Fluorescein angiography uses fluorescence to evaluate the integrity of retinal and choroidal vessels. Fluorescein dye is injected and its movement through the eye is photographed. Normally, dye fills the choroidal and retinal vessels without leaking. Abnormalities appear as hyperfluorescence, where dye leaks, or hypofluorescence, where filling is blocked. Fluorescein angiography helps diagnose and monitor retinal diseases by detecting breaks in the blood-retinal barrier and assessing the extent of damage. It remains useful for evaluating conditions like age-related macular degeneration, diabetic retinopathy, and retinal vein occlusions.
Boris Malyugin, M.D., PhD.'s presentation about Malyugin Ring® pearls. The key learning points of the presentation include the step-wise approach in managing small pupils, the main drivers for the decision to use pupil expander device, and the Malyugin Ring® implantation and removal pearls.
a comprehensive presentation on Slit-lamp in which i have described about the history, optics and also the uses of different illuminations by Dr. Paresh Nichlani
Boris Malyugin, M.D., PhD.'s presentation about Malyugin Ring® pearls. The key learning points of the presentation include the step-wise approach in managing small pupils, the main drivers for the decision to use pupil expander device, and the Malyugin Ring® implantation and removal pearls.
a comprehensive presentation on Slit-lamp in which i have described about the history, optics and also the uses of different illuminations by Dr. Paresh Nichlani
Fluorescein angiography, fluorescent angiography, or fundus fluorescein angiography is a technique for examining the circulation of the retina and choroid using a fluorescent dye and a specialized angiographic camera.
Pachychoroid spectrum of disease now also include central serous chorioretinopathy. The presentation include history, pathogenesis, clinical features, diffrential and treatment of CSCR
Coats' disease, (also known as exudative retinitis or retinal telangiectasis, sometimes spelled Coates' disease), is a rare congenital, nonhereditary eye disorder, causing full or partial blindness, characterized by abnormal development of blood vessels behind the retina.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
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.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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.
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
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.
How to Give Better Lectures: Some Tips for Doctors
FFA ppt.pptx
1. D R . G . N A G E S W AR R A O ; M D
A S S O . P R O F. O P H T H A L M O L O G Y, K I M S
V I T R E O - R E T I N A L S U R G E O N
Fundus fluorescein angiography
3. LUMINESCENCE & fluorescence
Luminescence:- Emission of light from any source
other than high temperature
It occurs when energy in the form of electromagnetic
radiation is absorbed and then re-emitted at another
frequency
Fluorescence:- luminescence that is maintained
only by continuous excitation
6. Purpose of ffa
studying the normal physiology of the retinal
and choroidal circulation,as well as disease
process affecting the macula.
Evaluation of the vascular integrity of the
retinal and choroidal vessels
Check the integrity of the blood ocular barrier.
- outer blood retinal barrier breaks in CSR
- inner blood retinal barrier breaks in NVD,NVE
7. Therefore ,
it helps :
In clinical diagnosis
to determine extent of damage
To formulate treatment strategy for choroidal and
retinal disease
To monitor result of treatment
10. contraindications
ABSOLUTE
1) known allergy to iodine containing compounds.
2) H/O adverse reaction to FFA in the past.
RELATIVE
1) Asthma
2) Hay fever
3) Renal failure
4) Hepatic failure
5) Pregnancy ( especially 1st trimester)
11. Adverse effects
MILD MODERATE SEVERE
Staining of skin,
sclera and
mucous
membrane
Nausea and
vomiting
Respiratory-
laryngeal edema
,bhroncospasm
Stained secretion
Tear, saliva
Vasovagal
response
Circulatory
shock, MI,
cardiac arrest
Vision tinged
with yellow
urticaria Generalized
convulsion
Orange-yellow
urine
fainting Skin necrosis
Skin flushing,
tingling lips
pruritus
12. PROCEDURE
Patient is informed of the normal procedures, the side effects and
the adverse reactions.
Dilating the pupil
Made to sit comfortable.
3-4 red free photographs taken.
(control photographs)
5ml of 10% or 3ml of 25% NAF injected through the anticubital
vein
13. wait for 10 – 12 seconds( normal arm-retina time)
Photos are taken at 1 second interval for 10 seconds
Then every 2 seconds interval for 30 seconds
Late photographs are usually taken after 3 ,5 and 10
minutes.
14. CIRCULATION OF DYE
Dye injected from peripheral vein
venous circulation
heart
arterial system
INTERNAL CAROTID ARTERY
Ophthalmic artery
Short posterior ciliary artery) Central retinal
(choroidal circulation.) ( retinal circulation)
N.B. The choroidal filling is 1 second prior to the retinal filling.
17. Two types of circulation in fundus
A.Choroidal
circulation
-choriocapillaries are
fenestrated
-so allows dye to diffuse
freely
BUT,
-outer blood-retinal barrier
in RPE don’t let dye to
reach retina
B.Retinal circulation
-endothelial cells of retinal
blood vessels joined by
tight junctions (inner
blood retinal barrier)
-prevents leakage of dye
from vessels
18. Phases of angiogram
A) Choroidal (pre-arterial)
B) Arterial
C)
iovenous(capillary)
D) Venous and
E) Late(elimination)
Patchy filling
No leakage
No complication
WHY
???
19.
20. Prearterial/choroidal phase
8-12 seconds after dye
injection
Initial patchy filling
followed by diffuse filling
No dye has entered
retinal circulation
21. Arterial phase
Shows arterial filling
Continuation of
choroidal filling
1 second after choridal
phase
26. Late/elimination phase
Elimination of dye from
choroidal and retinal
circulation
Staining of disc – normal
In 5-10 minutes
fluorescein absent from
angiogram
And from body in several
hours
27. Fovea in FFA
Appears dark
AVASCULARI
TY IN FAZ
BLOCKAGE OF
CHOROIDAL
FLUORESCENCE
INCREASED
XANTHOPHYL
L PIGMENTS
LARGER RPE
CELLS WITH
MORE
MELANIN
30. hyperflourescence
Greater level of fluorescence than would be found in
normal angiogram
Occur due to:
-window defect
-increased accumulation of dye
leakage
pooling
staining
36. staining
Accumulation of fluorescence within a tissue
Due to prolonged dye retention
Minimum hyperfluorescence in early and midphase
which increases in late phase
Can be seen in normal as well as pathologically
altered tissue
40. BLOCKED FLUORESCENCE
Optical obstruction (masking) of normal density of
fluorescein
Caused by lesions anterior to retina
41. examples
Pre-retinal lesions eg.vitreous opacity,preretinal
haemorrhage block all fluorescence
Deep retinal lesions eg.intraretinal haemorrhage and
hard exudates block only capillary fluorescence
Increased density of RPE eg.congenital hypertrophy
Choroidal lesions eg.naevus
44. examples
vascular occlusion of choroidal circulation or
retinal arteries,veins and capillaries
Loss of vascular bed eg.severe myopic degeneration
– choroideremia
Emboli
arteriosclerosis
50. RETINAL PIGMENT EPITHELIUM
Normal RPE is tight
zonula occludens seal portion of all the
intercellular spaces of the pigment epithelial
monolayer.
54. summary
Even today FFA, has its position in the diagnosis of
retinal diseases
Normal retinal vessels will not leak dye
Hypofluorescence –
blocked/filling defect
always match with red free fundus photo
Hyperfluorescence – leakage of dye from
abnormal vasculature/collection of the dye into an
extracellular space
Wide field angiogram – recent advancement