This document provides information about metastatic breast cancer including its stages and symptoms. It presents a case study of a 32-year-old female patient diagnosed with metastatic breast cancer that has spread to her lungs. Her medical history, test results, diet recalls from home and the hospital, and a discharge diet plan are described in detail. Nutritional counseling tips focus on maintaining a high calorie and high protein diet to meet her needs while undergoing cancer treatment.
This presentation covers all the basic aspects regarding the breast cancer including the introduction, types, causes, diagnosis and treatment of breast cancer
This presentation covers all the basic aspects regarding the breast cancer including the introduction, types, causes, diagnosis and treatment of breast cancer
This Presentation gives a concise summary of the various aspects related to Lung cancer. it will be more helpful for the Clinical Pharmacy student as well as other medical student.
PCOS IS THE THIEF OF WOMENHOOD........an enigmatic condition must be understood and managed according to the age it presents.......contact dr jaideep at jaideep malhotraagra@gmail.com for CME AND WORKSHOPS IN YOUR CITY
Mark Perloe, M.D., Reproductive Endocrinologists, Georgia Reproductive Specialists, shares the latest information about PCOS. For more information, visit www.IVF.com/pcostreat.html.
This Presentation gives a concise summary of the various aspects related to Lung cancer. it will be more helpful for the Clinical Pharmacy student as well as other medical student.
PCOS IS THE THIEF OF WOMENHOOD........an enigmatic condition must be understood and managed according to the age it presents.......contact dr jaideep at jaideep malhotraagra@gmail.com for CME AND WORKSHOPS IN YOUR CITY
Mark Perloe, M.D., Reproductive Endocrinologists, Georgia Reproductive Specialists, shares the latest information about PCOS. For more information, visit www.IVF.com/pcostreat.html.
Good nutrition for women starts with a well-rounded diet consisting of whole grains, fresh fruits and vegetables, healthy fats, and lean sources of protein. In addition, women have specific vitamin and mineral requirements throughout their lifespan to promote good health. This program will cover establishing good nutrition habits that will provide women with plenty of energy and the means for lifelong weight control.
Diabetes Mellitus
Evelyn Schumacher, MS, RD, CDE, Shands Jacksonville
May 27. 2005 - UNF Hispanic Health Issues Seminar
This is part 4 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Life Style Modifications IN PCOD Dr. DEEPIKA KOHLI / Dr. SHARDA JAIN / Dr. J...Lifecare Centre
Polycystic Ovarian Disease (PCOD)
Woman’s hormones go out of balance in PCOD.
It can cause problems with menstrual periods and ovulation, making her difficult to get pregnant
Discussion will be on the demographics, risk factors, signs and symptoms and basic treatment plans of diabetes with emphasis on lifestyle modifications regarding diet and exercise for famlies of troops.
Themes of previous World Diabetes Day campaigns have focused on different factors that influence the risk of diabetes and its complications. The theme for 2021–2023 is Access to Diabetes Care. Taking charge of your diabetic care with knowledge of informed decisions.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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.
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.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
3. STAGES OF BREAST CANCER
Stage 0
Ductal carcinoma in situ. In stage 0, there is no evidence of
cancer cells.
Stage I
• The tumour measures up to 2 cm
• The cancer has not spread outside
the breast; no lymph nodes are
involved
IA Stage
• There is no tumour in the breast;
instead, small groups of cancer cells
• larger than 0.2 mm but not larger than
2 mm – are found in the lymph nodes.IB Stage
4. STAGE II
• No tumour can be
found in the breast, but
cancer cells are found
in the lymph nodes
under the arm.
IIA
• The tumour is larger
than 2 cm but no larger
than 5 cm and has
spread to the axillaries
lymph nodes
IIB
5. STAGE III
IIIA
• The cancer is any size and has spread to
axiliiary lymph nodes, which are clumped
together or sticking to other structures
IIIB
• The cancer may be any size and has
spread to the chest wall and/or skin of the
breast.
IIIC
• The cancer has spread to lymph nodes
above or below the collarbone and near to
breast bone.
6. STAGE IV
Stage IV describes invasive breast cancer that has spread
beyond the breast and nearby lymph nodes to other organs of
the body, such as the lungs,skin, bones, liver, or brain.
7. CASE STUDY
PERSONAL INFORMATION
Name: ABC
Age and sex: 32 years old Female
Admit Date: 1-11-12
Discharged Date: 13-11-12
Blood group: A+
Diagnosis: Metastatic Ca of right Breast.
8. PERSONAL INFORMATION
Anthropometric measurements:
Weight: - 65 kg.
Height: 154cm
BMI= wt/ht(mt)2
BMI: 27
IBW = Ht(in cm) -100
154-100= 54
IBW: 54 kg.
Weight Status- 65-54=9 (Patient is 9 kg Overweight)
9. PERSONAL INFORMATION
Personal information
Marital status : Single
Software engineer
Eating Pattern: Veg and Non Veg.
Family History:
Family member : 4
Income : 30,000
Diabetes Mellitus : No History in Family
Cancer: Mother had Cancer of left Breast. Operated 9 years
ago.
Hypertension : Mother
Allergy: None
11. TESTS
OTHER TESTS:-
CT scan (Abdo+ Pelvis+ Chest): Multiple mass scattered in
both the lungs largest 3.3*2 evidence of 7*7.4 cm neurotic
mass in right anterior chest wall involving the pectorals
muscle and extending intrathorasically into the pleura.
Blood culture: No any growth till now.
HIV : Negative
HCV: Negative
HBS Ag : Negative
12. CASE INTERPRETATION
Patient medical history show that she is known case of
Metastatic breast Cancer.
Above mentioned biochemical parameters shows that
Haemoglobin, Sodium, potassium level were lower than
normal range except WBC was observed.
Patient was undergoing chemotherapy; Due to Port infection
patient was in febrile condition.
13. HOME RECALL
Time Meal Menu
9:00am Breakfast Bread butter and Tea with sugar
11:00am Mid morning Milkshakes with sugar
12:15pm Mid morning ½ apple
1:00pm Mid morning Almond and Walnuts
2:00pm Lunch 1K dal, 1K Rice, Palak soup, fish
curry,1K bhaji, Salad
4:00pm Evening Snacks Tea and biscuits with sugar
7:00pm Mid evening Beet root juice and chikki, chakali
9:30pm Dinner 1Roti, 1k vegetable
11:00pm Bed time Milk with sugar
20. DISTRIBUTION OF MEALS
Exchange Total
Early
Morning
Morning
Mid
morning
Lunch Snack
Mid
evening
Dinner
Bed time
Cereal 6.5 1 2.5 1 2
Pulse 4 1 1.5 1.5
Milk 5 1/3 1 1 2/3 1/3 2/3
1
Vegetable 3 0.5 1
0.5
1
Potato 2 1 1
Fruit 1
1
Sugar 5 1 1 1 1
1
Oil 5 1 1.5 1 1.5
Interpretation: Patient’s Hospital diet intake was adequate.
21. HOSPITAL RECALL
DAY TOTAL
ENERGY
( Kcal)
CHO
( gm)
PROTEIN
(gm)
FAT
(gm)
Day 2 2230 352.5 78.85 60.25
Day 3 2297 350.5 83.55 66.25
Patient’s hospital diet intake was adequate.
22. NUTRITIONAL ASSESSMENT
HEIGHT: 154cms
WEIGHT: 65 Kg
BMI: 27
In spite of being overweight this Patient was recommended
high calorie and high protein diet.
as she was undergoing further cancer treatment.
23. DISCHARGE DIET
Time Meal Menu
9.00 am Breakfast- 1K Poha (upma/sewai upma/ rice
dosa/Cornflakes)+ Fruit+ a glass of
milk, with sugar
11.00 Mid morning Lime water/milkshakes
12:12pm ½ apple
1:00pm Almond, Walnuts, dry ruits
2.00pm Lunch 2 chapati(add spoonful of soya
flour) +1/2 rice+1/2k dal+1/2k
bhaji+1/2k salad + 1 Fish+ Any
Sweet(Milk based) with sugar
4.00pm Snacks 1k bhel(White Dhokla, Khakra, rice
flakes or Oats chiwda) with lemon
squeezed+ Marie biscuits+
TEA/Coffee with sugar
7:00pm Mid Evening Juices/ Milkshakes
8:00pm Dry fruit chikki, Chakali
9.30pm Dinner 2chapati+ ½ rice+1/2k
dal+1/2kbhaji+ 1k Panner+1/2k
salad
11.00pm Bed time 1 glass of milk (with Sugar)
25. DISTRIBUTION OF MEALS
Exchange Total Morning
Mid
morning
Lunch Snack
Mid
evening
Dinner
Bed time
Cereal 7.5 1 3 1 2.5
Pulse 1 0.5 0.5
Milk 5 1 1 1/ 2 ½ 1
1
Fish 1 1
Biscuits 0.5 0.5
Vegetable 3 0.5 1 0.5 1
Nuts 1
1/3
1/3
1/3
Fruit 2 1
1
Sugar 5 1 1 1
2
Oil 5 1 2 2
26. GENERAL INSTRUCTION
Troubled with Try
Nausea or vomiting Eat five or six smaller meals instead of three larger meals.
Eat dry or salty foods: toast, crackers, biscuits.
Eat frequent sips of fluids such as lemonades, gingerale or suck ice
candies.
Avoid spicy, strong odoured and thick gravy foods.
Avoid high-fat and oily foods.
Constipation Drink plenty of fluids (8-10 glasses per day).
Include foods high in fiber or bulk: whole fruits and vegetables, whole
grains, bran, oatmeal, whole pulses, flax seeds, papaya etc.
Avoid refined and processed food items.
Diarrhea Drink plenty of liquids such as coconut water, fruit juices, buttermilk,
rice kanji or a thin gruel of cereal and dals.
Eat yogurt instead of milk.
Eat only cooked vegetables.
Avoid foods high in bulk or fiber: raw vegetables, whole grains, bran.
Avoid foods that cause gas or cramping: beans, cabbage, broccoli,
spicy foods, and carbonated beverages.
27. COUNSELLING TIPS
Patient is recommended high calorie and high protein diet.
Intake of Vitamin C rich fruits and vegetables like Amla,
Guava, Orange, Pineapple, Lemon, Capsicum etc. This will
help to improve immunity.
Include dry fruits like Dry dates, dates, fig, Jardalu etc. And
Nuts and oilseeds like Almond, Walnuts, Flax seeds, Garden
crass seeds etc.
Include all milk and milk products like Khoa, Paneer, yogurt,
buttermilk, curd, Lassi etc. and Non-vegetarian food especially
fish, chiken,egg which will meet protein requirement.
28. COUNSELLING TIPS
Wash Fruits and vegetables before using with warm water to
avoid infection.
Drink 2-3 Lit of water/day.
Restrict intake of Refined or processed food like Maida
products Pizza, burger, maggi, biscuits, Bread, bakery
products, pastries etc.
Restrict the intake of outside food like Vada pav, Misal, pav
bhaji, pakoda etc.
Include all food groups to have balanced diet.
Include Oestrogen rich food like Soya and Products (Flour,
chungs, Tofu, soya milk etc.)