Radiographic representation of pulmonary tuberculosis with specific focus on HRCT chest as an awareness campaign for general practitioner on World TB day
In this presentation our agenda is
Brief introduction
Radiological Modalities
Radiological Features
Radiological Imaging Of Complications of lung cancer.
I followed Dahnert and try to describe all findings in lung cancer.
Hope it will prove an atlas in Lung cancer imaging.
In this presentation our agenda is
Brief introduction
Radiological Modalities
Radiological Features
Radiological Imaging Of Complications of lung cancer.
I followed Dahnert and try to describe all findings in lung cancer.
Hope it will prove an atlas in Lung cancer imaging.
Its important to recognise the myelination pattern in neonates and infants. This presentation talks about the myelination pattern and imaging of white matter diseases in children.
Presentation on radiographic representation of pulmonary tuberculosis with specific role of CT scan. Special presentation presented on world TB day at Baqai University Karachi Pakistan
Describes cross sectional anatomy of the mediastinum , and lobar and segmental anatomy of the lung with teaching points and radiological guidelines and multiple examples of lobar and segmental pathologies and how we localize these pathologies .Also the types of chest CT images and indications of chest CT.
PowerPoint presentation on the topic HRCT Chest. This presentation is divided into 5 different parts. 1)Introduction to HRCT chest 2)Technichal aspects of HRCT 3) Relevant anatomy for HRCT interpretation 4)Pattern of lung disease in HRCT 5)HRCT pattern in various ILD’s
Imaging plays an important role in diagnosis and formulating differential diagnosis in case of Solitary pulmonary nodule. It helps in differentiating and predicting benign and malignant nodules.
A1 - Cibersegurança - Raising the Bar for CybersecuritySpark Security
In the past few years, a new approach to cybersecurity has emerged, based on the analysis of data on successful attacks. In this approach, continuous diagnostics and mitigation replace the reactive network security methods used in the past. The approach combines continuous monitoring of network health with relatively straightforward mitigation strategies. The strategies used in this approach reduce the opportunities for attack and force attackers to develop more sophisticated (and expensive) techniques or to give up on the target. In combination, continuous monitoring and mitigation strategies provide the basis for better cybersecurity.
Its important to recognise the myelination pattern in neonates and infants. This presentation talks about the myelination pattern and imaging of white matter diseases in children.
Presentation on radiographic representation of pulmonary tuberculosis with specific role of CT scan. Special presentation presented on world TB day at Baqai University Karachi Pakistan
Describes cross sectional anatomy of the mediastinum , and lobar and segmental anatomy of the lung with teaching points and radiological guidelines and multiple examples of lobar and segmental pathologies and how we localize these pathologies .Also the types of chest CT images and indications of chest CT.
PowerPoint presentation on the topic HRCT Chest. This presentation is divided into 5 different parts. 1)Introduction to HRCT chest 2)Technichal aspects of HRCT 3) Relevant anatomy for HRCT interpretation 4)Pattern of lung disease in HRCT 5)HRCT pattern in various ILD’s
Imaging plays an important role in diagnosis and formulating differential diagnosis in case of Solitary pulmonary nodule. It helps in differentiating and predicting benign and malignant nodules.
A1 - Cibersegurança - Raising the Bar for CybersecuritySpark Security
In the past few years, a new approach to cybersecurity has emerged, based on the analysis of data on successful attacks. In this approach, continuous diagnostics and mitigation replace the reactive network security methods used in the past. The approach combines continuous monitoring of network health with relatively straightforward mitigation strategies. The strategies used in this approach reduce the opportunities for attack and force attackers to develop more sophisticated (and expensive) techniques or to give up on the target. In combination, continuous monitoring and mitigation strategies provide the basis for better cybersecurity.
La Xarxa de Telecentres de Catalunya (XTC) és una xarxa de prop de mig miler de punts públics d'accés a Internet que té per objectius principals la cohesió digital i l'equilibri territorial de Catalunya en la societat del coneixement.
Super majors have heavily invested in extraction and liquefaction projects; LNG shipping has received too little attention. Most of the players are developing gas extraction and liquefaction plants in key producing countries and regasification facilities in key consuming countries to secure gas reserves and gas distribution, especially to the Atlantic and Pacific Basin. Complex long terms contracts are also decreasing to give space to new short terms contracts in order to improve flexibility in distribution and allow benefits from market opportunities. The LNG demand is now getting higher than supply in targeted countries with extensive capacity of development.
Es una serie de apoyos dirigidos a los directores de los planteles para:
Generar un clima escolar que favorezca la permanencia
Identificar y prevenir los indicadores de riesgo de abandono escolar en los estudiantes, y
Establecer mecanismos de monitoreo y reacción ante riesgos de abandono escolar.
Sarcoidosis from head to toe: What the radiologist needs to knowAbhineet Dey
Sarcoidosis is a multisystem granulomatous disorder characterized by development of noncaseating granulomas in various organs.
Clinical features are often nonspecific, and imaging is essential to diagnosis.
Abnormalities may be seen on chest radiographs in more than 90% of patients with thoracic sarcoidosis. Symmetric hilar and mediastinal adenopathy and pulmonary micronodules in a perilymphatic distribution are characteristic features of sarcoidosis. Irreversible pulmonary fibrosis may be seen in 25% of patients with the disease.
Although sarcoidosis commonly involves the lungs, it can affect virtually any organ in the body.
Computed tomography (CT), magnetic resonance (MR) imaging, and positron emission tomography/CT (PET/CT) are useful in the diagnosis of extrapulmonary sarcoidosis, but imaging features may overlap with those of other conditions.
Familiarity with the spectrum of multimodality imaging findings of sarcoidosis can help to suggest the diagnosis and guide appropriate management.
The solitary lung nodule. A diagnostic dilemma. hazem youssef
Incidentally discovered pulmonary nodule are a diagnostic challenge. This presentation is focused on the different features of lung nodules and their management.
Group of diffuse parenchymal lung diseases
Unknown etiology
Varying degrees of inflammation and fibrosis.
Four types ( ATS/ERS-2013)
Chronic Fibrosing IIPs – IPFUIP and NSIP
Acute or sub acute IIPs – AIP and COP
Smoking related IIPs – RB-ILD and DIP desquamative
Rare IIPs - LIP and PPFE pleuro parenchymal fibro elastosis
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
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
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
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
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
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.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Role of Radiology in Pulmonary Tuberculosis
1. D R W A S E E M M . N I Z A M A N I
M B B S , F C P S , E D I R ( E U R O P E A N B O A R D )
C O N S U L T A N T R A D I O L O G I S T
Z I A U D D I N U N I V E R S I T Y H O S P I T A L
K A R A C H I
Radiology in Pulmonary
Tuberculosis
4. INTERVENTIONAL RADIOLOGY
LIMITED ROLE
NUCLEAR IMAGING
LIMITED ROLE
Gallium-67 citrate, Indium-111–labeled white blood cell scintigraphy, and
fluorodeoxyglucose (FDG-PET)
5. EPIDEMIOLOGY
There has also been an increase in global prevalence,
particularly in immuno-compromised patients, with
a rate of increase of approximately 1.1% per year.
This increase has been seen not only in Africa and
Asia, but also in Europe.
Early diagnosis promotes effective treatment and is,
therefore, essential.
7. Primary Tuberculosis
Primary tuberculosis is seen in patients not
previously exposed to M tuberculosis.
It is most common in infants and children and has
the highest prevalence in children under 5 years of
age.
8. Primary Tuberculosis
At radiology, primary tuberculosis manifests as four
main entities:
1. Parenchymal disease,
2. Lymphadenopathy,
3. Miliary disease, and
4. Pleural effusion.
12. Lymphadenopathy in a
patient with primary
tuberculosis. Chest
radiograph shows a
bulky left hilum and
a right paratracheal mass,
findings that are consistent
with lymphadenopathy
and are typical in
pediatric patients.
13.
14.
15. A radiologic scar pers-
ists that can calcify in
up to 15% of cases, an
entity that is known as a
Ghon focus.
16. Lymphadenopathy
Lymphadenopathy is seen in up to 96% of children
and 43% of adults.
Lymphadenopathy is typically unilateral and right
sided, involving the hilum and right paratracheal
region
17. Lymphadenopathy
It can be the sole radiographic feature, a
finding that is more common in infants
The combination of calcified hilar
nodes and a Ghon focus is called a Ranke complex
and is suggestive of previous tuberculosis,
18. Miliary Disease
It is usually seen in the elderly, infants, and
immunocompromised persons, manifesting within 6
months of initial exposure.
Chest radiography is usually normal at
the onset of symptoms
19. Miliary Disease
The classic radiographic findings
of evenly distributed diffuse small 2–3-mm
nodules, with a slight lower lobe predominance,
are seen in 85% of cases.
20. Pleural Effusion
The effusion is often the sole manifestation of
tuberculosis and usually manifests 3–7 months after
initial exposure.
The effusion is usually unilateral, and complications
(eg, empyema formation, fistulization, bone erosion)
are rare.
21. Post Primary TB
Postprimary tuberculosis is progressive,
with cavitation as its hallmark,
1. Predilection for the upper lobes
2. The absence of lymphadenopathy
3. Cavitation.
22. ULTRASOUND
Ultrasonography is considered as gold standard for the
diagnosis of pleural effusion
Blunting of CP angle is demonstrated on Xray after
collection of 175 mls on PA and 75 mls on Lateral
projection
On ultrasound 10 mls pleural effusion can be easily
diagnosed
(US) often demonstrates a complex septated effusion
in empyema and hemothorax
23.
24.
25. CT SCAN
CT is more sensitive than conventional radiography,
with nodules seen in a random distribution.
Any nodes greater than 2 cm in diameter generally
have a low-attenuation center secondary to
necrosis at CT and are highly suggestive of active
Disease. CT is more sensitive than chest radiography
for assessing lymphadenopathy.
36. Tuberculous empyema. Computed tomographic scan showing
loculated pleural fluid and pleural thickening(arrow) in the right
chest with associated right lower lobe atelectasis.
37.
38. Some HRCT patterns.
(A) Large nodule;
(B) Micronodule;
(C) Tree-in-bud pattern;
(D) Centrilobular nodule.
42. LATERAL VIEW shows lesions and a cavity in the left lower
lung field.
In this patient, the cavity is easily missed on PA VIEW and
only observed over the lower vertebral shadows on the
LATERAL view
43. In a number of published comparative studies
chest X-ray images from DM patients have been
described as ‘atypical’, mainly because they frequently
involve the lower lung fields, often with cavities.
**Atypical radiological images of pulmonary tuberculosis in 192
diabetic patients.2001
44. CASE 2
Tuberculosis in 4-year-old girl.
Patient presented with shortness of breath and
clinically suspected for foreign body in right
bronchus.
45.
46. Triangular opacity in right lower zone sillhouting
right hemidiaphragm suggestive of right lower-lobe
collapse.
shift of upper mediastinum to right.
CT scan showed right lower lobe collapse and
mediastinal lymphadenopathy. Patient responds well
with ATT
47. Case 3
Patient presented with atypical opacities on CXR.
