The Diabetic coma is one the most dangerous and again emergent case experienced during dental care delivery. Actually it mistreated and aggravated-diabetic cases resulting coma, that is categorized into Hypoglycemic coma, Diabetic ketoacidosis and Hyperosmolar coma.
Academic discussion/ Lecture class for 5th year MBBS students on Diabetic Emergencies, types, their sign-symptoms and managements. Most of the Data was taken from Davidson's Principles and Practice of Medicine.
The Diabetic coma is one the most dangerous and again emergent case experienced during dental care delivery. Actually it mistreated and aggravated-diabetic cases resulting coma, that is categorized into Hypoglycemic coma, Diabetic ketoacidosis and Hyperosmolar coma.
Academic discussion/ Lecture class for 5th year MBBS students on Diabetic Emergencies, types, their sign-symptoms and managements. Most of the Data was taken from Davidson's Principles and Practice of Medicine.
This student "cheat sheet" is designed to provide medical students with basic information regarding the diagnosis and treatment of Atherosclerosis. It includes Questions to Ask, what to look for on a Physical Exam, Labs to Order, and basic Treatment Plans.
These guides are particularly designed for first and second-year medical students as an introduction to primary care and ambulatory care medicine and attempts to tie in the basic pathophysiology that is high-yield for USMLE Step 1.
Any and all feedback is very welcomed.
This presentation was present by my friend during emergency posting seminar with Dr.Mohd. Kamal Mohd. Arshad. I upload this ppt here for all of us and my own reference too. Good luck in your life.
Diabetic ketoacidosis meaning,types &management for nurses murugeshMURUGESHHJ
its an brief information about the Diabetic ketoacidosis, causes, signs & symptoms ,hospital management protocals in simple english......provides more information with diagrammatic way ...thank you all
Diabetes Mellitus is a condition that affects how your body uses glucose produced from the food you eat. It is also known as Diabetes. When you consume some food item that contains carbohydrates, your body turns it into glucose and takes help from Insulin to transport it to different tissues through the bloodstream. Insulin is one of the hormones that the pancreas produces.
This presentation was present by my friend during emergency posting seminar with Dr.Mohd. Kamal Mohd. Arshad. I upload this ppt here for all of us and my own reference too. Good luck in your life.
This student "cheat sheet" is designed to provide medical students with basic information regarding the diagnosis and treatment of type 2 DM. It includes Questions to Ask, what to look for on a Physical Exam, Labs to Order, and basic Treatment Plans.
These guides are particularly designed for first and second-year medical students as an introduction to ambulatory care medicine and attempts to tie in the basic pathophysiology that is high-yield for USMLE Step 1.
Any and all feedback is very welcomed.
This student "cheat sheet" is designed to provide medical students with basic information regarding the diagnosis and treatment of Atherosclerosis. It includes Questions to Ask, what to look for on a Physical Exam, Labs to Order, and basic Treatment Plans.
These guides are particularly designed for first and second-year medical students as an introduction to primary care and ambulatory care medicine and attempts to tie in the basic pathophysiology that is high-yield for USMLE Step 1.
Any and all feedback is very welcomed.
This presentation was present by my friend during emergency posting seminar with Dr.Mohd. Kamal Mohd. Arshad. I upload this ppt here for all of us and my own reference too. Good luck in your life.
Diabetic ketoacidosis meaning,types &management for nurses murugeshMURUGESHHJ
its an brief information about the Diabetic ketoacidosis, causes, signs & symptoms ,hospital management protocals in simple english......provides more information with diagrammatic way ...thank you all
Diabetes Mellitus is a condition that affects how your body uses glucose produced from the food you eat. It is also known as Diabetes. When you consume some food item that contains carbohydrates, your body turns it into glucose and takes help from Insulin to transport it to different tissues through the bloodstream. Insulin is one of the hormones that the pancreas produces.
This presentation was present by my friend during emergency posting seminar with Dr.Mohd. Kamal Mohd. Arshad. I upload this ppt here for all of us and my own reference too. Good luck in your life.
This student "cheat sheet" is designed to provide medical students with basic information regarding the diagnosis and treatment of type 2 DM. It includes Questions to Ask, what to look for on a Physical Exam, Labs to Order, and basic Treatment Plans.
These guides are particularly designed for first and second-year medical students as an introduction to ambulatory care medicine and attempts to tie in the basic pathophysiology that is high-yield for USMLE Step 1.
Any and all feedback is very welcomed.
Diabetes Mellitus is a chronic condition that affects the body's ability to regulate blood sugar levels. It is caused by a deficiency of the hormone insulin, which helps the body convert sugar from food into energy. People with diabetes often have high levels of sugar in their blood, which can lead to serious health problems if left untreated. Symptoms of diabetes include excessive thirst, frequent urination, fatigue, weight loss, and blurred vision. Treatment typically involves lifestyle changes, such as exercising regularly, eating healthy, and taking medications, as well as monitoring blood sugar levels. With proper treatment and management, people with diabetes can enjoy a normal life. Know more from the documents
obesity diseases--is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health.
Its hazards
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How Excess Weight Affects Your Health.pdfyousuf938073
Excess pounds do more than increase your weight-they increase your risk of major health problems. People who are overweight or obese are more likely to have HEART DISEASE, STROKES, DIABETES, CANCER, and DEPRESSION. If you are pregnant, excess weight may lead to short- and long-term health problems for you and your child.
Fortunately, losing weight can reduce your risk of developing some of these problems. This fact sheet tells you more about the links between excess weight and many health conditions. It also explains how reaching and maintaining a normal weight may help you and your loved ones stay healthier as you grow older.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
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This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
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This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
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Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
2. Before we start...
There’s a lot of information and you don’t need to know everything! We included
some extra information so you can have a better understanding.
Important info will be bolded or in red!
If you have any questions, don’t hesitate to ask!
3. First: what is diabetes?
Disease where body does not make or cannot respond to the hormone, insulin.
Insulin is needed to bring sugar (glucose) into cells.
Therefore, you end up with lots of sugar in your blood and not enough sugar in
your cells.
More to come on diabetes!
Source: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-
diabetes
4. Reflex Tachycardia
Definition: When a patient’s blood pressure is low, sensors for blood pressure in
the carotid sinus are triggered to increase heart rate. The increase in heart rate is
carried out via catecholamine release, such as the neurotransmitters epinephrine
and norepinephrine.
Image from: https://www.nhs.uk/Conditions/Supraventricular-tachycardia/Documents/carotid_sinus_massage_leaflet%5B1%5D.pdf
This are the same neurotransmitters involved in
the fight or flight response so they’ll increase heart
rate. (Hence: tachycardia = increased heart rate)
Hypotension = medical term of low blood pressure
5. Types of Shock
What is shock? Not enough blood
flow and therefore reduced oxygen
delivery to tissues.
Causes of Hypotension
More on shock:
https://www.youtube.com/watch?v=
kyD91-6kPLE
(you can ignore obstructive shock!)
Type of Shock Definition Cause
Hypovolemic Low blood
volume
Blood loss or
dehydration
(diarrhea or
vomiting)
Cardiogenic Reduced cardiac
output (reduced
heart force)
Congestive Heart
Failure, or other
heart diseases
Distributive Weak arteries Infection/sepsis,
anaphylaxis
(severe allergic
reaction - can’t
breathe)
6. BMI - Body mass index
● Rough estimate of one’s weight with respect to height. Calculated by
the formula Kilograms/M2
● Basically = patient’s weight/height
● Ranges: Underweight:
○ Less than 18.5
○ Normal weight: 18.5 - 24.9
○ Overweight: 25-29.9
○ Obese: 30 or more
● This method for measuring weight can be problematic because it doesn’t take
into account amounts of fat, bone, and muscle. For example, bodybuilders
who are very muscular may have a BMI that puts them as obese, even
though they don’t have much fat.
Image from: https://www.t-nation.com/training/how-natural-is-natural-bodybuilding
7. Differential Diagnoses for Diabetes Mellitus
Common Differential → more likely diagnoses
Condition: Symptoms Common w Diabetes:
Pregnancy Decreased blood pressure, nausea, and
increased urinary frequency
Urosepsis = Urinary tract infecting the whole
body
Hypotension, tachycardia, and polyuria
Acute Hyperglycemia = high sugar, can be due
to stress
Polyuria, nausea, blurry vision
Gastroenteritis = due to bacteria (usually E.
coli)
Nausea, vomiting, diarrhea, dizziness,
hypotension, and tachycardia
Adrenal Insufficiency = Also known as
Addison’s Disease, often genetic or due to
damaged adrenal glands
Hypotension, tachycardia, weight loss,
vomiting, diarrhea
8. Differential Diagnosis Continued
Condition: Causes: Symptoms in common w
Diabetes:
Anaphylaxis Allergic reaction Polyuria, nausea, vomiting,
diarrhea, hypotension,
tachycardia
Hypothyroidism Lower thyroid hormone
levels
Fatigue, hypotension,
bradycardia, myxedema
Pancreatitis Inflamed pancreas (like
after infection)
Nausea and vomiting
Congestive Heart Failure Weakened heart force of
contraction
Hypotension and
tachycardia
Less common differential
9. Other findings in Diabetes Mellitus
Acanthosis Nigricans - poorly defined velvety pigmentation in the body folds, also
common in obesity and pigmentation disorders
Acute Hyperglycemia - Common in diabetic patients with hypovolemic shock,
with higher glucose concentrations when blood volume falls
Orthostatic low blood pressure (low blood pressure when standing, often
associated with dizziness and lightheadedness on positional change), dry mucous
membranes (ex: lining of the lungs), and poor capillary refill (blood not reaching
capillaries) - commonly found in type 2 diabetes with hypovolemic shock
Diabetic Ketoacidosis - ketone bodies are a product of breaking down fat for
energy, which cause the body to become acidic. They buildup since the body is
unable to break down glucose for energy without insulin, and thus must use fats.
May lead to kussmaul breathing pattern.
10. Different Respiratory Patterns
Kussmaul breathing involves deep labored
breathing often seen in diabetic ketoacidosis.
Other patterns breathing patterns include
platypnea (difficulty breathing while standing
up right, better when lying flat), cheyne-stokes
(periodic breathing with variable breath
depths), and hypopnea (abnormally
slow/shallow breathing)
https://en.wikipedia.org/wiki/Cheyne%E2%80
%93Stokes_respiration#/media/File:Breathing
_abnormalities.svg
11. More Findings/Laboratory tests
Anion Gap is elevated in cases of metabolic acidosis, such as in diabetic
ketoacidosis. The anion gap is the difference between cations (positive ions) and
anions (negative ions). A value above 12 is considered high and indicates
metabolic acidosis.
Lab tests for diabetes:
The basic metabolic panel shows values for molecules commonly found in the
bloodstream, including glucose which is elevated in diabetes. The complete blood
count measures the number of red blood cells, white blood cells, and platelets.
Urinalysis tests for molecules in the urine, cases of diabetes may reveal glucose in
the urine. hcG (human chorionic gonadotropin) levels are used to rule out
pregnancy in the differential and serum ketones are often elevated in diabetes.