed with Legg-Calve-Perthes disease at the age of four and was treated by me until the age of 10. His multi-faceted and individualized course of treatment consisted of therapy, non-weight bearing, and surgery. Five years after his last procedure, Anthony’s Legg-Calve-Perthes is completely resolved and he should continue to enjoy normal hip function for many decades to come.
www.davidsfeldmanmd.com/patient-education/case-studies/anthony-legg-calve-perthes-disease
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. Patient profile
• Name: Muhammad Muttaqin
• Age: 19 years old
• Sex: Male
• Occupation: Student
• Date of Admission: 5th June 2012
3. Summary of Case
A 19 years old Malay male from Alor Gajah was electively
admitted for operative procedure. Patient was apparently well
until 4 months ago, where he sustain an injury to the medial side
of his right leg, where he was tackled during a rugby match.
Afterwards, there is deformity in the form of dent at medial side
of lower 1/3rd of his right leg. His right foot dorsiflexion was
restricted but all other movement are intact. No wound at the
injury site
4. He also complain of pain at the site of injury, which is sudden onset. It
was intermittent, throbbing in nature , aggravated on movements
especially on movement of the right leg and foot, relieved by rest and
pain killers. Pain score was 7/10.
There is swelling at the site of fracture afterwards, start insidiously,
increasing in size and resolve spontaneously in 3 days time.
He was then sent to Universiti Malaya Medical Centre, where x-ray of
his right leg was taken and he was told there is fracture of tibia while
the other bone is intact. Above knee P.o.P cast was applied and he was
told to come for follow up once in a month.
5. 8 weeks after the injury, x-ray was taken again and the P.o.P cast
was removed. He was told the fracture site has not yet heal and
there is some gap between the fracture site. On examination by
the doctor, he told that the fracture site is mobile and there is no
pain.
He was put on elective surgery appointment on 6th June 2012 to
close the gap at the fracture site
No history suggestive of tuberculosis, osteomyelitis, intravenous
drug user, alcohol intake, smoking or sexual promiscuity. No loss
of weight or appetite.
6. Local examination of right lower limb
• On inspection
– Attitude: hip flexed and addcuted, knee extended,
foot dorsiflexed and inverted
– Deformity at lower 1/3rd of medial side of right leg
– Apparent shortening of the right lower limb
– Atrophy of the right thigh
7. • On palpation
– Deformity: bony consistency
– Mobile on lateral plane
– Crepitus
– No tenderness
– No local rise in temperature
• Range of movement: Restricted dorsiflexion
on right foot (active)
8. • Galeazzi’s sign : right knee lower and forward
• Sensory on thigh, leg and foot are intact. No
functional impairment. Neurovascular
examination normal . Power on right lower
limb is 4/5.
10. Investigation
• Lab investigation
– FBC, ESR, C reactive protein
– Total lymphocyte count
• Imaging
– X ray of the right leg AP and lateral view, including
knee and ankle joint
11. - Comminuted fracture of right tibia
- Fibula intact
- No callus formation
- Open medullary canal
- Decrease bone density at distal end of tibia
12. Management
• Principles
– Hypertrophic non union
• Extensive callus formation, vascular (excellent healing
potential). They are best treated with rigid stabilization
with or without compression.
– Atrophic non union
• Absence of callus, deficient bone vascularity, and poor
healing potential
13. • Surgical approach
– Fibular osteotomy
• Inhibiting compression across the tibial nonunion site
– Removal of necrotic bone
– Reamed intramedullary (IM) nail (noninfected)
– Compression plating
– Adjunctive therapy, such as the use of antibiotic
bone cement or bone substitute beads
– Follow up