This document summarizes a medico-social case of 21-year-old Sarika Raju Janjal who presented with complaints of vomiting, loose stools, and abdominal pain. She lives in a rural area in a kuccha house without purified drinking water. Clinical examination found pallor and jaundice. Laboratory tests indicated viral hepatitis. She was diagnosed with viral hepatitis and treated supportively. Public health recommendations focused on hand washing, food and water hygiene, and immunizations to prevent further transmission.
Proper Case Presentation for Dengue Fever, Prevention, Treatment and everything else. Prepared by Dr Zain Khan, Doctor at Liaquat College of Medicine and Dentistry
Proper Case Presentation for Dengue Fever, Prevention, Treatment and everything else. Prepared by Dr Zain Khan, Doctor at Liaquat College of Medicine and Dentistry
UG CASE PRESENTATION ON INGUINAL HERNIAAyesha Huma
I have added viva notes after this proforma for quick revision of important stuff asked in exam.
LINK FOR EXAMINATION VIDOES :
1. https://youtu.be/uO-w_9w5okI
2. https://youtu.be/Vc_ZH_-Oad4
CASE PRESENTATION ONCIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC EN...Akhil Joseph
A DETAIL CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC ENCEPHALOPATHY AND GRADE II OESOPHAGEAL VARICES WITH CONGESTIVE GASTROPATHY. LIVER CIRRHOSIS AND ALL ITS COMPLICATION IN A PATIENT.
UG CASE PRESENTATION ON INGUINAL HERNIAAyesha Huma
I have added viva notes after this proforma for quick revision of important stuff asked in exam.
LINK FOR EXAMINATION VIDOES :
1. https://youtu.be/uO-w_9w5okI
2. https://youtu.be/Vc_ZH_-Oad4
CASE PRESENTATION ONCIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC EN...Akhil Joseph
A DETAIL CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC ENCEPHALOPATHY AND GRADE II OESOPHAGEAL VARICES WITH CONGESTIVE GASTROPATHY. LIVER CIRRHOSIS AND ALL ITS COMPLICATION IN A PATIENT.
Miami Regional UniversityDate of Encounter06182020SDioneWang844
Miami Regional University
Date of Encounter:06/18/2020
Student Name: LWC
Preceptor: Silvio Planas APRN
Clinical Site:Gynecology and More INC.
Clinical Instructor:Kirenia Santiuste
Soap Note # 6
Main Diagnosis:Allergic Rhinitis
PATIENT INFORMATION
· Name: TJ
· Age: 28
· Gender at Birth: Female
· Gender Identity: Female
· Source: Patient
· Allergies: allergies to dust, cats and Penicillin
· Current Medications: Albuterol 90mcg, 1-2 puff qid inhaler PRN when symptoms occur.
· PMH: Asthma
· Immunizations: Up to Date, Refused Influenza vaccination this year due to COVID-19 National Pandemic
· Preventive Care: Avoid allergens, Good house hygiene, Regular exercising, annual checkups.
· Surgical History: Appendicitis.
· Family History: 1st relatives Asthma, Mother and grandparents High blood pressure, Father died on car accident DM.
· Social History: Alcohol drinker 2 cups or rum weekly. Preferred hobby Netflix and sport tv programs.
· Sexual Orientation: Female Preference
· Nutrition History: Low Sodium Diet
Subjective Data:
· Chief Complaint: “I have sore throat and itchy, itchy eyes and runny nose”
· Symptom analysis/HPI: Patient has been with those symptoms for a week, the runny nose and eye itchy are the same but the sore throat got worse lately, the discharge is clear. There is tenderness around the nose. The Symptoms improve drinking water and some drops throat lozenges. Denies fever, no nasal blockage, no chills.
Review of Systems (ROS)
· General: Fatigued, Generalized Weakness.
· HEENT: Runny nose, eyes itchy, sore throat, difficult swallowing, blurred vision when reading, no double vision., denies block nose and no bleeding.
· Neck: Denies neck pain, able to rotate his neck laterally and in and upward position
· Lungs: No cough, shortness of breath, PND, or orthopnea
· Cardiovascular: No pressure, squeezing, tightness, heaviness or aching about the chest, neck, axilla or epigastrium
· Breast: Denies any pain or lumps
· GI: Denies Abdominal Pain
· Female genital: Denies dysuria, frequency and urgency when urinating
· GU: Denies dysuria, no frequency and urgency when urinating
· Neuro: No burning or tingling, sensation present in all quadrants
· Musculoskeletal: No joint pain no restriction motions.
· Activity & Exercise: no habits of exercise.
· Psychosocial: anxious about the disease.
· Derm: denies any rash, bums or recent lesions.
· Sleep/Rest: more than 6 hours a day but with difficult to breath.
Objective Data/Physical Exam
· BP 141/82 TPR 99.1 HT 170 cm WT. BMI 30.1 O2: 99%
· General: Well-groomed, appropriate posture and gait, normal affect, obesity
· HEENT: Tenderness frontal and right maxillary sinus, Weber and Rinne test intact, cranial nerves intact, no hearing loss, vision left eye 20/20 right eye 20/40. whitish discharge noted from the nose. Edema and erythema of nasal mucosa, uvula and Tonsils, redness noted. Halitosis presents.
· Neck: thyroid gland intact no nodules no lym ...
Journal Club presentation on Outbreak Investigation Study Kunal Modak
The following presentation is based on: Concurrent Multiple Outbreaks of Varicella, Rubeola,
German Measles Outbreak in Unvaccinated Children of
Co-Educational Mount Carmel Senior Secondary School,
Thakurdwara Palampur of Northern Himachal, India
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
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. Name: Sarika Raju Janjal
Age- 21 years, Sex: Female
Religion: Hindu, Cast: Kunbi (OBC)
Address: Ward No-1, Near Mahadev Mandir, Peth
Raghunathpur, Mangrul Dastagigir Taliuka, Amarawati-444711
Date of admission : 16/05/2016
Date of Examination : 17/05/2016
Admitted in : Ward No-27, Medicine Ward
Bed No: 14
GENERAL INFORMATION
6/19/2016 2
3. SOCIO ECONOMIC HISTORY
Education : 10th Pass
Occupation : Homemaker
Total annual Family income: Rs.50,000/-(From all sources)
Total No. of family member in the house : 4
Per Capita Income per month : Rs. 1041/capita/month
Socio economic status : According to Modified B.G Prasad’s
Classification – Class IV
6/19/2016 3
4. CHIEF COMPLAINTS
Patient came to hospital on 16th of May 2016, with chief
complaints of ;
1) Vomiting 3 episodes X 2days
2) Loose Stools 3 episodes X 2 days
3) Abdominal Pain X 2 days
6/19/2016 4
5. H/O PRESENT ILLNESS
Patient was apparently alright 2 days back, when she had vomiting
3episodes in evening on 15th may after taking meal , the vomiting
was non projectile, containing food particles & water, without any
presence of blood in vomitus, no foul smell.
She complains of loose stools containing semi digested food
particles & water without any presence of blood in stool it was mainly
watery & non mucoid in appearance.
6/19/2016 5
6. CONTINUED
Patient also complains of abdominal pain with 1st episode of
vomiting in the epigastric region, it was spasmodic type of pain, non
radiating.
H/O Patient visiting to her mothers place about 2 weeks back.
No H/O fever / cough.
6/19/2016 6
7. PAST HISTORY
No similar complaints in the past.
History of contact : absent
No H/O blood transfusion, hypertension, Diabetes Mellitus,
Asthma, Any chronic illness, or surgery.
No H/O of substance abuse.
6/19/2016 7
8. PERSONAL HISTORY
Vegeterian diet
Appetite reduced
Bladder habits : Normal
Yellow colour of urine
Bowel Frequency of passing stools increased- 3 episodes
Loose motions for 2 days
6/19/2016 8
9. FAMILY HISTORY
Family consist of 4 members.
She lives with her husband & Mother in law, Brother in law.
No history of similar complaints in family.
No history of any chronic illness/DM/HTN/Asthma in the
family.
6/19/2016 9
10. FAMILY COMPOSITION
Name Relation Age Education Occupation
Raju Husband 27 10th Pass Mason
(Cement
Mistry)
Sarika Self 21 10th Pass Homemaker
Gayabai Mother in
law
46 Illiterate Homemaker
Ranjeet Brother in
law
22 12th Pass Farmer
6/19/2016 10
14. CONTINUED….
Energy requirement is ≈2230 kcal.
Energy deficit is ≈ 1086 kcal
Protein requirement is ≈ 37 gms
Protein deficit is ≈ 15.2 gms
6/19/2016 14
15. ENVIRONMENTAL HISTORY
Stays in kuccha house, roofed with tin sheet.
3 rooms in house.
Each room has 1 room & 1 door.
Separate kitchen.
Toilet bathroom attached.
Tap water from gram panchayat used for drinking & other purpose.
Do not filter or boil drinking water.
6/19/2016 15
16. CONTINUED….
Drinking water is stored in earthen pot (Matka) with lid & every
time gadu is used to take water from pot.
Garbage disposal in open field near the house.
Sullage disposal in open kuccha drain beside the house.
Fly nuisance present.
No pets at home.
6/19/2016 16
17. TREATMENT HISTORY
Inj. Pan 40 IV od
Inj. Emset 4mg IV od
Inj. D-25% IV od
IVF. D-25% 500ml slow IV tds
IVF. DNS O II IV stat
IVF. RL O II IV stat
Tab. UDILIVE tds
6/19/2016 17
18. GENERAL EXAMINATION
Patient is cooperative, oriented to time, place & person.
Patient is afebrile.
Pulse : 64 /min
Blood Pressure : 110/60 mmHg
Respiratory rate : 17/ min
Height- 4 feet 8 inches (i.e 146.3 cm).
Weight-37 kg
6/19/2016 18
25. CASE SUMMARY
21 year old female Sarika Raju Janjal, belonging to socio economic
status class IV, living in kuccha house, with 2 rooms and does not
boil & purify drinking water by any means, was admitted with
complaints of vomiting, loose motions, pain in abdomen since 2 days
& was under treatment as suspected case of viral hepatitis.
6/19/2016 25
30. CONTINUED….
Liver function test :
SGOT : 160 UI/lit
SGPT : 180 UI/lit
RBS : 78 mg/dl
Stool Examination :
Viral particles are seen under electron microscopy.
6/19/2016 30
31. CONTINUED….
Urine examination for bile & Bile salts.
USG :-
Borderline hepatomegaly with liver parenchymal disease.
6/19/2016 31
32. TREATMENT & FOLLOW UP AT
INDIVIDUAL LEVEL
Tab Norflox TZ BD X 3D
Tab Buscopan SOS
ORT & High Oral fluids adviced.
Tab Pan D BD X 3D
Tab.UDILIVE TDS X 15 D
6/19/2016 32
33. TREATMENT ADVICE &
FOLLOW UP AT FAMILY LEVEL
Advice Preventive measures
Hand washing
Cleaning of foods
Purification of water
Disinfection of water
6/19/2016 33
34. TREATMENT ADVICE ,FOLLOW
UP AT COMMUNITY LEVEL
Health education
Mass Media approach
Breaking channel of transmission by constructing SANITATION
BARRIER.
Protection of susceptible by Immunization.
6/19/2016 34