Pneumoperitoneum is the presence of free air in the peritoneal cavity. It is commonly caused by a perforation or rupture of a hollow abdominal organ. Symptoms can range from nonspecific abdominal pain to more severe symptoms associated with peritonitis like abdominal tenderness. Diagnosis is typically made through chest x-ray or CT scan imaging showing the radiolucent free air in the abdomen. Treatment depends on the severity and cause but may include intravenous fluids, antibiotics, bowel rest, or urgent surgery to repair any organ perforations.
Focused Assessment Sonography in Trauma (FAST) is one of the important procedure to assess trauma patient. Fast, high sensitivity and specifity makes it essential as a adjunct in Emergency Department (ED)
Focused Assessment Sonography in Trauma (FAST) is one of the important procedure to assess trauma patient. Fast, high sensitivity and specifity makes it essential as a adjunct in Emergency Department (ED)
Slideshow of Laparoscopic Surgery by Prof. R.K. Mishra Prof. R.K. Mishra has the distinction of being first Asian who is honoured as Professor of Minimal Access Surgery by legislated University of Govt. of India. He is is currently the most experienced professor of minimal surgery in the world who has alone as a single faculty trained more than 3000 surgeon and gynaecologists from 108 countries. http://www.laparoscopyhospital.com/drrkmishra.htm
acute abdomen conditions in radiology and their evaluation
acute pancreatitis, cholicystitis, pelvic pathology, mri evaluation , intra abdominal abcess, plain radiography evaluation of acute abdomen, vascular causes of acute abdomen, causes of acute abdomen.
Peritonitis is an inflammation of the peritoneum, the tissue that lines the inner wall of the abdomen and covers and supports most of your abdominal organs. Peritonitis is usually caused by infection from bacteria or fungi
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!
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.
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
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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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
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
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
3. Background
Pneumoperitoneum is a common medical
problem in a recent year
As the surgical treatment increase
Usually unnoticed by practitioner due to
insidious symptom
Severe case can lead to unwanted complication
Diagnosis can be done by GP
Once diagnostic proof, severe case confirm
immediate treatment should achieved by the
patient
15. Depen on the Causes
and size :
Benign may be
asymptomatic
Vague abdominal pain
Viscus organ rupture :
Peritonitis sign
Onset Depend on
organ
Immediate laparotomy
18. DIAGNOSIS
Purpose
Entrapment of free air in the peritoneal cavity is the
key
Holistic history taking and Physical Examination
the most important
Already mentioned above !!!
Radiological Confirming
Thorax X-Ray erect Best
Right or Left Lateral Decubitus is allright !
USG, CT and MRI
19. X- Ray
Semilunar Shadow
gambaran udara (radiolusen) berupa daerah
berbentuk bulan sabit (Semilunar Shadow) diantara
diafragma kanan dan hepar atau diafragma kiri dan
20. Decubitus Abdomen Sign
Terdapat udara bebas diantara dinding abdomen
dengan hepar (panah putih). Ada cairan bebas di
rongga peritoneum (panah hitam).
21. Anterior Subhepatic Space Free Air
Linear Shape
Triangular Shape
Geograpichal Sign
Density difference
defining
24. Foot Ball Sign
>1000 ml air collected abdominal decompression
Here Comes the MASSIVE ones
25. Gas-Relief Sign, Rigler Sign or Double Wall
Sign
memvisualisasikan
dinding terluar
lingkaran usus
disebabkan udara di
luar lingkaran usus
dan udara normal
intralumen
26. Urachus Sign
udara tampak melapisi
urachus. Urachus
tampak seperti garis
tipis linier di tengah
bagian bawah
abdomen yang
berjalan dari kubah
vesika urinaria ke arah
kepala. Dasar urachus
tampak sedikit lebih
tebal daripada apeks.
29. CT - Scan
Standard Radiological examination
Not necessarily needed
Benefit :
Detect, intraluminal free air
Not depend on position and technique
What X-Ray can’t shows and if it not specific
Disadvantage :
High cost
Can’t locate perforation
Beside the intraluminal fluid is not specific for
pneumoperitoneum
31. Management
When ur patient has proven for pneumoperitoneum -
- Find the Underlying Causes
Unstable means Delay Stabilize
A , B , C Management Abdominal decompression
Stable Confirm
32. Diagnostic confirm
immediate
< 20 % can be
managed by non-
surgical approach
In patients with small
amount of
intraperitoneal air
Without sign of
peritonitis
Patients should receive
• intravenous fluid
•Absolute bowel rest
•Intravenous broad
spestrum antibiotic
•Get better on two days >
50%
34. Conclusion
Pneumoperitoneum akumulasi udara pada rongga
peritonel
Penyebab terbanyak adalah ruptur Hollow Viscus
Abdominal Organ karena berbagai sebab
Diagnosis dapat dibuat dengan anamnesis dan
pemeriksaan fisik yang teliti
Diagnosis radiologi (X-ray, CT-scan, USG, MRI)
sebagai konfirmasi sangat penting dalam
mendiagnosis
Penanganan yang cermat dan tepat waktu meliputi
stabilisasi hemodinamik dan penemuan penyakit
terkait sangat penting untuk mengurangi mortalitas
dan morbiditas pasien
35. Refferences
ME ,Breen, Dorfman M, Chan SB. 2008. Pneumoperitoneum Without Peritonitis: A
Case Report.Am J Emerg Med, 26:841. e1-2
Churchill , James D Begg . 2006. Abdominal X-rays Made Easy 2nd Edition. Elsevier
Khan, Ali Nawaz. 2011. Pneumoperitoneum Imaging : A Journal
Diunduh dari http://emedicine.medscape.com, pada 8 Oktober 2012
Daly, Barry D, J. Ashley Guthrie and Neville F. Cause of Pneumoperitoneum: A Case
Report. United Kingdom
Mansjoer , Arif,dkk. 2000.Bedah Digestif. Kapita Selekta Kedokteran Jilid 2 Edisi
Ketiga (pp 240-252). Jakarta: Balai Penerbit FKUI.
Dan L. Longo, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, J. Larry
Jameson, Joseph Loscalzo, Eds. 2008. Harrison’s Principle of Internal Medicine 17th
Edition. USA : The McGraw-Hill Companies.
CH, Lee. 2010. Imaging Pneumoperitoneum : A Journal
Diunduh dari
http://www.meddean.luc.edu/lumen/MedEd/Radio/curriculum/Surgery/pneumoperitone
um.htm pada 8 Oktober 2012
Weerakkody , Yuranga dan Jeremy Jones.Pneumoperitoneum.
Diunduh dari http://radiopaedia.org/articles/pneumoperitoneum pada 8 Oktober 2012
Silberberg , Phillip. 2006. Pneumoperitoneum. Kentucky, USA.
Derveaux ,K., F Penninckx. 2007. Crash Courses of Pneumoperitoneum. University
Leuven Belgia
Intra-abdominal pressure (IAP) is defined as the steady-state pressure contained within the abdominal cavity (1). The normal value of IAP ranges from 0 mmHg to 7 mmHg and depends on both the elasticity of the abdominal wall and abdominal capacity. Several pathologies result in IAP increases, including abdominal trauma with intra- or extra-peritoneal bleeding, ascites, intra-abdominal tumours, intestinal injury, ileus, pancreatitis and surgical ‘packing’. Moreover, increases in IAP may be observed after massive fluid resuscitation, poly-transfusion, hypothermia and severe coagulation disorders. IAP values higher than 12 mmHg represent intra-abdominal hypertension (IAH), and a significant IAP elevation reduces the microcirculatory blood flow in most organs of the abdominal cavity. The abdominal blood flow pressure is known as the abdominal perfusion pressure (APP) and can be calculated as the difference between mean arterial pressure (MAP) and IAP (ie, APP = MAP – IAP) (1,2). Therefore, the changes in APP are strongly dependent on changes in MAP and IAPMAP2D + S / 3
Chilaiditi syndromeinterposition of the bowel (usually hepatic flexure of the colon/transverse colon) between the liver and the (right) hemidiaphragm.Subphrenic abscessSubphrenic abscesses are localised collections of pus, usually underneath the right or left hemi- diaphragm.There is a accumulation of infected fluid between the diaphragm, the liver and the spleen.linear atelectasis at the base of the lungsAtelectasis is the collapse of part or closure of alveoli resulting in reduced or absent gas exchange.Linear atelectasis is collapsed areas of the lung that have a horizontal appearance.When linear atelectasis at the base of the lungs it mimics pneumoperitoneum in chest x ray.