Throat disorder
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This document discusses throat problems such as gastroesophageal reflux disease (GERD). It notes that GERD causes heartburn, mucosal damage from acid, and symptoms that increase at night or after eating. It compares H2 blockers and PPIs for treating GERD. It also discusses examining patients with throat complaints, explaining the underlying condition, and recommending appropriate medications.
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Perhaps you don’t need to know the details of nocturnal GERD… but ask yourself-
“Do you feel lucky?”
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This document summarizes common gastrointestinal diseases that may affect dental care:
1) Peptic ulcer disease affects 15% of industrialized populations and is caused by an interaction of aggressive factors like H. pylori and defensive factors. Symptoms include epigastric pain and bleeding. Treatment involves anti-secretory agents and antibiotics.
2) Inflammatory bowel disease (IBD) describes ulcerative colitis and Crohn's disease. IBD is managed but not cured through medications, immunosuppressants, or surgery. Patients may experience oral lesions.
3) Pseudomembranous colitis is a severe, potentially fatal form of colitis associated with certain antibiotics in at-risk patients.
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SOAP note Identification Problem RecognitionPatient ini.docx
SOAP note
Identification\ Problem Recognition
Patient initial
Nationality
Age
Sex
Source of information
Problem Statement
SUBJECTIVE DATA
HPI
PMH
Surgical History/Hospitalization
Family History
Social History
Allergies
MEDS.
Immunization
ROS
HEENT
RESP.
CV
GI\GU
MSK
SKIN
Mental
OBJECTIVE DATA
&
PHYSICAL ASSESSMENT
V\S
General Appearance
HEENT
Neuro.
CV
RESP.
GI \ GU
Skin
Musculoskeletal
Mental
DIAGNOSTIC TESTS
Final Diagnosis
DIFFRENTIAL DIAGNOSIS
Diagnosis
Positive findings
Negative findings
Plan
Nonpharmacological treatment
Pharmacological Treatment
DRUG
General Considerations
Surgery/Other Procedures
Follow Up
Education
Referral
Learning Resources
1
SOAP note
Identification\ Problem Recognition
Patient initial
Nationality
Age
Sex
Source of information
Problem Statement
SUBJECTIVE DATA
HPI
PMH
Surgical History/Hospitalization
Family History
Social History
Allergies
MEDS.
Immunization
ROS
HEENT
RESP.
CV
GI\GU
MSK
SKIN
Mental
OBJECTIVE DATA
&
PHYSICAL ASSESSMENT
V\S
General Appearance
HEENT
Neuro.
CV
RESP.
GI \ GU
Skin
Musculoskeletal
Mental
DIAGNOSTIC TESTS
Final Diagnosis
DIFFRENTIAL DIAGNOSIS
Diagnosis
Positive findings
Negative findings
Plan
Nonpharmacological treatment
Pharmacological Treatment
DRUG
General Considerations
Surgery/Other Procedures
Follow Up
Education
Referral
Learning Resources
1
Identification\ Problem Recognition
Patient initial
C.K
Nationality
Saudi
Age
28 years
Sex
Male
Source of information
Patient
Problem Statement
I have been experiencing burning chest pains, regurgitation, and acid tastes in the mouth. This happens mostly after taking a meal or snack and it makes me uncomfortable.
HPI
When examined, the patient said that he had been experiencing severe heartburns for the last three weeks. He also suffered from hernia where stomach contents would reflux and move upwards to the oesophagus. Two weeks ago, he could not control the situation and he started experiencing coughs and vomiting. The patient also said that he was experiencing acid irritations along the windpipe. Other symptoms shown by the patient include hoarseness, sore throat, throat lumps, and chronic sinusitis.
PMH
The patient had been experiencing heartburns for the last one year. He had relied on anti-acids all along and the situation was controlled for some time but it has reappeared once again.
Surgical History/Hospitalization
The patient has never been to surgery and has never been hospitalized. He usually buys over the counter drugs.
Family History
Only his sister ex.
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The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ABDOMINAL TRAUMA in pediatrics part one.
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
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Role of Mukta Pishti in the Management of Hyperthyroidism
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We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Top Effective Soaps for Fungal Skin Infections in India
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Throat disorder
- 3. Importance of study To Keep the patient health To be consultant pharmacist Increase your sales 1) 2) 3)
- 4. Gastro esophageal reflux disease٫٫٫ Yes it is ?٫٫am G E R D Patient
- 5. Causesof ( G E R D)
- 6. Symptoms of (G E R D) Heart burn Mucosal damage by acid Acid base reaction
- 8. Increase at night Pending position
- 9. Morning throat burning and bitter taste
- 12. Challenge between H2 blocker vs PPI
- 14. TOGETHER WE WILL BE BETTER
- 15. American college of gastro entrology 2012
- 17. Inside pharmacy role play
- 19. I have heart burn Do you fill chest block Increase at night Increasing after food
- 20. Do you feel bitter taste and throat burning Relax the patient Explain disease then bring drugs Give him the paper before drugs to feel trust
- 21. Now give him the drugs Speak about the underlying disease
- 23. Throat disorders Remember your aim: To keep the patient health Itchy throat
- 24. Remember your aim: To keep the patient health Allergy Singing practice Infection G E R D Irritant
- 29. 1) •Sedating antihistaminic 2) •Mast cell stabilizer 3) •Stop the cause
- 32. Dry throat with mouth yes Ask about diabetes n o Increase morning yes Sinusitis or snoring Increase in a specific place and period yes Invironmental or low water n o
- 33. Irritant food Solid food injury Sore throat Sepsis G E R D Hiatus hernia