Perilymph Fistula can be difficult to diagnose as a standalone condition. Post-trauma symptoms such as dizziness, headache, etc. can be linked to other conditions like a traumatic brain injury with a concussion.
This is a presentation I used for my seminar on 'Phonosurgery' on 4th November, 2015. I hope they are useful to you. Constructive as well as Destructive criticism welcomed.
Cavity obliteration is a procedure done at the end of Mastoidectomy to get a cavity-less mastoid cavity thus solving the problem of discharging post-operative cavity.
Sinus tymapni shape and depth can influence surgical approach in cholesteatoma surgery. In the case of a shallower ST, an exclusive endoscopic exploration is chosen; while in the case of a deeper ST, a retrofacial approach is usually preferred.
Inner ear malformations and ImplantationUtkal Mishra
This slide vividly describes relevant anatomy & embryology of cochlea. It gives the reader insights into various cochlear malformations & implantation.
This is a presentation I used for my seminar on 'Phonosurgery' on 4th November, 2015. I hope they are useful to you. Constructive as well as Destructive criticism welcomed.
Cavity obliteration is a procedure done at the end of Mastoidectomy to get a cavity-less mastoid cavity thus solving the problem of discharging post-operative cavity.
Sinus tymapni shape and depth can influence surgical approach in cholesteatoma surgery. In the case of a shallower ST, an exclusive endoscopic exploration is chosen; while in the case of a deeper ST, a retrofacial approach is usually preferred.
Inner ear malformations and ImplantationUtkal Mishra
This slide vividly describes relevant anatomy & embryology of cochlea. It gives the reader insights into various cochlear malformations & implantation.
Spaces of middle ear and their surgical importanceDr Soumya Singh
one of the imp topics in ENT that should be understood very thoroughly if u want to pursue as an otologist.I tried to simplify the topic with simple diagrams and models for better understanding .
Spaces of middle ear and their surgical importanceDr Soumya Singh
one of the imp topics in ENT that should be understood very thoroughly if u want to pursue as an otologist.I tried to simplify the topic with simple diagrams and models for better understanding .
Ear barotrauma causes, symptoms and treatmentmishramanali
Ear barotrauma is a condition that causes discomfort in the ear as the pressure changes in the ear. To know the role of Eustachian tube that helps in equalizing the ear pressure. Read the article to learn Ear barotrauma Possible complications, recovery& preventions.
Ear barotrauma causes, symptoms and treatmentmishramanali
Ear barotrauma is a condition that causes discomfort in the ear as the pressure changes in the ear. To know the role of Eustachian tube that helps in equalizing the ear pressure. Read the article to learn Ear Barotrauma Possible complications, recovery& prevention.
meniere disease is the inner ear condition which affect the patient haring and balance this ppt can help the nurses to take care of the patient affected with this disease and can be used as a study material for their examination
Check out our presentation titled "Understanding the Causes, Effects, and Solutions for Snoring" which aims to provide an overview of effects of Snoring.
Stabilometry is an objective and functional evaluation of the postural control system in its steady-state behavior.
Visit us at - https://www.neuroequilibrium.in/computerized-stabilometry/
The VHIT enables to test all 6 semi-circular canals at high frequency as well as the saccades strategies (overt and covert). VOR Suppression (VORS) tests identify the presence or absence of saccadic eye movement in order to simultaneously test for the co-existence of vestibular and cerebellar pathology and thus diagnose vestibulo-cerebellar disorders.
Caloric Test
The caloric test has been the gold standard in vestibular testing for over 100 years. NeuroEquilibrium Caloric Irrigators are used in combination with the VNG machine to conduct caloric tests on patients with dizziness or balance disorders.
ENG and VNG are used to record oculomotor and vestibular tests. Electronystagmography is an important test done to evaluate patients with vertigo, dizziness, and balance problems. VNG is the most non-invasive, accurate, reliable, and affordable way of evaluating the vestibular and oculomotor systems.
Craniocorpography (CCG) is a neuro-otological investigation to evaluate the vestibulospinal reflex, which is responsible for the maintenance of balance during gait testing.
Top 10 tips for caring for someone with bppvAditi Arora
Vertigo is often easy to confuse with other illnesses that cause similar symptoms, & so, an accurate diagnosis is required for effective Vertigo treatment.
Medications Causing Dizziness - Let’s have a detailed insight into some of the most common vertigo medicines that are generally prescribed by doctors that causes dizziness in patients.
Common symptoms of vestibular disordersAditi Arora
The symptoms of the vestibular disorder may range from mild to severe and in some cases even remain persistent. It entirely depends on the severity of the condition.
What is Subjective visual vertical diagnosis test (SVV Test)? Aditi Arora
Millions of people around the world suffer from Vertigo. Vertigo arises out of a dis-balance in the inner ear nerves, resulting in dizziness, a spinning sensation, loss of balance, headache & nausea. The Vertigo test that can very accurately measure this dysfunction in the otolithic functioning is the Subjective Visual Vertical Test.
Labyrinthitis is an inflammation in the vestibular and the cochlear nerve, responsible for regulating the balance of the body and hearing. A short brief on what is Labyrinthitis? its Causes, Symptoms & treatments has been discussed.
if a person is experiencing repeated episodes of vertigo, seek medical advice immediately. An expert neurologist will diagnose the cause of vertigo and prescribe certain vertigo medicines to treat the underlying ailment.
Videonystagmography is also known as VNG, is a most advanced diagnostic test for a balance disorder. Individuals who feel dizzy and face difficulty in maintaining their balance and equilibrium should undergo the videonystagmography diagnostic test.
चक्कर आना आम तौर पर कुछ लोगों द्वारा ‘सिर घूमना’ के रूप में जाना जाता है।अक्सर चक्कर आना कुछ हफ्तों के बाद खुद सही हो जाता है और यदि नहीं होता है, तो गंभीर चक्कर आने पर चिकित्सक की सलाह लेना ज़रूरी है। यदि चक्कर आने के लक्षण गंभीर हैं, तो डॉक्टर आपको उपचार का सुझाव देंगे जिसमें लक्षणों के आधार पर दवाएँ, चिकित्सा, जीवनशैली में बदलाव, यहां तक कि सर्जरी भी शामिल हैं।
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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.
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
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.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
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.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
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!
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
3. A Perilymph Fistula can be described as a tear in
one of the membranes separating our middle &
inner ear. Our middle ear is filled with air, while
our inner ear, on the other hand, is filled with a
fluid called perilymph. The inner ear & the middle
ear are usually separated by thin membranes
called oval & round windows. In the event that
one or more of these membranes have a tear in
them, it causes perilymphatic fluid in the inner ear
to flow out into the middle ear.
4. This inadvertent fluid exchange creates a
difference in the fluid pressure of the inner ear.
The nerves & otolithic organs situated in our
inner ear are associated with maintaining our
balance while standing, walking, sitting, etc.
This difference in fluid pressure in the inner
ear leads to balance disorders & hearing
problems.
5. Perilymph Fistula symptoms include:
A feeling of fullness in your ear
Sudden hearing loss
Inconsistent hearing loss
Dizziness &/or Vertigo symptoms
Persistent, mild nausea
Temporary memory loss
Motion sickness
A feeling of unbalance, particularly to one side
Recurrent headaches
Persistent ringing in the ears
6. Perilymph Fistula symptoms can worsen when
you’re doing any of these things:
Experience altitude changes
Lift heavy things
Sneeze
Cough
Laugh
7. Some perilymph fistula patients don’t experience
any symptoms, while others show mild symptoms
that are hardly noticeable.
Some people report simply feeling somewhat ‘off’
& not ‘in tune’ with their bodies.
Although Perilymph Fistula only affects one ear at
a time, in certain cases, severe head trauma can
lead to bilateral perilymph fistulas in rare cases.
8. Perilymph Fistula can happen after you experience
certain head trauma or barotrauma(a condition
that involves extreme, rapid changes of pressure).
Several reasons lead to this pressure change; air
travel, childbirth, scuba diving, heavy lifting, etc.
9. Experiencing whiplash
Puncture in the eardrum
Being exposed to loud sounds like gunshots or
sirens, very close to your ear
Frequent, serious ear infections
Blowing your nose very hard
10. In some instances, Perilymph Fistula can also be
present in a patient since birth.
In some other cases, patients report developing
perilymph fistula cases spontaneously, without
any immediate or apparent cause.
A major cause for these spontaneous cases is
usually an old injury to the inner ear membranes,
which might not have caused any immediate
symptoms at the time of it happening.
11. Perilymph Fistula can be difficult to diagnose as a
standalone condition. Post-trauma symptoms such
as dizziness, headache, etc. can be linked to other
conditions like a traumatic brain injury with a
concussion.
Primary Perilymph Fistula symptoms also have a
lot of similarities to Meniere’s disease, a disorder
of the inner ear that causes balance disorders &
hearing loss among patients.
12. . It’s also easy to confuse its symptoms with
Vertigo, another vestibular disease that arises
out of a fluid disbalance in the inner ear &
causes dizziness, nausea, headache & a
spinning sensation among patients.
Read up more on Vertigo, its symptoms,
diagnosis & treatment in detail here.
13. It’s super important to ensure that your healthcare
provider gives you the correct diagnosis, as
Perilymph Fistula Treatment & treatments for
other vestibular conditions like Vertigo, Meniere’s
disease, etc. are different.
Healthcare providers will use a variety of
Perilymph Fistula tests to diagnose the causes of
Perilymph Fistula in a patient.
14. Hearing tests to ascertain the functionality of the
patient’s ears
Balance tests to determine the functioning of the inner
ear
CT Scans
MRI Scans
An electronystagmography test, also known as ENG
Test. The test looks at your inner ear activity in the
context of different sounds to determine if the fluid
pressure in your inner ear is abnormal,
Perilymph Fistula test that keeps track of your eye
movements while applying pressure to your external
auditory canals
15. Healthcare providers usually consider a
combination of your medical history & test results
to determine whether a patient is suffering from
Perilymph Fistula accurately. The confirmation
often comes from MRI &/or CT scans, sometimes
also with a surgical exploration of the affected
area.
16. Perilymph Fistula treatments vary according to the
symptoms you’re experiencing.
At the onset, your doctor might prescribe you
something as simple & primitive as bed rest &
activity-restriction for about 2-3 weeks to minimize
the effects of the symptoms.
If this approach helps your symptoms to subside &
leads to improvement in your condition, your
healthcare provider might continue with this line
of treatment.
17. If the above approach doesn’t work for you,
then your doctor might try a Perilymph Fistula
treatment called the Blood Patch Injection.
The Blood Patch Injection is a fairly new
treatment for Perilymph Fistula that involves
injecting your own blood into your middle ear
to help patch up the broken window
membrane between the inner ear & the middle
ear.
The Blood Patch Injection may also be used as a
first-line of Perilymph Fistula treatment in
some cases of Perilymph Fistula.
18. A 2016 research studied 12 Perilymph Fistula
patients, all of whom had been given the Blood
Patch Injection. The study recorded that all except
one of the patients responded positively to the
Blood Patch Injection, & showed improvement in
their conditions.
19. If both of the treatments mentioned above don’t
work, your doctor might recommend Perilymph
Fistula surgery to help ease your condition.
The surgery usually takes between 30-60 minutes,
during which your doctor lifts your eardrum
through your ear canal so tissue grafts can be
placed as a membrane between your inner ear &
middle ear.
Post-surgery, patients might experience a little
dizziness, which may last for up to three days.
20. After three initial days, the perilymph fistula
surgery recovery period begins, & you’ll soon be
able to experience normal ear functioning.
However, it’s important to remark that in certain
cases, even Perilymph Fistula surgery might not
improve or restore hearing loss in a patient,
congenital or post-traumatic.
These patients, however, might still experience
some relief from dizziness, headache & persistent
ringing, with the surgery restoring the fluid
pressure in their inner ear.
21. As part of the Perilymph Fistula surgery recovery
period, you’re required to take absolute bed rest
for three days immediately succeeding the
surgery.
You’ll also be directed by your doctor to adhere to
these few rules for faster post-surgery recovery:
Avoid lifting objects heavier than 10 pounds,
Avoid activities that could possibly cause
strain to your nerves, like diving, rock
climbing, marathon running, lifting weights,
etc.
Sleep with your head elevated to maintain
proper fluid pressure in the inner ear.
22. You’ll need to stick to these guidelines for at least
the next several weeks to a month & sometimes,
even more, post your Perilymph Fistula surgery.
The recovery period for each individual differs
according to their condition & response to the
surgery, & is usually pegged at 1 month to a few
post-surgery.
It’s important to follow the guidelines laid out by
your healthcare provider strictly for the entire
duration of your post-surgery recovery period.
Otherwise, your Perilymph Fistula might not fully
heal.