This clinical case presentation summarizes a 38-year-old male gardener who presented with right eye pain and redness for 5 days. On examination, his right eye showed circumcorneal congestion, grade +4 cells and grade +3 flare in the anterior chamber with posterior synechiae and miosis. He was diagnosed with acute anterior uveitis based on the unilateral eye symptoms and anterior chamber inflammation seen on examination. He was prescribed cycloplegic, antibiotic, and steroid eye drops as well as oral steroids to treat the condition.
Aphakia and its causes. Correction of Aphakia. Advantages and disadvantages of different corrections. Surgeries and related signs and symptoms of aphakia. Complications related to Aphakia.
Leukocoria ( or white pupillary reflex) is an abnormal white reflection from the eye.
Leukocoria is a medical sign for a number of several conditions.
- this presentation at annual conference of the Ophthalmic department, faculty of medicine - Al-Azhar University in association with DOS & EOS Cairo, Egypt January 2017
Clinical Reasoning: How Some Doctors Think and the Rest of Us Try ToSHMLive
Case presentations for Dr. Dan Brotman's session at Hospital Medicine 2015. An expert clinician is brought in to try to troubleshoot medical cases on the spot, and attendees try to come to the best conclusion before the expert. "Clinical Reasoning: How Some Doctors Think and the Rest of Us Try To" is a session at the Society of Hospital Medicine's annual meeting, Hospital Medicine 2015 held March 30th to April 1st.
Aphakia and its causes. Correction of Aphakia. Advantages and disadvantages of different corrections. Surgeries and related signs and symptoms of aphakia. Complications related to Aphakia.
Leukocoria ( or white pupillary reflex) is an abnormal white reflection from the eye.
Leukocoria is a medical sign for a number of several conditions.
- this presentation at annual conference of the Ophthalmic department, faculty of medicine - Al-Azhar University in association with DOS & EOS Cairo, Egypt January 2017
Clinical Reasoning: How Some Doctors Think and the Rest of Us Try ToSHMLive
Case presentations for Dr. Dan Brotman's session at Hospital Medicine 2015. An expert clinician is brought in to try to troubleshoot medical cases on the spot, and attendees try to come to the best conclusion before the expert. "Clinical Reasoning: How Some Doctors Think and the Rest of Us Try To" is a session at the Society of Hospital Medicine's annual meeting, Hospital Medicine 2015 held March 30th to April 1st.
Clinical orthodontic presentation - orthodontic presentation - Case presenta...King Saud Medical City
Clinical orthodontic presentation - orthodontic presentation - Case presentation of ortho - ortho presentation - clinical case presentation
case ortho - orthodontic case presentation
Comprehensive review of Ophthalmic Manifestations of Systemic Disorders for undergraduate medical students and general practionaers. Lecture was taken by Associate Professor Dr. Zia ul Mazhry at Central Park Medical College Lahore Pakistan.
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.
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.
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
- 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
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. • 38 year old male complained of right eye pain
and redness for 5 days duration.
CHIEF COMPLAINT
Personal information
He is from Zhemgang, married with two children and is gardener by profession
3. • He developed slow onset of pain in his right eye
and increase progression of pain. He had
associated redness, photophobia, excessive
tearing and reduced vision.
HISTORY OF CHIEF COMPLAINT
4. • No joint pain
• No history of asthma or symptoms suggestive of
chest infection
• No gastro intestinal symptoms
• No history of haematuria or urethral discharge
• No skin conditions
SYSTEMIC REVIEW
5. • Past ocular history/ocular medications/systemic
medications/comorbidities/allergies/family
history/social history
• No pets in house
HISTORY CONT.
6. Examination
Right eye Left eye
Visual acuity 6/60 6/6
With pinhole 6/12 6/6
Color vision Normal Normal
Extraocular movements Normal Normal
Lids and adnexa Normal Normal
Conjunctiva and sclera Circumcorneal congestion Normal
Cornea Clear Clear
Anterior chamber Cells grade +4 and flare
grade +3
Normal
Iris and lens Posterior synechia Normal
Pupil Round regular and miotic Round regular and reactive
IOP by Icare 13 mmhg 11 mmhg
Dilated Funduscopy NAD NAD
7. • 38 year old male presented to eye OPD with
right eye pain with redness for 5 days duration
with associated photophobia, excessive tearing
and reduced vision. On examination there was
no significant findings in his left eye. On his right
eye his visual acuity was 6/12 with pin hole. He
had circumcorneal congestion and had grade +4
cells and grade +3 flare in anterior chamber with
posterior synechia and miosis. He doesn’t have
any clinical features suggestive of systemic
disorder.
CASE SUMMARY
8. DIAGNOSIS
Acute anterior uveitis
Supporting points
• Unilateral eye pain with
photophobia and redness with
excessive tearing for duration of 5
days.
• Circumcorneal congestion with
anterior chamber cells and flare
with posterior synechia and miosis.
• Fundus appeared normal
Non-Supporting points
• Slow onset
Aetiology
• Idiopathic
• HLA-B27 associated uveitis
• Behcet disease
• Lyme disease
21. • In a large community-based study, the vast
majority of uveitis cases were anterior (71%),
followed by posterior uveitis (5%) and
intermediate and panuveitis (1% each).
• The most common causes of anterior uveitis are
idiopathic (38−56%), the seronegative
spondyloarthropathies (21−23%), juvenile
idiopathic arthritis (JIA; 9−11%), and herpetic
keratouveitis (6−10%).
22. • Presentation: sudden onset of unilateral pain,
photophobia and redness, which maybe
associated with lacrimation.
• Visual acuity is usually good at presentation
except in eyes with severe hypopyon
CLINICAL FEATURES
34. Treatment
Mydriatics
Short acting Long acting
Tropicamide (6 hours) Homatropine (2 days)
Cyclopentolate(24 hours) Atropine(2 weeks)
Phenylephrine(3 hours)
Promote comfort
Break down
recently formed
posterior
synechiae
Prevent formation
of posterior
synechiae
35. Topical steroids
AAU CAU
• Frequent instillation of
drops at first
• The frequency is tapered
off once the inflammation
gets controlled
• Exacerbations treated as
AAU
• The intensity of flare can
also indicate an active
process
• Follow up of patient
regularly
37. Periocular steroid injection
Advantages
• Therapeutic concentrations behind the lens
may be achieved
• Trans-sclerally entrance
• Prolonged effect
Indications
• First line therapy in unilateral
intermediate or posterior uveitis
• Supplement systemic therapy or when
systemic steroids are contraindicated
• Poor compliance
• At time of surgery
39. Systemic steroids
• Oral prednisolone and intravenous infusion of methylprednisolone
Indications
• Intermediate uveitis unresponsive to
posterior sub tenon injection
• Posterior or panuveitis, particularly
with bilateral involvement
• Prior to intraocular surgery
• Anterior uveitis resistant to topical.
Contraindications
• Poorly controlled diabetes
• Peptic ulceration
• Osteoporosis
• Active systemic infection
• Psychosis on previous exposure to
steroids
Short term side effects Long term side effects
• Dyspepsia
• Mental changes
• Electrolyte imbalance
• Aseptic necrosis of the head of the
femur
• Cushingoid state
• Osteoporosis
• Limitation of growth
• TB reactivation
• Cataract
• Diabetes and myopathy
40. Antimetabolites
Azathioprine Methotrexate Mycophenolate mofetil
Indications Behcet syndrome
Vogt-Koyanagi-Harada
syndrome
Uveitis associated with
sarcoidosis and
Juvenile idiopathic
arthritis
Alternative to
azathioprine
Dose and
route
Starting dose=1-3mg/kg
After 1-2 weeks dose is
doubled
Stopped only after disease
has been inactive for over
1 year and the daily steroid
dose is under 7.5mg
Adult:10-25mg weekly
Children:30mg
Folic acid 2.5-5mg/ day
1-2 g daily orally
Side effects Bone marrow suppression,
hepatotoxicity and nausea
+ acute pneumonitis Gastrointestinal
disturbance and bone
marrow supression
Monitoring CBC and LFT CBC and LFT CBC
41. Calcineurin inhibitors
Ciclosporin Tacrolimus
Indications Behcet syndrome, intermediate
uveitis, birdshot choroidopathy,
Vogt-Koyanagi-Harada syndrome,
sympathetic ophthalmitis and
idiopathic retinal vasculitis
Alternative to Ciclosporin
Dose and route 2.5-7.5mg/kg daily orally 1-0.25mg/kg daily orally
Side effects Nephrotoxicity, hyperlipidaemia,
hepatotoxicity, hypertension,
hirsutism and gingival hyperplasia
Hyperglycaemia, neurotoxicity and
nephrotoxicity
monitoring Blood pressure, RFT and LFT + blood glucose