It is also called as Coronary heart disease,usually caused due to BP,diabetes , obesity e.t.c.It leads to the restriction of the blood flow to the heart.
Related with cardio vascular system. Angina is Retrosternal chest pain which if left untreated can cause the higher complications with respect to cardiac health of human body. May be this is simple chest pain but if exceeds can cause major damage # prevention is better than cure :-)
case presentation on unstable angina in SOAP format. About the disease, etiology, pathophysiology, symptoms, treatments, drugs to be given in angina and lifestyle modifications are included.
Myocardial Infarction - Case Presentation and an OverviewAbubakkar Raheel
Case Presented by Final Year MBBS sudents of Frontier Medical College at the 1st Clinico-Pathological Conference for the year 2015.The Presentation is divided into two parts. First part is about a case of an Acute ST Segment elevated Myocardial Infarction with. Its management at the Hospital and the findings. Second part is about the pathophysiology, Cinical signs and symptoms and an effective gold standard treatment of MI.
A blockage of blood flow to the heart muscle. A heart attack is a medical emergency.A heart attack usually occurs when a blood clot blocks blood flow to the heart.Without blood,tissues loses oxygen and dies
Angina also known as angina pectoris is a medical condition characterized by chest pain usually left sided due to inadequate blood supply (ischemia) to the heart muscles due to obstruction (like presence of blood clot), narrowing or contraction (vasospasm) of the supplying coronary arteries.
Related with cardio vascular system. Angina is Retrosternal chest pain which if left untreated can cause the higher complications with respect to cardiac health of human body. May be this is simple chest pain but if exceeds can cause major damage # prevention is better than cure :-)
case presentation on unstable angina in SOAP format. About the disease, etiology, pathophysiology, symptoms, treatments, drugs to be given in angina and lifestyle modifications are included.
Myocardial Infarction - Case Presentation and an OverviewAbubakkar Raheel
Case Presented by Final Year MBBS sudents of Frontier Medical College at the 1st Clinico-Pathological Conference for the year 2015.The Presentation is divided into two parts. First part is about a case of an Acute ST Segment elevated Myocardial Infarction with. Its management at the Hospital and the findings. Second part is about the pathophysiology, Cinical signs and symptoms and an effective gold standard treatment of MI.
A blockage of blood flow to the heart muscle. A heart attack is a medical emergency.A heart attack usually occurs when a blood clot blocks blood flow to the heart.Without blood,tissues loses oxygen and dies
Angina also known as angina pectoris is a medical condition characterized by chest pain usually left sided due to inadequate blood supply (ischemia) to the heart muscles due to obstruction (like presence of blood clot), narrowing or contraction (vasospasm) of the supplying coronary arteries.
Case Presentation in SOAP format on Ischemic Heart Disease with Acute Coronar...Umme Habeeba A Pathan
Heart diseases are major reason for mortality and morbidity. This is the case on how depression and stress can lead to Heart disease and worsen the QOL of patient. Little changes in food style and your attitude towards your health can save your heart.
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Ischemic heart disease is a condition of recurring chest pain or discomfort that occurs when a part of the heart does not receive enough blood. This condition occurs most often during exertion or excitement, when the heart requires greater blood flow.
esophageal candidiasis is a common type of infection in esophagus caused by candida albicans & esophageal varices mostly occurs because of liver disease such as portal hypertension caused by cirrhosis of liver
It is a pulmonary or extra pulmonary infection caused by MYCOBACTERIUM TYBERCULOSIS OR NON TUBERCULOS MYCOBACTERIA in a patients with silicosis. Mainly occur in people who are exposed to silica at work.
Also called as diabetes mellitus. A group of diseases that result in too much sugar in the blood.Most common types of diabetes are; type 2 diabetes, type 1 diabetes, prediabetes, gestational diabetes.
Aquatic therapy refers to treatment and exercise performed in the water for relaxation and other therapeutic benefits.Typically a qualified aquatic therapist gives constant attendance to person receiving treatment in a heated therapy pool
Malaria is a life- threatening disease. It is typically caused by the 4 species of plasmodium. It has 2 hosts i.e human host and the anopheles mosquito.
Obesity is a chronic heath problem ,the no.of people having obese rising rapidly world wide and making obesity 1 of the fastest developing peoples health problem
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
2. BRIEF SUMMARY OF CASE
• A 58 years old male patient was admitted in the
hospital having chief complaints of shortness
of breath, palpitations and angina. And he is
having history of unstable angina and mild
MS.
• Above case was presented in the format of the
SOAP analysis
3. SUBJECTIVE EVIDENCE
• A 58 years old male patient
was admitted in the
hospital with chief
complaints of having
shortness of breath,
palpitations and angina
• And having history of
unstable angina.
• And his appetite and sleep
habits are normal
4. OBJECTIVE EVIDENCE
• PHYSICAL EXAMINATION
Temp : normal
P.R : 82/min
B.P : 120/80 mm of Hg
• OBJECTIVE EXAMINATION
CVS : S1 S2+
CNS : Normal
P/A : Soft
5. LABARATORY INVESTIGATIONS
S.NO PARAMETER OBSERVED VALUE NORMAL VALUE
1. HbA1c 6.8% 4.0 – 6.5
2. Total protein 8.6g/dl 6.0 - 8.2
3. Serum globulin 3.8g/dl 1.8 – 3.4
4. Neutrophils 85.0% 40.0 – 75.0
5. Lymphocytes 13.0% 20.0 – 45.0
6. Monocytes 1.0 % 2.0 – 10.0
7. WBC count 15400/cu.mm 4400 -11000
S.NO PARAMETER OBSERVED VALUE NORMAL VALUE
1. Prothrombin time test 20.5 sec 9.5- 14.0
2. APTT Test 35.6 sec 21.0- 32.0
6. DIAGNOSTIC TEST
• 2D ECHO REPORT :
IMPRESSION : RHD
Mild Mitral stenosis
Mild MR
Concentric LVH
Grade 1 diastolic dysfunction
Trivial AR/TR
No RWMA of LV
No clot/Veg/Effusion
7. ASSESMENT
Based on the subjective data and the objective data the final
diagnosis of the patient was found to be having CAD (
coronary artery disease)
• DEFINITION : It is caused by the atherosclerosis of the
coronary arteries that lead to restriction of the blood flow to
the heart
• ETIOLOGY : The major cause for CAD for this patient is
due to unstable angina
Other etiological factors include : Heart attack
Shortness of breath
Angina
8. • Risk factors for CAD :
High BP
Diabetes
Obesity
High stress
Unhealthy diet
Lack of physical activity
12. GOALS
To prevent signs and symptoms by
sympthamatic therapy
To avoid the further complications
To decrease the disease progression
And to increase the patients quality of life
13. CURRENT DRUG CHART
S.NO BRAND
NAME
GENERIC
NAME
DOSE R.O.A FREQ CATEGO
RY
INDICATI
ON
1. Pantocid Pantoprazole 40mg P/0 OD Proton
pump
inhibitor
Prophyla
ctic
2. Lopressor Metoprolol 50mg P/O OD Beta
blocker
Treatme
nt for
angina
3. Nitro-bid Nitrostat 2.6mg P/O BD Vasodila
tor
Treatme
nt for
angina
4. Duolin Ipratropium
salbutamol
0.5mg
2.5mg
P/N TID Anticholi
nergic
Beta2
agonist
For SOB
5. Budecort Budesonide 128m
cg
P/N TID Corticost
eroid
For SOB
14. DRUG INTERACTIONS
• Moderate :
1.Metoprolol and Albuterol : Metoprolol can cause
narrowing of the airways, which may worsen breathing
problems
Management : Generally be avoided or the dosage should
start low, preferably in divided doses to avoid
2.Metoprolo and Budesonide : Corticosteroids may
antagonise the effect of anti-HTN medications by using
sodium and water retention
Management : Ptn should be monitored regularly for BP,
electrolytes levels and body weight
15. PATIENT COUNSELING
• About Disease : CAD, also called coronary heart disease.
The arteries, get plaque on their inner walls, which can make them
more rigid and narrowed. This restricts blood flow to your heart
muscle, which can then become starved of oxygen.
The plaque could rupture, leading to a heart attack or sudden cardiac
death.
It is mainly caused due to
HTN
DM
Obesity
Smoking
High cholesterol
16. • About drugs :
Pantoprazole : Should b swallowed whole,donot split,
crush/chew. Should be taken 30 min before meal
Metoprolol : Administer with or immediately following
food
Nitrostat : Swallow it as whole, taken with or without food.
Duolin : Administer via jet nebulizer to an air compressor
with an adequate air flow, equipped with a mouthpiece.
Budesonide : Do not use ultrasonic nebulizers.
17. LIFE SYLE MODIFICATIONS
Stop smoking – smoking is toxic to your heart and the
blood vessels
Eat healthy diet – avoid food containing
fat,cholesterol,salt and sugar
Get exercise – do exercise 30 min / day or 5 times in a
week
Reduce or avoid excess weight
Discontinue alcohol consumption – alcohol may
increase the levels of TG in blood and can leads to
atherosclerosis
Control BP