Epistaxis, or a nosebleed, occurs when blood vessels inside the nose become injured or damaged, causing bleeding from the nostril. The majority of nosebleeds originate from the front of the nose but can also occasionally come from further back. Nosebleeds are generally caused by local trauma, infections, medications, or underlying medical conditions. Treatment depends on the location and severity of the bleeding but may involve cauterization, nasal packing, medications to constrict blood vessels, or further procedures if bleeding does not stop. At home care focuses on rest, limiting straining, and preventing rebleeding.
Nosebleeds are very common in young children, affecting most at some time or another. From the outset, it is important to be aware that nosebleeds will often settle down on their own, sometimes requiring medical treatment, but that major underlying causes (blood clotting problems or abnormalities in the nose) are very rare.
Rhinitis, also known as coryza, is irritation and inflammation of the mucous membrane inside the nose. Common symptoms are a stuffy nose, runny nose, sneezing, and post-nasal drip. The inflammation is caused by viruses, bacteria, irritants or allergens
Nosebleeds are very common in young children, affecting most at some time or another. From the outset, it is important to be aware that nosebleeds will often settle down on their own, sometimes requiring medical treatment, but that major underlying causes (blood clotting problems or abnormalities in the nose) are very rare.
Rhinitis, also known as coryza, is irritation and inflammation of the mucous membrane inside the nose. Common symptoms are a stuffy nose, runny nose, sneezing, and post-nasal drip. The inflammation is caused by viruses, bacteria, irritants or allergens
otitis media is the inflammation of the ear drum or tympanic membrane this topic include its definition , etiology, pathophysiology, clinical manifestation, diagnosis and its treatment which can be used by nursing students for taking care of the patient suffering from otitis media and for learning for their examination and knowledge purpose
and care of the child with acute otitis media and chronic otitis media and make their family aware about the complication of the otitis media like hearing loss meningitis
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
Bleeding from inside the nose is called epistaxis
Fairly common and is seen in all age groups.
“Epistaxis refers to nose bleed or hemorrhage from the nose”.
It‘s mostly commonly originates in the anterior portion of the nasal cavity.
A hemorrhage from the nose, referred to as epistaxis, is caused by the rupture of tiny, distended vessels in the mucous membrane of any area of the nose.
Most commonly, the site is the anterior septum, where three major blood vessels enter the nasal cavity:
(1) the anterior ethmoidal artery on the forward part of the roof (Kesselbach’s plexus)
(2) the sphenopalatine artery in the posterosuperior region, and
(3) the internal maxillary branches (the plexus of veins located at the back of the lateral wall under the inferior turbinate).
Epistaxis and its surgical and nursing managementbhartisharma175
epitaxis- its types, causes, sign and symptoms, diagnostic evaluation, surgical management and nursing management and its complication.it consist of images that will help in easy understanding of the topic. language is also easy to understand.
Nosebleeds can be dramatic and frightening. Luckily, most nosebleeds are not serious and can be handled fairly easily. They are divided into two types, depending on whether the bleeding is coming from the anterior (front of the nose) or posterior (back of the nose).
Treatment for nosebleeds doesn’t follow any specific protocol and in many cases, it is not required at all. However, it is important to know how to stop nosebleeds and how to prevent nosebleeds in the future. Before we come to this point, let’s discuss what are nosebleeds, what causes nosebleeds, and when nosebleeds require medical attention. Find more here: https://philaholisticclinic.com/treatment-for-nosebleeds/
it is bleeding disorder of upper respiratory tract , it can cause by the weather change ,nose crusting etc . if minor bleeding have to manage at home ,and sever we can manage in hospital .
otitis media is the inflammation of the ear drum or tympanic membrane this topic include its definition , etiology, pathophysiology, clinical manifestation, diagnosis and its treatment which can be used by nursing students for taking care of the patient suffering from otitis media and for learning for their examination and knowledge purpose
and care of the child with acute otitis media and chronic otitis media and make their family aware about the complication of the otitis media like hearing loss meningitis
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
Bleeding from inside the nose is called epistaxis
Fairly common and is seen in all age groups.
“Epistaxis refers to nose bleed or hemorrhage from the nose”.
It‘s mostly commonly originates in the anterior portion of the nasal cavity.
A hemorrhage from the nose, referred to as epistaxis, is caused by the rupture of tiny, distended vessels in the mucous membrane of any area of the nose.
Most commonly, the site is the anterior septum, where three major blood vessels enter the nasal cavity:
(1) the anterior ethmoidal artery on the forward part of the roof (Kesselbach’s plexus)
(2) the sphenopalatine artery in the posterosuperior region, and
(3) the internal maxillary branches (the plexus of veins located at the back of the lateral wall under the inferior turbinate).
Epistaxis and its surgical and nursing managementbhartisharma175
epitaxis- its types, causes, sign and symptoms, diagnostic evaluation, surgical management and nursing management and its complication.it consist of images that will help in easy understanding of the topic. language is also easy to understand.
Nosebleeds can be dramatic and frightening. Luckily, most nosebleeds are not serious and can be handled fairly easily. They are divided into two types, depending on whether the bleeding is coming from the anterior (front of the nose) or posterior (back of the nose).
Treatment for nosebleeds doesn’t follow any specific protocol and in many cases, it is not required at all. However, it is important to know how to stop nosebleeds and how to prevent nosebleeds in the future. Before we come to this point, let’s discuss what are nosebleeds, what causes nosebleeds, and when nosebleeds require medical attention. Find more here: https://philaholisticclinic.com/treatment-for-nosebleeds/
it is bleeding disorder of upper respiratory tract , it can cause by the weather change ,nose crusting etc . if minor bleeding have to manage at home ,and sever we can manage in hospital .
IT INCLUDES THE UPPER AND LOWER RESPIRATORY TRACK DISORDERS IN CHILDREN WITH THEIR PREVENTIVE MANAGEMENT. AND IN THIS SLIDE ALSO ENLISTED THE NURSING DIAGNOSIS.
Dr. Ram Kumar specializes Nose Doctor in Ropar. Dr Ram Kumar diagnosis and treatment of all nose, sinus and voice disorders, pediatric sleep disorders and snoring, sleep apnea, allergies including ear infections, TMJ (jaw disorder), chronic headaches, snoring, memory loss and many more. Many disorders can be treated effectively with the proper medical care.
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
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.
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.
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
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.
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.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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.
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1. EPISTAXIS
Epistaxis also known as a nosebleed is a condition where there is active bleeding or acute
hemorrhage from the nostril, nasal cavity, or nasopharynx. This occurs when the blood vessels
inside the nose are injured or damaged.
TYPES
A. Anterior nosebleeds make up more than 90% of all nosebleeds. Anterior nosebleed is usually
from the front and lower part of the nose. The most common site of anterior bleeding is in the
nasal septum.
B. Posterior nosebleeds are much less common than anterior nosebleeds. The blood usually
originates from an artery in the back part of the nose. The blood usually drains down the back
of the throat instead of coining out the nostrils.
ETIOLOGY
a) Local Causes
Finger nail trauma due to excessive nose picking. This is the most common cause among
the children.
Trauma to nose or facial trauma due to road traffic accident or being hit on the nose by a
ball or fist.
Fracture of the nasal bones.
Iatrogenic causes include nasogastric and nasotracheal intubation.
b) Infections
Children usually present with epistaxis due to local irritation or recent URTI.
Viral rhinitis
Acute sinusitis
c) Others
Foreign bodies in nose
Deviation of the nasal septum
Atmospheric changes such as sudden movement to high altitudes.
Any growth in the nasal cavity, like polyps, benign or malignant tumors
d) General Causes
Idiopathic - at times the cause of bleeding may not be clear.
2. Hypertension — commonly seen in old age
Heart diseases
Pregnancy
Bleeding disorders
Drugs- Topical nasal drugs such as antihistamines and corticosteroids, especially when
applied directly to the nasal septum instead of the lateral walls, may cause mild epistaxis.
Oral anticoagulants and coagulopathy due to splenomegaly, thrombocytopenia, platelet
disorders, liver disease, renal failure, chronic alcohol use, or AIDS-related conditions
predispose to epistaxis.
Acute infections like typhoid, pneumonia, malaria, dengue fever, measles etc.
PATHOPHYSIOLOGY
CLINICAL MANIFESTATIONS
Dark or bright red bleeding from one or both nostrils is the most common sign of
epistaxis.
Patient may also have trouble breathing, smelling, or talking if blood clots block nostrils.
If patient swallow blood, stool (bowel movements) may look black.
Other symptoms include headache, confusion, fainting, dizziness, and weakness,
especially when lose a lot of blood.
If the bleeding is heavy enough, the blood can fill up the affected nostril and overflow
3. into the nasopharynx, causing simultaneous bleeding from the other nostril as well.
Blood can also drip into the back of the throat or down into the stomach, causing a person
to spit up or even vomit blood.
MEDICAL MANAGEMENT
Treatment for epistaxis aims to control bleeding and treat the underlying cause.
A. Anterior Nosebleed
A minor nosebleed that has stopped may require no treatment at all. Frequently, the body will
form a clot at the site of the bleeding that stops any further bleeding.
If the source of the bleeding is from a blood vessel that is easily seen, a doctor may cauterize
it (seal the blood vessel) with a chemical called silver nitrate after applying a l
o
c
a
ltopical
anesthetic inside the nose.
Chemical cauterization is most effective when the visible bleeding originates from the very
front part of the nose. In more complicated cases, a nasal packing may be required to stop
the bleeding.
Nasal packing apply direct pressure inside the nostril to promote clotting and stop the
bleeding. Many different types of nasal packing are available, including petroleum
(Vaseline) gauze, balloon nasal packs, and synthetic sponge packs that expand when
moistened.
The local application of a vasoconstrictive agent has been shown to reduce the bleeding time
in benign cases of epistaxis.
The drugs oxymetazoline or phenylephrine are widely available in over-the-counter nasal
sprays for the treatment of allergic rhinitis, and may be used for this purpose
Most people who receive an anterior nasal packing go home with it in place. Because these
packing block the drainage pathways of the sinuses, antibiotics may be started to prevent a
sinus infection. The packing is usually left in place for 48-72 hours.
Posterior Nosebleed
A posterior nosebleed that does not stop bleeding on its own requires admission to the
hospital, as these types of nosebleeds can be very serious.
In order to control the bleeding, a posterior nasal packing will be inserted. Different
4. types of packings are available, though a balloon nasal pack is most commonly used.
Unlike anterior nasal packings, posterior nasal packings are much more uncomfortable
and frequently require sedatives and pain medications.
Furthermore, potential complications such as infection and blockage of the breathing
passages may be encountered with posterior nasal packings. Consequently, admission to
the hospital and dose monitoring are required.
Posterior packings are usually left in place for 48-72 hours. If this does not control the
bleeding, arterial embolization or certain surgical procedures may be required.
NURSING MANAGEMENT
Lean forward to keep blood from going down the back of your throat, and breathe
through the mouth.
Pinch the lower soft part of nose tightly using thumb and index finger for 5 to 20
minutes.
Sit quietly, keeping the head higher than the level of the heart. Do not lay flat or put your
head between your legs.
Ice compress can be applied in the nose. They cause bleeding blood vessels to constrict
& bleeding stops.
After pinching your nose, release it to check if there is still bleeding. If present, repeat
pinching the nose and applying ice.
HOME CARE: AFTER DISCHARGE
Take rest with head elevated at 30 to 45 degrees.
Do not blow the nose or put anything into it. If you have to sneeze, open your mouth so
that the air will escape out the mouth and not through the nose.
Do not strain during bowel movements. Use a stool softener
Do not strain or bend down to lift anything heavy.
Do not smoke.
Stay on a soft, cool diet. No hot liquids for at least 24 hours.
Do not take any medications that will thin the blood (aspirin, ibuprofen, clopidogrel
bisulfate or warfarin).
If re-bleeding occurs, try to clear the nose of clots by sniffing in forcefully. These types
5. of sprays constrict blood vessels.
PREVENTION
Most nosebleeds occur during the winter in cold, dry climates. If a person is prone to
nosebleeds, use a humidifier in the home.
Petroleum jelly (Vaseline), antibiotic ointment, or a saline nasal spray may be used to
keep the nasal passages moist.
Avoid picking the nose
Avoid blowing the nose too vigorously.
If the nosebleed is related to another medical condition, such as liver disease or a chronic
sinus condition, follow the doctor's instructions to keep that problem under control.
Avoid straining while passing stools or lift anything heavy and stop smoking