case presentation on PORTAL HYPERTENSION ASCITES
This case study will be beneficial for the students of doctor of pharmacy.
this will help you a lot.
portal hypertension ascites in a non alcoholic patient .
FOLLOW :@nation._first
for great knowledge.
A 45-year old male patient was admitted to the male medicine ward with symptoms of cough with expectoration, dyspnoea since 2 months and oedema of feet since 15-20 days.
Ulcerative Colitis: Case Presentation & Disease Overviewfarah al souheil
patient presenting with bloody stools and systemic signs with no previous medical complaints was diagnosed with amoebiasis on top ulcerative colitis (sigmoid-proctitis)
A 45-year old male patient was admitted to the male medicine ward with symptoms of cough with expectoration, dyspnoea since 2 months and oedema of feet since 15-20 days.
Ulcerative Colitis: Case Presentation & Disease Overviewfarah al souheil
patient presenting with bloody stools and systemic signs with no previous medical complaints was diagnosed with amoebiasis on top ulcerative colitis (sigmoid-proctitis)
Skin complaints are common in clinical exams and everyday practices.
Skin cancers are increasing in prevalence and if detected early, treatment can be curative.
cutaneous signs can also be a vital in identifying systemic diseases.
With a structured examination technique and a little knowledge of terminology, skin signs can classified systematically.
Abdomen and liver case presentation by PGKurian Joseph
Abdomen and liver case presentation by PG
Chronic decompensated parenchymal liver disease - cirrhosis with portal hypertension probably of alcoholic etiology with no ascites with no features of hepatic encephalopathy and coagulopathy
To rule out malignancy
A case study on anemia with congestive heart failuremartinshaji
a case dealing with a patient having anemia with congestive heart failure, this gives a clear idea about management, diagnosis, treatment , patient counselling, pharmacist interventions etc
please comment
thank u
it was a case study on hypothyroidism in pediatric patient pharmaceutical care plan ,Diagnostic Technics ,treatment and patient counseling was given to the patient representative.
CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC EN...Akhil Joseph
A DETAIL CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC ENCEPHALOPATHY AND GRADE II OESOPHAGEAL VARICES WITH CONGESTIVE GASTROPATHY. LIVER CIRRHOSIS AND ALL ITS COMPLICATION IN A PATIENT.
Skin complaints are common in clinical exams and everyday practices.
Skin cancers are increasing in prevalence and if detected early, treatment can be curative.
cutaneous signs can also be a vital in identifying systemic diseases.
With a structured examination technique and a little knowledge of terminology, skin signs can classified systematically.
Abdomen and liver case presentation by PGKurian Joseph
Abdomen and liver case presentation by PG
Chronic decompensated parenchymal liver disease - cirrhosis with portal hypertension probably of alcoholic etiology with no ascites with no features of hepatic encephalopathy and coagulopathy
To rule out malignancy
A case study on anemia with congestive heart failuremartinshaji
a case dealing with a patient having anemia with congestive heart failure, this gives a clear idea about management, diagnosis, treatment , patient counselling, pharmacist interventions etc
please comment
thank u
it was a case study on hypothyroidism in pediatric patient pharmaceutical care plan ,Diagnostic Technics ,treatment and patient counseling was given to the patient representative.
CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC EN...Akhil Joseph
A DETAIL CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC ENCEPHALOPATHY AND GRADE II OESOPHAGEAL VARICES WITH CONGESTIVE GASTROPATHY. LIVER CIRRHOSIS AND ALL ITS COMPLICATION IN A PATIENT.
Seminar present the Upper Gastrointestinal Bleeding problems
Edited by : Dr. Inzar Yassen & Dr. Ammar L. Aldwaf
in Hawler Medical Uni. collage of medicine in 14/01/2014
Iraq - Kurdistan - Erbil
LOWER GI HEMORRHAGE- Introduction
#surgicaleducator #babysurgeon
Dear Viewers,
Greetings from “Surgical Educator”
Today I have uploaded an introductory video on Lower GI haemorrhage. In this episode, I have talked about the various causes for lower GI bleeding, applied anatomy,History&Physical exam,investigations and management algorithm for lower GI bleeding. In the subsequent episodes in this series of videos, I will be talking about the individual causes elaborately- one in each video. You can watch this video in the following links:
surgicaleducator.blogspot.com
youtube.com/c/surgicaleducator
Thank you for watching the video
A 67 year old male patient was admitted to the male medicine ward with complaints of abdominal distension, bilateral lower limb oedema, pitting pedal oedema, distended and swelled scrotum and breathlessness since 15 days.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
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!
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
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.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Macroeconomics- Movie Location
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.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
2. case
A male patient of 65 years was brought in emergency to Teerthanker
Mahaveer hospital with of discomfort, breathlessness progressively
increasing.
3. Demographic details
Patient name :- Mr. Ram kumar
Age/sex :- 65/male
CR number :-1904051408
weight :- 79 kgs .
Date of admission :- 20/08/2018
Consultant doctor :- Dr. V.k
:- Dr. Amit Mishra.
5. Patient history
No social history (non smoker , non alcoholic )
No family history
Patient is a k/c/o HTN x 10 years.
CLD decompensated since 6 months
6. Physical examination
General appearance normal
Cardiovascular k/c/o htn
Abdomen swollen
Color pale yellow
Clot absent
PI-CCLE-
10. Goal of treatment
- To relieve symptoms
- To prevent disease progression
- To improve exercise tolerance
- To improve overall health status
- To prevent and treat ascites
- To prevent and treat complications such as bleeding
- To reduce morbidity and mortality
11. Laboratory outcomes (06/04/19)
Laboratory parameter 06/04 07/04 08/04 09/04 Normal range
Haemoglobin 13.9 13.0-17.0 gm/dl
PCV 41.2 L 42-52%
Glucose 110 H 40-80mg/dl1-1
Protein 1.75 H gm/dl
Urea 73.0 H 77.0 72.0 65 13-45 mg/dl
Creatinine serum 3.75 H 3.04 2.41 2.27 0.50-1.20 mg/dl
Sodium 127.0 L 129.0 127.0 130 135-155 mEq/L
chloride 88.0 L 93.0 91.0 94.0 90-120 mEq/L
Bilirubin total 2.0 H 0.20-1.00mg/dl
Bilirubin direct 0.7 H 0.00-0.40 mg/dl
Bilirubin indirect albumin 1.3 H 0.0-0.7 mg/dl
Alt / SGPT 16.0 5-40 IU/L
AST/SGOT 35.0 5-40 IU/L
Weight 79 kg 75kg
Abdomen (cm) 49cm 43cm
12. S.N
o
Drug
prescribed
Generic
name.
Dose frequen
cy
Route Therapeutic
use
Side effects 06/
04
07/
04
08/
04
1 Inj. Pansec pantaprazo
l
40mg BD IV GERD acid
reflux and
peptic ulcer
disease.
Diarrhea ,
flatulence
-- --
2 Tab. Ciplar
LA
Propanolol 20mg OD Oral High BP, chest
pain, migraine
Night mare ,
slow heart rate
dizziness
-- -- --
3 Inj. Taxim Cefotaxime 2 gm TDS IV Bacterial
infection
Injection site
reaction,
diarrhea
Sodium
increment
-- -- --
4 Tab. Rcifax Rifaximin 550mg OD oral hepatic
encephalopathy
Headache ,
vomiting
-- -- --
5 Tab.
Lasilactone
50
Dose
adjust
ment
in case
of CLD
OD oral Oedema ↓ sodium level
Magnesium
Calcium
Breast
enlargement in
male.
--
*condom catheters should be used.
13. S.No Drug Generic
name
Dose frequenc
y
route Therapeutic
use
Side effects 06/
04
07/
04
08
/0
4
6 Syp.
Osmitol
30ml
BD oral constipation dehydration -- -- --
7 Tab.
Metrogyl
Metronidazol 400mg BD oral Bact. And
parasitic
infection
Dryness in
mouth
--
--
--
--
--
--
--
--
8 Inj. H
Albumin
20%
NS
Increases
plasma
volume or
serum
albumin
Severe
stomach
cramps
-- -- --
9 Tab.
Pantop
Pantaprozole 40mg OD oral GERD Diarrhea,
nausea
14. Patient counselling
Good afternoon. Hello Mr. Ram
My name is sadaf saifi, a clinical pharmacist. I am here to guide you about
your medication, disease and life style modification.
Ok what do you know about your disease .
You were admitte in emergency due to discomfort in your abdomen.
From how long you are facing this problem ?
Can you tell me something about your symptoms?
What did your doctor tell yu about the medication .
Ok, I vl be telling you everything in detail.
15. You have been suffering from chronic liver disease.
A disease process of the liver that involves a process of progressive destruction and
regeneration of the liver parenchyma leading to fibrosis and cirrhosis
Liver enlargement is the cause of your disease.
Symptoms are:
Progressive destruction of the liver
May be asymptomatic in early or mild cases
Build-up of fluid in abdomen - ascites
Enlarged breasts in men
Coughing blood
Vomiting blood
Impaired nerve functions
Itching
Portal hypertension
16. Portal hypertension with ascites
The most significant problems associated with portal hypertension are ascites (the accumulation
of excess fluid in the tissues lining the organs and the abdominal wall) and varices (engorged
veins along the esophagus, stomach or intestines caused by backed-up blood flow). Varices are
directly caused by portal hypertension.
Symptoms
Gastrointestinal bleeding marked by black, tarry stools or blood in the stools, or vomiting of
blood due to the spontaneous rupture and hemorrhage from varices
Ascites an accumulation of fluid in the abdomen.
Encephalopathy or confusion and forgetfulness caused by poor liver function.
LARGE ESOPHAGEAL VARICES
Esophageal varices (sometimes spelled oesophageal varices) are extremely dilated sub-mucosal
veins in the lower third of the esophagus. They are most often a consequence of portal
hypertension, commonly due to cirrhosis; patients with esophageal varices have a strong
tendency to develop bleeding.
17. Medications given to you are described properly with their use and side effects in
medication chart.
Lifestyle changes such as stress reduction ,
Exercise
And dietary.
Liquid or fluid intake should be prohibited.
If you are missing anything or you did not remember please let me know.
Avoid sodium in your diet.
