Varicose veins occur when valves in the veins fail, causing blood to pool in the veins and enlarge them. Risk factors include gender, genetics, age, obesity, occupation, pregnancy, and menopause. Symptoms include swollen, lumpy, discolored veins, aching legs, and skin discoloration. Treatment options include compression stockings, sclerotherapy, thermal ablation procedures, vein stripping surgery, and herbal supplements. Lifestyle modifications such as avoiding standing, exercise, and maintaining a healthy weight can help prevent varicose veins.
It is estimated that 20% of American women and 7% of American men suffer from venous disease. Venous disease results in symptoms such as aching, fatigue, swelling, and pain in the legs which can interfere with daily living.Cosmetic issues may affect quality of life.
At least 20% of patients with venous disease will develop leg ulcers. This presentation outlines the normal anatomy and physiology of venous drainage of the extremities as well as the common venous disorders such as varicose veins and deep vein thrombosis.
It is estimated that 20% of American women and 7% of American men suffer from venous disease. Venous disease results in symptoms such as aching, fatigue, swelling, and pain in the legs which can interfere with daily living.Cosmetic issues may affect quality of life.
At least 20% of patients with venous disease will develop leg ulcers. This presentation outlines the normal anatomy and physiology of venous drainage of the extremities as well as the common venous disorders such as varicose veins and deep vein thrombosis.
• Pathophysiology
• Clinical manifestations PCCM p 279
• Arterial ulcers
• Venous ulcers
• Diagnosis
• Management
• Compression
o Pressure bandages PCCM p 280
o When to apply pressure bandage
o Contra-indications for bandages
• Debridement
• Topical therapy
• Wound dressing
• Essential health information
• Leg ulcers in the elderly p 1060/p 1089
Our Vein treatment procedures have the least recovery time & give long term outstanding results. All our Vein Centers have in-house diagnostic Ultrasound and Colour Doppler facilities that gives us a precise roadmap to plan your Varicose veins treatment.
This topic comes under the category - Venous Diseases. It is very important for a 3rd year MBBS Student to know about Varicose Veins, which is one of the commonest diseases encountered among out-patients.
• Pathophysiology
• Clinical manifestations PCCM p 279
• Arterial ulcers
• Venous ulcers
• Diagnosis
• Management
• Compression
o Pressure bandages PCCM p 280
o When to apply pressure bandage
o Contra-indications for bandages
• Debridement
• Topical therapy
• Wound dressing
• Essential health information
• Leg ulcers in the elderly p 1060/p 1089
Our Vein treatment procedures have the least recovery time & give long term outstanding results. All our Vein Centers have in-house diagnostic Ultrasound and Colour Doppler facilities that gives us a precise roadmap to plan your Varicose veins treatment.
This topic comes under the category - Venous Diseases. It is very important for a 3rd year MBBS Student to know about Varicose Veins, which is one of the commonest diseases encountered among out-patients.
Detailed presentation on Varicose veins, examination and management
Detailed presentation on Deep Vein Thrombosis, categories, staging and scoring systems and management.
Management also includes Endovascular and Surgical techniques.
Short notes made on IVC filters
Any vein close to the skin’s surface can become twisted and enlarged, leading to a condition known as varicose veins. Our lower body bears most of the brunt of standing and walking and therefore veins in the legs are most affected by varicose veins.
Made by Ranjith R Thampi. A surgery powerpoint I made during internship for Management of Varicose Veins. Tried to cover as much as possible on the topic. Kindly comment before you download. Thanks!
Comprehensive Guide to Varicose Veins and Spider VeinsMY VIVAA
Delve into the world of varicose veins and spider veins with our comprehensive guide. From understanding their origins and symptoms to exploring the intricacies of varicose vein face treatment, this resource equips you with essential knowledge. Discover preventive strategies, potential complications, and the right time to seek professional advice. Empower yourself with the insights you need to effectively manage these vascular conditions.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
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.
- 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
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
Follow us on: Pinterest
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
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. 1
A Seminar on
AN OVERVIEW ON VARICOSE VEINS
Presented by:
Mounika Rajulapati
137N1R0008
Under the Guidance of
Mrs.D.Santhi Krupa, M.Pharm,
Asst Prof.,
Dept.,of Pharmacology
Vijaya Institute of Pharmaceutical Sciences for Women
Enikepadu,Vijayawada
3. INTRODUCTION
Varicose veins, also known as varicoses or varicosities
Veins become enlarged, dilated, and overfilled with
blood
Bluish-purple or red color
Veins mostly affected are -
Superficial veins
Deep veins
Perforator veins 3
4. CONVERSION OF NORMAL VEIN TO VARICOSE
VEIN
4
Any risk factor
Eg -Prolonged standing
Increases venous
pressure
Dilation of vein walls &
valvular incompetence
Blood pool’s in vein
Vein
swell,distend,twist
5. BASICS OF VARICOSE VEINS
In varicose veins, the valves do not work properly
allowing blood to pool in the vein and making it
difficult for the muscles to push the blood "uphill.“
Instead of flowing from one valve to the next, the
blood continues to pool in the vein causing the vein
to bulge, twist and painful.
Varicose veins may also signal a higher risk of
other circulatory problems
5
6. Blood that pools in the varicose veins is depleted of
oxygen and nutrients. As the veins do not tolerate high
pressure they begin to allow red blood cells and fluid to
leak into the tissues of the leg, which causes painful
swelling.
The red blood cells in the tissues cause chronic
inflammation and the skin becomes hyperpigmented.
When the skin and the fat under the skin are inflamed
for years, the tissues become woody and firm.
6
7. PREVALENCE
47.9 million people of India are affected by varicose
veins
That is around 15-20% of population
In U.S.A 12.2 million people are effected by
varicose veins
41% of all women usually are suffering from venous
abnormalities by the time they reach 50.
7
8. LOCATION OF VARICOSE VEINS
Varicose veins usually develop either on the calf
muscle or inside of the leg, other areas include
Oesophagus
Uterus
Vagina
Pelvis
Rectum
8
9. TYPES OF VARICOSE VEINS
Trunk varicose veins :
Veins that are near to the surface of the skin and
are thick and knobbly.
9
10. Reticular varicose veins :
veins are red and are sometimes grouped close together
in a network.
10
11. Telangiectasia varicose veins (thread veins or spider
veins) :
small and dilated clusters of blue or red veins appear on
legs and they are harmless.
11
12. SIGNS & SYMPTOMS
Veins seem to be twisted, swollen and lumpy
Skin discoloration occurs and appear as brownish
or blue in colour
Legs aching, feel heavy at night
Minor injury in the affected area result in longer
bleeding
Swollen ankles
12
14. DIAGNOSTIC TESTS AND
PROCEDURES
PHYSICAL EXAM
Observation of varicose veins while standing or
sitting with our legs dangling and palpation
DUPLEX ULTRASOUND :
This is an ultrasound scan where soundwaves are
used to create picture of structures in our body
14
15. DOPPLER TEST
It is also an ultrasound scan uses high frequency sound waves to
produce an image which provide information about –
direction of blood flow in vein
how valves in vein work
check blood clots
ANGIOGRAM
For this procedure, dye is injected into the veins
The dye outlines the veins on x-ray images.
15
16. RISK FACTORS
Gender
Genetics
Age
Being overweight
Occupation
Being pregnant
Menopause
16
17. CONTD..
Pressure on the
abdomen
Sedentary lifestyle
Standing for long periods
of time
17
18. TREATMENT OF VARICOSE VEINS
NON-PHARMACOLOGICAL TREATMENT
Compression Stockings:
They are made of stronger elastics to create
significant pressure on the legs, ankles and feet.
18
19. SURGICAL TREATMENT
1. Microphlebectomy
Microphlebectomy refers to the removal of a large or
medium sized varicose vein through a tiny incision in
the leg
Incisions are less than ¼ inch in length
19
20. 2. Sclerotherapy
This method involves use of a fine needle to inject a
solution directly into the vein.
Solution irritates vein wall makes them shrivel
20
21. then vein turn into scar which is absorbed by the body
Sclerosants include -
- Detergents
Eg: Sodium tetradecyl sulfate
- Osmotic agents
Eg: Hypertonic sodiumchloride solution
- Chemical irritants
Eg: Chromated glycerin
21
22. 3. Endovenous thermal ablation
Laser or radiofrequency ablation
In this method vein is heated with a catheter inserted
into the vein due to heat vein is destroyed and
disappears quickly.
22
23. Steam ablation
This process works with a natural agent.
In this method steam is injected into the sick vein due to
this vein gets destroyed and disappear.
23
24. 4.Vein-stripping surgery
The surgery involves making incisions followed by
insertion of a special metal or plastic wire into the vein.
The vein is attached to the wire and then pulled out from
the body.
24
26. LIFE STYLE MODIFICATIONS
Avoid standing
Avoid sun exposure
maintain a healthy weight
Exercise daily
Avoid crossing legs
Avoid wearing tight clothes
Avoid wearing high heels
26
27. CONCLUSION
Usually varicose veins are less complicated vascular
disorders, but if left undiagnoised or untreated they
transform into severe uncomfortable circulatory disorders.
Though there's no way to completely prevent varicose
veins by lifestyle modifications the circulation and muscle
tone can be improved which reduce the risk of developing
varicose veins and prevent from recurrence.
27