The document discusses various diseases of the nose and ear, including their causes, symptoms, and treatment options. It covers common colds, influenza, allergic rhinitis, sinusitis, otitis externa, otitis media, and more. For treatment, it recommends medications like antihistamines, decongestants, steroids, antibiotics, and provides dosage information. Prevention methods are also outlined, such as allergen avoidance and regular ear cleaning.
Sinusitis is an inflammation or swelling of the tissue lining the sinuses. Healthy sinuses are filled with air. But when they become blocked and filled with fluid, germs can grow and cause an infection.
Sinusitis is an inflammation or swelling of the tissue lining the sinuses. Healthy sinuses are filled with air. But when they become blocked and filled with fluid, germs can grow and cause an infection.
"Sinusitis" simply means your
sinuses are inflamed? Red and swollen because of an infection or another
problem. There are several types of sinusitis. Health experts usually identify
them as follows:
-- Acute, which lasts up to 4 weeks
-- Subacute, which lasts 4 to 12 weeks
-- Chronic, which lasts more than 12 weeks and
can continue for months or even years
-- Recurrent, with several attacks within a
year
In 2009, the Centers for Disease Control and Prevention
reported that nearly 31 million adults were diagnosed with sinusitis. Women
were almost twice as likely as men to receive the diagnosis, and there were
more cases in the southern United States than elsewhere in the country.
Evaluation And Management Of Upper Respiratory Tract Infections In Children Dawood Al nasser
Evaluation And Management Of Upper Respiratory Tract Infections In Children
This presentation offers helpful comparison tables, please note that some recommendation might have changed since preparation and publication of this material.
Acute Laryngitis and Croup: Diagnosis and Treatmentiosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
"Sinusitis" simply means your
sinuses are inflamed? Red and swollen because of an infection or another
problem. There are several types of sinusitis. Health experts usually identify
them as follows:
-- Acute, which lasts up to 4 weeks
-- Subacute, which lasts 4 to 12 weeks
-- Chronic, which lasts more than 12 weeks and
can continue for months or even years
-- Recurrent, with several attacks within a
year
In 2009, the Centers for Disease Control and Prevention
reported that nearly 31 million adults were diagnosed with sinusitis. Women
were almost twice as likely as men to receive the diagnosis, and there were
more cases in the southern United States than elsewhere in the country.
Evaluation And Management Of Upper Respiratory Tract Infections In Children Dawood Al nasser
Evaluation And Management Of Upper Respiratory Tract Infections In Children
This presentation offers helpful comparison tables, please note that some recommendation might have changed since preparation and publication of this material.
Acute Laryngitis and Croup: Diagnosis and Treatmentiosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
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.
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.
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.
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
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.
Follow us on: Pinterest
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
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.
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.
1. Dr. Yasser A. Nour M.D, FRCSEd Fellow of the Royal College of Surgeons of Edinburgh. Lecturer of Otolaryngology – Head & Neck Surgery. PHARMACOTHERAPY FOR DISEASES OF THE NOSE
13. Influenza Two types of influenza virus. Human influenza A person infected with a particular flu virus strain develops antibody against that virus. As newer virus strains appear through antigenic shift and drift , the antibodies against the older strains no longer recognize the "newer" virus, and infection with a new strain can occur.
14. Common Occasional Sore throat Common Occasional Sneezing Common Occasional Stuffy nose Mild to moderate Common, severe Chest discomfort Very mild, short lasting More common Fatigue, weakness Mild Severe Malaise Mild to moderate Common, severe Cough (dry) Severe, common Severe, common Headache Uncommon Common Anorexia Uncommon Severe, common Arthralgia Uncommon Severe, common Myalgia Uncommon only 0.5°C Common up to 40.0°C Fever More gradual Abrupt Onset Common cold Influenza Features
15.
16.
17. Allergic Rhinitis Dr. Yasser A. Nour, M.D., FRCSEd Lecturer of Otolaryngology – Head & Neck Surgery. Alexandria University Fellow of the Royal College of Surgeons of Edinburgh
18. Allergic rhinitis is an IgE mediated hypersensitivity of nasal mucous membrane characterized by sneezing, itching, watery rhinorrhea and a sensation of nasal obstruction . It may also involve the lining of paranasal sinuses . Allergic rhinitis occurs in atopic individuals who are exposed to common aeroallergens
38. Others SINGULAIR is indicated for relief of symptoms of allergic rhinitis (seasonal allergic rhinitis in adults and children aged 2 years and older and perennial allergic rhinitis in adults and children aged 6 months and older).
39. Sinusitis Sinusitis is the inflammation/infection of 1 or more paranasal sinuses and occurs with obstruction of the normal drainage mechanism. It is traditionally subdivided into acute (symptoms lasting <3 wk), subacute (symptoms lasting 3 wk to 3 mo), and chronic (symptoms lasting > 3 mo).
40. Several factors may contribute to obstruction: mucosal swelling, abnormalities of the cilia, structural abnormalities and overproduction of secretions. Preceding viral infection or epithelial damage weakens mucosal defenses and facilitates penetration of bacteria into the sinus mucosa. Although nasal allergies also contribute to edema and swelling of the nasal mucosa.
41. A diagnosis of ABS can be made when a viral upper respiratory tract infection (URI) fails to improve after 10 days or worsens after 5–7 days and is accompanied by symptoms of persistent anterior and posterior rhinorrhea, nasal congestion, facial pressure/pain, post-nasal drainage, reduced sense of smell, fever, cough, fatigue, dental pain in the jaw, or ear pressure/fullness.
42. Symptoms associated with acute bacterial rhinosinusitis Nonspecific/infrequent symptoms Malaise/fatigue Purulent anterior nasal or postnasal discharge Cough Fever Hyposmia/anosmia “ Double-sickening” history † Nasal congestion Maxillary tooth or facial pain (especially when unilateral) Halitosis Unilateral maxillary sinus tenderness Key diagnostic symptoms
43. The most common bacterial pathogens in acute sinusitis are Streptococcus pneumoniae (30-40%), Haemophilus influenzae (20-30%) Moraxella catarrhalis (12-20%). Anaerobic organisms have been found in fewer than 10% of patients with acute bacterial sinusitis, despite the ample environment available for their growth.
44. First-line therapy at most centers is usually amoxicillin or a macrolide antibiotic in patients allergic to penicillin because of the low cost, ease of administration, and low toxicity of these agents. * 500 mg PO first day, then 250 mg/d PO for 4 days Azithromycin 250-500 mg PO bid Clarithromycin 500 mg PO tid Amoxicillin Dosage Antibiotic
45. Patients who live in communities with a high incidence of resistant organisms , those who fail to respond within 48-72 hours of commencement of therapy, and those with persistence of symptoms beyond 10-14 days should be considered for second-line antibiotic therapy. 300 mg PO tid Clindamycin 200 mg/d PO Trovafloxacin 500 mg/d PO Levofloxacin 500-750 mg PO bid Ciprofloxacin 200 mg PO bid 400 mg/d PO Cefpodoxime + cefixime 250-500 mg PO bid Cefuroxime 500 mg PO tid Amoxicillin/clavulanate Dosage Antibiotic
66. Treatment " Wait-and-see prescription “ for antibiotics in AOM The observation option is a 48- to 72-hour period of symptomatic treatment with analgesics and without antibiotics, followed by reexamination.
67. Treatment Adjust dose in renal impairment; use in Ebstein-Barr viral mononucleosis increases risk of severe rash Precautions 80-90 mg/kg/d PO divided q8h for 10 d in younger children and in patients with severe disease Pediatric Dose 250-500 mg PO q8h Adult Dose Amoxicillin (Amoxil, Biomox) Drug Name
68. Treatment Give for minimum of 10 d to eliminate organism and prevent sequelae (eg, endocarditis, rheumatic fever); after treatment, perform cultures to confirm eradication of streptococci Precautions 90 mg/kg (amoxicillin) with 6.4 mg/kg (clavulanate) divided PO q12h Pediatric Dose 500-875 mg PO q12h PO or 250-500 mg PO q8h Adult Dose Amoxicillin and clavulanate potassium (Augmentin) Drug Name
69. Treatment 30 mg/kg PO q12h Pediatric Dose 125-500 mg PO q12h Adult Dose Second-generation cephalosporin maintains gram-positive activity of first-generation cephalosporins; adds activity against Proteus mirabilis , H influenzae , Escherichia coli , Klebsiella pneumoniae , and M catarrhalis . Condition of patient, severity of infection, and susceptibility of microorganism determines proper dose and route. Description Cefuroxime Drug Name
70. Ceftriaxone 50 mg/kg/d is recommended for children who are unable to take oral antibiotics and for patients with compliance problems. Treatment
71.
72.
73. Bell’s palsy Abrupt discontinuation of glucocorticoids may cause adrenal crisis; hyperglycemia, edema, osteonecrosis, myopathy, peptic ulcer disease, hypokalemia, osteoporosis, euphoria, psychosis, myasthenia gravis, growth suppression, and infections may occur with glucocorticoid use Precautions 1 mg/kg/d PO for 7 d Adult Dose Prednisone (Hostacortin) Drug Name
74. Bell’s palsy Caution in renal failure or when using nephrotoxic drugs Precautions <2 years: Not recommended >2 years: 1000 mg PO divided qid for 10 d Pediatric Dose 4000 mg/24 h PO for 7-10 d Adult Dose Acyclovir (Zovirax) -- Has demonstrated inhibitory activity directed against both HSV-1 and HSV-2, and infected cells selectively take it up. Drug Name
77. Meniere’s disease Caution in angle-closure glaucoma, prostatic hypertrophy, pyloric or duodenal obstruction, and bladder neck obstruction Precautions 25-50 mg PO q4-6h Adult Dose Decreases the excitability of the middle ear labyrinth and blocks conduction in the middle ear vestibular-cerebellar pathways. These effects are associated with its therapeutic effects in vertigo. Description Meclizine (Antivert) Drug Name
78. Meniere’s disease Neonates: Do not administer 2-6 years: 12.5-25 mg q6-8h; not to exceed 75 mg/d 6-12 years: 25-50 mg PO q6-8h; not to exceed 150 mg/d Pediatric Dose 50 mg PO/IM q4-6h or a 100-mg suppository q8h Adult Dose Used for treatment and prophylaxis of vestibular disorders that may cause nausea and vomiting. Through its central anticholinergic activity, it diminishes vestibular stimulation and depresses labyrinthine function. Description Dimenhydrinate (Dramamine) Drug Name
79. Meniere’s disease 5-10 mg PO/IV/IM q4-6h Adult Dose Depresses all levels of the CNS, including limbic and reticular formation, possibly by increasing GABA activity, which is a major inhibitory neurotransmitter. Description Diazepam (Valium) Drug Name
80. Meniere’s disease Can be associated with CNS depression, dry mouth, extrapyramidal symptoms, hypertension, hypotension, and rash; caution in patients with cardiovascular or hepatic disease Precautions <2 years: Contraindicated >2 years: 0.5 mg/kg q4-6h Pediatric Dose 25-50 mg PO/IM/PR q4-6h Adult Dose Antidopaminergic agent effective in the treatment of emesis. Description Promethazine (Phenergan) Drug Name