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Similar to Traditional medicine 2007 by ap u kyaw naing
Similar to Traditional medicine 2007 by ap u kyaw naing (20)
Traditional medicine 2007 by ap u kyaw naing
- 1. Traditional Medicine,2007 By Kyaw Naing Associate.Professor M.B.B.S, M .Med .Sc (Surgery), FRCS (Edin) FRCS (Glasgow) SU II,MGH
- 14. Slide courtesy of Anton Pozniak
- 15. Slide courtesy of Anton Pozniak
- 57. Eye Disease
- 61. Palpation
- 70. Summary Risk Factors Hypothyroidism Hyperthyroidism Family or personal hx of thyroid disease Family or personal hx of thyroid disease Goiter or hx of goiter Goiter or hx of goiter Prior or current thyroid use Prior or current thyroid use Hx of other autoimmune disease Hx of other autoimmune disease Recent iodine exposure
- 71. Clinical Findings Hypothyroidism Hyperthyroidism Fatigue Fatigue Weight gain Weight loss without change in appetite Cold intolerance Heat intolerance Depression or memory impairment Depression or nervousness, irritablility, anxiety or agitation Menstural irregularities (menorrhagia), infertility Menstural irregularities (oligomenorrhea) Weakness, muscle cramps, joint pains Weakness, tremor Palpitations Exertional dyspena Constipation Hyperdefecation Hoarseness Anterior neck pain Hypersomnolence Insomnia
- 72. Physical Exam: Thyroid----Related Findings Hypothyroidism Hyperthyroidism Xerosis (dry skin) Moist palms (increased perspiration) Thickening of skin, especially pre-tibial Preorbital puffiness Bulging eyes (lid retraction or proptosis ), unblinking stare Eye irritation, periorbital edema, diploplia, change in visual acuity ** Delayed relaxation phase, deep tendon reflex Hyperreflexia Dry Coarse hair or alopecia Bradycardia Tachycardia, atrial fibrillation Non-pitting edema
- 74. WOUNDS AP U Kyaw Naing SUII
- 78. Healthy Healing Surgical Wound
- 92. Did this person jump or was he blown out of the building?
- 93. Somebody knew what was coming...
- 94. Do you think just any lawn would hold up like this after a plane crashed on it?
- 95. Not a Scratch! Perfect Lawn!
- 96. Head injuries
- 100. Lower Limb - Fasciotomy
- 101. A survivable airway problem
- 102. Tourniquets
- 106. Tetanus
- 140. Thank You !
Editor's Notes
- Atypical tuberculosis Atypical tuberculosis (TB). Atypical TB, or nontuberculous mycobacteria infections, are well known to cause cervicofacial lymphadenopathy in children. Infections occur predominantly in children between the ages of 2 and 5 and are rare after the age of 12. Although there are many members of this group of bacteria, clinically, infections caused by the MAIS complex ( Mycobacterium avium-intracellulare and Mycobacterium scrofulaceum ) and Mycobacterium kansaii are the most predominant. The significance of these organisms lies in the fact that in previously healthy children under the age of 5 years, the most prevalent cause of chronic lymphadenitis is now nontuberculous mycobacteria. Children most often present with a painless cervical mass that has not responded to antibiotics. Constitutional signs and systemic manifestations of the disease in immunocompetent children are rare. Although all nodes in the cervical region may be affected, the nodes most commonly affected are those in the anterior cervical chain and in the submandibular region. The infection may also commonly involve major salivary glands, especially the parotid. The mass usually begins as a firm, painless, and discrete nodule that fails to respond to conventional antibiotic therapy. As the disease progresses, the mass enlarges and becomes fluctuant. The overlying skin discolors and develops characteristic violaceous changes, eventually leading to skin breakdown with discharge. In the face and neck, the portal of entry is thought to be through the oral and pharyngeal mucosa, skin, conjunctivae, and salivary glands. The treatment for nontuberculous adenopathy is surgery; antituberculous therapy is rarely effective. If caught early before granulomatous liquefaction and skin necrosis have occurred, a trial of a macrolide antibiotic such as clarithromycin or azithromycin may be beneficial. Because of the low recurrence rate, surgical excision of involved nodes (as opposed to incision and drainage, or curettage) is recommended. Taken from: Papsin B, James A, Friedberg J, Forte V, Crysdale W. Atlas of Pediatrics . Edited by Ronald Laxer, Ronald M. Laxer, Elizabeth Lee N. Ford-Jones, Jeremy N. Friedman, J. Ted Gerstle. ©2005 Current Medicine, Inc .
- Insert picture of thyroid anatomy
- Add picture of thyroid embryology
- Papillary ca female pt
- Symptoms are diplopia, opthalmoplegia (esp in upward gaze), eye discomfort and protrusion. Optic nerve compression may occur - look for a decrease in colour vision. Also look for chemosis and injection in Graves’. For proptosis look from above.
- The thyroid isthmus lies over tracheal cartilage 2-3.