This document discusses diseases of the orbit, including its anatomy and contents. It describes several common orbital conditions:
- Orbital cellulitis is an acute infection behind the orbital septum that can lead to abscesses or complications like cavernous sinus thrombosis if not treated promptly with antibiotics.
- Cavernous sinus thrombosis is a serious infection of the veins around the eye that can cause vision loss and nerve palsies if the infection spreads. It requires intensive IV antibiotics.
- Thyroid eye disease is an autoimmune condition associated with Graves' disease where the muscles and fat behind the eye become inflamed, causing proptosis, eye movement issues, and eyelid changes. It is classified based
Accommodation/ Accommodation of Eye, Measurement of Accommodation of Eye (hea...Bikash Sapkota
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Measurement of Accommodation of eye:
Amplitude, Facility,
Relative Accommodation, Fatigue, Lag,
Dynamic Retinoscopy
Presentation Layout:
-Introduction to accommodation of eye
-Mechanism
-Components
-Measurement of accommodation of eye
- Amplitude
- Facility
- Relative accommodation
- Lag
-Dynamic Retinoscopy
Accommodation
-dioptric adjustment of the crystalline lens of the eye
- to obtain clear vision for a given target of regard
-process by which the refractive power of eye is altered
- to ensure a clear retinal image
For further reading
-Clinical Procedures in Optometry by J.D. Bartlett, J.B. Eskridge, J.F. Amos
-Primary Care Optometry by Theodere Grosvenor
-Borish’s Clinical Refraction by W.J. Benjamin
-Clinical Procedures for Ocular examination by Carlson et al
-American Academy of Ophthalmology
-Optometric Clinical Practice Guideline by American Optometric Association
-Internet
Follow me to get in touch with optometric and ophthalmic updates
A complete unit of the various diseases involving the orbit and the surrounding structures. It involves the unilateral and bilateral proptosis conditions. Also, the various proptosis etiologies involved in adults and children along with various tumors involving the orbit is also dealt with.
Accommodation/ Accommodation of Eye, Measurement of Accommodation of Eye (hea...Bikash Sapkota
CLICK HERE TO DOWNLOAD FULL PPT ❤❤ https://healthkura.com/measurement-of-accommodation-of-eye/ ❤❤
Dear viewers Check Out my other piece of works at ❤❤❤ https://healthkura.com ❤❤❤
Measurement of Accommodation of eye:
Amplitude, Facility,
Relative Accommodation, Fatigue, Lag,
Dynamic Retinoscopy
Presentation Layout:
-Introduction to accommodation of eye
-Mechanism
-Components
-Measurement of accommodation of eye
- Amplitude
- Facility
- Relative accommodation
- Lag
-Dynamic Retinoscopy
Accommodation
-dioptric adjustment of the crystalline lens of the eye
- to obtain clear vision for a given target of regard
-process by which the refractive power of eye is altered
- to ensure a clear retinal image
For further reading
-Clinical Procedures in Optometry by J.D. Bartlett, J.B. Eskridge, J.F. Amos
-Primary Care Optometry by Theodere Grosvenor
-Borish’s Clinical Refraction by W.J. Benjamin
-Clinical Procedures for Ocular examination by Carlson et al
-American Academy of Ophthalmology
-Optometric Clinical Practice Guideline by American Optometric Association
-Internet
Follow me to get in touch with optometric and ophthalmic updates
A complete unit of the various diseases involving the orbit and the surrounding structures. It involves the unilateral and bilateral proptosis conditions. Also, the various proptosis etiologies involved in adults and children along with various tumors involving the orbit is also dealt with.
Slides prepared and compiled by highly experienced ENT teacher, Dr. Krishna Koirala from Nepal, for teaching undergraduate and postgraduate ENT students in the field of otorhinolaryngology.
A clear and concise explanation of the basic concepts in the subject matter concerned.
He is the Head of department with a sound knowledge in the field of ENT to teach both undergraduate and postgraduate ENT students
Differential diagnosis of haziness of maxillary sinusNarmathaN2
Differential diagnosis of haziness of maxillary sinus fromTextbook of Dental and Maxillofacial Radiology, Freny R Karjodkar,3rd edition
Principles and interpretion of oral radiology,white and pharoah
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.
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
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.
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
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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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
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
3. ORBIT
Quadrangular pyramids
situated between the
anterior cranial fossa and
the maxillary sinuses
below.
40 mm in height, width
and depth
Formed by 7 seven
bones : Frontal, Maxilla,
Zygomatic, Sphenoid,
Palatine, Ethmoid and
Lacrimal.
Has 4 walls – medial,
lateral, superior and
inferior.
4. WALLS OF ORBIT
Medial – 2 orbits are parallel , common for #.
Inferior – (floor) triangular , commonly involved in
blow—out #.
Lateral – triangular, covers posterior half.
Roof – formed by orbital plate of frontal bone.
Apex – posterior end where 4 walls converge , 2
orifices, the optic canal which transmits optic
nerve and ophthalmic artery and Superior orbital
fissure which transmits arteries, veins and nerves.
5. FASCIA BULBI
(TENON’S CAPSULE)
Envelops the globe from the margin of
cornea to the optic nerve.
It has thickened lower part to form a sling
where the globe rests ; ‘Suspensory
ligament of Lockwood’ .
6. CONTENTS OF ORBIT
Volume : 30 cc.
1/5th is occupied by eyeball.
Part of optic nerve, Extraocular muscles ,
lacrimal gland, lacrimal sac, ophthalmic artery
and its branches, 3rd, 4th and 6th cranial nerves
and ophthalmic & maxillary divisions of cranial
nerves , sympathetic nerve and fascia.
8. STRUCTURES PASSING
THROUGH SOF
Superior and inferior division of Oculomotor
nerve.(3)
Trochear nerve(4)
Lacrimal, frontal and nasociliary nerve of
Ophthalmic branch of Trigeminal nerve (V1)(5)
Abducent nerve (6)
Superior and inferior division of Ophthalmic vein
Sympathetic fibers from cavernous plexus.
20. CLINICAL FEATURES
Inflammatory oedema of lids and periorbital skin sparing the
orbit.
Painful periorbital swelling
Erythema & hyperaemia of lids
Fever & leucocytosis
Proptosis – absent
Normal ocular movements
Conjunctiva- not congested
VA – Normal
21. TREATMENT
Systemic antibiotics
› Mild to Moderate : Oral co-amoxiclav 500/125 mg tds or
Clox 500 mg QID for about 10 days.
› Severe : IV Ceftriaxone 1-2 g/day in divided dose for 4-5
days.
› Systemic analgesics
› Warm compression
› Surgical exploration
22. ORBITAL CELLULITIS
Acute infection of orbital tissues of the orbit
behind the orbital septum.
May or may not develop to subperiosteal abscess
or orbital abscess.
Pathology : similar to suppurative inflammation
of body in general.
• Infection establishes early d/t absence of
lymphatics
• Rapid spread with extensive necrosis
• Raised IOP d/t tight compartment.
23. CLINICAL FEATURES
• SYMPTOMS
Swelling & severe pain .
Associated general symptoms
Vision loss &/or diplopia
• SIGNS
Swelling of lids
Chemosis of conjunctiva
Axial proptosis
Restricted ocular movements
RAPD
Papillitis or Papilloedema
24. COMPLICATIONS
Ocular : Exposure keratopathy, optic neuritis and CRAO.
Orbital : Subperiosteal abscess &/or orbital abscess.
Temporal/parotid abscess
Intracranial complication : CST, Meningitis & Brain Abscess.
Septicaemia & pyaemia.
27. CAVERNOUS SINUS
THROMBOSIS
Septic thrombosis of cavernous sinus is a
disastrous sequela, resulting from spread
of sepsis travelling along the tributaries
from the infected sinuses, teeth, ears, nose,
and skin of the face.
28. COMMUNICATIONS
Anteriorly : superior and inferior
ophthalmic vein drain in the sinus.
Receive blood from face, nose, pns
& orbits.
Posteriorly : Superior and inferior
petrosal sinuses leave it to join
lateral sinus. Labyrinthine vein
opening into inferior petrosal
sinuses
Superiorly : veins of cerebrum and
may be infected from meningitis
and cerebral abscesses.
Inferiorly : pterygoid venous plexus
Medially : transverse sinus which
connects two cavernous sinuses.
29. CLINICAL FEATURES
Usually starts unilateral condition , which soon
becomes bilateral in more than 50% of cases d/t
intercavernous communication
General features : severe, high grade fever chills
and rigor , vomiting & headache.
30. OCULAR FEATURES
Severe pain in the eye and forehead on the affected side
Conjunctiva is swollen and congested.
Proptosis develops rapidly
Ipsilateral ophthalmoplegia – Diplopia caused d/t palsy of 3rd,
4th and 6th cranial nerves.
Ipsilateral ptosis, dilated pupil, and absence of direct and
consensual pupillary light reflex – 3rd nerve palsy.
Corneal anaesthesia
Oedema in the mastoid region.
Fundus : may be normal, retinal vein may be congested.
36. RISK FACTORS
Females (4-6 times) common than male.
Smoking
Middle age
Autoimmune thyroid disease
HLA-DR3 & HLA-B8
37. PATHOGENESIS
Autoimmune disease with orbital fibroblasts as the
primary target of inflammatory attack and EOM
being secondarily involved.
Target antigen is shared between the thyroid
follicular cells and orbital fibroblasts.
Activated T—cell act on fibroblast-adipocyte
lineage within the orbit and stimulate
adipogenesis, fibroblast proliferation and
glycosaminoglycan synthesis.
38. CLINICAL FEATURES
1. Lid signs
• Dalrymple’s sign :
retraction of the upper lids
• Von Graefe’s sign : when
globe is moved up, the
globe lags behind.
• Enroth’s sign : Fullness of
eyelid.
• Gifford’s sign: difficulty in
eversion of eyelid
• Stellwag’s sign : Infrequent
blinking
39. C/F (CONTINUED)
• Conjunctival signs : deep injection & chemosis.
• Pupillary signs : less important
– Ocular motility defects : Mobious sign – convergence
weakness to partial or complete immobility of one or all
EOM.
– Unilateral elevator palsy :d/t IR failure
– Failure of abduction due to MR involvement
• Exophthalmos
• Exposure keratitis
• Optic neuropathy
40. CLASSIFICATION
“NO SPECS”
Class 0:N: No signs and symptoms
Class 1:O: Only signs no symptoms(signs are limited to lid
retraction,with or without lid lag and mild proptosis)
Class 2:S: Soft tissue involvement with signs including
lacrimation,photophobia,lid or conjunctival swelling
Class 3:P: Proptosis is well established
Class 4:E: Extraocular muscle involvement
Class 5:C: Corneal involvement
Class 6:S: Sight loss due to optic nerve involvement
41. CLINICAL COURSE
• Self-limiting disease
• Lasts from 1-5 years
• Phases:
1. Congestive or active phase
2. Fibrotic or inactive phase
44. PERIODIC CLINICAL WORK UP
Pain 1.Retrobulbar pain
2.Pain on ocular movement
Redness 3.Redness of lids
4.rednesss of conjunctiva
Swelling 5.swelling of lids
6. swelling of conjunctiva
7. swelling of caruncle
8.proptosis(≥ 𝟐𝐦𝐦 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞 in proptosis over 1-3 months)
Loss of function 9.Decrease in eye movement by ±𝟓 𝐝𝐞𝐠𝐫𝐞𝐞 𝐨𝐯𝐞𝐫 𝟏 − 𝟑 𝐦𝐨𝐧𝐭𝐡𝐬
10.Decrease vision by ≥ 1 snellen line over 1-3 months
Ocular motility work up:Binocular,uniocular,VFA
45. NON-SURGICAL MANAGEMENT
1. Smoking cessation
2. Head elevation at night and cold compress in morning
3. Lubricating artificial tear drops
4. Eyelid taping
5. Guanethidine 5% eyedrops
6. Prisms
7. Systemic steroids
8. Radio therapy
9. Combined therapy