P.Bhavani.pptx
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A 34-year-old female patient presented with a one-month history of clear, odorless, colorless watery discharge from the left nostril that increased with bending forward or sneezing. She also reported intermittent headaches and fever. Five years ago she experienced trauma from a slip and fall that caused her to hit her head on a wall. Her neurological examination was normal except for a 2.4mm defect found in her left cribriform plate, leading to a diagnosis of CSF rhinorrhea.
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Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
CCSN_June_06 2024_jones. Cancer Rehabpptx
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
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P.Bhavani.pptx
- 1. Name- P. Bhavani Age- 34/F Mrd no- 1317613 Diagnosis – CSF Rhinorrhoea (2.4mm defect in left cribriform plate)
- 2. A 34/F patient who is right handed by nature , -c/o watery discharge from left nostril for 1 month, clear, odourless, colourless, more on bending forward, sneezing -c/o headache on and off , fever on and off. -h/o trauma due to slip and fall and hit wall 5 years ago. - No vomitings, seizures.
- 3. O/E:patient conscious, Vitals stable GCS-E4V5M6 -CNS examination Higher mental function • normal
- 4. CRANIAL NERVE EXAMINATION • CN 1: B/L sense of smell normal • CN2: VA – bilateral 6/12 fundoscopy –normal disc CN 3,4,6- • EOM- both normal • No nystagmus • No ptosis • Pupils- B/L 3mm equal and reactive.
- 5. CN 5- intact CN 7- intact CN 8 • B/L AC>BC webers not lateralised CN 9, 10 • Uvula midline • Palatal movements normal ,no asymmetry • Gag reflex intact
- 6. CN 11 • Shoulder shrugging – Normal on both sides CN 12 • No fasiculations of tongue • no Tongue deviation
- 7. Sensory system-normal Cerebellar signs: absent Tandem Gait : normal Meningeal signs: no
- 8. MOTOR SYSTEM: Tone • Normal in both upper and lower limbs Bulk • Normal in both upper and lower limbs
- 9. Power - right left Upper limb Shoulder- 5/5 5/5 Elbow- 5/5 5/5 Wrist- 5/5 5/5 Lower limb Hip- 5/5 5/5 Knee- 5/5 5/5 Ankle- 5/5 5/5 EHL- 5/5 5/5 -Hand grip - 100% 100% • Reflexes – • Superficial reflexes-present • DTR: BJ TJ S KJ AJ Right - 2+ 2+ 2+ 2+ 2+ Left - 2+ 2+ 2+ 2+ 2+ Plantars- both flexors