Pars Planitis is a disease of the eye that is characterized by inflammation of the narrowed area (pars plana) between the colored part of the eye (iris) and the choroid. This may lead to blurred vision; dark, floating spots in the vision; and progressive vision loss.
Pars Planitis is a disease of the eye that is characterized by inflammation of the narrowed area (pars plana) between the colored part of the eye (iris) and the choroid. This may lead to blurred vision; dark, floating spots in the vision; and progressive vision loss.
Great talk about uveitis anterior uveitis and posterior uveitis for those who may have missed it or are not members of American Academy of Ophthalmology Meeting. Kudos to Dr. Lowder
Great talk about uveitis anterior uveitis and posterior uveitis for those who may have missed it or are not members of American Academy of Ophthalmology Meeting. Kudos to Dr. Lowder
uveitis condition mainly focusing on its basic anatomy, basic general classification and its clinical features including common symptoms and signs along with pathology, common complications, investigations including both systemic and ocular, treatment and a short summary.
Uveitis is an interesting disease of the with such a varied and diverse pathogenesis, various systemic causes and Dangerous complications in relation to the eye which makes it difficult and challenging to treat in a proper way. I hope this share will help.
Similar to Uveitits classifications and Approach (20)
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
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.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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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
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.
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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.
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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!
5. DEFINITIONS
Uveitis : inflammation of the uveal tract (ie, iris, ciliary body, choroid)
may be accompanied by adjacent ocular structures (eg, retina, optic
nerve, vitreous, sclera).
Keratouveitis : inflammation originate in the cornea with secondary
involvement of the anterior chamber.
Sclerouveitis : inflammation the involve the sclera and uveal tract.
6. Classification Of Uveitis
Based on :
Anatomy
Clinical course
Etiology
Histology
THE STANDARDIZATION OF UVEITIS
NOMENCLATURE (SUN) WORKING GROUP
7. Anatomical classification
Type Primary site of
inflammation
Includes
Anterior uveitis Anterior chamber
Anterior vitreous (behind
the lens)
Iritis
Iridocyclitis
Anterior cyclitis
Intermediate uveitis Vitreous Pars planitis
Posterior cyclitis
Hyalitis
Posterior uveitis Retina or choroid Focal , multifocal or
diffuse
Choroiditis ,
Chorioretinitis
Retinochoroiditis
Retinitis
Neuroretinitis
20. Anterior Uveitis
• Often low due to decease
ciliary body production of
aqueos when it is inflamed or
increase uveoscleral outflow.
• High IOP only when :
•Trabiculitits .
•Debris and inflammtory cells clog
the TM.
•Pupillary block , secondary angle
closure.
IOP ?
24. Snowbanking’ in Pars
Planitis is the
appearance of a white
plaque, typically
overlying the inferior
pars plana and retina
but it can encompass
the entire peripheral
fundus
28. POSTERIOR UVEITIS clinical
symptoms
•Decrease VA
• Floaters
• Image disturbance photopsia ( flashes of light ,
Metamophopsia)
• Visual defects ( Scotoma)
• Nyctalopia ( night blindness )
29. POSTERIOR UVEITIS clinical signs
Unifocal, multifocal or diffuse :
•Retinal and choroidal
inflammatory infiltrate.
(choroiditis , retinitis)
•Vasculopathy : inflammatory
sheathing of arteries and veins ,
narrowing of vessels ,
obliterations.
+ Vitreous haze and cells .
Structural Complications :
•Periretinal or Subretinal fibrosis
•Retinal holes , atrophy, edema.
•Retinal detachment ( RD)
•CME
•RPE hypertrophy or atrophy
•Retinal or choroidal
neovascularization
•Optic nerve swelling , atrophy or
neovacularization
•Cataract
30. 23 yrs old female , serology +ve for
syphillis
White retinal lesions and a few
retinal hemorrhages
Thinning and occlusion of retinal
vessels
31. 20-D field view
Post retinal laser
photocoagulation due to
retinal vein occlusion
associated with Behçet’s
disease.
There is
• optic nerve pallor
• intraretinal hemorrhages
• laser spots.
35. PANUVEITIS CAUSES
There is no predominant site of inflammation, but inflammation is
observed in the anterior chamber, vitreous, and retina and/or
choroid.
42. HISTORY
Associated Systemic symptoms
Al-Dhibi, H. A., Al-Mahmood, A. M., & Arevalo, J. F. (2014). A systematic approach to emergencies in uveitis. Middle East African journal of ophthalmology, 21(3), 251.
43. HISTORY
Occupational , social & family
Hx
•Travel
• Tobacco use
•Sexual practices
•IV drug use
Medications?
Allergy?
44. EXAMINATION
• VA
• Pupils , RAPD , color
vision , color saturation
• EOM
• IOP
• Thorough eye exam
• Thorough Systemic
examination
45.
46. CASE
A 42-year-old white woman presented with a 10-year history of
bilateral uveitis treated intermittently with topical and systemic
corticosteroids and a chief complaint of blurred vision that was worse
in the left eye since 5 days .last episode was 4 weeks ago. A detailed
medical history was significant for sinusitis and depression.
VA : OD 20/50 OS 20/100
Slit-lamp biomicroscopy showed mutton-fat KPs in the left eye. There
were trace vitreous cells and haze in the right eye and vitreous cells
and haze in the left eye. There were peripheral retinal vasculitis and
cystoid macular edema in both eyes
Physical examination revealed no rash, joint findings, or other
abnormalities. Neurologic examination was normal.
47. REFERENCES
•American Academy of Ophthalmology . Intraocular inflammation and
uveitits. 9th Edition.
•N. Robbert . Uveitis Fundamental and clinical practice. 4th Edition.
•Al-Dhibi, H. A., Al-Mahmood, A. M., & Arevalo, J. F. (2014). A
systematic approach to emergencies in uveitis. Middle East African
journal of ophthalmology, 21(3), 251.
•Al-Mezaine, H. S., Kangave, D., & Abu El-Asrar, A. M. (2010). Patterns
of uveitis in patients admitted to a University Hospital in Riyadh,
Saudi Arabia. Ocular immunology and inflammation, 18(6), 424-431.
•EyeWiki website : Intermediate uveitits .
Methods: In this retrospective study, clinical records of randomly selected cases of uveitis attending the King Khaled Eye Specialist Hospital, Saudi Arabia, from 2001 to 2010, were reviewed.
series included 888
Viral Uveitis
Herpesviridae Family Rubella Lymphocytic Choriomeningitis Virus Measles (Rubeola) West Nile Virus Rift Valley Fever Human T-Lymphotropic Virus Type 1 Dengue Fever Chikungunya Fever Other Viral Diseases
Fungal Uveitis Ocular Histoplasmosis Syndrome
Protozoal Uveitis Toxoplasmosis
Helminthic Uveitis Toxocariasis
Cysticercosis Diffuse Unilateral Subacute Neuroretinitis Onchocerciasis
Bacterial Uveitis
Syphilis
Lyme Disease
Leptospirosis Ocular
Nocardiosis
Tuberculosis
Ocular Bartonellosis
Whipple Disease
Risk Factors
HLA-B27 allele, anklyosing spondylitis, psoriatic arthritis
Pathophysiology
Unknown. A leading theory is that exposure of an individual with a genetic predisposition to an infectious agent results in cross reactivity with ocular specific antigens (molecular mimicry) with resultant iritis.
Ciliary flush : cilliary body inflammation , dilation of blood vessels
Hypopyon : WBC settles in AC .
Kps : accumalaition of inflammatory cells in endothelium of cornea / usually base down triangle shape / seen by slit and retroillumination / granula and non granulamtuos / follow the course of disease ( after resolving they become transulcent , pigmented or disapper ) . In persistent disease they become granulomatous.
Dim light
Slit
1x1 mm field
Full intesity
Angle 45-60
Magnify
Flare : break blood ocular barrier , proteins out , scattering of light , image not clear.
Nodules : Accumaltion of inflammatory cells on the iriis
Posterior S : cause pupillary block
Anterior Sy : cause secondary glaucoma , block the outflow.
release of mediators that promote fibrin deposition, clotting, and fibroblast proliferation, which are the probable causes of synechiae.
Examination of the retinal periphery and pars plana is an important part of the ocular examination of patients with uveitis. Pars plana snowbanking is the accumulation of a white broglial mass over the pars plana and adjacent retina. It is usually restricted to the inferior pars plana but may extend superiorly.
photopsia is a visual distortion caused by something inside the eye or brain. The distortions could be floaters, flashes of light, or other sudden small changes in the visual field
N
Acute vascular occlusion >> retinal edema
Old vascular loss >> retinal atrophy
If accompanying retinal vasculitis > inflammtion cause vessel ischemia > cotton-wool spots and retinal hemorrhage.
isolated to the choroid, they often appear as grayish-yellow elevated masses ,vary in size from 50 μm to 500 μm in diameter.
Chorioretinal specific to disease : Dalen–Fuchs nodules are associated with sarcoidosis and sympathetic ophthalmia.
