The document provides an overview of assessing the rotator cuff, including:
1) It describes the four muscles that make up the rotator cuff - supraspinatus, subscapularis, infraspinatus, and teres minor - and their functions.
2) Numerous clinical tests used to assess each muscle are outlined, such as Jobb's test for supraspinatus and Gerber's lift-off test for subscapularis.
3) Assessment involves taking a history, inspecting for deformities, and performing special tests like Codman's drop arm sign and the external rotation lag sign to isolate weak muscles.
MCL. LCL.ALL injuries
To understand the relevant anatomy of the side ligaments of the knee
To study the mechanism of injury of each ligament and how to diagnose such injury
To highlight the different treatment options in acute or chronic situations
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Rotator cuff tear is a very common orthopedic condition, which causes shoulder pain and stiffness. The slides are on rotator cuff tears and its management by open repair, mini open repair & by arthroscopy
MCL. LCL.ALL injuries
To understand the relevant anatomy of the side ligaments of the knee
To study the mechanism of injury of each ligament and how to diagnose such injury
To highlight the different treatment options in acute or chronic situations
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Rotator cuff tear is a very common orthopedic condition, which causes shoulder pain and stiffness. The slides are on rotator cuff tears and its management by open repair, mini open repair & by arthroscopy
There is no “gold standard” technique for the surgical stabilization of Acromioclavicular joint (ACJ) disruptions and each of the described techniques has a failure rate. The management of failed ACJ stabilizations is a difficult problem and salvage procedures may often be constrained by the original procedure and the resultant anatomy. Reliable anatomical and biomechanically robust revision procedures for failed ACJ stabilization are therefore required. We describe a technique for revision stabilization of the ACJ that utilises a synthetic ligament in combination with augmentation from the coracoacromial ligament and biceps short head aponeurosis (‘biceps flip’ procedure).
The objective of this in-service presentation was to provided inpatient physical therapists and occupational therapists with the clinical decision making skills to properly evaluate common orthopedic dysfunctions encountered in the acute care setting.
Neck Pain and Arm Pain : Cervical Radiculopathy by Pablo Pazmino MDPablo Pazmino
This video explains Cervical Radiculopathy and Cervical Herniations. When herniations begins to affect the nerves and spinal cord this is called Cervical Radiculopathy. This video highlights the history, epidemiology, and treatment options both conservative and surgical. If you or someone you know needs to be seen in regards to Cervical Herniation/Radiculopathy feel free to look us up online www.beverlyspine.com or www.santamonicaspine.com OR call toll free 1-8SPINECAL-1
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This video explains Cervical Stenosis and Cervical Spondylosis/Arthritis. When stenosis begins to affect the spinal cord this is called Cervical Spondylotic Myelopathy. This video highlights the history, epidemiology, and treatment options both conservative and surgical. If you or someone you know needs to be seen in regards to Cervical Stenosis/Arthritis for a Laminoplasty feel free to look us up online www.beverlyspine.com or www.santamonicaspine.com OR call toll free 1-8SPINECAL-1
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
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
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.
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.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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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.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
3. Role
of
the
Cuff
— Shoulder
Complex
comprises
30
muscles
— RC
muscles
predominantly
STABILISERS
— Do
contribute
to
movement
— 3
muscles
coalesce
to
form
rotator
cuff
— 4th
separated
by
rotator
interval
4.
5. Cons1tuent
parts
— Supraspinatus
— Initiator
of
abduction
— Acts
throughout
abduction
arc
— As
powerful
as
deltoid
— Origin
–
Supraspinous
fossa
of
scapular
— Insertion
–
upper
facet
of
Gt
Tuberosity
— Nerve
supply
–
Suprascapular
nerve
— Lies
in
scapular
plane
(30°
to
coronal
plane)
6. Cons1tuent
Parts
— Subscapularis
— Main
internal
rotator
— Largest
and
strongest
cuff
muscle
— Origin
–
subscapular
fossa
(ant.
surface
of
scapula)
— Insertion
–
Lesser
tuberosity
— Nerve
supply
-‐
Upper
and
Lower
subscapular
nerves
(posterior
cord)
7. Cons1tuent
Parts
— Infraspinatus
and
Teres
Minor
— Two
muscles
below
scapular
spine
— Both
external
rotators
— Infraspinatus
-‐
Acts
when
arm
is
neutral
— Teres
minor
-‐
More
active
when
arm
abducted
to
90°
8. Assessment
— History
— General
— Age,
handedness,
occupation
— Pain
— Location,
character,
night
pain,
onset
— Weakness
— Traumatic
vs
degenerative,
intrinsic
vs
neuro-‐musc
— Stiffness
— Secondary
to
cuff
pathology
— Functional
Deficit
— Interference
with
work,
leisure
or
ADLs
10. Assessment
— Palpation
— Limited
role
in
cuff
assessment
— Muscle
bulk
— “Rent
Test”
(Codman)
— Palpation
of
supraspinatus
tear
11. Assessing
Supraspinatus
— 12
tests
on
shoulderdoc!
— Jobe’s
Test
— Empty
Can
Test
–
Jobe
and
Moynes1
— Abduct
90°
,
scapular
plane,
full
IR
and
resist
— Full
Can
Test
–
Kelly2
—
Abduct
90
,
scapular
plane,
45°
ER
and
resist
— FCT
less
provocative
–
Less
weakness
due
to
pain
— Itoi
–
143
shoulders
in
136
pt3
— ECT
–
70%
accurate
— FCT
–
75%
accurate
12.
13. Assessing
Supraspinatus
— Codman’s
sign
(Drop
arm
sign)
— Passive
abduction
— Support
released
— Deltoid
contracts
-‐
hunching
of
shoulders
— Burkhead’s
thumb
up
and
down
test
— Potentially
useful
in
patients
with
Impingment
signs
— Apleys’s
scratch
test
— And
others.....
14. Assessing
Subscapularis
— Gerber’s
lift
off
test4
— IR,
dorsum
of
hand
over
mid
lumbar
spine
and
raised
— Evidence
Greis
(1996)5
— Subscap
heavily
involved
(70%
max
contraction)
— Mid
lumbar
1/3
MORE
activity
than
LS
junction
— Gerber
looked
at
100
pts,
— 8/9
with
MRCT
+ve
— 12/16
with
isolated
subscap
tears
+ve
— Conclude
if
full
IR
and
test
not
limited
by
pain
then
reliable
in
diagnosing
subscap
dysfuntion
— Internal
Rotation
Lag
Sign
(Hertel
1996)6
— As
specific,
more
sensitive,
detects
partial
ruptures?
15.
16. Assessing
Subscapularis
— Other
variants
— Belly
Press
Test
(Napoleon
sign)7
— Belly
Off
Sign
(Scheibel
2005)8
— Modified
Belly
Press
Test
(Bartsch
2010)9
— DeBeer’s
Bear
Hug
Test10
— Useful
in
patients
with
painful
shoulders
— Helpful
in
detecting
tears
in
upper
part
of
subscap
— Can
use
tensiometer
— Pennock
et
al,
201111
— No
difference
between
above
test
— Not
known
whether
different
parts
of
subscap
fire
in
each
test
17.
18. Assessing
Infraspinatus
— Drop
sign
(Bigliani
Et
al
1992)12
— Full
ER,
arm
by
side,
inability
to
hold
position
— External
Rotation
Lag
Sign
(Hertel
1996)6
— As
above
but
arm
in
20°
elevation
in
scapular
plane
— Hertel’s
“Drop
Sign”
as
above
but
elevated
to
90°
19.
20. Assessing
Teres
Minor
(or
MRCT)
— Hornbower’s
Sign
— Inability
to
ER
the
elevated
arm
— The
Dropping
Sign
(Walch)13
— 0°
abduction,
90°
elbow
flex,
45°
ER
— Falls
to
0°
ER
when
released
— Both
indicative
of
massive
cuff
tear
23. Summary
— Careful
History
and
Exam
vital
— Systematic
Approach
— Develop
a
system
— Remember
the
neck
— Consider
core
stability
assessment
— It’s
what
makes
it
more
interesting
than
the
hip
or
the
knee.
24.
25. References
1. Delineation
of
diagnostic
criteria
and
a
rehabilitation
program
for
rotator
cuff
injuries
Jobe
FW,
Moynes
DR.
Am
J
Sports
Med.
1982;10:336
-‐9
2. The
Manual
Muscle
Examination
for
Rotator
Cuff
Strength,
An
Electromyographic
Investigation
Bryan
T.
Kelly,
MD,
Warren
R.
Kadrmas,
MD,
Kevin
P.
Speer,
MD
Am
J
Sports
Med
September
1996
vol.
24
no.
5
581-‐588
3. Which
is
More
Useful,
the
“Full
Can
Test”
or
the
“Empty
Can
Test,”
in
Detecting
the
Torn
Supraspinatus
Tendon?
Eiji
Itoi,
MD*,
Tadato
Kido,
MD,
Akihisa
Sano,
MD,
Masakazu
Urayama,
MD
Kozo
Sato,
MD
Am
J
Sports
Med
January
1999
vol.
27
no.
1
65-‐68
4. Isolated
rupture
of
the
tendon
of
the
subscapularis
muscle.
Clinical
features
in
16
cases.
Gerber
C,
Krushell
RJ.
J
Bone
Joint
Surg
Br.
1991
May;73(3):
389-‐94.
5. Validation
of
the
lift-‐off
test
and
analysis
of
subscapularis
activity
during
maximal
internal
rotation.
Greis
PE,
Kuhn
JE,
Schultheis
J,
Hintermeister
R,
Hawkins
R.
Am
J
Sports
Med.
1996
Sep-‐Oct;24(5):589-‐93
6. Lag
signs
in
the
diagnosis
of
rotator
cuff
rupture.
Hertel
R,
Ballmer
FT,
Lambert
SM,
Gerber
Ch.
J
Shoulder
Elbow
Surg.
1996;
5(4):307-‐313
7. Isolated
rupture
of
the
subscapularis
tendon.
Gerber
C,
Hersche
O,
Farron
A.
J
Bone
Joint
Surg
Am.
1996
Jul;78(7):1015-‐23.
8. The
belly-‐off
sign:
a
new
clinical
diagnostic
sign
for
subscapularis
lesions.
Scheibel
M,
Magosch
P,
Pritsch
M,
Lichtenberg
S,
Habermeyer
P.
Arthroscopy.
2005
Oct;21(10):1229-‐35
9. Diagnostic
values
ofclinical
tests
for
subscapularis
lesions.
Bartsch
M,
Greiner
S,
Haas
NP,
Scheibel
M.
Knee
Surg
Sports
Traumatol
Arthrosc
2010;18:1712–1717
10. The
bear-‐hug
test:
a
new
and
sensitive
test
for
diagnosing
a
subscapularis
tear.
Barth
JR1,
Burkhart
SS,
De
Beer
JF.
Arthroscopy.
2006
Oct;22(10):
1076-‐84.
11. The
Influence
of
Arm
and
Shoulder
Position
on
the
Bear-‐Hug,
Belly-‐Press,
and
Lift-‐Off
Tests:
An
Electromyographic
Study
Pennock
AT,
Pennington
WW,
Torry
MR,
Decker
MJ,
Vaishnav
SB,
Provencher
MT,
Millett
PJ,
Hackett
TR.
Am
J
Sports
Med
November
2011
vol.
39
no.
11
2338-‐2346
12. Operative
treatment
of
massive
rotator
cuff
tears:
long
term
results.
Bigliani
LU,
Cordasco
FA,
McIlveen
SJ
,
Musso
ES.
JBoneJoint
SurgAm
1992;74:
1505–1515.
13. Walch
G,
Boulahia
A,
Calderone
S
and
Robinson
AH.
The
‘dropping’
and
‘hornblower’s’
signs
in
evaluation
of
rotator-‐cuff
tears.
J
Bone
Joint
Surg
1998,
80B:624-‐628.