This document provides information to help patients manage Raynaud's phenomenon and scleroderma. It discusses caring for skin, preventing and treating digital ulcers, managing fatigue, and looking after dry eyes/mouth, the gut, and heart/lungs. Specific recommendations include applying moisturizers daily, protecting skin from the sun, taking medications to improve blood flow, setting activity goals, using artificial tears and saliva, managing reflux through diet, and promptly reporting any new or worsening symptoms. The overall message is for patients to listen to their body and seek medical advice if symptoms change significantly.
The document summarizes the role of a specialist nurse in rheumatology. It discusses how specialist nurses (1) provide education and support to help patients manage their symptoms, (2) follow national and local guidelines in their care, and (3) add value through activities like reducing waiting times and hospital admissions. It also provides examples of how one specialist nurse supports patients with conditions like Raynaud's and scleroderma through clinic consultations, education on managing symptoms, and promoting self-management.
Skin Complications in Scleroderma
Emily L Keimig, MS, MD Clinical Instructor Department of Dermatology
Presented at the Scleroderma Patient Education Conference, Saturday, October 19, 2013 at Northwestern Memorial Hospital.
Hosted by the Scleroderma Foundation, Greater Chicago Chapter and the Northwestern Scleroderma Program.
Psoriasis is a chronic, inflammatory skin disease characterized by red, scaly plaques that worsen over time. It is a T-cell mediated disorder that typically requires lifelong therapy to control symptoms, as individuals experience flares and remissions. Treatment involves topical therapy for mild cases, along with phototherapy and systemic or biological agents for more severe psoriasis, with the most effective treatments carrying increased risks of side effects like cancer.
Pressure sores, also known as decubitus ulcers or bed sores, are localized skin injuries caused by prolonged pressure, friction, or shearing forces that impair blood flow. They commonly form over bony areas of immobilized patients and cost health systems billions annually to treat. Prevention focuses on reducing pressure, moisture, and shearing through frequent repositioning, skin care, nutrition, and devices like air mattresses. Pressure sores are staged from 1 to 4 based on tissue depth involvement and managed accordingly through cleaning, debridement, dressings, and sometimes antibiotics.
Pityriasis rosea is a self-limiting skin rash that lasts 4-7 weeks, predominantly affecting adolescents and young adults. It is characterized by the development of a large herald patch followed by numerous oval-shaped papules appearing on the trunk and limbs within a week. Pityriasis lichenoides includes two types of chronic skin eruptions - pityriasis lichenoides chronica, seen as discrete scaly macules and papules on the trunk and limbs, and pityriasis lichenoides et varioliformis acuta, which presents with abrupt onset of erythematous necrotic lesions on the trunk and extremities. Treatment focuses on relieving symptoms, with no
Bed sores, also known as pressure ulcers or decubitus ulcers, are injuries to the skin and underlying tissue caused by prolonged pressure. They are most common over bony areas of the body. Risk factors include impaired mobility, incontinence, malnutrition, and advanced age. Bed sores are staged from I to IV based on the depth of tissue destruction, from non-blanchable redness to full thickness tissue loss with exposed bone or muscle. Prevention focuses on frequent repositioning, support surfaces, skin inspection, nutrition, and lifestyle changes. Treatment involves repositioning, wound cleaning, debridement of damaged tissue, dressings, antibiotics, and surgery in severe cases.
This document provides information to help patients manage Raynaud's phenomenon and scleroderma. It discusses caring for skin, preventing and treating digital ulcers, managing fatigue, and looking after dry eyes/mouth, the gut, and heart/lungs. Specific recommendations include applying moisturizers daily, protecting skin from the sun, taking medications to improve blood flow, setting activity goals, using artificial tears and saliva, managing reflux through diet, and promptly reporting any new or worsening symptoms. The overall message is for patients to listen to their body and seek medical advice if symptoms change significantly.
The document summarizes the role of a specialist nurse in rheumatology. It discusses how specialist nurses (1) provide education and support to help patients manage their symptoms, (2) follow national and local guidelines in their care, and (3) add value through activities like reducing waiting times and hospital admissions. It also provides examples of how one specialist nurse supports patients with conditions like Raynaud's and scleroderma through clinic consultations, education on managing symptoms, and promoting self-management.
Skin Complications in Scleroderma
Emily L Keimig, MS, MD Clinical Instructor Department of Dermatology
Presented at the Scleroderma Patient Education Conference, Saturday, October 19, 2013 at Northwestern Memorial Hospital.
Hosted by the Scleroderma Foundation, Greater Chicago Chapter and the Northwestern Scleroderma Program.
Psoriasis is a chronic, inflammatory skin disease characterized by red, scaly plaques that worsen over time. It is a T-cell mediated disorder that typically requires lifelong therapy to control symptoms, as individuals experience flares and remissions. Treatment involves topical therapy for mild cases, along with phototherapy and systemic or biological agents for more severe psoriasis, with the most effective treatments carrying increased risks of side effects like cancer.
Pressure sores, also known as decubitus ulcers or bed sores, are localized skin injuries caused by prolonged pressure, friction, or shearing forces that impair blood flow. They commonly form over bony areas of immobilized patients and cost health systems billions annually to treat. Prevention focuses on reducing pressure, moisture, and shearing through frequent repositioning, skin care, nutrition, and devices like air mattresses. Pressure sores are staged from 1 to 4 based on tissue depth involvement and managed accordingly through cleaning, debridement, dressings, and sometimes antibiotics.
Pityriasis rosea is a self-limiting skin rash that lasts 4-7 weeks, predominantly affecting adolescents and young adults. It is characterized by the development of a large herald patch followed by numerous oval-shaped papules appearing on the trunk and limbs within a week. Pityriasis lichenoides includes two types of chronic skin eruptions - pityriasis lichenoides chronica, seen as discrete scaly macules and papules on the trunk and limbs, and pityriasis lichenoides et varioliformis acuta, which presents with abrupt onset of erythematous necrotic lesions on the trunk and extremities. Treatment focuses on relieving symptoms, with no
Bed sores, also known as pressure ulcers or decubitus ulcers, are injuries to the skin and underlying tissue caused by prolonged pressure. They are most common over bony areas of the body. Risk factors include impaired mobility, incontinence, malnutrition, and advanced age. Bed sores are staged from I to IV based on the depth of tissue destruction, from non-blanchable redness to full thickness tissue loss with exposed bone or muscle. Prevention focuses on frequent repositioning, support surfaces, skin inspection, nutrition, and lifestyle changes. Treatment involves repositioning, wound cleaning, debridement of damaged tissue, dressings, antibiotics, and surgery in severe cases.
Pulmonary arterial hypertension (PAH) is a condition where blood pressure is elevated in the pulmonary arteries of the lungs, causing shortness of breath and other symptoms. Common symptoms include fatigue, swelling of the legs/abdomen/neck, dizziness, chest pain, and blue-tinged lips/fingers.
Bed sores, also known as pressure ulcers, pressure sores or decubitus ulcers are skin lesions which can be caused by friction, humidity, temperature, continence, medication, shearing forces, age and unrelieved pressure. Any part of the body may be affected; bony or cartilaginous areas, such as the elbows, knees, ankles and sacrum are most commonly affected. The sacrum is a triangular bone at the base of the spine and the upper and back part of the pelvic cavity (like a wedge between the two hip bones).
This document discusses pressure ulcers, including their definition, staging, epidemiology, pathophysiology, presentation, assessment, and management. Pressure ulcers are lesions caused by unrelieved pressure that damage underlying tissue. They are commonly staged from I to IV based on depth of tissue damage. Risk factors include immobility, incontinence, and nutritional deficiencies. Treatment involves reducing pressure, managing infection, debridement, dressing wounds, and surgery in some cases.
53 a focus 11 neurosensory & protective needstwiggypiggy
This document discusses neurosensory and protective body functions. It describes the normal sensory regulation process and conditions that can lead to sensory deprivation or overload. Nursing interventions are provided to assist clients at risk, including environmental modifications and use of sensory aids. The four major body functions of protection are identified as the skin, circulation, immune system, and neurological system. Conditions that can disrupt the protection need and related nursing interventions are also reviewed.
Psoriasis - A BRIEF OUTLOOK..................................by Vishnu R.Nair...RxVichuZ
My fifth presentation...in slideshare.....
This is a precise insight into the popular disease called PSORIASIS....the reasons...classification....diagnosis...and varying therapies..........
Nevertheless, i do sincerely hope that this presentation helps people who are in research work for this disease..or for students, who have this in their curriculum syllabus, or for simple reading.............
More ppts will come on the way............
Thanks for reading..............do give ur feedback..in my email address rxvichu623@gmail.com.........ur views and suggestions will be warmly acknowledged..........
For further details, contact me in whatsapp or hike at 8086948729 or in my facebook profile at Rx Vichhu
Study well!!
Keep rocking!!!
@rxvichu
:) :)
A pressure ulcer is an injury to the skin caused by prolonged pressure that cuts off blood flow. Ulcers are common in people who are confined to beds or wheelchairs and cannot shift positions to relieve pressure. Factors like limited mobility, incontinence, poor nutrition, and aging can increase risk. Ulcers are staged from 1 to 4 based on their depth, with stage 1 being the least severe. Preventing ulcers involves regularly shifting positions, using special beds and cushions, keeping skin clean and moisturized, and addressing other risk factors through diet and exercise.
Pressure ulcers, also known as decubitus ulcers or bed sores, are localized areas of soft tissue damage that result from prolonged pressure. They are staged from 1 to 4 based on depth of tissue damage. Risk factors include older age, immobility, moisture, and poor nutrition. Treatment focuses on relieving pressure, cleaning and debridement of wounds, dressing changes, and surgery if needed to prevent complications like infection.
The document describes common symptoms of acne which may include blackheads, whiteheads, pus-filled lesions, and nodules. Each child may experience symptoms differently. It also provides information on dry skin, sebaceous cysts, and scar treatment and minimization. Dry skin is usually treated by keeping the skin moisturized and avoiding harsh soaps. Sebaceous cysts can be removed by a physician. Scars may fade over time but certain dermatological techniques like punch grafts, dermabrasion, and chemical peels can help improve scar appearance.
Skin changes are common in patients with diabetes and can be the first sign of the disease or develop at any time. The most common manifestations are cutaneous infections, xerosis, and inflammatory skin diseases. Skin changes are classified as related to insulin resistance, infections, vascular changes, and conditions associated specifically with type 1 or type 2 diabetes. Infections like candidiasis and bacterial infections are more common in poorly controlled diabetes. Vascular changes include diabetic dermopathy, rubeosis faciei, and periungual telangectasias. Treatment-related changes can occur from insulin, oral medications, and secondary to other diabetes complications. Managing underlying conditions and blood glucose is key to treating many diabetes-related skin
This document describes benign vulval and vaginal lesions. It discusses inflammatory lesions including those caused by infection, atrophy related to menopause or lichen sclerosus, and dystrophies. Specific lesions mentioned include herpetic, syphilitic, sebaceous cysts, endometriotic, and Bowenoid polyposis. Diagnosis involves physical exam, swabs, and sometimes biopsy or colposcopy. Pruritis is common and dystrophies can be associated with malignancy so evaluation is important. Vaginal lesions include infections, inflammations, ulcers, and cysts. Bacterial vaginosis is the most common infection.
What Is Acne Vulgaris And A Glimpse Into Homeopathic Treatment For AcneWelcome Cure LLP
The face is affected in 99% of cases, the back in 60% and the chest in 15%. Acne vulgaris is very common among teens. Some women who never had acne growing up will have it as an adult, often right before their menstrual periods. If one of your parents had severe acne, you are more likely to have it. Scarring due to acne vulgaris may be permanent and lead to distortion of the face. Homeopathy helps to normalize the hormonal imbalance that is the root cause of this terrifying skin condition. You can find more of such informative Power Point Presentations as well as other useful health information at www.welcomecure.com, the definitive online homeopathic treatment portal.
www.welcomecure.com
Treatment options for pressure sores include regularly changing position, using special mattresses to reduce pressure, and dressings to help healing. In more severe cases, surgery may be needed to remove dead tissue, close wounds, and speed recovery. Regular repositioning helps relieve pressure and prevent sores from worsening. Specialized dressings, mattresses, antibiotics and debridement can aid the healing process, while surgery risks include infection but can help seal wounds.
This document discusses pressure ulcer prevention. It outlines the importance of prevention in terms of patient safety, quality of life, and costs. Those at risk include those with reduced mobility, vascular damage, sensory impairment, reduced consciousness, or over 65 years old. The SSKIN assessment method is recommended, which involves support surfaces, skin inspection, keeping patients moving, incontinence management, and nutrition. Regular skin assessments and repositioning of at-risk patients every 4 hours is important. Documentation of prevention efforts is also key.
Eczema is a group of skin condition that causes inflammation and irritation to the skin and is otherwise called as dermatitis,
Scabies is also a itchy skin condition caused by mite called Sarcoptes scabiei.
The skin is the body's largest organ and acts as a protective barrier. It has several important functions, including regulating body temperature, preventing fluid loss, producing vitamin D, and acting as an immune barrier against pathogens. The skin is composed of three layers - the epidermis, dermis, and subcutaneous tissue. It contains structures like hair, nails, and glands that produce sweat and oil. A thorough skin assessment examines parameters like color, temperature, texture, lesions, and edema to identify any abnormalities or issues requiring further evaluation.
The document discusses perioperative care which includes preoperative, intraoperative, and postoperative phases. It also discusses classification of surgery according to cause (diagnostic, curative, etc.) and urgency (emergency, urgent, elective, optional). Key aspects of the preoperative assessment are identifying risk factors like obesity, electrolyte imbalances, infections, and current medications. Nursing diagnoses may include fear and knowledge deficits, and interventions aim to address these concerns.
Skin care & benign dermatologic conditionsKaung Htike
This document provides information on skin anatomy, various benign dermatologic conditions, and treatments for skin conditions. It discusses the layers of the epidermis and dermis. It also describes common benign conditions like contact dermatitis, atopic dermatitis, acne, rosacea, psoriasis, nevi, and alopecia. For each condition, it discusses pathogenesis, clinical features, diagnosis, and management approaches including medications, procedures, and lifestyle changes.
This document summarizes common skin diseases. It discusses acne, its causes and types of lesions. It also discusses corns and calluses, their causes and treatments. Next, it covers various papulosquamous diseases including psoriasis, pityriasis rosea, lichen planus, lichen nitidus, lichen striatus, and exfoliative dermatitis - describing their characteristics, types and treatments. Finally, it defines scars, classifies them into atrophic, hypertrophic and keloid scars, and outlines various scar treatment options.
This document provides information on assessing and managing disorders of the integumentary system in children. It discusses the objectives of the lecture, the functions of skin, and techniques for assessing the skin, hair and nails through history taking and physical examination. Specific assessment methods are outlined, including inspection of skin color and lesions, palpation of temperature, texture and edema. Common skin disorders and burns in children are also reviewed. The goal is to equip students to properly examine the integumentary system and identify any disorders, as well as understand their treatment and nursing care.
This document provides an overview of common skin lesions, disorders of the sebaceous and sudoriferous glands, pigmentation disorders, skin inflammations, and skin cancer. It discusses the primary causes of acne and treatments, factors that contribute to skin aging both intrinsically and from extrinsic sources like sun exposure, what contact dermatitis is and how to prevent it, and self-protection measures for professionals.
Pulmonary arterial hypertension (PAH) is a condition where blood pressure is elevated in the pulmonary arteries of the lungs, causing shortness of breath and other symptoms. Common symptoms include fatigue, swelling of the legs/abdomen/neck, dizziness, chest pain, and blue-tinged lips/fingers.
Bed sores, also known as pressure ulcers, pressure sores or decubitus ulcers are skin lesions which can be caused by friction, humidity, temperature, continence, medication, shearing forces, age and unrelieved pressure. Any part of the body may be affected; bony or cartilaginous areas, such as the elbows, knees, ankles and sacrum are most commonly affected. The sacrum is a triangular bone at the base of the spine and the upper and back part of the pelvic cavity (like a wedge between the two hip bones).
This document discusses pressure ulcers, including their definition, staging, epidemiology, pathophysiology, presentation, assessment, and management. Pressure ulcers are lesions caused by unrelieved pressure that damage underlying tissue. They are commonly staged from I to IV based on depth of tissue damage. Risk factors include immobility, incontinence, and nutritional deficiencies. Treatment involves reducing pressure, managing infection, debridement, dressing wounds, and surgery in some cases.
53 a focus 11 neurosensory & protective needstwiggypiggy
This document discusses neurosensory and protective body functions. It describes the normal sensory regulation process and conditions that can lead to sensory deprivation or overload. Nursing interventions are provided to assist clients at risk, including environmental modifications and use of sensory aids. The four major body functions of protection are identified as the skin, circulation, immune system, and neurological system. Conditions that can disrupt the protection need and related nursing interventions are also reviewed.
Psoriasis - A BRIEF OUTLOOK..................................by Vishnu R.Nair...RxVichuZ
My fifth presentation...in slideshare.....
This is a precise insight into the popular disease called PSORIASIS....the reasons...classification....diagnosis...and varying therapies..........
Nevertheless, i do sincerely hope that this presentation helps people who are in research work for this disease..or for students, who have this in their curriculum syllabus, or for simple reading.............
More ppts will come on the way............
Thanks for reading..............do give ur feedback..in my email address rxvichu623@gmail.com.........ur views and suggestions will be warmly acknowledged..........
For further details, contact me in whatsapp or hike at 8086948729 or in my facebook profile at Rx Vichhu
Study well!!
Keep rocking!!!
@rxvichu
:) :)
A pressure ulcer is an injury to the skin caused by prolonged pressure that cuts off blood flow. Ulcers are common in people who are confined to beds or wheelchairs and cannot shift positions to relieve pressure. Factors like limited mobility, incontinence, poor nutrition, and aging can increase risk. Ulcers are staged from 1 to 4 based on their depth, with stage 1 being the least severe. Preventing ulcers involves regularly shifting positions, using special beds and cushions, keeping skin clean and moisturized, and addressing other risk factors through diet and exercise.
Pressure ulcers, also known as decubitus ulcers or bed sores, are localized areas of soft tissue damage that result from prolonged pressure. They are staged from 1 to 4 based on depth of tissue damage. Risk factors include older age, immobility, moisture, and poor nutrition. Treatment focuses on relieving pressure, cleaning and debridement of wounds, dressing changes, and surgery if needed to prevent complications like infection.
The document describes common symptoms of acne which may include blackheads, whiteheads, pus-filled lesions, and nodules. Each child may experience symptoms differently. It also provides information on dry skin, sebaceous cysts, and scar treatment and minimization. Dry skin is usually treated by keeping the skin moisturized and avoiding harsh soaps. Sebaceous cysts can be removed by a physician. Scars may fade over time but certain dermatological techniques like punch grafts, dermabrasion, and chemical peels can help improve scar appearance.
Skin changes are common in patients with diabetes and can be the first sign of the disease or develop at any time. The most common manifestations are cutaneous infections, xerosis, and inflammatory skin diseases. Skin changes are classified as related to insulin resistance, infections, vascular changes, and conditions associated specifically with type 1 or type 2 diabetes. Infections like candidiasis and bacterial infections are more common in poorly controlled diabetes. Vascular changes include diabetic dermopathy, rubeosis faciei, and periungual telangectasias. Treatment-related changes can occur from insulin, oral medications, and secondary to other diabetes complications. Managing underlying conditions and blood glucose is key to treating many diabetes-related skin
This document describes benign vulval and vaginal lesions. It discusses inflammatory lesions including those caused by infection, atrophy related to menopause or lichen sclerosus, and dystrophies. Specific lesions mentioned include herpetic, syphilitic, sebaceous cysts, endometriotic, and Bowenoid polyposis. Diagnosis involves physical exam, swabs, and sometimes biopsy or colposcopy. Pruritis is common and dystrophies can be associated with malignancy so evaluation is important. Vaginal lesions include infections, inflammations, ulcers, and cysts. Bacterial vaginosis is the most common infection.
What Is Acne Vulgaris And A Glimpse Into Homeopathic Treatment For AcneWelcome Cure LLP
The face is affected in 99% of cases, the back in 60% and the chest in 15%. Acne vulgaris is very common among teens. Some women who never had acne growing up will have it as an adult, often right before their menstrual periods. If one of your parents had severe acne, you are more likely to have it. Scarring due to acne vulgaris may be permanent and lead to distortion of the face. Homeopathy helps to normalize the hormonal imbalance that is the root cause of this terrifying skin condition. You can find more of such informative Power Point Presentations as well as other useful health information at www.welcomecure.com, the definitive online homeopathic treatment portal.
www.welcomecure.com
Treatment options for pressure sores include regularly changing position, using special mattresses to reduce pressure, and dressings to help healing. In more severe cases, surgery may be needed to remove dead tissue, close wounds, and speed recovery. Regular repositioning helps relieve pressure and prevent sores from worsening. Specialized dressings, mattresses, antibiotics and debridement can aid the healing process, while surgery risks include infection but can help seal wounds.
This document discusses pressure ulcer prevention. It outlines the importance of prevention in terms of patient safety, quality of life, and costs. Those at risk include those with reduced mobility, vascular damage, sensory impairment, reduced consciousness, or over 65 years old. The SSKIN assessment method is recommended, which involves support surfaces, skin inspection, keeping patients moving, incontinence management, and nutrition. Regular skin assessments and repositioning of at-risk patients every 4 hours is important. Documentation of prevention efforts is also key.
Eczema is a group of skin condition that causes inflammation and irritation to the skin and is otherwise called as dermatitis,
Scabies is also a itchy skin condition caused by mite called Sarcoptes scabiei.
The skin is the body's largest organ and acts as a protective barrier. It has several important functions, including regulating body temperature, preventing fluid loss, producing vitamin D, and acting as an immune barrier against pathogens. The skin is composed of three layers - the epidermis, dermis, and subcutaneous tissue. It contains structures like hair, nails, and glands that produce sweat and oil. A thorough skin assessment examines parameters like color, temperature, texture, lesions, and edema to identify any abnormalities or issues requiring further evaluation.
The document discusses perioperative care which includes preoperative, intraoperative, and postoperative phases. It also discusses classification of surgery according to cause (diagnostic, curative, etc.) and urgency (emergency, urgent, elective, optional). Key aspects of the preoperative assessment are identifying risk factors like obesity, electrolyte imbalances, infections, and current medications. Nursing diagnoses may include fear and knowledge deficits, and interventions aim to address these concerns.
Skin care & benign dermatologic conditionsKaung Htike
This document provides information on skin anatomy, various benign dermatologic conditions, and treatments for skin conditions. It discusses the layers of the epidermis and dermis. It also describes common benign conditions like contact dermatitis, atopic dermatitis, acne, rosacea, psoriasis, nevi, and alopecia. For each condition, it discusses pathogenesis, clinical features, diagnosis, and management approaches including medications, procedures, and lifestyle changes.
This document summarizes common skin diseases. It discusses acne, its causes and types of lesions. It also discusses corns and calluses, their causes and treatments. Next, it covers various papulosquamous diseases including psoriasis, pityriasis rosea, lichen planus, lichen nitidus, lichen striatus, and exfoliative dermatitis - describing their characteristics, types and treatments. Finally, it defines scars, classifies them into atrophic, hypertrophic and keloid scars, and outlines various scar treatment options.
This document provides information on assessing and managing disorders of the integumentary system in children. It discusses the objectives of the lecture, the functions of skin, and techniques for assessing the skin, hair and nails through history taking and physical examination. Specific assessment methods are outlined, including inspection of skin color and lesions, palpation of temperature, texture and edema. Common skin disorders and burns in children are also reviewed. The goal is to equip students to properly examine the integumentary system and identify any disorders, as well as understand their treatment and nursing care.
This document provides an overview of common skin lesions, disorders of the sebaceous and sudoriferous glands, pigmentation disorders, skin inflammations, and skin cancer. It discusses the primary causes of acne and treatments, factors that contribute to skin aging both intrinsically and from extrinsic sources like sun exposure, what contact dermatitis is and how to prevent it, and self-protection measures for professionals.
The contents :
Skin over view
Types of skin lesions
Hypersensitivity reactions and the skin
Eczema over view
Approach to a Skin Rash
Atopic dermatitis
MCQ Questions
1. Atopic dermatitis is the most common type of dermatitis, which is a chronic, pruritic inflammatory skin disease that varies in severity. It primarily causes intense itching.
2. The pathogenesis is multifactorial involving genetic predisposition, skin barrier dysfunction, and immune abnormalities.
3. Treatment focuses on managing flares with topical corticosteroids and infections, while remission involves long-term emollient use and trigger avoidance.
Skin Pigmentation disorders and its management .pptxJagruti Marathe
Some of the most common are pigmented birthmarks, macular stains, hemangiomas, port wine stains, while disorders include albinism, melasma, vitiligo and pigmentation loss due to skin damage. Birthmarks and other skin pigmentation (coloration) disorders affect many people.
Skin pigmentation disorders are conditions that affect the color of the skin. Some common types of skin pigmentation disorders include:
Pigmented birthmarks
Macular stains
Hemangiomas
Port wine stains
Albinism
Melasma
Vitiligo
Skin pigment loss due to sun damage
Other factors that can affect skin pigmentation include: Pregnancy, Addison's disease, Sun exposure.
Some treatments for skin pigmentation disorders include:
Over-the-counter or prescription creams
Topical pimecrolimus or tacrolimus
Light therapy
Melanocytes in the basal epidermis control skin pigmentation through synthesis of melanin, a complex process thought to be primarily regulated by alpha-melanocyte stimulating hormone (αMSH)
Light therapy exposes your skin to a type of ultraviolet (UV) light that can restore your natural skin color. If a large area of your body needs treatment, your dermatologist may prescribe a type of light therapy called phototherapy. During phototherapy, you expose your skin to UV light for a specific amount of time.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats
Acne disorders occur when hair follicles become plugged with oil and dead skin cells. The three main types are acne vulgaris, acne rosacea, and acne conglobata. Acne vulgaris is the most common type and involves blockages and inflammation of hair follicles and sebaceous glands, especially among adolescents and young-middle aged individuals. Risk factors include hormonal changes, family history, stress, bacteria, and high glycemic foods. Treatment involves diet modification, topical and oral medications like retinoids and antibiotics, procedures to extract plugs, and managing symptoms.
This document summarizes several common skin disorders and conditions including dry skin, acne, pigmentation, prickly heat, wrinkles, psoriasis, eczema, hives, impetigo, and ringworm. It discusses signs and symptoms, causes, precautions, treatments, and cosmetic options for each condition. The document provides an overview of different types of skin disorders and aims to educate about common skin problems, their mechanisms, and management approaches.
This document provides definitions and descriptions of common dermatologic terminology and benign skin lesions. It begins with defining macules, patches, papules, plaques, nodules, vesicles, bullae, and wheals. It then discusses common benign skin lesions including warts, molluscum contagiosum, seborrheic keratosis, skin tags, epidermal inclusion cysts, dermatofibromas, cherry hemangiomas, and moles. It concludes with describing common skin disorders such as atopic dermatitis, contact dermatitis, and urticaria. The document is intended as a review for dermatology terminology and common skin findings for post-deployment providers.
This document summarizes several benign gynecological lesions that can occur on the vulva. It discusses urethral caruncles, cysts, nevi, hemangiomas, fibromas, lipomas and other benign growths. It also covers dermatological conditions that can affect the vulva such as contact dermatitis, psoriasis, seborrheic dermatitis and lichen planus. For each condition, it provides details on symptoms, diagnosis and treatment recommendations. The document is a reference for medical students on common benign vulvar lesions and dermatological diseases encountered in gynecology.
Andrea Murray is developing light-based imaging techniques like nailfold capillaroscopy, laser Doppler imaging, and multispectral imaging to better measure and monitor scleroderma disease severity, progression, and treatment response. These non-invasive techniques could provide improved disease management. Specifically, her research has advanced nailfold capillaroscopy by automating capillary measurement, shown laser Doppler imaging can measure blood flow changes in digital ulcers, and a pilot study found multispectral imaging can differentiate oxygenation changes between scleroderma patients and healthy controls. The overall aim is to validate these techniques to better target and monitor scleroderma treatments.
This document discusses personalised care planning for patients with scleroderma. It begins by introducing shared decision making and the role of personalised care plans. It then discusses the Portsmouth Hospitals NHS Trust experience developing a scleroderma personalised care plan through patient focus groups and piloting. Feedback from patients who used the care plan was positive, finding it increased their feeling of control and was informative. The document concludes personalised care plans can promote patient choice and support self-management of long-term conditions.
This document summarizes information about scleroderma in children and young people. It discusses the different subtypes of juvenile scleroderma, including localized scleroderma (morphea) and systemic sclerosis. Localized scleroderma is more common than systemic sclerosis. The document reviews epidemiological data on incidence rates and clinical manifestations. It also discusses disease assessment, treatments such as methotrexate for localized scleroderma, and outcomes. Prognosis is generally better for juvenile scleroderma compared to adult-onset disease, but internal organ involvement can still lead to mortality in severe cases. The document advocates for more collaborative research to improve understanding and treatment of scleroderma in children
This document provides information about Raynaud's phenomenon and scleroderma. It begins by defining Raynaud's as episodes of color change in the extremities induced by cold or stress. It notes there are primary and secondary forms, with the secondary type associated with underlying conditions like scleroderma. Scleroderma is then defined as hardening of the skin, with types including limited and diffuse cutaneous forms. The document provides details on diagnostic tests and classifications for these conditions and discusses their symptoms, treatments, and epidemiology.
This document summarizes an expert talk on emerging therapies for systemic sclerosis. It discusses how scleroderma is now treatable with licensed therapies for pulmonary arterial hypertension and digital ulcers. Guidelines and access to treatments need improvement. Immunosuppression can benefit patients if risks are balanced. Targeted therapies are possible. Three recent clinical trials were encouraging by informing disease mechanisms and supporting therapy advances.
Raynaud's phenomenon and scleroderma are linked vascular conditions. Raynaud's involves reduced blood flow to the extremities while scleroderma causes fibrosis of skin and organs. Damage to blood vessels from Raynaud's attacks may trigger antibodies, inflammation, and attempts to repair tissue through fibrosis. Understanding these pathways could help guide new treatments to prevent complications like lung scarring and kidney or lung failure.
This document discusses stem cell transplantation for the treatment of scleroderma. It summarizes that stem cell transplantation is a complex, multi-step treatment involving high-dose chemotherapy, antibodies, and reinfusion of stem cells. It can potentially improve skin thickening, functional ability, and quality of life for scleroderma patients, but it also carries risks like infertility, infections, and malignancy. The document concludes that stem cell transplantation is an effective treatment for early, severe scleroderma, especially in non-smoking patients, though most scleroderma patients do not require it and it remains a specialized treatment.
This document discusses Raynaud's phenomenon and its link to systemic sclerosis. It begins with an overview of Raynaud's phenomenon, including its causes stemming from problems with blood vessel function. It then discusses systemic sclerosis and how Raynaud's phenomenon is more complex and can lead to worse issues when associated with sclerosis, like skin thickening and lung/organ problems. The document covers treatments aimed at improving blood vessel function and managing symptoms. It emphasizes the need for early, aggressive treatment of Raynaud's in sclerosis patients to potentially slow disease progression and prevent complications.
This document discusses current and future treatment options for systemic sclerosis (SSc). It covers treatments for Raynaud's phenomenon like nifedipine, iloprost, and bosentan which aim to dilate blood vessels and improve blood flow. It also discusses immunosuppressants like cyclophosphamide and methotrexate used to treat lung disease and skin thickening. Symptoms of gastrointestinal problems, arthritis, lung fibrosis, pulmonary hypertension, and kidney disease are reviewed along with their treatment options. The document concludes by mentioning research into new treatments like rituximab and autologous stem cell transplant and the work of research groups to advance treatment of SSc.
This document discusses Raynaud's phenomenon, scleroderma, and the link between the two conditions. Raynaud's phenomenon is characterized by episodic discoloration of the fingers, toes, or other areas in response to cold or stress. It is often an early symptom of scleroderma, a condition characterized by fibrosis of the skin and internal organs. In scleroderma, damage to blood vessels from factors like antibodies, viruses or toxins leads to intermittent episodes of Raynaud's phenomenon. Over time, this causes scarring and thickening of the skin and organs as the body attempts to repair the damage through fibrosis instead of normal wound healing. Understanding the pathogenesis could help guide new treatments to prevent
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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.
6. What does it do for us?
• Our personal barrier to the outside world
• Packed full of sensors to protect from injury and
exposure to the elements
• Although it is our protection it is also full of bugs!
• Our biggest organ and accounts for around 15%
of our total body weight
7. Common Problems in scleroderma
• Itchy/dry skin
• Digital ulcers
• Telangiectasia/pigmentation changes/camouflage
• Calcinosis
8. Dry skin & Itchiness
• The overproduction of
collagen being laid down in
the skin means that the skin
becomes tight, stiff and dry
• This can also mean many
patients will also experience
Itchiness
• Immunosuppression?
9. Dry/itchy skin
• Emollients - NOT SOAP for washing/bathing
Aveeno, Hydromol, Epaderm, Doublebase
• Soap is drying on the skin due the ingredients used –
various chemicals, detergents and preservatives
• Additives that make soap ‘lather’ can also be drying and
irritate the skin
• No shower gel, liquid hand soap, ‘cream’ bath or shower
creams or alcohol gels if possible
11. Other dry/itchy skin treatments
• Specific creams
1% menthol, Balneum, E45 anti-itch
• Antihistamines
OTC - Benadryl, Piriton
Prescription - Montelukast, Citirizine
• Practical
Hand waxing/protection/sunscreen
12. Digital Ulceration
• Classical outward sign of scleroderma
• Partial or full thickness skin loss often over fingers or
toes but also over pressure points.
• Combination of Raynaud’s and skin changes in
Scleroderma can lead to tissue breakdown resulting in a
digital ulcer.
• Around 40% of scleroderma patients suffer with digital
ulceration
13. Manifestations
• Some patients with persistent ulcers may develop
gangrene
• Infection is common if healing time is prolonged
• Often slow to heal because of poor circulation and
tight skin
• Huge impact on quality of life – pain, activities of
daily living, washing, grooming, preparing food
17. Telangiectasia
• Usually harmless but can affect body image as
they can be difficult to cover
• Troublesome if they bleed internally (‘GAVE’ or
‘watermelon stomach’) as this can cause anaemia
but treatable with laser
• Two main approaches can be helpful
18. Telangiectasia treatments
• Laser
To breakdown the vessels making them look less
obvious – dermatology units offer this
• Cosmetic camouflage
Wax based, waterproof makeup – excellent coverage
Charity ‘Changing Faces’ by self referral
• OTC Make up
Dermablend (Vichy) MAC Cosmetics
19. Calcinosis
• This is either hard lumps of a ‘chalky’ like
substance that works its way out through the
layers of the skin
OR
• Rises to the surface of the skin in a ‘toothpaste’
like consistency which then leaks out from the
wound
• Extremely painful, often leads to infection and can
precede an ulcer
20. Calcinosis
• Often appears over pressure points - fingers,
elbows, knees but also over buttocks and
abdomen
• Can lay down in the skin as large plaques which
can cause functional disability as well as pain and
distress
• Often gets ‘picked at’ by patients!
21. Calcinosis treatments
• Poorly understood pathology so usually treated
conservatively
• Expert wound management
• Antibiotics if infected +/- vasodilators
• Surgery to remove large areas or in places that
affect function/ROM – but can come back
22. Conclusion
• Lots of practical and self help measures can be
useful – change of routine/making
time/consistency
• Local GP and local pharmacists can offer advice
• Referral on to a Dermatologist
• Specialist / larger units will often work with several
departments and other specialists who can help
23. Remember…
• Everyone is different
• Symptoms vary from person to person
• Can occur in different stages in varying degrees of
severity
• What may work for you, may not for someone else