Haemorrhoids are normal anal cushions that can become symptomatic due to straining, constipation, pregnancy, obesity and other factors. They are classified based on their location relative to the dentate line. Conservative treatments are recommended for grade I/II haemorrhoids while more severe or symptomatic cases may require non-surgical procedures like rubber band ligation or surgical haemorrhoidectomy. Potential complications depend on the severity but can include pain, bleeding and infection. Differential diagnosis includes other anorectal conditions.
Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes, the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids are also called piles.
Definition
Type of Hernia
risk factor
pathophysiology
diagnostic procedure
physical assessment
management for hernia
Nursing Diagnosis
Health Education
Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes, the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids are also called piles.
Definition
Type of Hernia
risk factor
pathophysiology
diagnostic procedure
physical assessment
management for hernia
Nursing Diagnosis
Health Education
Pyelonephritis
It is the inflammation of the kidney & upper urinary tract that usually results from the bacterial infection of the bladder.
Pyelonephritis can be classified in several different catagories:
-acute pyelonephritis
-chronic pyelonephritis
-xanthogranulomatous pyelonephritis
In this presentation I have shown the etiology, clinical features and treatment for both Phimosis & Paraphimosis. I have also showed various methods of circumcision for both infants and adults.
Inthis playlist, i discussed various causes for Lower GI Hemorrahage like Hemorrhoids, Fissure in ano, diverticulosis, inflammatory bowel disease and colorectal cancer
Pyelonephritis
It is the inflammation of the kidney & upper urinary tract that usually results from the bacterial infection of the bladder.
Pyelonephritis can be classified in several different catagories:
-acute pyelonephritis
-chronic pyelonephritis
-xanthogranulomatous pyelonephritis
In this presentation I have shown the etiology, clinical features and treatment for both Phimosis & Paraphimosis. I have also showed various methods of circumcision for both infants and adults.
Inthis playlist, i discussed various causes for Lower GI Hemorrahage like Hemorrhoids, Fissure in ano, diverticulosis, inflammatory bowel disease and colorectal cancer
Seminar presentation by 5th year Medical Student under the supervision of a pediatric surgery specialist from HRPZ II. Reference as mentioned in the slide.
description of the most common and rare vascular malformation of the GIT and main presentation and approach to treatment and the most common complications
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
2. Symptomatic anal cushions.
Haemorrhoidal venous cushions are normal structures
of anorectum and universally present in all persons
unless previous intervention has taken place.
It is a common anal pathology but many patients are
embarrassed to seek medical attention.
4. Colon malignancy.
Loss of rectal muscle tone.
Spinal cord injury.
Rectal surgery.
High socioeconomic status.
Episiotomy.
Anal intercourse.
IBD
5.
6. STRAINING AND CONSTIPATION
Low fibre diet
Less bulky stools
Straining at defecation
Increased intraanal pressure
Decreased venous return
Enlarged hemorrhoidal venous cushions
7. They are clusters of vascular tissue, smooth muscle and
connective tissue lined by normal epithelium of anal
canal.
They are commonly seen in left lateral, right anterior
and right posterior(3,7,11’o clock) position with patient
in lithotomy position.
8.
9. Depending on anal origin within analcanal and relation
to dentate line haemorrhoids divided in to
I. internal haemorroids.
II. external haemorrhoids.
III. mixed haemorrhoids.
10.
11. INTERNAL
Lie above dentate line.
Develops from
embryonic endoderm.
Covered by columnar
epithelium of anal canal.
Not supplied by somatic
sensory nerves.so cannot
cause pain.
EXTERNAL
Lie below dentate line.
Develops from
embryonic ectoderm.
Covered by sqamous
epithelium.
Innervated by cutaneous
nerves that supply
perianal area.
12. GRADE I painless bleeding, no prolapse.
GRADE II prolapse on defecation that reduces
spontaneously.
GRADE III prolapse that has to be reduced mannually.
GRADE IV permanent prolapse.
19. Treat only symptomatic haemorrhoids
I. Conservative
II. Nonsurgical
III. surgical
20. TOC in grade I internal and nonthrombosed external
haemorrhoids.
Warm baths(sitz bath)-bid/tid.
High fibre diet.
Adequate fluid intake.
Stool softeners.
Topical analgesics.
Proper anal hygiene.
21. To destroy internal haemorrhoids.
Rubber band ligation.
Sclerotherapy.
Coagulation.
Electrocautery, electrotherapy.
Cryotherapy.
Laser therapy and radio wave ablation.
22. GRADE I,II haemorrhoids not improved by
conservative procedures.
Pt. kept in left lateral position.
5ml of sclerosant is injected submucosally
in to apex of pile pedicle.
5% phenol in arachis oil/almond oil.
Patient is reassessed after 8weeks.
Too deep injection has disastrous
consequences like pelvic
sepsis,prostatitis,impotence,rectovaginal
fistula.
23. Barron's bander is used to slip tight
elastic bands on to base of pedicle of
each haemorrhoid.
Bands cause ischemic necrosis of
piles,which slough off in 10days.
Side effect is bleeding.
24.
25.
26. HAEMORRHOIDECTOMY
INDICATIONS-
Grade III,IV haemorrhoids with severe symptoms.
Conservative or nonsurgical treatment fails.
Patient preference.
Presence of anorectal conditions requiring surgery.
(fistula,fissure,large skin tags).
Fibrosed haemorrhoids.
Intero-external haemorrhoids when external
haemorrhoid is well defined.
27. Open and closed techniques.
Open technique also called milligan-
morgan operation.
Both involve ligation and excision of the
haemorrhoid but in open technique the
anal mucosa and skin are left open to heal
by secondary intention,and in closed
technique the wound is sutured.
Stapled haemorrhoidopexy.
28.
29.
30. EARLY
Pain.
Acute retension of urine.
Reactionary hemorrhage.
LATE
Secondary hemorrhage.
Anal fissure.
Anal stricture.
Incontinence.
31. THROMBOSED EXTERNAL HAEMORRHOIDS
Safely exiced when patient present within 48 to 72
hours of symptoms onset.
If present after 72 hours from symptom onset,
conservative therapy preferred.
SKIN TAGS excision when hygiene problem exists