A 23-year-old man presented with sudden onset of right sided chest pain and shortness of breath. Physical examination showed decreased air entry and hyperresonance on the right upper chest. A CXR was performed. The most likely finding on CXR is pneumothorax.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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1. Q1)
23-year-old man with negative past medical history presented
with sudden onset of right sided chest pain and
shortness of breath. The pain was sharp in nature and more
severe on inspiration. Physical
examination showed decreased air entry in the right upper
chest which was hyper resonant on
percussion. Laboratory investigations were negative. CXR
was performed.
What is the most likely FINDING ?
a. Congestive heart failure.
b. Bronchioalveolar carcinoma.
c. Pneumothorax.
d. Bronchiolitis.
e. Normal chest.
2. Q.2)
The left lung opacity is in:
a.Lingula.
b.Posterior segment of lower lobe
c.Superior segment of lower lobe.
d. Apico posterior segment of upper
lobe.
e.Hilum.
3. Q.3)
The most likely diagnosis is:
a.Lobar pneumonia.
b.Pan cost tumor
c.Aortic dissection.
d.RUL collapse.
e.Aortic dissection.
4. Q.4)
The most likely underlying cause
of this finding is:
a.Pancreatitis.
b. Heart failure.
c.Left upper lobe collapse.
d.Eventration of left
hemidiaphragm.
e.Cholecystitis.
9. Q.9)
This hyperdensity is most
probably referred to:
a.Hemorrhage.
b.Tumor.
c.Edema.
d.Dermoid cyst.
e.Hemangioma.
10. Q.10
45 year old male patient presented
with dyspnea and pleuritic cheast
pain, the most likely possibility on
this CT sca is:
a. Pneumonia.
b. Lung cancer.
c. Aortic aneurysm.
d. Hydatid cyst.
e.Pulmonay embolism
11. Q.11)
Most likely diagnosis is:
a. Hamartoma.
b.Hemangioma.
c.Lung cancer.
d.Pneumonia.
e.Pulmonary embolism.
12. Q.12)
55year old, chronic smoker
presenting with chest discomfort.
CT was performed.
The findings are most probaly those
of
a.Primary lung carcinoma.
b.Dissecting aneurysm in the
ascending aorta.
c. Pericardial Hydatid cyst.
d.Motion artifact.
e.Non of the above.
13. Q.13)
The appropriate diagnosis in this
CT for trauma patient is:
a.Subcapsular liver hematoma.
b. Subcapsular splenic hematoma.
c. Subcapsular kidney hematoma.
d.Splenic infarction.
e.Splenic hemangioma.
15. Q.15)
This Congenital Renal Anomaly is
most probably :
a.Crossed ectopia.
b.Horse shoe kidney.
c.Pelvic kidney
d.Uretral duplication.
e.Agenesis of the left kidney.
16. Q.16)
15 year old male had recurrent UTI and
moderate hydronephrosis of the left kidney
on ultrasound .
The available spot from MCUG shows reflux .
What is the grade of this reflux:
a. Grade I vesicoureteral reflux.
b. Grade II vesicoureteral reflux.
c. Grade IV vesicoureteral reflux.
d. Grade III vesicoureteral reflux.
E. Non of the above.
17. Q.17)
This CT pulmonary appearance can be
described as:
a.Honey combing.
b.Meniscus sign.
c.Crazy paving.
d.Ground glass.
e.unilateral pulmonary
edema.
18. Q.18)
The most probable diagnosis
is:
a.Pulmonary embolism.
b.Primary lung tumor.
c.Pneumonia.
d.Aortic aneurysm.
e.Aortic dissection.
19. 19.)
The upper arrow points to:
a.Compression fracture.
b.Burst fracture.
c.Vertebral dislocation.
d.Comminuted fracture.
e.Avulsion fracture.
20. Q.20)
The superior border of the density
is made by:
a.Minor fissure.
b.Oblique fissure.
c.Azygus fissure.
d.Border of a cavity.
e.undulating membrane.
21. Q.21)
This patient has:
a.Left lung pnemonia.
b.Left pleural effusion.
c.Hypogenitic left lung.
d.Foreign body aspiration on the
right.
e.Tention peumothorax on the right.
22. Q.22)
The most likely diagnosis:
a.Pneumonia.
b.Aortic aneurysm.
c.Enlarged thymus.
d.Retrosternal thyroid.
e.Cardiomegaly.
23. Q.23)
young female presented with vomiting and obstipation. Abdomen is
soft on examination. Supine abdomen X Ray done. The most likely
diagnosis is:
a.Small bowel obstruction.
b.Colonic tumor.
c.Diverticulitis.
d.Sigmoid volvulus.
e.Cecal volvulus.
24. 24.)
Dyspneic patient. CXR done .
Most likely diagnosis is:
a.Pulmonary embolus.
b.Bilateral lower lobe pneumonia.
c.Congestive heart failure.
d.Artifactual shadow due to poor
inspiration.
e.Pericradial efusion.
25. Q.25)
The most likely diagnosis is:
a.Pulmonary embolus.
b.Bilateral lower lobe pneumonia.
c.Congestive heart failure.
d.Artifactual shadow due to poor
inspiration.
e.Pericradial efusion.
27. Q.27)
The findings on this image is:
a.Gall stone without cholecystitis..
b.Gall stone with cholecystitis.
c.kidney stone.
d.Gall bladder polyp.
e.Gall bladder tumor.
28. Q.28)
The findings include all the following
except:
a.Tortous dilated ureters.
b.Dilated pelvicalyceal systems.
c.Over distended urinary bladder.
d.Good kidney function.
e.Destroyed pedicles of L4.
29. Q.29)
The findings on this image can be
seen in all the followings except:
a.Medullary sponge kidney disease.
b.Renal tubular acidosis.
c.Hyperparathyroidisim.
d.Primary oxalosis.
e.Crohn’s disease.
30. Q.30)
This patient has exacerbation of chronic abdominal pain with the pain now
radiating to the right shoulder. CXR obtained. Are the findings indicative of
emergency?
This patient has:
a.A ruptured abdominal aortic
aneurysm.
b.An enlarged spleen.
c.A pericardial effusion.
d.A ruptured hallow viscus.
e.Acute appendicitis.
31. Q.31)
This patient became acute shortness of breath
following surgery. The findings indicate an emergency
most likely being:
a.Left lower lobe pneumonia.
b.Acute pulmonary edema.
c.A large pneumothorax.
d.A large pericardial effusion.
e.A ruptured gastric ulcer.
32. Q.32)
This image shows:
a.A large left pleural effusion
b.A large right pneumothorax
c.Atelectasis of the left lung because of a mucus plug
d.Pneumonia in the left lung
e.Atelectasis of the left lung because the ETT is too low
33. Q.33)
This patient began vomiting after eating
pumpkin pie and developed severe chest
pain. Why is this an emergency? The patient
has:
a.Developed SARS.
b.A ruptured aortic aneurysm.
c.Signs of an acute myocardial infarction.
d.Aspirated the pumpkin pie.
e.The patient has a ruptured esophagus
34. Q.34)
The patient shown below is a premature
newborn. The most likely diagnosis is:
a.Transient tachypnea of the newborn
b.Congenital lobar emphysema
c.Hyaline membrane disease
d.Cystic adenomatoid malformation
e.Meconium aspiration syndrome
35. Q.35)
The patient is a 3 month old. What is
the most likely diagnosis?
a.Transient tachypnea of the newborn
b.Congenital lobar emphysema
c.Hyaline membrane disease
d.Cystic adenomatoid malformation
e.Meconium aspiration syndrome
36. Q.36)
This patient shown below has right
lower quadrant pain. What does
this calcification most likely represent?
a.Gallstones
b.Appendicolith
c.Uterine fibroids
d.Dermoid cyst of the ovary
e.Peach pit in the colon
37. Q.37)
What is the most likely diagnosis in
the patient shown below?
a.Sprue
b.Scleroderma
c.Crohn's disease
d.Carcinoma of the colon
e.Duodenal hematoma
38. Q.38)
The patient shown below
most likely has:
a.Large bowel obstruction
b.Small bowel obstruction
c.Generalized ileus
d.Localized ileus
e.Normal bowel gas pattern
39. Q.39)
What person's name is associated with the
fracture shown below is named?
a.Monteggia
b.Bennett
c.Jones
d.Colle
e.Smith
40. Q.40)
What person's name is associated with the
fracture shown below?
a.Monteggia
b.Bennett
c.Jones
d.Colle
e.Smith
41. Q.41)
What is the most likely diagnosis?
a.Osteoarthritis
b.Rheumatoid arthritis
c.Septic arthritis
d.Avascular necrosis
e.Gout
42. Q.42)
The patient shown below most
likely has:
a.Osteoarthritis
b.Rheumatoid arthritis
c.Septic arthritis
d.Avascular necrosis
e.Gout
43. Q.43)
This patient came in complaining of
severe abdominal pain. Why is this an
emergency? The patient has:
a.A ruptured gastric ulcer.
b.A ruptured abdominal aortic
aneurysm.
c.Acute appendicitis.
d.Acute renal failure.
e.An abscess in the psoas muscle.
44. Q.44)
The initial modality to examine
stroke patients is:
a.CT scan.
b.MRI.
c.X Ray.
d.PET CT.
e.Non of the above.
45. Q.45)
Ionizing radiation is produced by all the following except:
a.CT scan.
b.MRI.
c.PET CT scan.
d.Fluoroscopy.
e.X Ray.
46. Q.46)
The best examination for gall bladder disease:
a.CT scan.
b.MRI.
c.Ultrasound.
d.Fluoroscopy.
e.X Ray.
47. Q.47)
The modality of choice nowadays to diagnose brain tumors is:
a.CT scan.
b.MRI.
c.Ultrasound.
d.Fluoroscopy.
e.X Ray.
48. Q.48)
When requesting study with IV iodinated contrast media, patient
should be triaged for :
a.Kidney function studies.
b.Liver function studies.
c.TSH.
d.It’s not necessary to triage them as the contrast has no side effects.
49. Q.49)
Concerning imaging of pregnant woman. The following rules apply
except:
a.Mother is first.
b.Radiation decreases twice for every one cm away from the uterus.
c.Try to use non ionizing modalities when feasible.
d.Most teratogenic period is 8 days to 8 weeks of pregnancy.
e.Pregnant women should never have X Ray.