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This document provides an overview of the general approach to pediatric toxicology. It discusses the key steps in management including resuscitation, risk assessment, supportive care, decontamination, enhanced elimination, and use of antidotes. Resuscitation is the top priority and involves establishing an airway and supporting circulation and disability. A thorough history and physical exam are important for risk assessment. Supportive care focuses on observation, hydration, nutrition, and treating specific symptoms. Decontamination methods like skin washing and gastric lavage are limited. Activated charcoal and whole bowel irrigation may be used in select cases. Enhanced elimination includes activated charcoal, alkalinization, and dialysis. Specific antidotes are used
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- There is no vaccine or antiviral medication available, so treatment is supportive and focused on relieving symptoms. Prevention relies on reducing mosquito habitats and biting exposure through vector control measures.
Gbs
Guillain-Barré syndrome is an autoimmune disorder that causes inflammation of the nerves. It is characterized by progressive weakness in the legs and arms, loss of reflexes, and ascending paralysis over 4 weeks or less. The disorder is usually preceded by a gastrointestinal or respiratory infection. Treatment involves supportive care and immunoglobulin therapy. Most patients recover, though some experience long-term weakness depending on the severity of symptoms.
5 1099296681842704390
This document summarizes a study on rotavirus and other causes of diarrhea in children in a southern Indian community. The study followed 452 newborn infants for 3 years, monitoring diarrhea incidence through twice weekly home visits. A total of 1856 diarrhea episodes were recorded. Rotavirus was found to be the most common cause, associated with 18% of episodes. Other common causes included Giardia (8%) and Aeromonas (4%). Diarrhea incidence was highest in infancy, at 1.6 episodes per child on average over 3 years. Poor hygiene was associated with more severe diarrhea. The study provides valuable community-level data on the etiology and burden of childhood diarrhea in southern India.
5 1099296681842704389
This document provides an overview of the approach to a child presenting with vomiting. It begins with definitions of related terms like nausea, retching, vomiting, regurgitation and rumination. It then discusses the major neurophysiological pathways that can induce nausea and vomiting. The document outlines the etiologies of vomiting including central and peripheral causes. It emphasizes taking a thorough history and physical exam to determine the underlying cause and guides the evaluation and management. Common causes and presentations of vomiting are reviewed for different age groups from neonates to children and adolescents. Potential complications and treatment principles focused on the etiology are also summarized.
5 1099296681842704387
Cerebral palsy (CP) is a non-progressive brain injury that causes motor dysfunction. Rehabilitation aims to improve mobility and function through various therapies while preventing deformities. It involves physiotherapy, occupational therapy, bracing, assistive devices and surgery. The goals are to improve skills like walking and sitting, and maximize a child's independence through a multidisciplinary approach involving the family. Rehabilitation is successful if it enables the child to be happy and integrated into the community while supporting the well-being of parents.
5 1093438501069783057
Rapidly progressive glomerulonephritis (RPGN) is characterized by a rapid loss of renal function over a short period of time. It is classified as primary or secondary RPGN based on its underlying causes. The pathogenesis involves crescent formation in glomeruli due to proliferation of cells and inflammation. Clinically, it presents with hematuria, proteinuria, hypertension, and declining kidney function. Diagnosis involves lab tests showing abnormalities in urine, blood counts, complement levels, and antibodies. Renal biopsy revealing crescentic lesions in glomeruli is diagnostic. Treatment depends on the specific type but often includes steroids, plasmapheresis and cyclophosphamide to slow kidney damage. Prognosis depends
COMMON DRUG AND PLANT POISIONING
This document discusses common drug and plant poisonings. It provides an overview of frequently ingested drugs like acetaminophen, iron, and anti-convulsants. It describes the toxic effects, clinical features, investigations, and management for poisonings. It also discusses plant toxins including oleander, datura, and cleistanthus. The document is intended as an educational guide for medical students to learn about treating accidental or intentional overdoses.
RENAL REPALCEMENT THERAPY
Renal replacement therapy replaces the normal filtering function of the kidneys using modalities like hemodialysis, peritoneal dialysis, or renal transplantation. Peritoneal dialysis uses the peritoneal membrane for diffusion and ultrafiltration of solutes and fluid, while hemodialysis uses an external dialyzer to filter the blood via diffusion and convection. Both therapies aim to control uremia, electrolyte abnormalities, and fluid balance. Continuous renal replacement therapy provides prolonged renal replacement for critically ill patients through continuous venovenous hemofiltration or hemodialysis.
MUSCULAR DYSTROPHIES
This document discusses Duchenne muscular dystrophy (DMD), a genetic disorder characterized by progressive muscle degeneration and weakness. It is caused by mutations in the dystrophin gene leading to absence of the dystrophin protein. The document outlines the clinical presentation and stages of DMD from early childhood to late stages requiring wheelchair use. It also discusses diagnostic testing, management including cardiac and nutritional support, genetic counseling and potential new treatments like exon skipping drugs.
APPROACH TO HAEMATURIA
This document discusses the approach to hematuria in children. It begins by defining hematuria and describing different types. It then outlines the most common etiologies of glomerular and non-glomerular hematuria. The document describes the relevant history, examination, investigations and management strategies for evaluating a child with hematuria. It provides case examples and algorithms to guide clinical decision making. The key points are evaluating for glomerular vs extraglomerular causes, identifying underlying etiologies through history, exam and testing, and managing the hematuria based on its cause.
APPROACH TO HAEMATURIA
This document discusses the approach to hematuria in children. It begins by defining hematuria and describing different types. It then outlines the most common etiologies of glomerular and non-glomerular hematuria. The document emphasizes taking a thorough history and physical exam. It recommends investigations including urine analysis, blood work, imaging and potentially renal biopsy. Based on the cause, management may include reassurance, antibiotics, supportive care, monitoring, correcting complications, addressing underlying issues like calculi, or surgical intervention for conditions like tumors or obstructions. The overall approach involves diagnosing the cause of hematuria through history, exam, testing and using targeted management strategies.
Dr mahesh approach to cough
The document discusses the approach to cough and its management. It defines cough and describes the cough reflex mechanism. Cough can be initiated voluntarily or involuntarily and involves both afferent and efferent pathways. Cough receptors are located in various areas including the pharynx, sinuses, stomach and ears. The cause of cough can be extra-pulmonary. A careful history regarding onset, character, production, timing and associated symptoms is required to narrow the diagnosis. Acute, recurrent and chronic cough have different etiologies depending on the patient's age. Proper diagnosis involves assessing factors like sputum quality, color and amount.
Dr mahesh approach to cough
The document discusses the approach to cough and its management. It defines cough and describes the cough reflex mechanism. Cough can be initiated voluntarily or involuntarily and involves both afferent and efferent pathways. Cough receptors are located in various areas including the pharynx, sinuses, stomach and ears. The cause of cough can be extra-pulmonary. A careful history regarding onset, character, production, timing and associated symptoms is required to narrow the diagnosis. Acute, recurrent and chronic cough have different etiologies depending on the patient's age. Proper diagnosis involves assessing factors like sputum quality, color and amount.
Iycf journal club
1. The guidelines provide recommendations for appropriate infant and young child feeding in India, including exclusive breastfeeding for the first six months, continued breastfeeding for up to two years or beyond, and introducing complementary foods after six months of age.
2. Key recommendations include early initiation of breastfeeding within one hour of birth, exclusive breastfeeding for six months, and introducing nutritious complementary foods gradually after six months along with continued breastfeeding.
3. Special situations related to infant feeding in cases of maternal or infant illness, HIV, or other medical conditions are also addressed.
Hemolytic uremicsyndrome-121116000313-phpapp01
This child has signs and symptoms consistent with hemolytic uremic syndrome (HUS). Key points:
- Bloody diarrhea 7 days after consuming undercooked meat suggests infection with Shiga toxin-producing E. coli (STEC), the most common cause of typical HUS.
- Lab findings show microangiopathic hemolytic anemia (schistocytes on smear), thrombocytopenia, and renal insufficiency (elevated BUN/creatinine), confirming the diagnosis of HUS.
- Supportive care is the mainstay of treatment. Given the likely STEC etiology, antibiotics are not indicated but close monitoring and fluid/electrolyte management are needed given the renal involvement
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This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
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At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
Contact @ +971 529818279
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India Home Healthcare Market: Driving Forces and Disruptive Trends [2029]
According to the TechSci Research report titled "India Home Healthcare Market - By Region, Competition, Forecast and Opportunities, 2029," the India home healthcare market is anticipated to grow at an impressive rate during the forecast period. This growth can be attributed to several factors, including the rising demand for managing health issues such as chronic diseases, post-operative care, elderly care, palliative care, and mental health. The growing preference for personalized healthcare among people is also a significant driver. Additionally, rapid advancements in science and technology, increasing healthcare costs, changes in food laws affecting label and product claims, a burgeoning aging population, and a rising interest in attaining wellness through diet are expected to escalate the growth of the India home healthcare market in the coming years.
Browse over XX market data Figures spread through 70 Pages and an in-depth TOC on "India Home Healthcare Market”
https://www.techsciresearch.com/report/india-home-healthcare-market/15508.html
Top 5 Benefits of Cancer Registry Services
Ensure the highest quality care for your patients with Cardiac Registry Support's cancer registry services. We support accreditation efforts and quality improvement initiatives, allowing you to benchmark performance and demonstrate adherence to best practices. Confidence starts with data. Partner with Cardiac Registry Support. For more details visit https://cardiacregistrysupport.com/cancer-registry-services/
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一比一原版(USF毕业证)旧金山大学毕业证如何办理
USF毕业证offer【微信95270640】《旧金山大学毕业证购买》《如何办理USF毕业证旧金山大学文凭学历》Q微信95270640实体公司，专业可靠，办理毕业证办美国成绩单,做加拿大文凭学历认证,办新西兰学位证，学位证书是什么?《制作旧金山大学毕业证多少钱》《USF学历证书丢了怎么办理》办澳洲文凭认证，办留信网认证（网上可查，实体公司，专业可靠）
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国外旧金山大学旧金山大学硕士学位证成绩单办理方法：
1客户提供办理信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询旧金山大学旧金山大学硕士学位证成绩单）；
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Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
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国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
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Multimodal analgesia.
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Hypotension and role of physiotherapy in it
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
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Doc 20170102-wa0007
- 1. GENERAL APPROACH TO POISIONING PRESENTATION BY :- DR.MAHESH YADAV
- 2. APPROACH TO PAEDIATRIC TOXICOLOGY 1. RESUSCITATION 2. RISK ASSESSMENT 3. SUPPORTIVE CARE 4. DECONTAMINATION 5. ENHANCED ELIMINATION 6. ANTIDOTES
- 3. RESUSCITATION • GIVE PRIORITY OVER DECONTAMINATION AND ADMINISTRATION OF ANTIDOTE • AIRWAY: 1. INDICATION OF INTUBATION A) CARDIO RESPIRATORY ARREST B) AIRWAY INJURY C) CORROSIVE INJESTION D) GCS < 8 E) PROLONGED SEIZURE • BREATHING: A) OXYGEN VENTILATION IS REQUIRED
- 4. • CIRCULATION: A) SUPPORTIVE PERFUSION IF NEEDED. B) TREATMENT OF HYPERTENSION. BETA BLOCKERS SHOULD BE AVOIDED IN CASE OF SYMPATHOMIMETIC POISONING. C) ARRHYTHMIA. D) DISABILITY. - SEDATION - SEIZURE CONTROL - TREATMENT OF HYPOGLYCEMIA - MAINTAIN NORMOTHERMIA.
- 5. RISK ASSESSMENT • HISTORY -IT IS TO BE OBTAINED VIA MULTIPLE FAMILY MEMBERS,ALWAYS ASSUME WORST CASE SCENARIO. - ATTEMPT TO ELUCIDATE AND CLEARLY DOCUMENT: A) WHAT SUBSTANCE HAVE BEEN INGESTED? B) HOW MUCH OF EACH SUBSTANCE HAS BEEN INGESTED? C) WHAT TIME THE INGESTED OCCURED? D) WHAT CLINICAL FEATURES HAVE OCCURED SO FAR? E) OTHER RELEVANT PATIENT FACTORS (WEIGHT,OTHER MEDICAL PROBLEMS) -IF THE SUBSTANCE IS UNKNOWN, CONSIDER ALL MEDICATION IN THE HOME INCLUDING KNOWN PHARMACEUTICAL
- 6. • FOCUSED CLINICAL EXAMINATION ESPECIALLY IMPORTANT IF INGESTION IS UNKNOWN. • LOOK FOR TOXIDROMES TOXIDROME S EFFECTS EXAMPLES ANTICHOLIN ERGICS DELIRIUM + PERIPHERAL EFFECTS MAD AS A HATTER-CONFUSIONS, HALLUCINATIONS,SEIZURES,COMA RED AS A BEET – FLUSHED SKIN BLIND AS A BAT –MYDRIASIS HOT AS A HARE – HYPERTHERMIA DRY AS A BONE – DRY SKIN ,URINARY RETENTION ,ILEUS -1ST GENERATION ANTIHISTAMINES -TRICYCLIC ANTI-DEPRESSANTS -ANTIPSYCHOTICS -ANTICONVULSANTS -ANTIMUSCULARIINICS :ATROPINE ,SCOPOLAMINE ,IPRATROPIUM BROMIDE -PLANTS : SOME MUSHROOMS ,DATURA
- 7. TOXIDROME EFFECTS EXAMPLES CHOLINERGIC D DIAPHORESIS,DIARRHOEA U URINATION M MIOSIS B BRONCHOSPASM,BRONCH ORRHOEA, BRADYCARDIA E EMESIS L LACRIMATION S SALIVATION • INSECTISIDES • CHEMICAL WARFARE AGENTS • ALZHEIMER’S MEDICATION •AGENTS USED FOR MYASTHENIA GRAVIS
- 8. TOXIDROME EFFECTS EXAMPLES SYMPATHOMIME TIC • ALPHA - HYPERTENSION - BRADYCARDIA -MYDRIASIS • BETA -HYPOTENSION -TACHYCARDIA - MIOSIS •ALPHA – PHENYLEPRINE ,OTC COLD PREPS •BETA – SALBUTAMOL , THEOPHYLLINE ,CAFFEINE •ALPHA AND BETA – AMPHETAMINE, COCAINE ,PSEUDO/EPHEDRINE SEDATIVE • DECREASED LOC • HYPOVENTILATION • HYPOTENSION • BRADYCARDIA • OPIODS AND BARBITURATES - MIOSIS - HYPOTHERMIA •BENZODIAZEPINES •BARBITURATES •ALCOHOLS •OPIOIDS •ANTICONVULSANTS •ANTIPSYCHOTICS
- 9. TOXIDROMES EFFECTS EXAMPLES SERATONERGIC CNS •ANXIETY, AGITATION, HALLUCINATION, SEIZURES, COMA. NEUROMUSCULAR •TREMOR, HYPER REFLEXIA, CLONUS, MYOCLONUS, RIGIDITY AUTONOMIC •FLUSHING/SWEATING, TACHYCARDIA, HYPERTENISON, HYPERTHERMIA -ANTIDEPRESSANTS •SSRI, SSNRI, MAOI, TCAD ANALGESICS •TRAADOL, PETHIDINE, FENTANYL DRUG OF ABUSE •AMPHETAMINE, MDMA, LSD DIETARY SUPPLEMENTS •ST.JOHN’S WORT, GINSENG
- 10. TOXIDROME EFFECTS EXAMPLES HALLUCINOGENIC HALLUCINATIONS PSYCHOSIS PANIC FEVER MYDRIASIS HYPERTENSION -AMPHETAMINE -CANNABOIDS -COCAINE -MAGIC MUSHROOM ODOR BITTER ALOMONDS-CYANIDE ACETONE – ISOPROPYL ALCOHOL, METHANOL, . PARALDEHYDE ALCOHOL- ETHANOL WINTERGREENT– METHYL SALICYLATE GARLIC – ARSENIC ,THALIUM , O.P
- 11. SUPPORTIVE CARE • MOST OF CHILDREN ONLY REQUIRES SUPPORTIVE CARE 1. OBSERVATION 2. HYDRATION 3. NUTRITION 4. SEDATION 5. TREATMENT OF – HYPO/HYPERTHERMIA,HYPO/HYPER GLYCAEMIA,AGITATION,SEIZURES
- 12. DECONTAMINATION • DECONTAMINATION SHOULD NOT BE DISTRACT FROM RESUSCITATION AND SUPPORTIVE CARE . a. SKIN – WASH OFF WITH SOAPY WATER b. EYES – IRRIGATE WITH 0.9 % NACI UNTILL PH IS <8.0 c. GI TRACT - DILUTION WITH MILK/ WATER IS NOT RECOMMENDED. - EMESIS SHOULD NEVER BE INDUCED . - GASTIRC LAVAGE IS NOT RECOMMENDED .
- 13. • ACTIVATED CHARCOAL – i. RARELY INDICATED IN PAEDIATRIC POISION ING . ii. THE USE OF AC CARRIES A RISK OF ASPIRATION ANG SUBSEQUENT CHEMICAL iii. INDICATED IF ALL OF THE FOLLOWING ARE TRUE :- - PRESENTATION WITHIN 1 HOUR OF INGESTION - TOXIN IS ABSORBED BY AC - PATIENT MAINTAINING OWN AIRWAY AND RISK ASSESSMENT DETERMINES - OTHERWISE ONLY GIVE IF AIRWAY IS PROTECTED - THE SUBSTANCE HAS SIGNIFICANT TOXIXITY AND IS NOT EASILY TREATABLE : 1 G/KG CONTARINDICATION - ACIDS/ALKALIS ,ALCOHOLS,METALS AND IONIC COMPOUNDS ,HYDROCARBONS
- 14. • WHOLE BOWEL IRRIGATION (WBI) a) RARELY PERFORMED b) INDICATED IF :- -INGESTION OF A SLOW RELEASE OR EXTENDED RELEASE SUBSTANCE OR A SUBSTANCE NOT BOUND TO AC - PRESENTATION PRIOR TO SYMTOM ONSET - INGESTION IS LIKELY TO RESULT IN SIGNIFICANT TOXICITY DESPITE SUPPORTIVE CARE OR ANTIDOTE THERAPY - POLYETHYLENE GLYCOL -30ML/KG/H UNTILL EFFLUENT RUNS CLEAR
- 15. ENCHANCED ELIMINATION • MULTIDOSE ACTVATED CHARCOAL • URINARY ALKALINISATION • EXTRACORPOREAL ELIMINATION ( HAEMODIALYSIS )
- 16. ANTIDOTE POISON ANTIDOTE •PARACETAMOL •OPIODS •BENZODIAZEPINES •SODIUM CHANNEL BLOCKERS •IRON •GLIPIZIDE •DIGOXIN •ORGANOPHOSPHATES •BETA BLOCKERS ,CA CHANNEL BLOCKERS N ACETYLCYSTEINE NALOXONE FLUMAZENIL NAHCO3 DESFERROXAMINE OCTREOTIDE DIGOXIN FAB FRAGMENTS PRALIDOXIME ,ATROPINE INSULIN /DEXTROSE EUGLYCAEMIC THERAPY
- 17. • THANK U