This document discusses injuries to the spine from the cervical to coccygeal regions. It describes the anatomy of the spine and the types of injuries that can occur in each region. Cervical injuries are most common in car accidents and falls and can damage the spinal cord, potentially causing quadriplegia. Thoracic and lumbar injuries often result from falls or car crashes and can lead to paraplegia if the spinal cord is injured. Most spinal injuries are treated with immobilization, pain management, and physical therapy, while unstable fractures or disc injuries may require surgery. Outcomes depend on the level and severity of injury, especially whether the spinal cord is damaged.
Colorado spine surgeon, Dr. Donald Corenman, M.D., D.C. (http://neckandback.com), is an expert in treating spinal cord injuries associated with a traumatic fall, sports related injury or accident. Many spine fractures include a thoracolumbar fracture, which is a break in one or more of the thoracic and lumbar vertebrae. Spine fractures can be very serious but are also treatable in many cases. This presentation on spinal cord injuries, spine fractures and thoracolumbar fractures details events that can lead to this injury, symptoms and treatment options.
Dr. Corenman is a renowned Colorado spine surgeon and also is an expert at all spine conditions and disorders including scoliosis, degenerative disc disease, spinal stenosis, sciatica, herniated disc, slipped disc and spondylolythesis. He is also a sports medicine specialist and treats athletes with traumatic sports related injuries. He recently launched his own website (http://neckandback.com) to educate patients on spine disorders and to offer second opinions to physicians and colleagues who are seeking additional information on specific spine injuries and treatment options.
spinal injury
Goal of spine trauma care
Pre-hospital management
Clinical and neurologic assessment
Acute spinal cord injury
Term, type and clinical characteristic
Common cervical spine fracture and dislocation
Colorado spine surgeon, Dr. Donald Corenman, M.D., D.C. (http://neckandback.com), is an expert in treating spinal cord injuries associated with a traumatic fall, sports related injury or accident. Many spine fractures include a thoracolumbar fracture, which is a break in one or more of the thoracic and lumbar vertebrae. Spine fractures can be very serious but are also treatable in many cases. This presentation on spinal cord injuries, spine fractures and thoracolumbar fractures details events that can lead to this injury, symptoms and treatment options.
Dr. Corenman is a renowned Colorado spine surgeon and also is an expert at all spine conditions and disorders including scoliosis, degenerative disc disease, spinal stenosis, sciatica, herniated disc, slipped disc and spondylolythesis. He is also a sports medicine specialist and treats athletes with traumatic sports related injuries. He recently launched his own website (http://neckandback.com) to educate patients on spine disorders and to offer second opinions to physicians and colleagues who are seeking additional information on specific spine injuries and treatment options.
spinal injury
Goal of spine trauma care
Pre-hospital management
Clinical and neurologic assessment
Acute spinal cord injury
Term, type and clinical characteristic
Common cervical spine fracture and dislocation
A supercool powerpoint about thyroid cancer that is very hard to understand unless I am speaking to you and filling in the blanks so check out my blog and look for a related post:
http://m4tt5-b10-bl0g-2o1o.blogspot.com/
Spine care program at Wockhardt Hospitals makes it a centre for excellence in neurology care with highly skilled clinical expertise
Our Hospitals provide cutting-edge diagnostic and operating facilities such as computerized navigation, imaging and treatment in orthopedics.
Lumbar spinal canal stenosis is one of the difficult topic of spine. All the information are taken from Campbell's operative orthopedics Thirteen edition and from internet. I also took help from the lectures of renowned orthopedics professors of Bangladesh.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
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.
Are There Any Natural Remedies To Treat Syphilis.pdf
Rehab cervical through cocegeal power pt
1. Rehabilitation of injuries to the cervical
through coccygeal spine
Spinal Injury
• What is a spinal injury? What is a spinal cord
injury?
• A spinal injury is any injury to the spinal column.
• This includes the vertebrae (bones), the
supporting ligaments and the spinal cord
(nerves).
2. Ctd…
• Spinal cord injury is injury to the nerves that
travel down the spine.
• Spinal injury can occur without an injury to
the spinal cord but it is very rare for the spinal
cord to be injured without injury to the bones
or ligaments.
3. Continued…
• The spine is made up of bones (vertebrae), discs,
ligaments and the spinal cord.
• The spinal column of a fully developed adult has
26 vertebrae, which are divided into the cervical
(7), thoracic (12), lumbar (5), sacral ( 1), and
coccygeal( 1) regions.
• The spine extends from the base of the brain
down to the coccyx (the tail-bone).
4. Ctd…
• The bones provide protection for the spinal
cord and vertical stability when upright.
• Between each vertebra is a disc of
cartilage, which acts as a shock absorber.
• The ligaments link and support the bones.
5. Cervical Spine Injury
• The neck is the most mobile part of the spine
and the most vulnerable to injury especially
when forcibly flexed or extended.
• The common causes of this are car accidents and
falls.
• If a neck injury is suspected, a collar should be
put on the patient until complete assessment is
taken.
6. Ctd…
• The collar does not keep the head and neck
completely still, so blocks may be put either
side of the head and taped in place.
• In most cases, this is just a precaution, and is
used to keep the neck from moving until it can
be proved that there is no injury.
8. Treatment
• This depends on the type of injury.
• If the fracture is stable an operation is not
required and treatment will be a softer
supportive collar and pain relief.
• Physiotherapy will also help.
• Unstable fractures require more active
treatment.
• An operation can fix the bones in place and
maybe needed to reduce pressure on the spinal
cord.
9. Continued…
• The largest problem with cervical spine injury is
damage to the spinal cord.
• The closer the injury to the brain, the greater the
consequences of spinal injury.
• An injury to the spinal cord at the top of the
cervical spine is likely to be fatal.
10. Ctd…
Outcome
• This is specific to whether the spinal cord is
damaged and the level where this has
happened.
• If the cord is not involved recovery is good
although some patients may be left with some
stiffness and neck pain.
• If the cord is severely injured to the top 3
vertebrae, it is fatal as the nerves controlling
breathing will be cut.
11. Continued…
• Cord injury at C4 will result in breathing
difficulties and paralysis in all 4 limbs -
quadriplegia.
• If the spinal cord at C5 is injured, the patient will
have partial shoulder and elbow movement, but
will otherwise be paralysed.
• The patient with cord damage at C6 will be able
to use shoulders and elbows and have partial
wrist movement but no use of their hands and
their legs.
12. Ctd…
• Injury at C7 allows shoulder, elbow, wrist and
some hand movement.
• A large part of treatment is rehabilitation to
maximize a patient’s remaining function and
allow as much independence as possible.
13. Thoracic Spine Injury
• The thoracic segment is the least mobile portion
of the spine and supports the rib cage.
• The most common Causes include falls from
height, landing on the feet or buttocks: car
crashes.
• A large percentage of thoracic spine fractures are
“stable”, due to the support of the rib cage, and
need pain relief, physiotherapy and gentle
mobilization.
• Unstable fractures may need an operation or a
period of bed rest.
14. Continued…
• The spinal cord continues down through the
thoracic spine and can be injured at any level.
• Damage at T1 will affect hand movements as well
but injury lower down will result in paraplegia.
• The lower the injury, the more sensation around
the torso will be retained.
• Stable fractures heal well but there may be
residual stiffness and pain.
• Spinal cord injury from the thoracic region results
in paraplegia and rehabilitation and specialized
help will be needed.
15. Lumbar Spine Injury
• The lumbar spine takes the heaviest load and is
more mobile than the thoracic spine.
• This results in a higher incidence of injury.
• The most common causes include car crashes;
falls from height landing on the feet or buttocks.
• If a back seat passenger is only wearing a lap
strap, in a crash the lumbar spine can be bent
over the strap causing a fracture.
16. Disc Injury
• Common in older people but not so much in younger
athletes/sports person.
• Referred to as “slipped” disc.
• Nucleus pulposus pushes through rings of annulous
fibrosus causing a “bulge” which can lead to herniation
• Most are posterior to one side.
• Pressure exerted on nerve root.
17. Ctd…
Mechanism of action
• Improper lifting
• Poor posture
• Poor body mechanics (excessive flexion over
prolonged time frame)
• Trauma due to direct fall
18. Ctd…
S/S:
• Pain radiating down
leg
• Numbness
• Tingling down leg
• Increased pain with
sitting/flexion
motion
• Decreased/absence
of reflex
20. Treatment
• Again is specific to the injury.
• Stable fractures can be managed without
intervention.
• Unstable fractures may need an operation, bed
rest or a brace.
• Stable fractures with no cord or nerve damage
will heal well.
• Some stiffness and lower back pain can remain.
21. Cont…
RX:
• Active rest
• Work on posture
• Extension exercises
• Proper mechanics
• Core stability—especially lumbar area
• Traction
• Surgery if PT doesn’t work
23. Sacro-Coccygeal Spine Injury
• Injuries to the sacrum and coccyx are rare.
• The sacrum forms the rear of the pelvis and is
therefore well protected.
• In pelvic trauma, the sacrum may become
dislocated from the bones it is joined to but is
rarely broken.
• Injuries to the coccyx bone are almost
exclusively a result of falling directly onto the
buttocks, or as a result of giving birth.
24. Treatment
• Bed rest and pain relief is all that is usually
needed.
• An operation is rarely required.
• Damage to nerves in the sacrum can lead to
bowel, bladder and sexual dysfunction.
• Dependent upon the initial injury, there may be
some loss of function requiring rehabilitation.
• Most injuries will do well with some residual pain
and stiffness.
25. Spinal Cord Injury
• Injury to the spinal cord is more often the result of
injury to the spinal column.
• The damaged bones cutting off the space in the
spinal canal and crushing the cord.
• When the cord is injured ,there will be swelling.
• The nerves of the cord will stop working and the
patient becomes paralyzed.
• If the damage is incomplete, the cord is not
permanently affected and as the swelling goes
down, the nerves will start to function again.
• If the damage is complete, there is little chance of
recovery.
26. Ctd…
• Damage to the cervical spinal cord results in
quadriplegia, and injury to the thoracic and
lumbar spinal cord results in paraplegia.
• Common causes of spinal cord injury are broken
vertebrae being driven into the cord, or
dislocations of the vertebrae, causing
compression of the cord preventing nerves from
conducting impulses.
27. Diagnosis
• This begins with examination for clinical signs and
symptoms.
• Patients, who have altered, reduced or absent
sensation or power in any or all limbs, will be
assumed to have a spinal cord injury until proven
otherwise.
• The signs and symptoms will dictate the
investigations that are needed to show or exclude an
injury and determine further treatment.
Treatment
• On arrival, immediately life-threatening conditions
will be sought, treated and stabilized first.
28. Common Questions
• Does everyone who has a spinal injury develop
paralysis?
• Only a small percentage of patients who have a
spinal injury have a cord injury and resultant
paralysis.
• Most patients either require no operation, or have
an operation and go home with no other symptoms,
and return to their pre-injury capabilities.
• What is quadriplegia?
• Quadriplegia is permanent loss of movement and
sensation from the neck down.
29. Continued…
• Patients have varying but limited use of the arms
and some have problems with breathing.
• All lose bladder and bowel control.
• What is paraplegia?
• Paraplegia is a permanent loss of movement and
sensation function below the mid-chest.
• Patients have the ability to move their upper
body, including head, neck, arms and hands but
have lost bladder and bowel control.