The document provides a scheme for comprehensively taking a patient's case history and conducting a physical examination. It outlines 11 sections for the history, including chief complaints, past medical history, family history, habits, and gynecological/obstetric history. The physical exam section details a general survey, examination of the 8 systems, special examinations of the channels of circulation, and cardiovascular assessment. The summary provides the essential framework and components for obtaining a full medical history and physical from a patient.
Gridhrasi is defined as Stambha (stiffness), Ruk (pain), Toda (pricking pain) in a radiating manner along with Spandana (tingling sensation) starting from Kati Pradesha (low back) to Prushtha (back), Janu (knee joints), Jangha (calf muscles) and Pada (dorso lateral aspect of feet) of either one side of the lower limb or may involve both lower limbs. This condition makes raising of the affected leg difficult.
Sandhigata Vata is the type of pathogenesis involved in various disease conditions affecting the joints, e.g. osteoarthritis, rheumatoid arthritis, etc. and causing pain in affected joints.
Gridhrasi is defined as Stambha (stiffness), Ruk (pain), Toda (pricking pain) in a radiating manner along with Spandana (tingling sensation) starting from Kati Pradesha (low back) to Prushtha (back), Janu (knee joints), Jangha (calf muscles) and Pada (dorso lateral aspect of feet) of either one side of the lower limb or may involve both lower limbs. This condition makes raising of the affected leg difficult.
Sandhigata Vata is the type of pathogenesis involved in various disease conditions affecting the joints, e.g. osteoarthritis, rheumatoid arthritis, etc. and causing pain in affected joints.
Ayurvedic Concept of Srotas
By Prof. Dr. R. R. Deshpande
• This PPT is very useful for students ,teachers of 1st , 2nd , 3rd ,4th BAMS
• Also useful for Medical Practitioners
• PPT includes Medicinal plants mentioned in CCIM Syllabus
• PPT Contain --- Ayurvedic Concept of Srotas ,Causes for the Pathology of Srotas ,Clinical Features of Pathological Srotas ,Treatment for Pathology in Srotas
• Personal & On line classes for BAMS students are available in Marathi or Hindi or English Language
• visit – www.ayurvedicfriend.com
Phone – 922 68 10 630
Mail ID – professordeshpande@gmail.com
astasthana pareeksha-
1.Nadi -The pulse
2.Mootram – The urine
3.Malam --The faeces
4.Jihwa – The tongue
5.Sabda – The voice
6.Sparsa – Examination by palpation
7.Drik -- The eyes
8.Akriti – Dimentions of the body
Ayurvedic Concept of Srotas
By Prof. Dr. R. R. Deshpande
• This PPT is very useful for students ,teachers of 1st , 2nd , 3rd ,4th BAMS
• Also useful for Medical Practitioners
• PPT includes Medicinal plants mentioned in CCIM Syllabus
• PPT Contain --- Ayurvedic Concept of Srotas ,Causes for the Pathology of Srotas ,Clinical Features of Pathological Srotas ,Treatment for Pathology in Srotas
• Personal & On line classes for BAMS students are available in Marathi or Hindi or English Language
• visit – www.ayurvedicfriend.com
Phone – 922 68 10 630
Mail ID – professordeshpande@gmail.com
astasthana pareeksha-
1.Nadi -The pulse
2.Mootram – The urine
3.Malam --The faeces
4.Jihwa – The tongue
5.Sabda – The voice
6.Sparsa – Examination by palpation
7.Drik -- The eyes
8.Akriti – Dimentions of the body
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Ayurveda , the Indian system of medicine is a very old system of diagnosis and treatment. Ayurveda have developed its own way for diagnosis of disease and after that a suitable treatment. The slide show will provide you information for the methods of clinical diagnosis.
In this presentation I'm focusing on head and face general examination through high quality images and videos, and I hope you will find it usefull and not boring.
This presentation prepared by Muhammad Jabar a medical student from university of Sulaimany.
Here you can know about nadi pareeksha (pulse diagnosis) - An Authentic scientific approach. These information is being provided by Chandigarh Ayurved Centre. We provides best Ayurvedic and Panchakarma Treatment in Chandigarh.
it was a case study on hypothyroidism in pediatric patient pharmaceutical care plan ,Diagnostic Technics ,treatment and patient counseling was given to the patient representative.
“Medicine History Taking Made Simple: A Concise Guide”
This PowerPoint presentation simplifies the process of medical history taking for healthcare professionals. With clear and easy-to-follow slides, it breaks down the essential steps and key components of gathering patient information effectively. From initial patient rapport building to documenting pertinent medical details, each slide provides practical tips and strategies for streamlining the history-taking process. Whether you’re a medical student, resident, or practicing physician, this presentation offers a straightforward approach to mastering the art of collecting accurate and comprehensive medical histories. Simplify your practice and enhance patient care with this concise guide to medicine history taking.
MANAGEMENT OF GUILLAIN BARRE SYNDROME THROUGH AYURVEDA-A CASE STUDY Dr Amritha Edayilliam
Guillain-Barré syndrome (GBS) is an acute, rapidly evolving are flexic motor paralysis with or without sensory disturbance. It occurs year around at arate of between 1 and 4 cases per 100,000 annually. Age is an important factor determining outcome, and prognosis.Direct correlation of GBS with Ayurvedic terminology is difficul. Here a case of 7 year old female child presented with sudden onset of loss of power in lower limb, unable to get up, walk and stand with a past history of fever brought to OPD of SKAMC&HRC Bangalore. She was provisionally diagnosed as a case of acute inflammatory demyelinating polyneuropathy (AIDP-type of GBS). As per Ayurvedic classics, this condition we have taken as Sarvangavata (Vata affecting the whole body) which precedes Jwara (H/O fever before onset of symptoms). Hence, the line of treatment we have adopted Jwara Chikitsa and Vatavyadhichikitsa which included Aamapachana as well as Brihmanachikitsa along with Shamanoushadhis. The outcome was very remarkable with the patient able to walk on her own.
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE
STUDENT NAME:
DATE OF ASSIGNMENT: 05/11/2020
Patient Initials: J.T.
Date of Encounter: 05/06/2020
Sex: Male
Age/DOB/Place of Birth: 12yo, DOB: 05/03/2008, Miami, FL
SUBJECTIVE
Historian: Patient J.T.
Present Concerns/CC: “My throat has been hurting recently”
Reason given by the patient for seeking medical care “in quotes”
Child Profile: (Sexual History (If appropriate); ADLs (age appropriate); Safety Practices; Changes in daycare/school/after-school care;
Sports/physical activity; Developmental Hx)
Patient is sexually inactive, a student at a local middle school, spends his time at home due to the COVID-19 pandemic, otherwise he enjoys playing videogames with his friends all day. The patient spends all of his time at home recently due to the pandemic but would otherwise go out with her family and friends sometimes.
HPI: (must include all components - OLD CARTS)
Patients throat began to hurt 2 days ago. It worsened over the past day, but he states that it is now around the same as yesterday. He states that he can still swallow food and drink, but it hurts when it passes his throat. It is present at all times of day, from when he wakes up, to when he goes to bed. The pain is localized at the back of this throat. It is dull and described as a 3/10. His mother has given him a honey and lime mixture that he states helps for a short while.
Medications: (List with reason for meds)
Patient not currently taking any medication
PMH:
Allergies: Dog hair, cat hair
Medication Intolerances:
None
Chronic Illnesses/Major traumas:
None
Hospitalizations/Surgeries:
None
Immunizations: All vaccines up to date with the exception of the most recent influenza vaccine.
Family History (please identify all immediate family)
Mother: 32 years old, no current health problems
Father: 34 years old, no current health problems
Social History (Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, and marijuana. Safety status)
Middle school student. Does not work. Lives with his parents and 2 brothers, one 6, the other 2 years old. Parents are married. Does not drink alcohol. Does not use recreational drugs, does not use tobacco products, does not smoke, does not vape. The patient states feeling safe at home with his family.
Review of Systems (ROS)
General
Denies fevers, chills, nausea, and vomiting
Cardiovascular
Denies chest pain, pressure, palpitations
Skin
Denies lesions, itching, or redness.
Respiratory
Denies shortness of breath, denies cough, denies difficulty breathing
Eyes
Denies blurred vision, denies visual loss, denies double vision
Gastrointestinal
Denies nausea and vomiting, denies abdominal pain, denies diarrhea, and bloody stools.
Ears
Denies hearing loss, pain, or dra.
Effect of Eranda Taila as a Pain Management in Amavata A Case Studyijtsrd
Vata associated with Ama creating a disease known as Amavata. Ama is due to the derangement of Agni digestive power . The clinical entity of Amavata can be correlated with rheumatoid arthritis. RA is a long term autoimmune disorder that primarly affects joints causing warmth, swelling and pain. In Rheumatoid arthritis, the body’s immune system attacks its own tissue including the joints. Rheumatoid Arthritis is a chronic inflammatory disorder affecting many joints, including those in the hands and feet. The study was carried out in a clinically diagnosed cases of Amavata rheumatoid arthritis . An attempt was made to assess the efficacy of Murchita Eranda taila as Shamana Snehapana in Amavata Rheumatoid Arthritis . Dr. Naseema Nadaf | Dr. Manjunath Akki | Dr. Suresh N Hakkandi "Effect of Eranda Taila as a Pain Management in Amavata: A Case Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-6 , October 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52095.pdf Paper URL: https://www.ijtsrd.com/medicine/ayurvedic/52095/effect-of-eranda-taila-as-a-pain-management-in-amavata-a-case-study/dr-naseema-nadaf
History Taking
1.Name, age, sex, marital status, occupation, address (Demographics)
2. Presenting complaints
3. History of present illness
4. Systemic inquiry
5. Past history
6. Menstrual history
7. Treatment history
8. Family history
9. Personal and social history
10. Occupational history
In Charaka explains Dashavidha Pariksha Bhavas and
while explaining the aspect of of Desha, Desha is divided into
Bhumi and Deha Desha,Under Deha Desha, Dasha Vidha Atura Pariksha are explained,Dashavidha pariksha is one of important daignostic tool explained in Ayurveda ,in the context of दशविध परीक्षा भािा’ s.
in Ayurveda,Ashtashana pareeksha is one among the different
methods of rogi pareeksha.
• It is mentioned in yogaratnakara.
• Here the physician examines 8 specific sites of patients.
Disease is very old nothing has changed it is we who
changed,The one which gives pain to body called roga,Nidana means the factors responsible for producing disease ie. etiological factors
The science with describes roga by means of nidana
purvaroopa,roopa,samprapthi,upashaya,anupashaya,and sadhyaasadhyata called Roganidana and Vikriti Vijnana
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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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