Colles fracture is the fracture at the distal end of radius, at its
cortico cancellous junction(about 2cm from the distal articular
surface).
It is not just the fracture of distal radius but the fracture
dislocation of the inferior radio-ulnar joint.
Colles fracture is the fracture at the distal end of radius, at its
cortico cancellous junction(about 2cm from the distal articular
surface).
It is not just the fracture of distal radius but the fracture
dislocation of the inferior radio-ulnar joint.
My seminar presentation slides. Please correct me if I've did something wrong in it. You can also leave any message thru my email, nurhanisahzainoren@gmail.com
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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.
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,
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5th edition of the Diagnostic and Statistical Manual of Mental Disorders
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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
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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
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
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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.
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Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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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.
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.
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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
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
3. • Described by Abraham
Colles in 1814.
• It is the most common of all
fractures in elderly.
• Usually in older women.
• Fall on a out stretched hand.
4. Colles’ Fracture
It is a Transverse fracture of the distal end of the
radius at its Cortico-Cancellous Junction with
typical Dorsal Displacement of the distal
fragment.
5. • Distal end of the radius
articulates with the carpal
bones and the ulna
• Normally the articular
surface of radius faces
ventrally and medially.
• Tip of radial styloid is 1cm
distal to the tip of the ulnar
styloid.
Relevant Anatomy
6. Mechanism of Action
• History of fall on an
outstretched hand
• Force is applied in the length
of the forearm with the wrist
in extension
• Fracture occurs transversely
at the cortico-cancellous
junction.
7. The distal fragment collapses into-
• Dorsal Displacement
• Dorsal Tilt
• Lateral/Radial Displacement
• Lateral/ Radial Tilt
• Supination
• Impaction of Fragments
Also associated with extension and shortening.
8. Associated injuries
• Fracture of styloid process of ulna
• Rupture of the Ulnar collateral ligament
• Rupture of the triangular Fibro-cartilage complex
(TFCC) of ulna.
• Rupture of the interosseos, radio-ulnar ligament
causing radio-ulnar subluxation.
9. Clinical Features
• Pain, tenderness, swelling and irregularity of the
lower end of radius.
• “Dinner Fork Deformity”
• Radial styloid comes at the level of the ulnar
styloid.
11. Radiological findings
• Transverse fracture of the distal end radius at cortico-
cancellous junction.
• The distal fragment shows –
a)Dorsal tilt & displacement – Lateral View
b)Lateral tilt & Displacement – AP View
• Maybe associated with communition or broken
ulnar styloid process.
14. Treatment
Undisplaced
Fractures
Immobilization in
below elbow
plaster cast for 6
week
Displaced
Fractures
Closed
Manipulation
reduction
followed by
immobilization in
Colles’ Cast
Communited
Fractures
1. Transfixed
using two K-
Wires within the
plaster
2. External fixator
3. Locking
compression
plate
15. Closed reduction and
manipulation
• Under general or
regional anesthesia.
• “Shaking Hand
Position”
a.Firm longitudinal
traction to disimpact.
b.Distal fragment into
palmar flexion and
Ulnar deviation.
16. Colles’ Cast
• Colles’ Cast is used to immobilize undisplaced or
reduced fracture.
• It is below elbow cast with
a.Palmar Flexion
b.Ulnar Deviation
a.
b.
17.
18.
19.
20. Complications
Early
• Circulatory Problems
• Carpal tunnel
syndrome – Median
Nerve injury
• Reflex sympathetic
dystrophy
• TFCC injury
• Subluxation of
inferior radio ulnar
joint
Late
• Malunion
• Delayed Union and
Non-union
• Stiffness
• Extensor Pollicis
Longus Tendon
rupture
21. Smiths Fracture
• Reverse of Colles’ Fracture
• Ventral tilt and displacement of the Distal
fragment
22. • Clinical features - “Garden Spade Deformity”
• X-Ray – Ventral tilt and displacement
• Treatment-
Conservative - closed reduction and proper cast
immobilization for 6 weeks.
Surgical - K-wire or plate is used.
23.
24. Barton’s Fracture
• Intra- Articular fracture of distal radius.
• Depending upon the type of displacement-
a)Volar Barton’s (Anterior type)
b)Dorsal Barton’s (Posterior type)
25. • Extends from articular surface of the radius to either
its anterior and posterior cortices.
• The small distal fragment is displaced along with the
carpals.
• Treatment
a) Closed Reduction and Plaster Cast
b) Internal Fixation by Plate or K-wire
