This presentation summarizes osteomalacia, a metabolic bone disease characterized by inadequate bone mineralization. It discusses the pathophysiology involving insufficient hydroxyapatite deposition in bone matrix due to vitamin D deficiency or malabsorption. Common causes include lack of sun exposure, low dietary calcium, gastrointestinal/renal disorders, and certain drugs. Clinical features are nonspecific bone pain and tenderness but can include skeletal deformities. Diagnosis involves low serum calcium, vitamin D, and elevated alkaline phosphatase. Treatment focuses on vitamin D supplementation, calcium, and treating underlying causes. The presentation provides examples of radiological findings and concludes with a question and answer segment to reinforce key points.
Vitamin D and disorders – hypo/ hypervitaminosis DSangam H B
Vitamin D detailed information
and diseases associated with vitamin D deficiency and toxicity
covering about rickets and osteomalacia, information from Harrison's internal medicine and online resources like uptodate
Arthrogryposis multiplex congenita is a disorder that affects the early development of body joints in a fetus, most commonly the large joints in the arms and legs. An infant who is born with the condition typically has limited mobility and obvious physical deformities in one or more joints.
Vitamin D and disorders – hypo/ hypervitaminosis DSangam H B
Vitamin D detailed information
and diseases associated with vitamin D deficiency and toxicity
covering about rickets and osteomalacia, information from Harrison's internal medicine and online resources like uptodate
Arthrogryposis multiplex congenita is a disorder that affects the early development of body joints in a fetus, most commonly the large joints in the arms and legs. An infant who is born with the condition typically has limited mobility and obvious physical deformities in one or more joints.
Osteomalacia is the softening of the bones caused by defective bone mineralization secondary to inadequate levels of available phosphate and calcium.
The true prevalence of osteomalacia across the globe remains unknown.
Vitamin D deficiency remains the most common cause of Osteomalacia & rickets.
My first presentation prepared by me as a first year family medicine board resident. 😊
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
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
- 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
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
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.
4. Objectives
By the end of my 30 minutes presentation the participants
will be able to;
Describe the basic pathophysiology of bone metabolism
Enlist the steps of diagnosis of osteomalacia
Describe the treatment plan of osteomalacia
Elaborate preventive strategies
9. Vitamin D(Functions)
*Intestinal Calcium
absorption
*Re-absorption of
Calcium from Kidneys
*Interaction with PTH
in regulation of blood
Calcium
*Mineralization of Bone
11. Pathophysiology
Inadequately mineralized bone
The hardness and rigidity of bone is
due to the presence of mineral salt in
the osteoid matrix, which is a
crystalline complex of calcium and
phosphate (hydroxyapatite).
So deficiency of this hydroxyapatite
leads to osteomalcia.
18. Findings ..
Low serum Vit. D
Low serum and urine Ca levels
Elevated Serum and urinary Alkaline Phosphatase
Low serum phosphate except in case of Renal
Osteodystrophy
Elevated PTH due to low calcium
19.
20. Radiological findings
Fractures.
Pseudofractures, also called Looser’s Zones.
Codfish vertebrae.
Protrusio Acetabuli, a hip joint disorder.
26. Complications
Respiratory: Infections or atelectasis due to chest
deformities.
GIT: Constipation
Bony deformities: Or fractures
Anemia: Due to chronic infection or deficiencies.
28. Continue…
Pharmacological treatment
Nutritional osteomalacia responds well to
administration of 10,000 IU weekly of Vit. D for 4-6
weeks.
Osteomalacia due to malabsorption may require
treatment by injection or oral dosing of significant
amounts of Vitamin D.
Calcium and phosphorus supplements.
29. Elderly
• Dec exposure to sunlight
• Less dietry calcium
Defective
mineraliza
tion
• Thinning of bones
Presenta
tion
• Bone pains, muscle weakness
Manage
ment
• Supplements and sun exposure
30. Question ..
Which statement is true regarding Vit-D function
Increase GI Calcium and phosphate absorp
Only phophate absorption
Only calcium absorption
Normal daily requirment of calcium is 1000 mg / day. . .. 99% of calcium is present in the bone
This 10 microgram is equal to 400 IU / day
Hypophosphotasia diagnosis >> 24 hours urine assay for phosphoethanolamine , a substrate for tissue non specific alkaline phosphatase, whose excretion is always elevated in hypophosphatasia.