This document provides information on fever (pyrexia), including:
1. Thermoregulation and how the body maintains a normal temperature of 37°C through the hypothalamus despite environmental variations.
2. Features of a normal body temperature and what constitutes a fever. Fever enhances the immune system and inhibits some microbes.
3. Patterns of fever onset, main phases, and end. Fever's diagnostic features and the importance of taking a thorough medical history are also outlined.
Cardiovascular history taking is an important skill that is often assessed in bedside teaching . It’s important to have a systematic approach to ensure you don’t miss any key information. The guide below provides a framework to take a thorough cardiovascular history.
Is Mobile Radiation harmful to your health? MALAYALAM AND ENGLISHRavi Ramakrishnan
The total mobile connections in the world is more than the global population. There are nearly 7.4 lakh cell phone towers to meet the communication demand in India. Microwave is used for communication between the tower and phone.
The same microwave is used in microwave oven also.
When these waves pass through the food articles in the oven, the water molecules will vibrate and thermal energy is released.
Cardiovascular history taking is an important skill that is often assessed in bedside teaching . It’s important to have a systematic approach to ensure you don’t miss any key information. The guide below provides a framework to take a thorough cardiovascular history.
Is Mobile Radiation harmful to your health? MALAYALAM AND ENGLISHRavi Ramakrishnan
The total mobile connections in the world is more than the global population. There are nearly 7.4 lakh cell phone towers to meet the communication demand in India. Microwave is used for communication between the tower and phone.
The same microwave is used in microwave oven also.
When these waves pass through the food articles in the oven, the water molecules will vibrate and thermal energy is released.
The Vishnusahasranama, a tatpurusha compound, is a list of 1,000 names (sahasranama) of Vishnu, one of the main forms of God in Hinduism and the personal supreme God for Vaishnavas (followers of Vishnu). It is also one of the most sacred and commonly chanted stotras in Hinduism. The Vishnusahasranama as found in the Anushasana Parva of theMahabharata is the most popular version of the 1,000 names of Vishnu. Another version exists in the Padma Purana and Matsya Purana. Each name eulogizes one of His countless great attributes.
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric FeverRommie Duckworth
Title: Tots “Too Hot!” - The Cute, The Bad and The Ugly of Pediatric Fever
Description: Elevated temperatures in pediatric patients are some of the most common, and often frustrating types of calls in EMS. Are the parents over-reacting? Are we under-reacting? This presentation illuminates what causes fever, how it can help or harm a child, what problems it can cause or be caused by, how to differentiate critical vs benign fever and how to prioritize care in pediatric patients with elevated temperature.
Teaching Formats:
-Lecture
-Discussion
-Question and Answer
Learning Objectives: Students will learn:
- Normal and abnormal thermoregulation in pediatric patients.
- Obtaining accurate thermometry through a variety of methods.
- Differentiation of exogenous vs endogenous pyrogens.
- Differentiation of “Febrile Seizure” and “Seizure with Fever”
- Special concerns for pediatric fever including patients with sickle cell disease, poor cardiac reserves, poor respiratory function and immune-compromised or immuno-suppressed patients.
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Approach to a case of Fever with altered sensoriumRoy Shilanjan
A brief description about the possible d/d of fever with alteration of sensorium and how to approach the diagnosis through systematic yet focused history taking , physical examination and lab and radiological investigations.
Medical college of wasit
Department of medicine
Case sheet history
Thing to remember :-
1) Stand on the right side of the patient with good confidence .
2) Introduce yourself as a medical student not as a doctor . ( you may face difficult question ).
3) Talk the patient gently with clear comprehensible words .
4) Remember don’t hurt the patient in your speak & touch .
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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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.
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
2. Thermoregulation
• Because Temperature affects how the enzymes work in your
body , People should maintain a normal body temperature of
about 37°C despite wide variations in both their metabolic
activity and the temperature of their environment.
Almost all enzymes have an "optimal" temperature. For
example, most human derived enzymes will function best at
around 37 ° C .If it gets too hot or cold the enzymes might
denature and lose the shape of their active site, which means
the substrate may no longer fit and this decreases the rate of
the chemical reactions.
•
3.
4. •
HOMEOSTASIS
The body keeps its core temperature constant at about 37 C by
physiological adjustments controlled by the hypothalamus
(Thermostat Center) where there are neurons sensitive to
changes in skin and blood temperatures. The temperature-
regulating centers are found in the Preoptic Area (the anterior
portion of the hypothalamus).
5. Normal Features of Body
Temperature
1-the mean oral temperature is 36.8° ±
0.4°C
2-The normal diurnal variation is typically
0.5°C
(6 A.M. readings < 6 P.M. readings by 0.5
°C)
6. Fever is an elevation of body temperature that
exceeds the normal daily variation and occurs
in conjunction with an increase in the
hypothalamic set point (e.g., from 37°C to
39°C).
FEVER:
an A.M. temperature of >37.2°C (>98.9°F) or
a
P.M. temperature of >37. 7°C (>99. 9°F)
7. • 1-It enhance immune function;
• 2-Inhibits growth of some microbial agents:
Benefits of fever
• Increases motility and activity of the white blood cells
(T cells and B cells ).
• Stimulates the interferon production .
• Increase phagocytic activity
• Many of the microbial agents that cause infection grow
best at normal body temperatures, and their growth is
inhibited by temperatures in the fever range
8. Diagnostic Features of Fever
➢ Relative bradycardia:(rising of HR <5 /min. for each 1˚C rise )
Causes : Typhoid,Brucellosis,Leptospirosis,and Factitious fever
➢ Relative tachycardia (rising of HR >15/min. for each 1˚C rise )
Causes :Myocarditis, rheumatic fever
➢ Reversed diurnal pattern :(AM Temp. >PM Temp.)
Causes: Typhoid , disseminated TB
➢ Failure to have fever
Cause: Elderly,CRF,Corticosteroid
11. The pattern of rise of temperature (1) Abrupt rise (2) Step-ladder pattern
12. 2-Main (pattern-plateau phase)
❖ Continuous: fever does not fluctuate more than 1˚C during
❖ Remitent : daily fluctuations exceed 2˚C but at no time touches
It is associated with viral upper respiratory tract, legionella, and
❖ Intermittent : fever reaches normal level
✓ Quotidian : Paroxysms of fever occur daily(P.Falciparum)
✓ Tertian : Paroxysms of fever on alternate days
(P.Vivax,P.Ovale)
✓ Quartan :every 72 hrs (P.Malariae)
24hrs, but at no time touches the normal.e.g.pneumonia,
typhoid fever, urinary tract infection, brucellosis
the normal.
mycoplasma infections
13.
14. 3-End of fever :
Crisis (sudden reduction ){associated with sweating}
e.g. pneumonia
Lysis ( gradual reduction)
e.g. Typhoid
15.
16.
17.
18. THE HISTORY
Presenting complaint
How has the fever been documented? What is its severity and time course? Have
there been rigors or sweating?
Has there been a rash or skin changes? If yes, ask about its timing in relation to
the fever, the distribution and direction of any progression and associated symp
toms, e.g. pruritus, local lymphadenopathy.
Systematically ask about localizing symptoms, e.g. cough, pleuritic chest pain,
purulent sputum, vomiting, abdominal pain, jaundice, diarrhea, dysuria, urinary
frequency, headache, photophobia, neck stiffness, altered consciousness, joint
pain, muscle aches, throat or ear discomfort and nasal discharge.
Are there constitutional symptoms, including easy fatiguability, anorexia, weight
loss, falls, change in daily activities or behavior? Such symptoms may indicate
infection in the elderly or immunocompromised.
19. Past medical history
Have there been previous or recurrent infections, illnesses, surgical
operations or dental treatment?
Has there been contact or residence in a healthcare facility (including
longterm care facility)?
Ask about a history of immunosuppression, e.g. HIV infection,
chemotherapy, steroid therapy transplantation, diabetes mellitus.
Ask about indwelling catheters, e.g. urethral, intravenous (IV) or
implants, e.g. pacemakers, joint replacements.
20. Drug history
Find out about all prescribed and non prescribed medications, e.g.
herbal remedies taken and ask specially about immunosuppressants
(including oral steroids), antibiotics (penicillin) ,
anticonvulsants(phenytoin) .
Have any ‘recreational’ drugs been taken; if so, have they ever been
injected?
Note any history of adverse reactions, allergies or hypersensitivity to
any drugs, particularly antibiotics.
21. Family history
Has the patient had contact with anyone with a similar illness?
Are there clusters of similar symptoms or infections among family, friends or
workmates?
Social history
Find out about exposure to animals, birds or pets and if so, is the animal unwell?
Note the patient’s occupation and hobbies.
support& financial situation, Social class.surrounding, Geographic area of living,
fresh-water swimming. or animals (avian flu , toxoplasmosis, brucellosis, rabies….)
(tuberculosis, brucellosis and Q fever).
22. Travel history
Has there been recent (in the past year) travel abroad? If so, take a detailed
travel history including:
• travel destinations: dates, duration, mode of travel,stopovers
• environment abroad: accommodation, altitude,climate, activities
• lifestyle: including diet, e.g. raw or unpasteurized products, sexual contact ,
water sports, healthcare, piercings, tattoos
• medical history: including vaccination status, preexisting conditions,
antimalarial measures, particularly type, duration and compliance.
23. ‘Red flag’ features indicating serious infection
• Altered mental state
• Headache and/or stiff neck
• Petechial/purpuric skin rash
• Hypotension – systolic blood pressure <90 mmHg
• Tachycardia – heart rate >90 bpm –with narrowed pulse pressure and weak pulse
• Tachypnoea – respiratory rate >20 breaths/min
• Recent travel to or recent arrival from malaria or tuberculosis endemic area
• Recent use of immunosuppressant drugs
• Significant active comorbidities (cancer, HIV, organ transplantation)
• Temperature > 38°C
• Rigors (chills)
24.
25.
26.
27. FEVER AND MUCUS MEMBRANE RASH
(ENANTHEM)
• Koplik's spots in measles
• Forchheimer spots in rubella