Pphg waled ayad
•Download as PPT, PDF•
7 likes•660 views
Postpartum hemorrhage is a leading cause of maternal death, accounting for 25% of cases. Proper risk assessment, prevention, and treatment protocols are needed to address this issue. The key recommendations include active management of the third stage of labor, use of uterotonic drugs like oxytocin and misoprostol, and following guidelines for treatment of postpartum hemorrhage. Timely recognition and intervention are critical to prevent poor maternal outcomes.
Report
Share
Report
Share
Recommended
Approach to child with generalized body swelling
Edema is characterized by swelling caused by excess fluid in the interstitial tissue. It can be localized or generalized. Common causes include cardiac, renal, or hepatic disease which decrease plasma oncotic pressure allowing fluid shift from vessels into tissue. A thorough history, physical exam, and lab tests are needed to determine the underlying cause and guide treatment such as diuretics, dietary changes, or treating the primary disease.
Drug Reaction With Eosinophilia and Systemic Symptoms (Dress)
Drug Reaction With Eosinophilia and Systemic Symptoms (Dress)Chulalongkorn Allergy and Clinical Immunology Research Group
Drug Reaction With Eosinophilia and Systemic Symptoms (Dress)
Presented by Theerapan Songnuy, MD.
Pediatric poisoning .ppt
This document provides an overview of pediatric poisoning for emergency medical providers. It reviews the initial assessment and management of pediatric ingestions, focusing on activated charcoal, whole bowel irrigation, and enhancing excretion to prevent absorption. Common ingestions like acetaminophen, alcohols, and antihistamines are discussed. The document also addresses caustic ingestions and emphasizes supportive care and avoiding interventions that could worsen injury.
Pediatric endocrinology review questions
This document discusses several pediatric endocrinology cases:
1. A 5-year-old girl presenting with breast enlargement and vaginal discharge. Bone age assessment would be the most important initial investigation.
2. Precocious puberty can be central, caused by early hypothalamic-pituitary-gonadal axis activation, or peripheral, caused by sex hormone secretion from other sources.
3. A β-HCG secreting hepatoblastoma is most likely causing gonadotropin independent precocious puberty in a 4-year-old girl with abdominal distension and signs of rapid puberty and growth.
4. Congenital adrenal hyperplasia
Approach to a child with edema
This document discusses edema in children, including the pathophysiology, causes, evaluation, and management. It notes that edema results from an accumulation of fluid in the interstitial space and can be caused by increased hydrostatic pressure, decreased oncotic pressure, or increased capillary permeability. Common causes in children include nephrotic syndrome, heart failure, acute glomerulonephritis, renal failure, cirrhosis, and protein-energy malnutrition. The evaluation involves history, physical exam, urine analysis, and labs tailored to suspected etiology. Management focuses on sodium and fluid restriction, diuretics, and intravenous albumin as needed.
Heart failure in children
This document discusses heart failure in children. It defines heart failure as the heart's inability to pump enough blood to meet the body's needs. The key factors that affect cardiac performance are preload, afterload, and contractility. In children, common causes of heart failure include congenital heart defects, cardiomyopathy, and acquired conditions like myocarditis. Symptoms depend on whether left-sided or right-sided heart failure predominates. Treatment focuses on correcting underlying causes, diet modification, diuretics to reduce preload, digitalis to improve contractility, and dilators to reduce afterload. Imaging studies like echocardiograms are important for diagnosis.
Assessment of development sunil
The document discusses developmental assessment in children, including principles of development, domains of development to assess, screening and diagnostic tests used, developmental milestones, and red flags indicating the need for further evaluation. Development progresses in a predictable sequence but at variable rates, and standardized tools can screen for or further assess delays and abnormalities in motor, language, social, and other skills.
Pediatrics history
The document provides guidance on taking a thorough pediatric history, including sections on personal history, chief complaint, history of present illness, review of symptoms, hospital course, and outcome. The history of present illness section outlines specific questions to ask about symptoms in various body systems, including onset, duration, severity and associated features. Taking a comprehensive pediatric history requires understanding the chronology of symptoms and reviewing all related body systems to identify potential underlying issues.
Recommended
Approach to child with generalized body swelling
Edema is characterized by swelling caused by excess fluid in the interstitial tissue. It can be localized or generalized. Common causes include cardiac, renal, or hepatic disease which decrease plasma oncotic pressure allowing fluid shift from vessels into tissue. A thorough history, physical exam, and lab tests are needed to determine the underlying cause and guide treatment such as diuretics, dietary changes, or treating the primary disease.
Drug Reaction With Eosinophilia and Systemic Symptoms (Dress)
Drug Reaction With Eosinophilia and Systemic Symptoms (Dress)Chulalongkorn Allergy and Clinical Immunology Research Group
Drug Reaction With Eosinophilia and Systemic Symptoms (Dress)
Presented by Theerapan Songnuy, MD.
Pediatric poisoning .ppt
This document provides an overview of pediatric poisoning for emergency medical providers. It reviews the initial assessment and management of pediatric ingestions, focusing on activated charcoal, whole bowel irrigation, and enhancing excretion to prevent absorption. Common ingestions like acetaminophen, alcohols, and antihistamines are discussed. The document also addresses caustic ingestions and emphasizes supportive care and avoiding interventions that could worsen injury.
Pediatric endocrinology review questions
This document discusses several pediatric endocrinology cases:
1. A 5-year-old girl presenting with breast enlargement and vaginal discharge. Bone age assessment would be the most important initial investigation.
2. Precocious puberty can be central, caused by early hypothalamic-pituitary-gonadal axis activation, or peripheral, caused by sex hormone secretion from other sources.
3. A β-HCG secreting hepatoblastoma is most likely causing gonadotropin independent precocious puberty in a 4-year-old girl with abdominal distension and signs of rapid puberty and growth.
4. Congenital adrenal hyperplasia
Approach to a child with edema
This document discusses edema in children, including the pathophysiology, causes, evaluation, and management. It notes that edema results from an accumulation of fluid in the interstitial space and can be caused by increased hydrostatic pressure, decreased oncotic pressure, or increased capillary permeability. Common causes in children include nephrotic syndrome, heart failure, acute glomerulonephritis, renal failure, cirrhosis, and protein-energy malnutrition. The evaluation involves history, physical exam, urine analysis, and labs tailored to suspected etiology. Management focuses on sodium and fluid restriction, diuretics, and intravenous albumin as needed.
Heart failure in children
This document discusses heart failure in children. It defines heart failure as the heart's inability to pump enough blood to meet the body's needs. The key factors that affect cardiac performance are preload, afterload, and contractility. In children, common causes of heart failure include congenital heart defects, cardiomyopathy, and acquired conditions like myocarditis. Symptoms depend on whether left-sided or right-sided heart failure predominates. Treatment focuses on correcting underlying causes, diet modification, diuretics to reduce preload, digitalis to improve contractility, and dilators to reduce afterload. Imaging studies like echocardiograms are important for diagnosis.
Assessment of development sunil
The document discusses developmental assessment in children, including principles of development, domains of development to assess, screening and diagnostic tests used, developmental milestones, and red flags indicating the need for further evaluation. Development progresses in a predictable sequence but at variable rates, and standardized tools can screen for or further assess delays and abnormalities in motor, language, social, and other skills.
Pediatrics history
The document provides guidance on taking a thorough pediatric history, including sections on personal history, chief complaint, history of present illness, review of symptoms, hospital course, and outcome. The history of present illness section outlines specific questions to ask about symptoms in various body systems, including onset, duration, severity and associated features. Taking a comprehensive pediatric history requires understanding the chronology of symptoms and reviewing all related body systems to identify potential underlying issues.
Dermatology made easy
This document provides summaries of common dermatological conditions including psoriasis, lichen planus, pityriasis rosea, Stevens-Johnson syndrome, staphylococcal scalded skin syndrome, scabies, cutaneous larva migrans, alopecia areata, varicella, herpes zoster, herpes labialis, herpes genitalis, hand foot and mouth disease, tinea versicolor, kerion, impetigo, molluscum contagiosum, verruca vulgaris, seborrheic keratosis, and tinea incognito. For each condition, it describes key characteristics, types, complications, treatments, and other relevant
Disorders of Hyperpigmentation
Classification of pigmentary Disorders MELASMA (CHLOASMA /MASK OF PREGNANCY) POSTINFLAMMATORY HYPERPIGMENTATION (PIH) ERYTHEMA DYSCHROMICUM PERSTANS (ASHY DERMATOSIS/ CINDERELLA DERMATOSIS) PIGMENTARY DEMARCATION LINES (PDL, FUTCHER’S OR VOIGHT’S LINES) CAFÉ AU LAIT MACULES (CALM) DOWLING–DEGOS DISEASE (DDD/ PIGMENTED RETICULATE ANOMALY OF THE FLEXURES) ADDISON’S DISEASE
Prematurity and IUGR
This document discusses prematurity, intrauterine growth restriction (IUGR), and their associated risks and management. It covers:
- Definitions and types of prematurity and IUGR
- Characteristics and causes of symmetric vs asymmetric IUGR
- Problems that can occur in IUGR and premature infants like respiratory distress, hypoglycemia, and intraventricular hemorrhage
- Factors associated with IUGR including placental and maternal factors
- Guidelines for admission to the neonatal intensive care unit (NICU)
- Important aspects of care in the NICU like temperature control, respiratory support, fluid management, and infection control
Introduction to pediatrics
This document provides an introduction to pediatrics. It defines pediatrics as the branch of medicine dealing with the care of children and adolescents. Pediatricians specialize in evaluating, diagnosing, treating children, and ensuring their proper growth, development and nutrition. The document outlines the different periods of child growth from neonate to adolescent and their key features. It discusses the history of pediatrics and highlights India's high child mortality rates, with the majority of under-5 deaths being caused by pneumonia, diarrhea, and other infectious diseases. National programs aimed at improving child health in India are also summarized.
Constipation in children
constipation in children , pediatric constipation , management of constipation in children , understanding constipation , causes of constipation in children , functional constipation in children , treatment of constipation ,approach to constipation in children ,constipation in infants
Molluscum Contagiosum Treatment
If you always believed that natural remedies should be preferred but were wary of lack of research in this field, Naturopathix (http://www.naturopathix.com/) is just the organization you were waiting for. We partner with research institutions and universities all around the world to inform you about the proven and effective natural remedies for various diseases.
Haemorrhagic disease of newborn
Vitamin K deficiency in newborns can cause a condition called haemorrhagic disease of the newborn (HDN) where there is bleeding due to a lack of vitamin K dependent clotting factors. Newborns are especially vulnerable because of minimal vitamin K transfer from mother and lack of intestinal bacteria. HDN presents as bleeding from the GI tract, skin, or brain. It is classified as early, classical or late-onset depending on timing. Treatment involves vitamin K supplementation while serious or intracranial bleeding may require transfusions. Prophylactic vitamin K shots at birth can prevent most cases of HDN.
Nocturnal enuresis 2019
This document provides information about nocturnal enuresis (bedwetting), including its definition, epidemiology, etiology, diagnosis, and treatment. Nocturnal enuresis is defined as involuntary voiding during sleep at least twice a week for at least three months in a child aged 5 years or older. It affects more boys than girls and is often familial. Primary enuresis is caused by delayed cortical maturation while secondary enuresis can be caused by medical conditions. Treatment involves pharmacotherapy with desmopressin, imipramine, or anticholinergics as well as behavioral techniques like conditioning and alarms.
Urinary Tract Infections in children
Urinary tract infections are common in children, especially girls. The most common cause is Escherichia coli bacteria spreading from the intestines. Symptoms vary from mild cystitis to severe pyelonephritis. Diagnosis involves urinalysis and urine culture. Treatment depends on severity but commonly involves antibiotics like trimethoprim-sulfamethoxazole. Imaging with ultrasound is recommended for the first UTI in infants and children under 3, or those with fever or systemic illness, to check for anatomical abnormalities.
Approach to a Patient with Acute kidney injury
This document discusses acute kidney injury (AKI), including its definition, epidemiology, causes, diagnosis, and treatment approaches. It provides details on:
- AKI definitions including RIFLE and KDIGO criteria.
- Common causes of AKI including pre-renal, intrinsic renal, and post-renal etiologies.
- Diagnostic evaluation including blood and urine tests, imaging, and biomarkers.
- General treatment principles including fluid resuscitation, eliminating nephrotoxins, and initiating renal replacement therapy.
- Specific approaches for pre-renal, intrinsic renal, and post-renal AKI as well as infections, nephrotoxins, and complications.
Epidermal necrolysis
- Toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS) are acute life-threatening skin reactions caused by extensive necrosis and epidermal detachment. They are considered severity variants of the same process that differ only in the extent of body surface area involved.
- Common causes are certain medications, especially allopurinol, sulfonamides, and carbamazepine. A genetic predisposition also contributes to risk.
- The disease begins with flu-like symptoms followed by painful blistering of the skin and mucous membranes. Prognosis depends on factors like age, comorbidities, and surface area of involvement. Complications can include infection, respiratory failure
Pediatric rheumatology 2021
Juvenile Idiopathic Arthritis,
Systemic Lupus Erythematosus,
Henoch Schonlein Purpura,
Kawasaki Disease
approach to child with fever and Rash
This document provides guidance on evaluating a child presenting with fever and rash. It describes the key characteristics of fever and rash, important aspects of history and physical exam, and the differential diagnosis for common infectious and inflammatory causes of fever and rash in children. These include viral illnesses like measles, chickenpox, rubella, scarlet fever, dengue fever, and typhoid fever, as well as bacterial infections like Kawasaki disease, systemic lupus erythematosus, and infectious mononucleosis. Diagnosis and treatment options are outlined for each condition. A thorough history, physical exam focusing on rash characteristics, and diagnostic testing can help identify the underlying cause.
Neonatology intro
Neonatology is a subspecialty of pediatrics focusing on the medical care of newborn infants, especially preterm or ill newborns, in the first 28 days after birth. It is practiced in neonatal intensive care units. Key aspects of neonatal care include respiratory support, phototherapy, oxygen therapy, and treating common conditions like respiratory distress, jaundice, and sepsis. Mortality rates such as perinatal mortality, neonatal mortality, and infant mortality are important indicators used to measure the quality of maternal and pediatric care.
Approach to child with short stature
A child presenting with short stature should have their height, weight, growth velocity, parental heights, dysmorphic features, pubertal development, bone age, and appropriate investigations assessed. Key factors include determining if growth is proportionate or disproportionate, calculating mid-parental height and target height for comparison, and evaluating bone age to distinguish constitutional growth delay from other causes. A thorough history, physical exam, and targeted laboratory tests can help identify underlying causes like genetic syndromes, malnutrition, endocrine disorders, or chronic illnesses.
Diarrheal diseases in children
This document provides an overview of diarrhea in children, including definitions, epidemiology, etiology, pathophysiology, clinical manifestations, complications, evaluation, and management. Some key points include:
- Diarrhea is defined as >3 loose stools per day or watery stool of any frequency. It is a leading cause of death in children under 5 years old.
- Common causes are viral (e.g. rotavirus), bacterial (e.g. E.coli), and parasitic (e.g. Giardia).
- Complications include dehydration, malnutrition, and electrolyte imbalances.
- Management involves oral rehydration, continued feeding, and treating the underlying cause
Cutaneous drug reactions
Cutaneous drug reactions are adverse skin reactions caused by medications. They range from mild rashes to potentially life-threatening conditions like toxic epidermal necrolysis. Most cutaneous drug reactions are immune-mediated and occur within a few weeks of starting a medication. Management involves promptly withdrawing the offending drug, providing supportive care, and occasionally systemic corticosteroids for more severe reactions to prevent complications and mortality. The prognosis depends on the specific reaction, with most mild rashes resolving on their own while toxic epidermal necrolysis has a high mortality rate of around 50%.
SEPTICAEMIA IN CHILDREN.pptx
This document defines terms related to septicemia in children such as bacteremia, sepsis, severe sepsis, and septic shock. It describes the risk factors, common pathogens, clinical manifestations, diagnostic workup, and management of sepsis in children. Sepsis is diagnosed clinically based on signs of infection meeting two or more SIRS criteria. The most common infections are pneumonia, bloodstream, skin, and urinary tract infections. Treatment involves ABCDE approach, managing shock, administering early antibiotics, and providing supportive care.
Stevens johnson syndrome
Stevens-Johnson syndrome is a severe mucocutaneous reaction typically caused by drugs involving skin and mucous membranes. It begins with flu-like symptoms followed by distinctive target lesions. Complications can include blindness, infections, and death. Treatment focuses on stopping the causative agent, supportive care, corticosteroids, IVIG, and antibiotics for secondary infections.
Neonatal Jaundice
Neonatal jaundice is common in newborns, occurring in 60% of term and 80% of preterm infants. It is usually caused by unconjugated bilirubin from the breakdown of red blood cells. Physiological jaundice is self-limiting and peaks by days 4-5 in term and 7-8 in preterm infants. Pathological jaundice requires further evaluation and treatment depending on the cause, which may include phototherapy, drug therapy, or exchange transfusion. Rh incompatibility occurs when an Rh-negative mother has an Rh-positive baby and develops antibodies, which can cause hemolytic disease of the newborn in subsequent pregnancies.
Yahoo! Messenger Images On BlackBerry 10
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
RDC Sourcing Made Easy from China Presentation
This document outlines the benefits and process of sourcing products from China through RDC, a sourcing company. Key benefits include savings of up to 50%, improved competitiveness through reduced costs, and ensuring products meet specifications. RDC helps clients find suitable suppliers, quality checks all orders, and provides a full turnkey solution from factory to delivery. The process involves meeting with clients to understand requirements, finding manufacturers, providing quotes, ordering samples, overseeing production, inspecting shipments, and delivering products. RDC manages the entire process from start to finish.
More Related Content
What's hot
Dermatology made easy
This document provides summaries of common dermatological conditions including psoriasis, lichen planus, pityriasis rosea, Stevens-Johnson syndrome, staphylococcal scalded skin syndrome, scabies, cutaneous larva migrans, alopecia areata, varicella, herpes zoster, herpes labialis, herpes genitalis, hand foot and mouth disease, tinea versicolor, kerion, impetigo, molluscum contagiosum, verruca vulgaris, seborrheic keratosis, and tinea incognito. For each condition, it describes key characteristics, types, complications, treatments, and other relevant
Disorders of Hyperpigmentation
Classification of pigmentary Disorders MELASMA (CHLOASMA /MASK OF PREGNANCY) POSTINFLAMMATORY HYPERPIGMENTATION (PIH) ERYTHEMA DYSCHROMICUM PERSTANS (ASHY DERMATOSIS/ CINDERELLA DERMATOSIS) PIGMENTARY DEMARCATION LINES (PDL, FUTCHER’S OR VOIGHT’S LINES) CAFÉ AU LAIT MACULES (CALM) DOWLING–DEGOS DISEASE (DDD/ PIGMENTED RETICULATE ANOMALY OF THE FLEXURES) ADDISON’S DISEASE
Prematurity and IUGR
This document discusses prematurity, intrauterine growth restriction (IUGR), and their associated risks and management. It covers:
- Definitions and types of prematurity and IUGR
- Characteristics and causes of symmetric vs asymmetric IUGR
- Problems that can occur in IUGR and premature infants like respiratory distress, hypoglycemia, and intraventricular hemorrhage
- Factors associated with IUGR including placental and maternal factors
- Guidelines for admission to the neonatal intensive care unit (NICU)
- Important aspects of care in the NICU like temperature control, respiratory support, fluid management, and infection control
Introduction to pediatrics
This document provides an introduction to pediatrics. It defines pediatrics as the branch of medicine dealing with the care of children and adolescents. Pediatricians specialize in evaluating, diagnosing, treating children, and ensuring their proper growth, development and nutrition. The document outlines the different periods of child growth from neonate to adolescent and their key features. It discusses the history of pediatrics and highlights India's high child mortality rates, with the majority of under-5 deaths being caused by pneumonia, diarrhea, and other infectious diseases. National programs aimed at improving child health in India are also summarized.
Constipation in children
constipation in children , pediatric constipation , management of constipation in children , understanding constipation , causes of constipation in children , functional constipation in children , treatment of constipation ,approach to constipation in children ,constipation in infants
Molluscum Contagiosum Treatment
If you always believed that natural remedies should be preferred but were wary of lack of research in this field, Naturopathix (http://www.naturopathix.com/) is just the organization you were waiting for. We partner with research institutions and universities all around the world to inform you about the proven and effective natural remedies for various diseases.
Haemorrhagic disease of newborn
Vitamin K deficiency in newborns can cause a condition called haemorrhagic disease of the newborn (HDN) where there is bleeding due to a lack of vitamin K dependent clotting factors. Newborns are especially vulnerable because of minimal vitamin K transfer from mother and lack of intestinal bacteria. HDN presents as bleeding from the GI tract, skin, or brain. It is classified as early, classical or late-onset depending on timing. Treatment involves vitamin K supplementation while serious or intracranial bleeding may require transfusions. Prophylactic vitamin K shots at birth can prevent most cases of HDN.
Nocturnal enuresis 2019
This document provides information about nocturnal enuresis (bedwetting), including its definition, epidemiology, etiology, diagnosis, and treatment. Nocturnal enuresis is defined as involuntary voiding during sleep at least twice a week for at least three months in a child aged 5 years or older. It affects more boys than girls and is often familial. Primary enuresis is caused by delayed cortical maturation while secondary enuresis can be caused by medical conditions. Treatment involves pharmacotherapy with desmopressin, imipramine, or anticholinergics as well as behavioral techniques like conditioning and alarms.
Urinary Tract Infections in children
Urinary tract infections are common in children, especially girls. The most common cause is Escherichia coli bacteria spreading from the intestines. Symptoms vary from mild cystitis to severe pyelonephritis. Diagnosis involves urinalysis and urine culture. Treatment depends on severity but commonly involves antibiotics like trimethoprim-sulfamethoxazole. Imaging with ultrasound is recommended for the first UTI in infants and children under 3, or those with fever or systemic illness, to check for anatomical abnormalities.
Approach to a Patient with Acute kidney injury
This document discusses acute kidney injury (AKI), including its definition, epidemiology, causes, diagnosis, and treatment approaches. It provides details on:
- AKI definitions including RIFLE and KDIGO criteria.
- Common causes of AKI including pre-renal, intrinsic renal, and post-renal etiologies.
- Diagnostic evaluation including blood and urine tests, imaging, and biomarkers.
- General treatment principles including fluid resuscitation, eliminating nephrotoxins, and initiating renal replacement therapy.
- Specific approaches for pre-renal, intrinsic renal, and post-renal AKI as well as infections, nephrotoxins, and complications.
Epidermal necrolysis
- Toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS) are acute life-threatening skin reactions caused by extensive necrosis and epidermal detachment. They are considered severity variants of the same process that differ only in the extent of body surface area involved.
- Common causes are certain medications, especially allopurinol, sulfonamides, and carbamazepine. A genetic predisposition also contributes to risk.
- The disease begins with flu-like symptoms followed by painful blistering of the skin and mucous membranes. Prognosis depends on factors like age, comorbidities, and surface area of involvement. Complications can include infection, respiratory failure
Pediatric rheumatology 2021
Juvenile Idiopathic Arthritis,
Systemic Lupus Erythematosus,
Henoch Schonlein Purpura,
Kawasaki Disease
approach to child with fever and Rash
This document provides guidance on evaluating a child presenting with fever and rash. It describes the key characteristics of fever and rash, important aspects of history and physical exam, and the differential diagnosis for common infectious and inflammatory causes of fever and rash in children. These include viral illnesses like measles, chickenpox, rubella, scarlet fever, dengue fever, and typhoid fever, as well as bacterial infections like Kawasaki disease, systemic lupus erythematosus, and infectious mononucleosis. Diagnosis and treatment options are outlined for each condition. A thorough history, physical exam focusing on rash characteristics, and diagnostic testing can help identify the underlying cause.
Neonatology intro
Neonatology is a subspecialty of pediatrics focusing on the medical care of newborn infants, especially preterm or ill newborns, in the first 28 days after birth. It is practiced in neonatal intensive care units. Key aspects of neonatal care include respiratory support, phototherapy, oxygen therapy, and treating common conditions like respiratory distress, jaundice, and sepsis. Mortality rates such as perinatal mortality, neonatal mortality, and infant mortality are important indicators used to measure the quality of maternal and pediatric care.
Approach to child with short stature
A child presenting with short stature should have their height, weight, growth velocity, parental heights, dysmorphic features, pubertal development, bone age, and appropriate investigations assessed. Key factors include determining if growth is proportionate or disproportionate, calculating mid-parental height and target height for comparison, and evaluating bone age to distinguish constitutional growth delay from other causes. A thorough history, physical exam, and targeted laboratory tests can help identify underlying causes like genetic syndromes, malnutrition, endocrine disorders, or chronic illnesses.
Diarrheal diseases in children
This document provides an overview of diarrhea in children, including definitions, epidemiology, etiology, pathophysiology, clinical manifestations, complications, evaluation, and management. Some key points include:
- Diarrhea is defined as >3 loose stools per day or watery stool of any frequency. It is a leading cause of death in children under 5 years old.
- Common causes are viral (e.g. rotavirus), bacterial (e.g. E.coli), and parasitic (e.g. Giardia).
- Complications include dehydration, malnutrition, and electrolyte imbalances.
- Management involves oral rehydration, continued feeding, and treating the underlying cause
Cutaneous drug reactions
Cutaneous drug reactions are adverse skin reactions caused by medications. They range from mild rashes to potentially life-threatening conditions like toxic epidermal necrolysis. Most cutaneous drug reactions are immune-mediated and occur within a few weeks of starting a medication. Management involves promptly withdrawing the offending drug, providing supportive care, and occasionally systemic corticosteroids for more severe reactions to prevent complications and mortality. The prognosis depends on the specific reaction, with most mild rashes resolving on their own while toxic epidermal necrolysis has a high mortality rate of around 50%.
SEPTICAEMIA IN CHILDREN.pptx
This document defines terms related to septicemia in children such as bacteremia, sepsis, severe sepsis, and septic shock. It describes the risk factors, common pathogens, clinical manifestations, diagnostic workup, and management of sepsis in children. Sepsis is diagnosed clinically based on signs of infection meeting two or more SIRS criteria. The most common infections are pneumonia, bloodstream, skin, and urinary tract infections. Treatment involves ABCDE approach, managing shock, administering early antibiotics, and providing supportive care.
Stevens johnson syndrome
Stevens-Johnson syndrome is a severe mucocutaneous reaction typically caused by drugs involving skin and mucous membranes. It begins with flu-like symptoms followed by distinctive target lesions. Complications can include blindness, infections, and death. Treatment focuses on stopping the causative agent, supportive care, corticosteroids, IVIG, and antibiotics for secondary infections.
Neonatal Jaundice
Neonatal jaundice is common in newborns, occurring in 60% of term and 80% of preterm infants. It is usually caused by unconjugated bilirubin from the breakdown of red blood cells. Physiological jaundice is self-limiting and peaks by days 4-5 in term and 7-8 in preterm infants. Pathological jaundice requires further evaluation and treatment depending on the cause, which may include phototherapy, drug therapy, or exchange transfusion. Rh incompatibility occurs when an Rh-negative mother has an Rh-positive baby and develops antibodies, which can cause hemolytic disease of the newborn in subsequent pregnancies.
What's hot (20)
Viewers also liked
Yahoo! Messenger Images On BlackBerry 10
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
RDC Sourcing Made Easy from China Presentation
This document outlines the benefits and process of sourcing products from China through RDC, a sourcing company. Key benefits include savings of up to 50%, improved competitiveness through reduced costs, and ensuring products meet specifications. RDC helps clients find suitable suppliers, quality checks all orders, and provides a full turnkey solution from factory to delivery. The process involves meeting with clients to understand requirements, finding manufacturers, providing quotes, ordering samples, overseeing production, inspecting shipments, and delivering products. RDC manages the entire process from start to finish.
TaraLaneMAT
Tara explores her new cyber self, TaraMAT. She flies to the top of an orb to take in the pretty view. While exploring, she asks where she can find Carl Sagan's coffee table and comments that being a scientist means exploring. The document provides biographical information about Tara, including her education and interests. It also shares several quotes about learning, curiosity, and teaching.
Healthcare Cyber Security Webinar
This document discusses healthcare cyber security and the risks associated with protecting electronic protected health information, as required by HIPAA. It provides an overview of HIPAA regulations regarding privacy, security, and the security rule. It also discusses trends in healthcare data breaches over time, with financial and educational institutions experiencing the most breaches recently. Fines for non-compliance have increased under HITECH to a maximum of $1.5 million. With increased enforcement, healthcare organizations must exercise reasonable diligence to protect patient data and avoid penalties.
Winter weather
Students will make weekly weather predictions and compare them to actual weather events to understand the variability and unpredictability of winter weather in New York State. They will record their predictions and data from weather reports over several weeks, and analyze historical weather data to give scientific explanations for differences from predictions. Students will graph their findings and compare to expected and historical trends to determine how extreme the local winter weather typically is.
Παρουσίαση του νέου εξεταστικού συστήματος (v.3)
Παρουσίαση του νέου εξεταστικού συστήματος στο Φροντιστηρίο ΣΠΟΥΔΗ για τους γονείς των μαθητών της Β Λυκείου.
Group 5
This document outlines several science topics that can be taught across multiple classes and disciplines:
1) Forensic mysteries where students solve crimes by discovering clues and analyzing data using sciences like chemistry and biology.
2) Impacts of climate change on social studies, current events, weather modeling, and student predictions for the future.
3) Planetary systems discussing other star systems and using physics concepts to discover exoplanets and create scale models of the solar system.
4) Ecosystems and biodiversity examining the roles of different parts of an ecosystem through chemical analysis, hands-on composting activities, and studying earthworms' role in soil.
5) Field trips and hands-on activities to help students
What is music and its objectives?
Music is an art form that uses sound as its medium. Common elements of music include pitch, rhythm, dynamics, timbre, and texture. Music can be defined as "organized sound." While there are no inherently unmusical sounds, different cultures tend to restrict the range of sounds they consider musical. The objectives of music education are to develop appreciation and understanding of music, as well as emotional development and a desire for beauty. Music education should be available to all students to help them realize their full potential and participate in worthwhile cultural experiences.
Business Associate HIPAA Compliance Impact on the Business Associate and Co...
This document discusses HIPAA, HITECH, and business associate relationships in healthcare. It provides an overview of how HIPAA and HITECH regulations apply to covered entities like healthcare providers and their business associates. It notes that HITECH strengthened HIPAA enforcement and made business associates directly responsible for HIPAA compliance. The document also gives examples of how compliance responsibilities are shared across covered entities, business associates, and third parties in the healthcare industry.
Yahoo! messenger images on black berry 10
Yahoo! Messenger now allows users to send and receive images through the BlackBerry 10 app. The update brings the popular messaging service inline with competitors by integrating photos and adding new features. Users can browse, send, and receive images and photos from within conversations on their BlackBerry 10 devices running the latest version of the Yahoo! Messenger app.
La competencia digital: las TIC en la clase de ELE
El documento presenta una introducción a las tecnologías de la información y la comunicación (TIC) y su aplicación en la enseñanza del español como lengua extranjera. Explica conceptos clave como el entorno personal de aprendizaje (PLE) y cómo este puede implementarse tanto por el docente como por el estudiante utilizando diversas herramientas digitales. Finalmente, recomienda criterios para seleccionar recursos en internet y presenta numerosas opciones de plataformas, aplicaciones y herramientas TIC que pueden usarse en
Kualiti kepimpinan
Seorang pemimpin perlu mempunyai keseimbangan mental dan kemampuan, cekap dalam mengurus dan berkomunikasi, bermotivasi tinggi, dan dinilai melalui enam ciri kualiti kepimpinan. Pemimpin Islam harus adil, berilmu, taat kepada Allah, berakhlak mulia, berani berdakwah, amanah, bijak, dan sempurna pancainderanya. Ciri-ciri umum pemimpin meliputi berfikir jauh ke depan, juj
Mapeh what is music and its objectives
Music is an art form that uses sound as its medium. Common elements of music include pitch, rhythm, dynamics, timbre, and texture. Music can be defined as "organized sound." While there are no inherently unmusical sounds, different cultures tend to restrict the range of sounds they consider musical. The objectives of music education are to develop appreciation and understanding of music, as well as emotional development and a desire for beauty. Music education should be available to all students to help them realize their full potential and participate in worthwhile cultural experiences.
Viewers also liked (16)
Business Associate HIPAA Compliance Impact on the Business Associate and Co...
Business Associate HIPAA Compliance Impact on the Business Associate and Co...
La competencia digital: las TIC en la clase de ELE
La competencia digital: las TIC en la clase de ELE
Similar to Pphg waled ayad
,n l
Pregnant women have a 2-4x increased risk of venous thromboembolism (VTE) compared to non-pregnant women. While the left leg is most commonly affected, pelvic and ovarian vein thromboses can also occur. Diagnosis of VTE in pregnancy poses challenges due to atypical symptoms and limitations of diagnostic tests due to radiation exposure risk to the fetus. Low molecular weight heparin is the preferred treatment for VTE in pregnancy due to its safety profile and lack of placental crossing. Untreated VTE can have severe consequences, so diagnosis and treatment are important despite diagnostic limitations.
Copy of ANTENATAL FETAL MONITORING-Hatem.ppt
This document discusses antenatal and intrapartum fetal monitoring. It describes the aims, techniques, and management of fetal monitoring. The key points are:
1) Antenatal monitoring aims to reduce perinatal morbidity and mortality by identifying at-risk pregnancies. Techniques include fetal movement counting, nonstress tests, biophysical profiles, and Doppler ultrasound.
2) Intrapartum monitoring aims to reduce the risk of fetal asphyxia. Continuous electronic fetal monitoring and intermittent auscultation are the main techniques used.
3) Abnormal fetal heart rate tracings include decelerations, reduced variability, and absence of accelerations. The first steps in management are changing maternal position, oxygen
antepartumhaemorrhage-121128013531-phpapp02.pptx
This document discusses antepartum haemorrhage (APH), defined as bleeding from or into the genital tract between 22 weeks of pregnancy and birth. It affects 3-5% of pregnancies and is a leading cause of perinatal mortality. The main causes of APH are placenta praevia, abruptio placentae, vasa praevia, and local cervical/vaginal bleeding. Management depends on severity and etiology, and may include bed rest, corticosteroids, monitoring, blood transfusion, and delivery by vaginal birth or caesarean section.
The perforated uterus
The document discusses uterine perforation, a potential complication of various gynecological procedures. It notes that termination of pregnancy is the most common associated procedure. Risk factors include uterine anomalies, infection, recent pregnancy, and postmenopause. Most perforations occur in the uterine body and cause little bleeding, but some can involve other organs. Prevention focuses on risk assessment, cervical preparation, and gradual dilation. Management tips include urinary catheterization, cauterization, and seeking help from senior physicians. Overall, uterine perforation is rare but can have serious consequences, so appropriate training and caution are important.
Obs(cesarean section)
This document discusses cesarean section (CS), including types (lower segment and classical), indications for elective and emergency CS, timing of elective CS, procedures before emergency CS, complications, postnatal care, mode of delivery in subsequent pregnancies, criteria for vaginal birth after cesarean (VBAC), conduct of labor for VBAC, scar rupture, and abnormal labor/dystocia. It notes that CS is most commonly indicated for dystocia or failure to progress in labor, which can be due to abnormalities of the birth canal, passenger (fetus), or powers (uterine activity or maternal pushing).
895e09bc-0ccf-4912-989f46802845b52e.pptx
This study compared the incidence of preterm preeclampsia in women who met criteria for high risk as defined by ACOG or NICE guidelines to the incidence in women who were also screened using the FMF algorithm. The study found that among women who screened positive by ACOG or NICE criteria, the incidence of preterm preeclampsia was much higher in those also screened high risk by the FMF algorithm compared to those screened low risk. Specifically, the incidence was reduced by over 90% for women screening negative using the FMF algorithm despite meeting ACOG or NICE criteria. This suggests screening performance is improved when combining clinical risk factors with biomarkers as performed in the FMF algorithm.
Antenatal fetal surveillance dr rabi
This document discusses various methods of antenatal fetal surveillance to monitor fetal well-being and detect any issues. It describes clinical tests like fundal height measurements, biochemical tests like estriol levels, and biophysical tests like fetal movement counts and non-stress tests. The aim is to determine gestational age, check for fetal anomalies, detect growth abnormalities, and identify acute or chronic fetal hypoxia through regular surveillance. This monitoring is especially important for high-risk pregnancies.
Antepartumhaemorrhage 121128013531-phpapp02
This document defines antepartum haemorrhage (APH) as bleeding from or into the genital tract occurring from 22 weeks of pregnancy until birth. APH complicates 3-5% of pregnancies and is a leading cause of perinatal and maternal mortality. The main causes of APH are placenta praevia, abruptio placentae, vasa praevia, and excessive show. Management involves assessing maternal and fetal stability, investigating to determine the cause, monitoring closely, and deciding whether expectant management or delivery is required based on gestational age and severity of bleeding.
Antepartum haemorrhage
Antepartum haemorrhage (APH) is bleeding from or into the genital tract occurring between 24 weeks of pregnancy until birth. The most common causes are placenta praevia and placental abruption. APH complicates 3-5% of pregnancies and is a leading cause of perinatal and maternal mortality worldwide. Management of APH involves assessing the severity of bleeding and signs of shock, investigating the cause, monitoring the fetus, and considering conservative management or delivery depending on gestational age and stability of the mother and fetus. Definitive treatment depends on the specific cause and can involve induction, vaginal delivery, or caesarean section.
antepartumhaemorrhage-121128013531-phpapp02 (1).pdf
This document discusses antepartum haemorrhage (APH), defined as bleeding from or into the genital tract occurring after 22 weeks of pregnancy but before birth. APH complicates 3-5% of pregnancies and is a leading cause of perinatal and maternal mortality. The main causes of APH are placenta praevia, abruptio placentae, vasa praevia, and local cervical/vaginal bleeding of unknown origin. Management depends on the severity and cause of bleeding, and may involve bed rest, steroids, monitoring, blood transfusions, or delivery by vaginal birth or caesarean section.
Recurrent spontaneous abortion
This document discusses the genetic causes and management of recurrent spontaneous abortion (RSA). It defines RSA as three or more pregnancy losses before 20 weeks. Around 50% of RSA cases are considered unexplained. Genetic factors, including balanced translocations, account for around 2-5% of cases. Karyotyping of abortus and parental testing can identify chromosomal abnormalities. For repeated aneuploid miscarriages, high dose folic acid supplementation and timed intercourse may help prevent further aneuploid conceptions. Preimplantation genetic diagnosis (PGD) and screening (PGS) using technologies like comparative genomic hybridization (CGH) and array CGH can identify and select euploid embryos for transfer in cases involving
Emergency peripartum hysterectomy
(1) This study analyzed the risk factors and management patterns of emergency peripartum hysterectomy (EPH) at a hospital in Northeast India over 9 years. (2) The most common indications for EPH were uterine atony (17.39%) and ruptured uterus (49.28%), with ruptured uterus being more common in developing countries. (3) The study found an EPH rate of 1.9 per 1000 deliveries, with most cases undergoing subtotal hysterectomy. Maternal morbidity was comparable to other studies but 2 mothers died due to hemorrhagic shock and sepsis.
Early pregnancy complications
This document discusses early pregnancy complications, specifically ectopic pregnancy. It defines ectopic pregnancy as any pregnancy implanted outside the uterine cavity, most commonly in the fallopian tubes. Risk factors for ectopic pregnancy include infections, prior surgery, infertility treatments and IUD use. Diagnosis involves transvaginal ultrasound, beta-HCG levels, and sometimes laparoscopy. Treatment options include expectant management, surgery (laparotomy or laparoscopy) or medical management with methotrexate. The success of methotrexate treatment depends on factors like beta-HCG levels and mass size. Close surveillance of beta-HCG levels is required after any treatment.
Changing the Concept of Tubal Ectopic Pregnancy
This document discusses changing concepts in ectopic pregnancy. It notes that over 95% of ectopic pregnancies are tubal, and risk factors include previous tubal surgery or pathology. Early diagnosis has increased due to improved ultrasound technology. Most ectopic pregnancies can now be treated medically with methotrexate rather than surgically. Transvaginal ultrasound and serum hCG levels are used for diagnosis. Medical treatment is now often preferred over surgical treatment.
Cesarean section
This document discusses cesarean section (CS), including types of CS, indications for elective and emergency CS, timing of elective CS, complications, postnatal care, and mode of delivery in subsequent pregnancies. It notes that lower segment CS and classical/upper segment CS are the main types. Indications include fetal malpresentation, failure to progress in labor, and prior uterine surgery. The timing of elective CS is usually 38 weeks. Complications can be intraoperative like bleeding or postoperative like infection. Strict postnatal care including monitoring is important. Vaginal delivery may be possible in subsequent pregnancies if certain criteria are met like a previous low transverse incision and no other risk factors.
Antepartum fetal monitoring
The document discusses antepartum fetal monitoring techniques used to assess fetal well-being, including fetal movement counting, assessment of uterine growth, antepartum fetal heart rate testing (nonstress test), biophysical profile, and Doppler velocimetry. It describes how uteroplacental insufficiency can lead to a theoretical scheme of fetal deterioration and outlines conditions that place the fetus at risk. Details are provided on performing and interpreting the nonstress test used to detect fetal distress.
Pre-term labour.pptx
Pre-term labour, could it be predicted?
Pre-term labour (PTL) is defined as labour less than 37 completed weeks or 259 days. 15 million PT babies are delivered annually worldwide with a global rate of about 11% with rising trends in most countries. This represents a serious health and economic challenge.
The objective of early prediction of PTL is to Identify women at risk so, delaying preterm birth by Interventions long enough to optimize the outcome for the fetus.
Prediction could be done by:
-Pre-conceptual/early prenatal evaluation
- Prenatal Ultrasound markers
- Biomarker predictors
Highlights on diagnosing PTL for women with intact membranes and preterm prelabour rupture of membranes (P-PROM) will be presented plus recommended prophylactic interventions as prophylactic vaginal progesterone, prophylactic cervical cerclage & 'Rescue' cervical cerclage. Treatment essentials of PTL include tocolysis, maternal corticosteroids & Magnesium Sulphate.
dr_fleischer_obstetric_hemorrhage_presentation.ppt
Dr. Adiel Fleischer discusses obstetrical hemorrhage as a leading cause of maternal mortality. He outlines strategies for identifying patients at risk, developing multidisciplinary hemorrhage protocols, and managing obstetrical hemorrhage through preparedness, optimizing hemodynamic status, appropriate timing of delivery, surgical planning, and increased postoperative surveillance. Conservative management of placenta accreta by leaving the placenta in situ and using uterine artery embolization results in less bleeding, transfusions, and hysterectomies compared to traditional management of removing the placenta first.
dr_fleischer_obstetric_hemorrhage_presentation.ppt
Dr. Adiel Fleischer discusses obstetrical hemorrhage as a leading cause of maternal mortality. He outlines strategies to identify patients at risk, optimize their hemodynamic status pre-delivery, develop multidisciplinary hemorrhage protocols, and clinically manage postpartum hemorrhage. Two studies are summarized that compare traditional management of placenta accreta, which involves removing the placenta first, to a conservative approach of leaving the placenta in situ and using uterine artery embolization. The conservative approach is associated with significantly less blood transfusions, fewer hysterectomies, and no maternal mortalities.
Breast cancer drug therapy 2004a
The document discusses drug therapy for breast cancer, including chemoprevention, adjuvant therapy, and neoadjuvant therapy. It summarizes several major trials investigating tamoxifen for chemoprevention and adjuvant therapy that showed tamoxifen reduces the risk of recurrence by 47% and lowers the risk of contralateral breast cancer. Guidelines from the 2003 St. Gallen conference recommend 5 years of tamoxifen for most hormone receptor-positive breast cancer patients. The ATAC trial showed anastrozole provides better outcomes than tamoxifen as adjuvant therapy.
Similar to Pphg waled ayad (20)
antepartumhaemorrhage-121128013531-phpapp02 (1).pdf
antepartumhaemorrhage-121128013531-phpapp02 (1).pdf
dr_fleischer_obstetric_hemorrhage_presentation.ppt
dr_fleischer_obstetric_hemorrhage_presentation.ppt
dr_fleischer_obstetric_hemorrhage_presentation.ppt
dr_fleischer_obstetric_hemorrhage_presentation.ppt
More from Waled Ayad
Placenta accreta waled ayad
Placenta accreta occurs when the placenta abnormally adheres firmly to the uterine wall, due to an absence of the decidua basalis layer. It can lead to significant maternal morbidity and mortality from hemorrhage. The risk factors include placenta previa, previous cesarean deliveries, uterine surgery, and advanced maternal age. Ultrasound and MRI can help predict placenta accreta by identifying placental lacunae, loss of myometrial thickness, and bladder invasion. Management may involve scheduled delivery, a multidisciplinary team, blood salvage, and leaving the placenta in situ with adjunctive procedures to preserve fertility and reduce hysterectomy. The bladder is
Contraception
This document provides an overview of various contraceptive methods, including hormonal methods like oral contraceptives, implants, and injections. Intrauterine devices (IUDs) and the intrauterine system (IUS) are discussed as mechanical methods. The document reviews how each method works, effectiveness rates, potential side effects, and other considerations. It also addresses some common misconceptions about contraception and cancer/weight risk. Overall, the document aims to educate about reproductive health and the different options available for preventing pregnancy and sexually transmitted infections.
Hystroscopic myomectomy waled ayad (3)
Hysteroscopic myomectomy is performed to remove intracavitary fibroids that protrude into the uterine cavity, such as submucosal or some intramural fibroids. Only fibroids that distort the endometrial cavity are associated with lower pregnancy and implantation rates, and removing them can increase fertility. Intramural or subserous fibroids not distorting the cavity do not cause infertility. Live birth rates were 21% lower and clinical pregnancy rates 15% lower for women with non-cavity distorting intramural fibroids undergoing IVF. Fibroids completely within the cavity can be easily removed in a single step, with size being the main limiting factor, and the procedure can be performed by surgeons with
Hystroscopic morcellation..waled ayad
Hystroscopic morcellation is a technique for removing tissue from the uterus using a morcellator inserted through a hysteroscope. It has several advantages over traditional resectoscopy such as improved visibility, reduced risk of perforation and thermal injury, and allowing removal of all uterine contents. While effective and efficient with a short learning curve, doctors must still consider rare risks such as spreading potential cancer cells and discuss indications for its use.
Uterine anomalies and reproductive outcomes
Uterine anomalies can affect reproductive outcomes. Septate uteri, the most common anomaly, are associated with higher risks of infertility, miscarriage (26-90% higher risk), and preterm labor (9-33% higher risk). The evidence suggests septal resection can improve outcomes, but randomized controlled trials are still needed. Bicornuate uteri confer better outcomes than septate uteri but are still linked to higher risks of miscarriage (25-35%) and preterm labor (20%). Diagnosis relies on imaging like ultrasound, MRI, and hysteroscopy. While uterine anomalies clearly impact reproduction, their exact effects and best treatments remain controversial areas of ongoing study.
Cancer with pregnancy (waled ayad)
1. Cancer diagnosed during pregnancy requires a multidisciplinary team approach to balance treatment for the mother and health of the fetus.
2. Radiotherapy and some chemotherapy are generally avoided in the first trimester and low dose radiation under 5 rads is considered safe.
3. The most common cancers seen in pregnancy are breast cancer, cervical cancer, and ovarian tumors. Treatment options vary depending on cancer type and stage of pregnancy.
Ctg (waled ayad)
Electronic fetal monitoring (EFM) is used to monitor the fetal heart rate (FHR) and uterine contractions during labor. However, EFM does not reduce rates of cerebral palsy or perinatal morbidity, and may increase cesarean section and instrumental vaginal delivery rates. No single FHR pattern is conclusively linked to fetal neurological injury. For brain damage to occur, the fetus must be exposed to profound hypoxia for more than a brief period. The American College of Obstetricians and Gynecologists criteria for determining EFM-indicated brain damage requires an umbilical cord pH of less than 7.0, early neonatal encephalopathy, evidence of cerebral palsy,
Hystroscopy and infertility ''''waled ayad
Hysteroscopy can help diagnose causes of infertility and reproductive failure. Common indications for hysteroscopy when evaluating infertility include abnormal HSG results, suspected uterine abnormalities like septae or polyps, unexplained bleeding, pregnancy wastage, and unexplained infertility. Hysteroscopy allows visualization of the uterine cavity and removal of small polyps, adhesions, or other abnormalities that could impact implantation and fertility. Training programs in hysteroscopy are recommended for fertility units to fully evaluate and treat patients undergoing infertility treatments.
Pre invasive gynaecological lesion waled ayad
This document discusses pre-invasive gynecological lesions and summarizes information about Pap smear tests, HPV, cervical intraepithelial neoplasia (CIN), and guidelines for screening and managing abnormal Pap smear results. It provides an overview of the Batesda and RCOG classification systems and discusses methods for assessing lesions including colposcopy, biopsy, and cervicography. Treatment options are mentioned including HPV vaccines and different approaches for CIN I, CIN II/III, and glandular lesions.
More from Waled Ayad (9)
Recently uploaded
Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...Kosmoderma Academy Of Aesthetic Medicine
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
Dr. ZANAB FARHEEN FAYAZ ,MDS(ORTHODONTICS & DENTOFACIAL ORTHOPEDICS ).
MERCURY GROUP.BHMS.MATERIA MEDICA.HOMOEOPATHY
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
DECLARATION OF HELSINKI - History and principles
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Recently uploaded (20)
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Outbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptx
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Pphg waled ayad
- 1. Postpartum hemorrhage; medical treatment M.D .OBST&GYNAEM.D .OBST&GYNAE.. Waled ayadWaled ayad
- 2. Post partum hg text bookPost partum hg text book whowho recommendation forrecommendation for pphpph
- 3. WhyWhy??
- 4. 25% of maternal death25% of maternal death Most causes preventableMost causes preventable Prgnosis&outcome dependPrgnosis&outcome depend onon trained team&sch.drilltrained team&sch.drill
- 10. Prophylactic tttProphylactic ttt Ante natalAnte natal ; (history-exam-inv; (history-exam-inv(( Intra natalIntra natal ; (6p; (6p(( Post natalPost natal ; ( 3; ( 3rdrd +4+4thth stagestage(( Active managementActive management MedicalMedical surgicalsurgical
- 15. Intra natalIntra natal AAssysment ofssysment of 3P3P PPartogramartogram PProper use of oxytocinroper use of oxytocin AAnticipation –early recognitionnticipation –early recognition & intervention for poor& intervention for poor progress of labourprogress of labour
- 16. Post natalPost natal Active management of 3Active management of 3rdrd stage of labour shouldstage of labour should be offered routinelybe offered routinely ))grade Agrade A((
- 17. VVaginal 5unit synto.imaginal 5unit synto.im CCs 5unit synto iv drips 5unit synto iv drip MMisoprostol 600isoprostol 600 orally or rectallyorally or rectally
- 18. CARBETOCINCARBETOCIN LONG ACTING OXYTOCINLONG ACTING OXYTOCIN.. NOTNOT. PPH. BUT AMOUNT OF BLOOD. PPH. BUT AMOUNT OF BLOOD LOSS&NEED UTROTONIC AGENTLOSS&NEED UTROTONIC AGENT.. RECOMRECOM, ONLY IN, ONLY IN ELECTIVE CSELECTIVE CS NOTNOT IN EMERGENCY OR VAGIN BIRTHIN EMERGENCY OR VAGIN BIRTH DOSE:100MICR IM-IV (1 MINUTEDOSE:100MICR IM-IV (1 MINUTE((
- 19. DON’T FORGT 4DON’T FORGT 4THTH STAGE OFSTAGE OF LABOURLABOUR
- 30. RCOG 2016RCOG 2016 OXOX 5u5u MM .5.5 OXOX 40u40u CC .25.25 MM 400400
- 34. oxytocinoxytocin Iv ½ x 2 x1/2Iv ½ x 2 x1/2 Im 5 min & prsist 1Im 5 min & prsist 1 hourhour MethergineMethergine 4x40x44x40x4
- 38. Recomb.factor 7Recomb.factor 7 LIFE SAVING..LIFELIFE SAVING..LIFE THRETEN(DVTTHRETEN(DVT(( WHEN; MASSIVE HG AFTERWHEN; MASSIVE HG AFTER #MED,SUR#MED,SUR .. DOSE; 90mi/kgDOSE; 90mi/kg
- 41. RememberRemember Antepartum weaken but pph can killAntepartum weaken but pph can kill 4T4T Rule of 30Rule of 30 CRMACRMA