CHARCOT'S JOINT- ORTHOPEDIC PRESENTATION.pptx
•Download as PPTX, PDF•
0 likes•1 view
Charcot's joint as a neuropathic osteoarthropathy is a destructive joint disorder initiated by trauma to a neuropathic extremity.
Report
Share
Report
Share
Recommended
Dio bh
This document discusses diabetes and its effects on the orthopedic system, with a focus on the diabetic foot. It covers the pathophysiology of diabetes and how it can lead to complications like neuropathy, vasculopathy, and immunopathy. These complications increase the risk of issues like diabetic foot ulcers and Charcot arthropathy. The document outlines treatments for various conditions like total contact casting, antibiotics, and surgery. It also describes classifications of diabetic foot ulcers and Charcot arthropathy to help guide treatment decisions.
Diabetics in Orthopedics
Diabetes can cause many complications affecting the feet including neuropathy, vasculopathy, and immunopathy which increase risks for foot ulcers and infections. Neuropathy damages nerves through multiple pathways like reactive oxygen species, impairing sensation and motor function. Vasculopathy damages blood vessels increasing risks of ischemia. Immunopathy impairs immune response to infection. Charcot arthropathy is a condition where loss of autonomic control and sensation leads to repetitive micro-trauma and bone destruction in the foot. Treatment involves wound care, offloading pressure through casting, surgery to correct deformities or remove infected tissue, and managing underlying complications of diabetes.
Peripheral neuropathy
This document provides an overview of peripheral neuropathies. It discusses that peripheral neuropathies can involve sensory nerves, motor nerves, or both, and may affect single or multiple nerves. The document then covers the clinical presentation and classification of different types of neuropathies, including those that primarily affect the cell body, myelin, or axon. It also lists common causes of peripheral neuropathies like diabetes, paraproteinemia, alcohol misuse, and discusses their prevalence. The temporal course, symptoms, and assessment of peripheral neuropathies are discussed in detail.
Ghega
Neuropathic arthropathy, also known as Charcot arthropathy, is a condition characterized by progressive joint destruction and deformity caused by loss of sensation in the joints. It is most commonly seen in patients with diabetes or neurological disorders. The main theories for its pathophysiology are neurotrauma from repetitive micro-injuries without pain perception, and neurovascular changes that increase bone resorption. Treatment involves initial casting to immobilize the joint, followed by bracing, orthotics, and immobilization over the course of 1-2 years to allow healing. Surgical options like fusion or reconstruction may be used for advanced cases or deformity correction.
Pruritus
Pruritus, or itch, is a sensation that provokes the desire to scratch. Chronic pruritus lasts more than 6 weeks and can be caused by skin diseases or systemic diseases. Itch is transmitted through unmyelinated C fibers and is a distinct sensation from pain. Scratching provides temporary relief by stimulating myelinated fibers or damaging sensory nerve endings. Management of pruritus involves general skin care, topical agents like corticosteroids, calcineurin inhibitors, local anesthetics, and antihistamines, as well as treating any underlying cause.
Monoarthritis
This 62-year-old lady presented with 5 days of painful right knee associated with redness and limping after trauma to the knee. Examination found fullness, redness, tenderness, warmth and restricted movement of the right knee. Differential diagnoses included fracture, septic arthritis, and allergy.
Monoarthritis
This 62-year-old lady presented with 5 days of painful right knee associated with redness and limping after trauma to the knee. Examination found fullness, redness, tenderness, warmth and restricted movement of the right knee. Differential diagnoses included fracture, septic arthritis, and allergy.
Approach to patient with peripheral neuropathy
This document provides an overview of approaches to evaluating and diagnosing peripheral neuropathy. It discusses 9 patterns seen in peripheral neuropathy and the key considerations for each. The patterns include distal symmetric, asymmetric distal weakness, proximal and distal symmetric involvement, asymmetric proximal and distal weakness, asymmetric distal weakness without sensory loss, symmetric weakness without sensory loss, symmetric sensory loss and distal areflexia, asymmetric proprioceptive sensory loss without weakness, and autonomic symptoms and signs. For each pattern, common causes are outlined along with important historical and examination findings.
Recommended
Dio bh
This document discusses diabetes and its effects on the orthopedic system, with a focus on the diabetic foot. It covers the pathophysiology of diabetes and how it can lead to complications like neuropathy, vasculopathy, and immunopathy. These complications increase the risk of issues like diabetic foot ulcers and Charcot arthropathy. The document outlines treatments for various conditions like total contact casting, antibiotics, and surgery. It also describes classifications of diabetic foot ulcers and Charcot arthropathy to help guide treatment decisions.
Diabetics in Orthopedics
Diabetes can cause many complications affecting the feet including neuropathy, vasculopathy, and immunopathy which increase risks for foot ulcers and infections. Neuropathy damages nerves through multiple pathways like reactive oxygen species, impairing sensation and motor function. Vasculopathy damages blood vessels increasing risks of ischemia. Immunopathy impairs immune response to infection. Charcot arthropathy is a condition where loss of autonomic control and sensation leads to repetitive micro-trauma and bone destruction in the foot. Treatment involves wound care, offloading pressure through casting, surgery to correct deformities or remove infected tissue, and managing underlying complications of diabetes.
Peripheral neuropathy
This document provides an overview of peripheral neuropathies. It discusses that peripheral neuropathies can involve sensory nerves, motor nerves, or both, and may affect single or multiple nerves. The document then covers the clinical presentation and classification of different types of neuropathies, including those that primarily affect the cell body, myelin, or axon. It also lists common causes of peripheral neuropathies like diabetes, paraproteinemia, alcohol misuse, and discusses their prevalence. The temporal course, symptoms, and assessment of peripheral neuropathies are discussed in detail.
Ghega
Neuropathic arthropathy, also known as Charcot arthropathy, is a condition characterized by progressive joint destruction and deformity caused by loss of sensation in the joints. It is most commonly seen in patients with diabetes or neurological disorders. The main theories for its pathophysiology are neurotrauma from repetitive micro-injuries without pain perception, and neurovascular changes that increase bone resorption. Treatment involves initial casting to immobilize the joint, followed by bracing, orthotics, and immobilization over the course of 1-2 years to allow healing. Surgical options like fusion or reconstruction may be used for advanced cases or deformity correction.
Pruritus
Pruritus, or itch, is a sensation that provokes the desire to scratch. Chronic pruritus lasts more than 6 weeks and can be caused by skin diseases or systemic diseases. Itch is transmitted through unmyelinated C fibers and is a distinct sensation from pain. Scratching provides temporary relief by stimulating myelinated fibers or damaging sensory nerve endings. Management of pruritus involves general skin care, topical agents like corticosteroids, calcineurin inhibitors, local anesthetics, and antihistamines, as well as treating any underlying cause.
Monoarthritis
This 62-year-old lady presented with 5 days of painful right knee associated with redness and limping after trauma to the knee. Examination found fullness, redness, tenderness, warmth and restricted movement of the right knee. Differential diagnoses included fracture, septic arthritis, and allergy.
Monoarthritis
This 62-year-old lady presented with 5 days of painful right knee associated with redness and limping after trauma to the knee. Examination found fullness, redness, tenderness, warmth and restricted movement of the right knee. Differential diagnoses included fracture, septic arthritis, and allergy.
Approach to patient with peripheral neuropathy
This document provides an overview of approaches to evaluating and diagnosing peripheral neuropathy. It discusses 9 patterns seen in peripheral neuropathy and the key considerations for each. The patterns include distal symmetric, asymmetric distal weakness, proximal and distal symmetric involvement, asymmetric proximal and distal weakness, asymmetric distal weakness without sensory loss, symmetric weakness without sensory loss, symmetric sensory loss and distal areflexia, asymmetric proprioceptive sensory loss without weakness, and autonomic symptoms and signs. For each pattern, common causes are outlined along with important historical and examination findings.
Peripheral neuropathy
This document discusses peripheral neuropathy, including:
1. It defines peripheral neuropathy and describes the different types that can affect motor, sensory, or autonomic nerves.
2. It outlines various causes of peripheral neuropathies including hereditary, infectious, inflammatory, metabolic, toxic, and more.
3. It describes the clinical presentations of different types of peripheral neuropathies based on the affected nerves and provides examples.
Joint pain and it's management .pptx
This document provides an overview of how to approach a patient presenting with joint pain. It discusses how the pain may occur only at rest or only with activity. The physical exam aims to localize the source and understand the pathophysiology by assessing for signs of inflammation, functional impairment, swelling, range of motion, and tendon issues. Taking a thorough history is important to generate differential diagnoses and evaluate features like onset, duration, joint involvement, and extra-articular manifestations that may indicate underlying conditions like rheumatoid arthritis or lupus.
Approach to arthritis
This document provides an overview of how to approach a patient with arthritis. It describes common symptoms of arthritis and how to differentiate between inflammatory and non-inflammatory types based on history, physical exam findings, pattern of joint involvement, onset and duration of symptoms, and additional features. It discusses specific types of arthritis like osteoarthritis, gout, pseudogout, septic arthritis, rheumatoid arthritis, seronegative spondyloarthritides, and others. It provides guidance on diagnostic tests, imaging, and treatment approaches for different arthritis conditions.
08 Complications of DM.ppt
This document discusses the major complications of diabetes mellitus, including macrovascular complications like coronary artery disease and stroke, microvascular complications affecting the eyes, kidneys, and nerves, and other issues like infections. It provides detailed information on the pathogenesis and management of various complications. The main points are that cardiovascular disease is the leading cause of death in diabetics, and that better control of blood sugar can reduce the risk of developing and progression of complications over time.
approach to joint pain in pediatrics and treatment of join painpptx
Arthritis in childhood commonly presents as monoarthritis rather than polyarthritis. Acute monoarthritis lasting less than 2 weeks can be caused by septic arthritis, reactive arthritis, hemarthrosis, or trauma. It is important to determine if the child appears systemically well or sick, and consider features suggestive of local or systemic infection, bleeding diathesis, or the nature of symptom onset. A thorough history, examination, and laboratory/radiological investigations can help identify the underlying cause.
PERIPHERAL NEUROPATHY
I. The peripheral nervous system carries signals between the central nervous system and the rest of the body. It has three main components - cranial, spinal, and autonomic. There are three main types of nerve fibers - A, B, and C - which differ in diameter, myelination, and function.
II. Peripheral neuropathies can be acquired through systemic diseases, trauma, infections, or inherited genetically. Common acquired neuropathies include diabetic neuropathy, Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, and alcoholic neuropathy. Inherited forms include Charcot-Marie-Tooth disease and hereditary liability to pressure palsies.
Clinical approach to Arthritis
This document provides guidance on approaching a case of arthritis by discussing the history, signs, symptoms, patterns, screening tests, and types of arthritis. It outlines the key differences between inflammatory and non-inflammatory arthritis, acute vs chronic presentations, monoarticular vs polyarticular involvement, and symmetric vs asymmetric distribution. Screening tests are recommended based on whether the arthritis presentation is acute polyarthritis, chronic polyarthritis, or diffuse arthralgias and myalgias.
diabetesmellitus-141029144107-conversion-gate01 2.pptx
This document summarizes musculoskeletal manifestations and considerations for orthopedic surgeons in patients with diabetes mellitus. It describes increased risks of conditions like limited joint mobility, adhesive capsulitis, Dupuytren's contracture, and diabetic foot complications in diabetics. It also provides classifications and evaluations for diabetic foot ulcers and Charcot neuroarthropathy. Management involves optimizing glycemic control, offloading pressures, wound care, and possible surgery. Surgeons must consider higher risks of infection and impaired healing in diabetic patients.
Year 3 Rheumatology Course
This document provides an overview of several rheumatological conditions including osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, and seronegative arthritides such as reactive arthritis, ankylosing spondylitis, and enteropathic arthritis. Key details are provided on the epidemiology, pathology, signs and symptoms, investigations, and management of each condition. The document is intended as a guide for an OSCE station on rheumatology topics.
Peripheral neuropathy
The document discusses various types of peripheral neuropathy, including definitions, mechanisms of damage, classification based on examination findings, associated laboratory and diagnostic testing, and treatment approaches. Peripheral neuropathy can be caused by numerous systemic diseases and conditions and presents with a variety of symptoms depending on the affected nerve fibers and distribution of the neuropathy. A thorough evaluation is required to determine the underlying cause and guide management strategies.
Approach towards a case of musculoskeletal disorder.#
This document provides guidance for doctors on evaluating musculoskeletal complaints during initial patient encounters. It describes determining if the issue is articular or peri-articular, inflammatory or non-inflammatory, acute or chronic, and localized or widespread. Characteristics of articular vs. nonarticular disorders are outlined. Inflammatory conditions are distinguished from mechanical issues based on factors like stiffness, pain, and physical findings. Acute vs. chronic disorders are defined as less or greater than 6 weeks respectively. Extent of joint involvement from monoarticular to polyarticular is also addressed. Rheumatoid arthritis diagnosis criteria and distinguishing features from similar conditions are reviewed. Investigations like blood tests, synovial fluid analysis, and imaging are also summarized
Seronegative spondyloarthropathies
The document discusses seronegative and seropositive spondyloarthropathies. It describes the key characteristics of several types of spondyloarthropathies including ankylosing spondylitis, reactive arthritis, psoriatic arthritis, and arthritis associated with inflammatory bowel disease. Imaging findings are an important part of diagnosis and include changes in the sacroiliac joints and spine seen on radiography as well as MRI findings. HLA-B27 positivity is also discussed as a predictor for some types.
4. Peripheral-Neuropathy.ppt
Peripheral neuropathy is damage to the peripheral nervous system, affecting nerves outside of the brain and spinal cord. It can be caused by diseases of the nerves themselves or systemic illness. There are several types including mononeuropathy (affecting a single nerve), mononeuritis multiplex (affecting multiple individual nerves), and polyneuropathy (affecting many nerves symmetrically). Common causes include diabetes, alcohol use, toxins, genetics, and metabolic conditions. Symptoms vary depending on the type and nerves involved but may include pain, numbness, tingling, muscle weakness and loss of sensation. Diagnosis involves clinical exams, nerve conduction tests, and identifying underlying causes. Treatment focuses on managing the cause, treating pain symptoms
Rheumatology Rapid Review
A short review of rheumatological diseases.
Rheumatoid Arthritis, Gout, Ankylosing Spondylitis, Systemic Sclerosis, Behcet Disease, Osteoarthritis, etc.
Pharmacotherapy of Rheumatoid arthritis
Rheumatoid arthritis and osteoarthritis are common forms of arthritis. Rheumatoid arthritis is a systemic inflammatory disease that affects the joints and other organs, causing progressive joint deformity if not treated early. It can be a potentially fatal illness with increased risks of infections, renal impairment and cardiovascular disease. Osteoarthritis is the most common joint disorder and affects older individuals, particularly the weight-bearing joints like the hips and knees. It involves the breakdown of cartilage and bone within a joint. Management of both conditions involves conservative measures as well as medications aimed at reducing pain and inflammation.
Charcot joint / Neuropathic Joint
Charcot joint or neuropathic joint are destructed joint occurs in Diabetes, syphilis, syringomyelia , leprosy, AMLS, Peripheral neuropathy and any condition leads to impair sensation of peripheral part of body
The Approach to patient with myalgia.pptx
1) Myalgia, or muscle pain, is a common complaint that can be caused by exertion, trauma, or viral infections. It may indicate underlying disorders.
2) Causes of myalgia include infections, rheumatic diseases, medications, endocrine disorders, and psychiatric conditions. Localized myalgia can be from overuse, soft tissue issues, or compartment syndrome.
3) Evaluation of myalgia involves history of symptoms and onset, exam of muscles and other systems, and sometimes imaging or labs. Management depends on cause but may include heat, rest, analgesics, and NSAIDs.
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of inte...
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of inte...Internal medicine department, faculty of Medicine Beni-Suef University Egypt
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of internal Medicine, Immunology, rheumatology and allergy
How to approach a musculoskeletal pain step by step?
Differentiating different rheumatic diseasesNON THERMAL EFFECTS OF ULTRASOUND THERAPY.pptx
Non-thermal effects of ultrasound - including cavitation, micromassage and acoustic streaming
More Related Content
Similar to CHARCOT'S JOINT- ORTHOPEDIC PRESENTATION.pptx
Peripheral neuropathy
This document discusses peripheral neuropathy, including:
1. It defines peripheral neuropathy and describes the different types that can affect motor, sensory, or autonomic nerves.
2. It outlines various causes of peripheral neuropathies including hereditary, infectious, inflammatory, metabolic, toxic, and more.
3. It describes the clinical presentations of different types of peripheral neuropathies based on the affected nerves and provides examples.
Joint pain and it's management .pptx
This document provides an overview of how to approach a patient presenting with joint pain. It discusses how the pain may occur only at rest or only with activity. The physical exam aims to localize the source and understand the pathophysiology by assessing for signs of inflammation, functional impairment, swelling, range of motion, and tendon issues. Taking a thorough history is important to generate differential diagnoses and evaluate features like onset, duration, joint involvement, and extra-articular manifestations that may indicate underlying conditions like rheumatoid arthritis or lupus.
Approach to arthritis
This document provides an overview of how to approach a patient with arthritis. It describes common symptoms of arthritis and how to differentiate between inflammatory and non-inflammatory types based on history, physical exam findings, pattern of joint involvement, onset and duration of symptoms, and additional features. It discusses specific types of arthritis like osteoarthritis, gout, pseudogout, septic arthritis, rheumatoid arthritis, seronegative spondyloarthritides, and others. It provides guidance on diagnostic tests, imaging, and treatment approaches for different arthritis conditions.
08 Complications of DM.ppt
This document discusses the major complications of diabetes mellitus, including macrovascular complications like coronary artery disease and stroke, microvascular complications affecting the eyes, kidneys, and nerves, and other issues like infections. It provides detailed information on the pathogenesis and management of various complications. The main points are that cardiovascular disease is the leading cause of death in diabetics, and that better control of blood sugar can reduce the risk of developing and progression of complications over time.
approach to joint pain in pediatrics and treatment of join painpptx
Arthritis in childhood commonly presents as monoarthritis rather than polyarthritis. Acute monoarthritis lasting less than 2 weeks can be caused by septic arthritis, reactive arthritis, hemarthrosis, or trauma. It is important to determine if the child appears systemically well or sick, and consider features suggestive of local or systemic infection, bleeding diathesis, or the nature of symptom onset. A thorough history, examination, and laboratory/radiological investigations can help identify the underlying cause.
PERIPHERAL NEUROPATHY
I. The peripheral nervous system carries signals between the central nervous system and the rest of the body. It has three main components - cranial, spinal, and autonomic. There are three main types of nerve fibers - A, B, and C - which differ in diameter, myelination, and function.
II. Peripheral neuropathies can be acquired through systemic diseases, trauma, infections, or inherited genetically. Common acquired neuropathies include diabetic neuropathy, Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, and alcoholic neuropathy. Inherited forms include Charcot-Marie-Tooth disease and hereditary liability to pressure palsies.
Clinical approach to Arthritis
This document provides guidance on approaching a case of arthritis by discussing the history, signs, symptoms, patterns, screening tests, and types of arthritis. It outlines the key differences between inflammatory and non-inflammatory arthritis, acute vs chronic presentations, monoarticular vs polyarticular involvement, and symmetric vs asymmetric distribution. Screening tests are recommended based on whether the arthritis presentation is acute polyarthritis, chronic polyarthritis, or diffuse arthralgias and myalgias.
diabetesmellitus-141029144107-conversion-gate01 2.pptx
This document summarizes musculoskeletal manifestations and considerations for orthopedic surgeons in patients with diabetes mellitus. It describes increased risks of conditions like limited joint mobility, adhesive capsulitis, Dupuytren's contracture, and diabetic foot complications in diabetics. It also provides classifications and evaluations for diabetic foot ulcers and Charcot neuroarthropathy. Management involves optimizing glycemic control, offloading pressures, wound care, and possible surgery. Surgeons must consider higher risks of infection and impaired healing in diabetic patients.
Year 3 Rheumatology Course
This document provides an overview of several rheumatological conditions including osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, and seronegative arthritides such as reactive arthritis, ankylosing spondylitis, and enteropathic arthritis. Key details are provided on the epidemiology, pathology, signs and symptoms, investigations, and management of each condition. The document is intended as a guide for an OSCE station on rheumatology topics.
Peripheral neuropathy
The document discusses various types of peripheral neuropathy, including definitions, mechanisms of damage, classification based on examination findings, associated laboratory and diagnostic testing, and treatment approaches. Peripheral neuropathy can be caused by numerous systemic diseases and conditions and presents with a variety of symptoms depending on the affected nerve fibers and distribution of the neuropathy. A thorough evaluation is required to determine the underlying cause and guide management strategies.
Approach towards a case of musculoskeletal disorder.#
This document provides guidance for doctors on evaluating musculoskeletal complaints during initial patient encounters. It describes determining if the issue is articular or peri-articular, inflammatory or non-inflammatory, acute or chronic, and localized or widespread. Characteristics of articular vs. nonarticular disorders are outlined. Inflammatory conditions are distinguished from mechanical issues based on factors like stiffness, pain, and physical findings. Acute vs. chronic disorders are defined as less or greater than 6 weeks respectively. Extent of joint involvement from monoarticular to polyarticular is also addressed. Rheumatoid arthritis diagnosis criteria and distinguishing features from similar conditions are reviewed. Investigations like blood tests, synovial fluid analysis, and imaging are also summarized
Seronegative spondyloarthropathies
The document discusses seronegative and seropositive spondyloarthropathies. It describes the key characteristics of several types of spondyloarthropathies including ankylosing spondylitis, reactive arthritis, psoriatic arthritis, and arthritis associated with inflammatory bowel disease. Imaging findings are an important part of diagnosis and include changes in the sacroiliac joints and spine seen on radiography as well as MRI findings. HLA-B27 positivity is also discussed as a predictor for some types.
4. Peripheral-Neuropathy.ppt
Peripheral neuropathy is damage to the peripheral nervous system, affecting nerves outside of the brain and spinal cord. It can be caused by diseases of the nerves themselves or systemic illness. There are several types including mononeuropathy (affecting a single nerve), mononeuritis multiplex (affecting multiple individual nerves), and polyneuropathy (affecting many nerves symmetrically). Common causes include diabetes, alcohol use, toxins, genetics, and metabolic conditions. Symptoms vary depending on the type and nerves involved but may include pain, numbness, tingling, muscle weakness and loss of sensation. Diagnosis involves clinical exams, nerve conduction tests, and identifying underlying causes. Treatment focuses on managing the cause, treating pain symptoms
Rheumatology Rapid Review
A short review of rheumatological diseases.
Rheumatoid Arthritis, Gout, Ankylosing Spondylitis, Systemic Sclerosis, Behcet Disease, Osteoarthritis, etc.
Pharmacotherapy of Rheumatoid arthritis
Rheumatoid arthritis and osteoarthritis are common forms of arthritis. Rheumatoid arthritis is a systemic inflammatory disease that affects the joints and other organs, causing progressive joint deformity if not treated early. It can be a potentially fatal illness with increased risks of infections, renal impairment and cardiovascular disease. Osteoarthritis is the most common joint disorder and affects older individuals, particularly the weight-bearing joints like the hips and knees. It involves the breakdown of cartilage and bone within a joint. Management of both conditions involves conservative measures as well as medications aimed at reducing pain and inflammation.
Charcot joint / Neuropathic Joint
Charcot joint or neuropathic joint are destructed joint occurs in Diabetes, syphilis, syringomyelia , leprosy, AMLS, Peripheral neuropathy and any condition leads to impair sensation of peripheral part of body
The Approach to patient with myalgia.pptx
1) Myalgia, or muscle pain, is a common complaint that can be caused by exertion, trauma, or viral infections. It may indicate underlying disorders.
2) Causes of myalgia include infections, rheumatic diseases, medications, endocrine disorders, and psychiatric conditions. Localized myalgia can be from overuse, soft tissue issues, or compartment syndrome.
3) Evaluation of myalgia involves history of symptoms and onset, exam of muscles and other systems, and sometimes imaging or labs. Management depends on cause but may include heat, rest, analgesics, and NSAIDs.
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of inte...
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of inte...Internal medicine department, faculty of Medicine Beni-Suef University Egypt
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of internal Medicine, Immunology, rheumatology and allergy
How to approach a musculoskeletal pain step by step?
Differentiating different rheumatic diseasesSimilar to CHARCOT'S JOINT- ORTHOPEDIC PRESENTATION.pptx (20)
approach to joint pain in pediatrics and treatment of join painpptx
approach to joint pain in pediatrics and treatment of join painpptx
diabetesmellitus-141029144107-conversion-gate01 2.pptx
diabetesmellitus-141029144107-conversion-gate01 2.pptx
Approach towards a case of musculoskeletal disorder.#
Approach towards a case of musculoskeletal disorder.#
New Microsoft Office PowerPoint Presentation (3).pptx
New Microsoft Office PowerPoint Presentation (3).pptx
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of inte...
Holistic Approach to rheumatic patients Ahmed Yehia Ismaeel, Lecturer of inte...
More from HanineHassan2
NON THERMAL EFFECTS OF ULTRASOUND THERAPY.pptx
Non-thermal effects of ultrasound - including cavitation, micromassage and acoustic streaming
Artificial airways presentation 2023.ppt
This document discusses various types of airway devices including nasopharyngeal airways, oropharyngeal airways like Guedel and Berman, and endotracheal tubes. It provides details on the purpose, construction, sizes, indications, contraindications and complications of these devices. Tracheostomy tubes are also summarized, including their parts, advantages over endotracheal tubes, and potential complications. Proper tracheostomy care is outlined.
pathomechanics of thorax explanation.pptx
This document discusses the pathomechanics of the thorax in various respiratory conditions. It describes how conditions like COPD, bronchial asthma, bronchiectasis, pneumonia, pleural effusion, acute respiratory distress syndrome, and lung cancer can alter the normal mechanics and physiology of respiration. Specifically, it notes how these conditions can lead to changes in respiratory rate, chest expansion, breath sounds, lung volumes and capacities, and the use of accessory muscles.
Mechanical Ventilation Lecture Presentation.pptx
This document provides definitions and concepts related to mechanical ventilation. It begins by defining basic terminology like pressures, pressure gradients, and types of ventilation. It then discusses normal breathing mechanics and how mechanical ventilation works. The rest of the document defines various pressures involved in ventilation, describes different modes and settings, and discusses how to monitor patients on ventilators.
Core Dysfunction in children with CP.pptx
Core dysfunction can lead to lower extremity consequences due to poor stability of the lumbo-pelvic-hip complex. Fatigue of core muscles results in altered trunk and lower extremity biomechanics during gait like forward trunk lean, increased knee and hip flexion, and over-reliance on the quadriceps. This places increased stress on the knees and can increase injury risk. Core stability exercises in children help develop a stable base for motor development and allow them to focus on tasks.
Athetoid CP- Therapy Strategies in CP.pptx
1. Therapy for athetoid cerebral palsy aims to minimize secondary problems like contractures, reduce excessive muscle tone, improve mobility and functional skills, and promote independence.
2. Physical therapy must address both excessive muscle co-contraction and periods of no contraction. Treatment techniques and strategies need to change frequently due to variability in muscle tone.
3. Impairments in athetoid CP include difficulty controlling muscle contractions for movement initiation and termination, abnormal timing and initiation of movements, and limited use of muscle synergies for posture and movement.
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
This document provides an overview of neonatal respiratory care. It discusses the embryological development of the respiratory system, anatomical and physiological differences of neonates compared to older children and adults, common respiratory issues in neonates, and physiotherapy techniques used to address respiratory conditions. Physiotherapists play an important role in assessing neonates and utilizing techniques like positioning, percussion, vibration, suctioning, humidification, and airway management to treat respiratory issues related to prematurity, asphyxia, surgery, and time spent in the neonatal intensive care unit. Safety precautions are important when applying these techniques to very small and fragile neonates.
Multiple choice questions on human body Joints.pptx
The document contains multiple choice questions about different types of joints in the human body. It asks about examples of syndesmoses joints (distal tibiofibular joint), joint classifications (sutures unite skull bones, synovial joints have a cavity), joint movements like adduction (movement toward the midline), unique features of synovial joints (fibrocartilage is not a feature), medical terminology for joint pain (arthralgia), structural joint classifications (synchondroses, sutures, gomphosis are included), characteristics of different joint types like condyloid and elbow joints, joints that allow no movement (fibrous joints), articulations of glenoid cavity and ribs/sternum
15. Sports and Ergonomics in Physio.pptx
The document discusses the application of ergonomics in designing equipment and playing surfaces for racket sports. It covers considerations for designing tennis rackets, balls, footwear, and playing surfaces. For tennis rackets, attributes like head size, string pattern, weight, balance, stiffness, and string tension are discussed. Characteristics of tennis balls for different court surfaces are also outlined. The document then summarizes biomechanical factors and considerations for shoe design for different surfaces.
Nerve Injuries and its management techniues.pptx
This document discusses nerve injury classification and techniques for nerve repair. It describes Seddon and Sunderland's classifications of nerve injuries based on the extent of axon and nerve structure disruption. Nerve degeneration and regeneration processes are also outlined. The document then explains diagnostic tests like nerve conduction studies and electromyography. Finally, it provides details on techniques for nerve repair through neurorrhaphy, nerve grafting, and interfascicular grafting.
SENSORY PROFILE for pediatrics population (1).pptx
This document provides information on various reflexes seen in infants from birth to 18 months. It discusses global primitive reflexes like the tonic labyrinthine reflex and asymmetrical tonic neck reflex that help develop muscle tone and balance. Phasic and local primitive reflexes assessed include the Moro reflex, rooting reflex, and palmar grasp reflex. Transitional reflexes that emerge with development include optical righting and Landau's reflex. Equilibrium reactions in different positions are also described. The reflexes support motor development and identify possible neurological impairments if absent or prolonged.
Paediatric Assessment in Physiotherapy.pptx
This document outlines the components of a paediatric physiotherapy assessment, including collecting demographic data, medical history, family history, developmental history, physical examination, and establishing diagnoses and treatment goals. The assessment covers areas like presenting complaints, birth history, developmental milestones, neurological and musculoskeletal systems, and uses scales to measure motor skills. The physical exam involves observing the child's posture, movements, and abilities in different positions. The assessment is used to understand the child's condition and needs to develop an appropriate treatment plan.
Iontophoresis and its uses in medicine.ppt
Medical ionization is a technique that introduces therapeutic ions into tissues using direct current. Positive ions are repelled into tissues under the anode, while negative ions are repelled under the cathode. An experiment in 1903 proved ions enter tissues - when rabbits were connected to a current, the rabbit with strychnine ions under the anode died, showing ion entry. Various ions like iodine, zinc, and histamine can be used, having effects like counterirritation, tissue destruction, or vasodilation. The technique involves soaking pads in salt solutions of the desired ion and applying one pad and electrode to the treatment area.
Stroke Microteaching.pptx
A stroke is caused by an interruption of blood flow to the brain and results in the rapid onset of neurological symptoms. There are two main types of stroke: ischemic, due to blockage of a blood vessel, and hemorrhagic, due to bleeding. Assessment focuses on the symptoms, their progression over time, and functional abilities. Treatment goals are to prevent complications, improve mobility and strength, and regain independence with daily living activities.
More from HanineHassan2 (20)
Sports Nutrition for athletes and professionals.pptx
Sports Nutrition for athletes and professionals.pptx
Multiple choice questions on human body Joints.pptx
Multiple choice questions on human body Joints.pptx
SENSORY PROFILE for pediatrics population (1).pptx
SENSORY PROFILE for pediatrics population (1).pptx
Recently uploaded
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Ketone bodies and metabolism-biochemistry
This slide consists of all the topics of ketone . This can be used for exam purpose for writing about Diabetic keto acidosis etc . Thank you
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
How to choose the best dermatologists in Indore.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Recently uploaded (20)
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
CHARCOT'S JOINT- ORTHOPEDIC PRESENTATION.pptx
- 1. NEUROPATHIC ARTHRITIS - SHEETAL PAI 2ND MPT (ORTHOPAEDICS)
- 2. INTRODUCTION Progressive, non-infectious neuro-osteoarthropathy destruction of the foot architecture Inflammatory condition osteolysis Commonly presents in the midfoot but also occurs in forefoot and hindfoot
- 3. ETIOLOGY Diabetes mellitus the most common Has been associated with: Autonomic neuroarthropathy, Infection (leprosy, HIV), Toxic exposure (ethanol, drug related), Rheumatoid arthritis, Multiple sclerosis, Congenital neuropathy, Tabes dorsalis, Traumatic injury, Metabolic abnormalities and syringomyelia
- 5. STAGES OF CHARCOT ARTHROPATHY (EICHENHOLTZ) STAGE SIGNS AND SYMPTOMS RADIOGRAPHS 0: Clinical (prefragmentation) Acute inflammation Normal radiographs 1: Dissolution (fragmentation) Acute inflammation, swelling,erythema, warmth Osteopenia, fragmentation, joint subluxation or dislocation 2: Coalescence Less inflammation, less swelling, less erythema Absorption of bone debris, sclerosis, fusion of larger fragments 3. Resolution Resolved erythema, swelling and warmth; consolidation of healing Smoothed bony edges; bony/ fibrous ankylosis, consolidation of deformity
- 7. Anatomical classification(Brodsky) Brodsky Type I (midfoot) naviculocuneiform and metatarsocuneiform joints(60%) Type II (hindfoot) subtalar, talonavicular, or calcaneocuboid joints (30-35%) Type III : Type IIIA tibiotalar joint and associated bones Type IIIB pathologic fracture of the tuberosity of the calcaneus.
- 8. IMAGING AND DIAGNOSTIC LAB : WBC, ESR IMAGING : Radiographs, Bone scan, Ultrasound , MRI OTHERS: Synovial biopsy, bone probe
- 9. TREATMENT Eichenholtz stage 0 : frequent follow-up patient education on diabetic foot care protected weight bearing Eichenholtz stage I : protected weight bearing with total contact casting or prefabricated pneumatic brace Eichenholtz Stage II : Total contact casting, prefabricated pneumatic brace, Charcot restraint orthotic walker or clamshell AFO
- 12. Eichenholtz Stage III if the foot is if the foot is with osteomyelitis plantigrade non-plantigrade / recurrent history of ulcerations surgical debridement patient can use or amputation custom inlay shoes debridement, exostectomy,correction, or fusion with internal fixation
- 13. THANKYOU