This presentation is a basic overview of the orthpaedic aspects of poliomyelitis, its clinical features and management for undergraduate teaching (MBBS)
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
A fractured neck of femur (NOF) is a serious injury, especially in older people. It is likely to be life changing and for some people life threatening.
Neck of femur fractures (NOF) are common injuries sustained by older patients who are both more likely to have unsteadiness of gait and reduced bone mineral density, predisposing to fracture. Elderly osteoporotic women are at greatest risk.
A fractured neck of femur (NOF) is a serious injury, especially in older people. It is likely to be life changing and for some people life threatening.
Neck of femur fractures (NOF) are common injuries sustained by older patients who are both more likely to have unsteadiness of gait and reduced bone mineral density, predisposing to fracture. Elderly osteoporotic women are at greatest risk.
Highly infectious
Mainly affects young children
First case recorded in late 1700’s with first epidemic in late 1800’s
Cases reported after 1979 were mild and self-limited and did not result into paralysis
Last case in India – 13th Jan, 2011
In greek, polios means grey, myelos – medulla, itis – inflammation
Viral infection localized in the anterior horn cells of the spinal cord & certain brain stem motor nuclei.
The Poliovirus, a human enterovirus, of the family of Picornaviridae has 3 subtypes -(Polio 1, 2, 3)
Composed of RNA genome and a protein capsid. The genome is single stranded positive sense RNA
SEPTIC ARTHRITIS AS AN INFECTIOUS PROCESS, DESCRIBING THE APPLIED ANATOMY, THE ORGANISMS INVOLVED, STAGES , PRESENTATION ALL THE WAY DOEN TO THE MANAGEMENT PROTOCALS
The term Spinal Cord Injury is used to refer to neurological damage of the spinal cord
Any lesion involving the spinal cord result a syndrome called a “myelopathy”
Spinal cord injuries are defined as complete or incomplete according to the International Standards for the Neurological Classifification of SCI and the American Spinal Injuries Association Impairment Scale (AIS)
Complete lesions are defifined as AIS A, and incomplete lesions are defifined as AIS B, AIS C, AIS D or AIS E (Harvey, 2016)
This topic is under the General Principles of Surgery for MBBS Students. It also deals with Scars & Contractures. The student should know to differentiate between Hypertrophic Scar & Keloid..
Similar to Orthopaedic aspects of Poliomyelitis for MBBS (20)
Review of common fractures encountered in children and what makes them different from adult fractures. This presentation will best benefit undergraduate medical and paramedical students
Overview of common dislocations and subluxations for undergraduate students. Includes clinical features, reduction methods and complications of commonly encountered injuries
This powepoint is aimed at undergraduate medical education. It gives information regarding the orhtopedic principles of management of closed and open fractures
This slide is a brief overview of Femoral shaft fractures for undergraduate medical students (MBBS) . Video lecture of the content is available on
https://www.youtube.com/watch?v=4rHXKtG36HA
Feel free to drop in any comments or questions
Cerebral palsy for MBBS (undergraduate medical teaching)Siddhartha Sinha
This presentation gives an overview regarding Cerebral palsy. Its causes, pathogenesis , classification, clinical and examination findings and an overview of its orthopaedic management. Please feel free to drop in any doubts or queries regarding the presentation.
Basics of Shock and its management. Compentency and SLO based learning for undergraduate medical training (MBBS)
Check out the lecture by clicking on the link below
https://www.youtube.com/watch?v=J5m4kh4FO7k
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
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!
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.
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- 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
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
2. • small RNA viruses -Enterovirus genus -
Picornaviridae family
• Targets anterior horn cells and certain brain stem
motor nuclei
3. Pathogenesis
3 Strains
Transmission- Faeco Oral/ Droplets
Multiply in GI musoca and secreted in stool
After infection
Reaches Anterior Horn cell through
blood, perineural lymphatics or neurons
(lumbar and cervical segments)
Anterior Horn cells :
• Unaffected
• Recovers
• Death
Mechanism of
damage
• Direct
• Ischaemia
• Edema
• Haemorrhage
4. Stages of poliomyelitis
a) Incubation period (6-20 days)
b) Pre-paralysis stage
c) Stage of Maximum Paralysis
d) Stage of recovery
e) Post polio residual paralysis
5. Acute stage
Clinical findings
• Lasts 7-10 days.
• Wide range of symptoms
• Malaise
• Encephalomyelitis
• Widespread paralysis—diaphragm
paralysis
• Bulbar polio (medulla affected)
• Examination
• Fever
• Flushing of the skin
• Apprehension; muscular pain
• Superficial reflexes lost first
• Deep tendon reflexes disappear
when the muscle group is
paralysed.
Treatment
• Bed rest
• Analgesics
• Hot packs
• Anatomical positioning of limbs to
prevent contractures
• Gentle passive ROM exercises
6. Most commonly affected muscle Quadriceps
Muscle undergoing complete paralysis Tibialis anterior
Hand muscle most commonly affected Opponens pollicis
7. Convalescent stage
Clinical features
• Recovery phase
• 2 days after fever decreases
up to 2 yrs
• Varying degree of spontaneous
recovery in muscle power takes
place
• > 80% return of strength -
recovered muscles
• < 30% of normal strength -
paralysed muscle
• Assess power frequently
Treatment
• Vigorous passive stretching
exercises
• Muscle training and gait training
• Wedging casts and orthoses-
prevent and correct deformities
8. Chronic stage
• Usually begins 24 months after the acute illness
• Aim of management: Achieve the maximal functional
activity by management of long term consequences of
muscle imbalances.
• Goal:
1. Correcting any significant muscle imbalances and preventing or
correcting soft tissue or bony deformities.
2. Static joint instability usually can be controlled indefinitely by
orthoses.
3. Dynamic joint instability eventually results in a fixed deformity
that cannot be controlled with orthoses
9. Causes of deformity in Polio
• 1. Muscle imbalance
• 2. Posture and gravity effect
• 3. Dynamics of activity
• 4. Dynamics of growth
10. Deformities in joints
Joint Deformity
Hip Flex-Abd- ER
Knee • Flexion deformities
• Genu Recurvatum
• Tibia External rotation
• Valgus deformity
Foot and ankle • Equino-varus
• Equino-valgus
• Calcaneo-valgus
11. Surgery is indicated for:
• Deformity correction when conservative treatment fails
• Power loss substitution/ compensation incase paralysis is
localized.
• Length restoration.
12. Surgical options
1.Tenotomy and soft tissue releases
a)Tendoachilles lengthening for Equinus
foot
b) Adductor tenotomy for adduction
deformities at hip
c) Ober/Yount release for flexion deformity
at hip
2.TendonTransfers
a) EHL to neck of 1st MT-Tibialis ant
weakness
b) Peronei to dorsum of foot– Dorsiflexion
weakness
13. 3. Osteotomy
a) Extension osteotomy – flexion deformity of knee
b) Supracondylar osteotomy - genu varum
4. Arthrodesis
a)Triple arthrodesis – ankle
b) Stabilization of other flail joints
5. Limb lengthening
a) Illizarov
b) LRS
15. Polio CP
Infective Mutifactorial pathogenesis
Manifest in any age Usually in children
No predisposing factors Many predisposing factors
Flaccid pure motor paralysis w/o UMN signs Can be spastic or flaccid with UMN signs
Patchy/ irregular pattern Regular patterns
No movement in affected limb Uncontrolled movements may be seen