Case Presentation in Nose.pptx
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This document presents a case study of a patient presenting with nasal issues. It includes sections on the patient's chief complaint of nasal obstruction and discharge. It also provides details on examining the nose, such as inspecting the external appearance and conducting anterior and posterior rhinoscopy. The document concludes with providing a provisional diagnosis and discussing potential investigative tests and treatments.
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Case Presentation in Ear.pptx
This document presents a case presentation template for examining a patient with ear issues. The template includes sections for collecting information on the patient's case history, symptoms, medical history, physical examination of the ear, diagnostic tests performed, provisional diagnosis, investigations done, and proposed treatment. The case history section includes demographic details and relevant social history. Symptom sections gather information on otorrhea, deafness, and associated nasal or throat issues. Physical examination of the ear details findings for the pinna, ear canal, tympanic membrane, and auditory functions tests.
Case Presentation in Ear.pptx
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This document presents a case presentation of a patient with throat issues. It includes details of the patient's chief complaints of odynophagia, dry cough, and halitosis. It documents the patient's adenoid and throat examination history, including any previous complications. It also includes the patient's general physical examination, oral cavity and throat examination, as well as provisional diagnosis. Routine investigations and potential treatment options are discussed.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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Case Presentation in Nose.pptx
- 1. Case Presentation in Nose. Dr. Rajashri Mane, Prof & HOD, D. Y. Patil Medical College, Kolhapur.
- 2. CASE HISTORY ā¢ Name: ā¢ Age ā¢ Sex: ā¢ Socioeconomic status: ā¢ Occupation
- 3. NOSE Chief complaint ā¢ Nasal obstruction ā¢ Nasal discharge
- 4. Nasal obstruction ā¢ Unilateral/bilateral ā¢ Intermittent/continuous ā¢ Progressive/static ā¢ Aggravating/relieving factors ā¢ Diurnal variation ā¢ Positional variation
- 5. Unilateral continuous ā¢ DNS ā¢ AC polyp ā¢ F B ā¢ Neoplasm ā¢ Rhinolith ā¢ rhinosporidiosis Unilateral intermittent ā¢Turbinate hypertrophy ā¢sinusitis
- 6. Bilateral continuous ā¢ DNS & Inferior turbinate hypertrophy ā¢ Ethmoid polyps ā¢ Adenoids ā¢ Atrophic Rhinitis ā¢ Rhinoscleroma ā¢ Neoplasm
- 7. Bilateral intermittent ā¢ Allergic Rhinitis ā¢ sinusitis
- 8. Nasal discharge ā¢ Watery/mucoid/mucopurulent/blood stained ā¢ Foul smelling/non foul smelling ā¢ Unilateral/bilateral ā¢ Aggravating/relieving factors-at time of URTI/exposure to cold environment
- 9. ā¢ Watery -- Allergic Rhinitis vasomotor Rhinitis CSF Rhinorroea ā¢ Purulent ā sinusitis ā¢ Faul smelling ā Atrophic Rhinitis FB in children Malignancy in adults
- 10. History of complication History of ā¢ Epistaxis ā¢ Sneezing(Allergic rhinitis) ā¢ Watery discharge(CSF Rhinorrhoea) ā¢ crusting/dryness/foul smell(Atrophic rhinitis) ā¢ headache/post nasal discharge(Sinusitis)
- 11. ā¢ Throat pain/ odynophagia/ halitosis/ dry cough ā¢ Ear discharge/ pain / deafness
- 12. History of etiology History of ā¢ Trauma ā¢ Surgery
- 13. ā¢ Associated ear complaints-ear discharge/ear blockage/diminished hearing ā¢ Associated throat complaints-sore throat/pain in throat/difficulty in swallowing/change in voice ā¢ Treatment history- Medical-tablets/injections/local nose drops Surgical
- 14. ā¢ Past history History suggestive of TB/ HTN/HIV/ DM/Any other illness. ā¢ Family history History suggestive of TB/ HTN/HIV/ DM/Any other illness. ā¢ Personal history -Nutrition: adequate/ inadequate -Diet: Veg/Nonveg/Mixed - Sleep: Normal/Reduced -Habits: Smoking/ tobacco chewing/ alcohol Days/ months/years ā¢ History of exposure to noise ā¢ History of exposure to S.T.Dās
- 15. ā¢ General physical examination: - Built: good/ moderate/poor -Adenoid facies -Pallor/cyanosis/jaundice/clubbing/ Lymphadenopathy/edema - Pulse rate- /minute -B.P. mm Hg ā¢ Systemic examination- -CVS -RS - CNS - P/A
- 16. NOSE EXAMINATION ā¢ External appearance Inspection Palpation Root, dorsum, tip, ala, collumella ā¢ Cold spatula test ā¢ Vestibule
- 17. Anterior rhinoscopy(ARS): ā¢ Nasal mucosa- pale/congested/bluish ā¢ Septum- deviated/straight/perforated ā¢ Lateral wall- inferior and middle turbinates & meati ā¢ Floor-Any growth/polyp/presence of mucopus
- 18. Posterior rhinoscopy(PRS): ā¢ Choana ā¢ ET orifice ā¢ Fossa of Rosenmuller ā¢ Roof of nasopharynx ā¢ Soft palate
- 19. Paranasal sinus(PNS): ā¢ Inspection- oedema/cellulitis ā¢ Palpation- tenderness of frontal/ethmoid(R/L)/maxillary(R/L)
- 20. PROVISIONAL DIAGNOSIS ā¢ Deviated nasal septum to right/left with ā¢ caudal dislocation to right/left with ā¢ right/left/bilateral spur in floor with ā¢ right/left sided ITH with ā¢ no/CSOM/Sinusitis/adenotonsillitis pathology in ear/throat.
- 21. INVESTIGATIONS ā¢ Diagnostic Nasal Endoscopy ā¢ X ray PNS waters view
- 22. NOSE-deviated nasal septum Active infection-conservative treatment- ā¢ antibiotics ā¢ Antihistaminic ā¢ Nasal decongestant ( local & systemic) ā¢ Anti inflammatory ā¢ Nose drops After acute infection subsides-surgery-Septoplasty ā¢ Inactive- surgery- Septoplasty under local anesthesia with sedation.
- 23. Thank You.