- Fatma Fath Allah, a 25-year-old woman, presented with dyspnea, tachypnea, paleness, and easy fatigability. She had a cesarean section at 36 weeks for her first pregnancy due to abdominal pain and vaginal bleeding, and the fetus had died.
- Laboratory tests showed signs of HELLP syndrome including low platelets, elevated liver enzymes, and kidney dysfunction. She received treatment including antibiotics, dialysis, and plasma exchange.
- Her condition gradually improved over time. Regular monitoring of her renal function and follow up ultrasound were recommended, and her prognosis was described as good with continued monitoring and care.
A simple description of a less understood topic in Intensive Care Medicine. Aim to make understanding and management easy for the residents and prevention steps for all ICU workers.
A simple description of a less understood topic in Intensive Care Medicine. Aim to make understanding and management easy for the residents and prevention steps for all ICU workers.
Anaesthetic Management of a Patient with HELLP SyndromeMd Rabiul Alam
HELLP syndrome can be an extremely serious and complex multisystem disorder involving much more than just eclampsia. Special considerations in obstetric and anaesthetic management are necessary, to minimize the morbidity and mortality are associated with this syndrome and its complications.
it cinstitutes the most common form of complications encountered in eclampsia. it is potentialy curable if diagnosed and treated early in course. this is the state of affairs in MKCG Medical College, Berhampur, ODISHA, INDIA
Anaesthetic Management of a Patient with HELLP SyndromeMd Rabiul Alam
HELLP syndrome can be an extremely serious and complex multisystem disorder involving much more than just eclampsia. Special considerations in obstetric and anaesthetic management are necessary, to minimize the morbidity and mortality are associated with this syndrome and its complications.
it cinstitutes the most common form of complications encountered in eclampsia. it is potentialy curable if diagnosed and treated early in course. this is the state of affairs in MKCG Medical College, Berhampur, ODISHA, INDIA
LOWER GI HEMORRHAGE- Introduction
#surgicaleducator #babysurgeon
Dear Viewers,
Greetings from “Surgical Educator”
Today I have uploaded an introductory video on Lower GI haemorrhage. In this episode, I have talked about the various causes for lower GI bleeding, applied anatomy,History&Physical exam,investigations and management algorithm for lower GI bleeding. In the subsequent episodes in this series of videos, I will be talking about the individual causes elaborately- one in each video. You can watch this video in the following links:
surgicaleducator.blogspot.com
youtube.com/c/surgicaleducator
Thank you for watching the video
A 67 year old male patient was admitted to the male medicine ward with complaints of abdominal distension, bilateral lower limb oedema, pitting pedal oedema, distended and swelled scrotum and breathlessness since 15 days.
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
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.
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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.
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
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.
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2.
• Name: FATMA FATH ALLAH
• Age : 25years old
• From el GAMALEYA
• Married
• No Child
Personal History
3.
No medical history not HTN nor DM
No surgical history
No special habits
Past history
4.
Patient presented by :
• Dyspnea ,Tachypnea ,Pale and easy fatigability
• BP=150/100 HR=110 RBS=83
• CHEST Bilateral basal crepitation
• Abdomen lax and audible intestinal sound
• Uterus contracted and 2 drains inserted at left
• She was pregnant at 36 weeks and went to her doctor
by acute abdominal pain and accidental vaginal
bleeding
Present history
5.
• This is the first gestational urgent cesarean section
done and fetus died
• After labor BP=180/100 an uric for 12hrs
• She received 2cm Lasix, Epilate S.L, Ringer and
Glucose 10%
• Attack of fits admitted in ICU at 8/1/2018
Present history
7.
Liver and Spleen :average size
U.B: Not visualized
Both kidneys: average size,shape,increase
echogenicity grade II Nephropathy with poor C.M.D
and No back pressure
G.B: multiple stones
Free fluid is seen at Douglas pouch at pelvic region
Uterus: Bulky hyper echoic foci mainly Hage
For CT Pavli abdominal
Abdominal U.S.
8.
RIGHT KIDNEY:
• Normal size, shape, and position of the right kidney
• Normal parenchymal thickness.
• Normal palvi-calyceal system. No detected stone .
• Normal course and caliber of the right ureter . No detected
stone
LIFT KIDNEY :
• Normal size, shape, and position of the lift kidney .
• Normal parenchymal thickness.
• Normal palvi-calyceal system. No detected stone .
• Normal course and caliber of the lift ureter . No detected stone
NON-CONTRAST MULTISLICE CT
SCAN OF THE URINARY TRACT
REVEALED :
9.
Empty urinary bladder show the ballon of
folly catheter inside:
• Bulky post-partum uterus
• Bilateral minimal pleural effusion
Conclusion:
Normal CT scan of the urinary system.
URINARY BLADDER:
10.
HELLP Syndrome with AKI for:
1. Fluid chart
2. Daily lab & blood ,urine cultures and analysis
3. Blood transfusion
4. If patient still an uric and S.cr rising for dialysis
5. Renal biopsy &CT abdomen and pelvic
First Diagnosis &Plan
11.
Levofloxacin 500iv/48h
Cefipem 1gm iv/24h
NaHCO3 cap /8h
Alkapress 5mg tab /24
Calcimat tab 2x3
Dexamethazon ½ amp iv /12h
Zantac amp iv /12h
Saline 500mg /12h
Lasix iv 1ml /houre
Liver support
Vit k IM /24h
Kapron amp /12h
Patient received 3 session of dialysis
Treatment
16.
What is HELLP Syndrome?
The name HELLP stands for:
H- hemolysis ( breakdown of red blood cells)
EL- elevated liver enzymes (liver function)
LP- low platelets counts (platelets help
the blood clot)
What is HELLP Syndrome?
17.
How HELLP Syndrome is Classified
The severity of HELLP syndrome is measured according
to the blood platelet count of the mother and divided into
three categories, according to a system called "the
Mississippi classification."
Class I (severe thrombocytopenia): platelets under
50,000/mm3
Class II (moderate thrombocytopenia): platelets between
50,000 and 100,000/mm3
Class III (AST > 40 IU/L, mild thrombocytopenia):
platelets between 100,000 and 150,000/mm3
How HELLP Syndrome is
Classified
18.
The most common symptoms of HELLP
syndrome include:
Headaches
Nausea and vomiting that continue to get
worse–(This may also feel like a serious case
of the flu).
Upper right abdominal pain or tenderness
Fatigue or malaise
What are the Symptoms of
HELLP Syndrome?
20.
Because the symptoms of HELP can mimic many other
conditions or complications, it is encouraged that
physicians run a series of blood tests, including liver
function, on any woman experiencing symptoms during
the third trimester of pregnancy. HELLP syndrome may
occur before the third trimester but it is rare. It also may
occur within 48 hours of delivery, although symptoms may
take up to 7 days to be evident.
Blood pressure measurements and urine tests to check for
protein are often monitored when diagnosing HELLP
syndrome.
How is HELLP Syndrome
Diagnosed?
22.
Placental Abruption
Pulmonary Edema ( fluid buildup in the lungs)
Diseminated intravascular coagulation (DIC—blood
clotting problems that result in hemorrhage)
Adult Respiratory distress syndrome (lung failure)
Ruptured liver hematoma
Acute renal failure
Intrauterine Growth restriction (IUGR)
Infant respiratory Distress syndrome (lung failure)
Blood transfusion
What are the Risks and Complications of
HELLP Syndrome?
23.
The maternal mortality rate is about
1.1% with HELLP syndrome. The infant
morbidity and mortality rate is
anywhere from 10-60% depending on
many factors such as gestation of
pregnancy, severity of symptoms, and
the promptness of treatment.
What are the Risks and Complications of
HELLP Syndrome?