Abruptio Placenta.pptx
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Abruptio placenta is premature separation of a normally situated placenta, which can cause vaginal bleeding. It has three types - revealed, concealed, and mixed. Risk factors include hypertension, smoking, trauma, cocaine use, anticoagulation, and others. Clinically, it presents with abdominal pain, vaginal bleeding, and uterine contractions. Diagnosis involves assessing blood loss, fetal maturity, and testing coagulation. Management depends on gestational age and severity of bleeding, and may involve induction of labor, Cesarean section, or conservative treatment. Complications for both mother and baby can be life-threatening without proper care.
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Placental abruption is a form of antepartum hemorrhage characterized by the premature separation of the placenta from the uterine wall, which can be complete, partial, or marginal, and comes in revealed, concealed, and mixed types. Risk factors include high gravida, maternal age, poor socio-economic status, hypertension, trauma, and certain medical conditions. Management involves prevention of known factors, monitoring, and potentially immediate delivery depending on the severity and clinical features.obstetric 1 antinatal care for midwifery].pdf
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1. Antepartum hemorrhage (APH) refers to bleeding from the genital tract during pregnancy after viability (24 weeks) and before labour. It affects 4% of pregnancies and is a medical emergency due to risks of fetal and maternal morbidity and mortality.
2. The two main causes of APH are placenta previa and abruption placentae. Placenta previa is when the placenta implants in the lower uterine segment, partially or fully covering the cervical os. Abruptio placentae is the premature separation of a normally implanted placenta.
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Dr. Seth A. Eidemiller is a board-certified emergency physician whose professional journey began on a fourth-generation dairy farm in Idaho. Early on, he gained experience through farming, wildfire suppression, and construction work, which gave him a strong foundation in practical skills and resilience. After completing degrees in International Studies and Spanish, he returned to Boise to fulfill the prerequisites for medical school and study laboratory sciences. He then attended the University of Nevada, Reno School of Medicine, and continued his training with a residency in emergency medicine in Fresno. Today, he serves as Vice Chair of the Chico Emergency Medicine Physician Group.Aspirin powder or Acetyl salicylic acid powder.docx
Aspirin powder or Acetyl salicylic acid powder.docxkopalsharma85
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pharmacy exercise on aspirin powderIrradiation to prevent TA-GvHD by Dr. Abrar Kabir Shishir.pptx
Irradiation to prevent TA-GvHD by Dr. Abrar Kabir Shishir.pptxAbrarKabir3
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This presentation discusses the role of irradiation in preventing transfusion-associated graft-versus-host disease (TA-GvHD). Covers pathophysiology, risk factors, investigation, prevention strategies, and irradiation procedures. Includes visuals and real-life context from Dhaka Medical College.5-Lift Analysis in ergonomics focuses on evaluating the safety and efficienc...
5-Lift Analysis in ergonomics focuses on evaluating the safety and efficienc...Bolan University of Medical and Health Sciences ,Quetta
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Lift Analysis in ergonomics focuses on evaluating the safety and efficiency of manual lifting tasks in the workplace. It involves assessing the physical demands placed on the human body during lifting activities to prevent musculoskeletal disorders (MSDs), particularly lower back injuriesComprehensive Guide on Adsorption and Partition Chromatography Techniques
Comprehensive Guide on Adsorption and Partition Chromatography TechniquesSajini
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This presentation provides an in-depth overview of chromatography, focusing on adsorption and partition chromatography. It covers the principles, methodologies, types, classification, column preparation, detection methods, advantages, disadvantages, and pharmaceutical applications. A useful resource for pharmacy students and professionals in pharmaceutical chemistry.
Anti-Infective Agents: Classification, Uses & Formulations Detailed Guide to...
Anti-Infective Agents: Classification, Uses & Formulations Detailed Guide to...Sajini
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This presentation covers various classes of anti-infective agents including antifungal, antiviral, antitubercular, antimalarial, urinary tract anti-infectives, and sulphonamides. It provides classification, properties, storage conditions, uses, brand names, and pharmaceutical formulations of each drug. Ideal for pharmacy, nursing, and medical students preparing for pharmacology and mediciINTERPRETATION OF LABORATORY INVESTIGATIONS.pptx
INTERPRETATION OF LABORATORY INVESTIGATIONS.pptxEliLawluvi
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THE DOCUMENT SUMMARIZES THE KEY COMPONENTS OF INTERPRETING FULL BLOOD CUNTMindfull Midwives: MENTAL WELLBEING OF MIDWIVES FOR BETTER FOR RESPECTFUL MAT...
Mindfull Midwives: MENTAL WELLBEING OF MIDWIVES FOR BETTER FOR RESPECTFUL MAT...LaxmiDeshpande6
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Midwifery practioners should be mindful while caring of mother at all stages like antenatal, postnatal ,during delivery , care of baby.Mastering the Review Article: Structure, Strategy & Success
Mastering the Review Article: Structure, Strategy & SuccessRajendra Dev Bhatt
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A scoping search identified various types of review articles. For this training, most common types were selected, highlighting their key features, strengths, weaknesses, and uses.Yoga Postures to Practice for Holistic (Physical, Mental, and Cognitive) Well...
Yoga Postures to Practice for Holistic (Physical, Mental, and Cognitive) Well...Bhoj Raj Singh
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An ancient System for holistic health (mental and physical) and wellbeing, is a scientific art of living with harmony (connecting) of mind and body. Although much more ancient than Patanjali, who documented yoga systematically about 2000 years ago, Patanjali is often referred to as the "father of modern yoga."
Yoga postures are commonly depicted in ancient paintings, carvings, and sculptures in almost all civilizations and religions, thus Yoga cant be described as an act of Hinduism. It originated long before any religion on Earth, with the emergence of life on the Planet. All yoga poses are natural, and what is not natural is not yoga; it is油Viyoga.
Besides Vedic Yoga, Hatha, Vinyasa, Ashtanga, Iyengar, Yin, Restorative, Kundalini, Bikram, Sahaj, and Power yoga are some popular types.
Vinyasa油Yoga is the closest form to Vedic Yoga; it is known for its flowing movements, not very rigorous, not too much straining, actions flow with the breath.
Though all yoga may lead to meditation (Dhyan) for your inner upliftment, it is not the same as described in Hinduism for self-liberation.
In Hinduism, different paths of life looking distinct but can be practiced all together, they are: Karma Yoga (selfless action and service), Bhakti Yoga (devotion and love for God or Godly power), Jnana (Gyan) Yoga (gaining knowledge for self-realization through wisdom), Dhyan Yoga (meditation) and Kriya Yoga (optimum utilization of your vital and muscular energy).油
Updates_in Head__Neck TNM staging- 9th edition.pptx
Updates_in Head__Neck TNM staging- 9th edition.pptxDr. Maroti Wadewale
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The Union for International Cancer Control (UICC) and the American Joint Committee on Cancer (AJCC) collaborate closely to produce the globally recognized TNM Classification of Malignant Tumours. Therefore, when discussing the "9th edition of UICC head and neck staging," it's largely in alignment with the updates introduced by the AJCC's Version 9. The UICC's TNM Core Committee finalized the 9th edition of the TNM Classification, with publication anticipated in August 2025.
The key updates for head and neck cancers in the 9th edition (or Version 9) reflect an ongoing effort to improve prognostic accuracy and align staging with contemporary clinical understanding and treatment outcomes. Here are the significant changes, particularly those relevant to head and neck:
* Emphasis on Personalized Care and Prognostic Refinements: The 9th edition reflects a greater focus on personalized care, incorporating refinements that aim to better predict patient outcomes.
* Revised Criteria for Specific Head and Neck Cancers:
* Nasopharyngeal Carcinoma (NPC): This site has seen substantial revisions, as highlighted in the previous response on AJCC updates. Key changes include:
* More precise definition of T3 disease (unequivocal evidence of bone involvement).
* Introduction of advanced radiologic extranodal extension (ENE) as an N3 criterion. This acknowledges the prognostic impact of ENE seen on imaging.
* Subclassification of M1 disease into M1a (3 or fewer metastatic lesions) and M1b (more than 3 lesions) to better stratify prognosis in metastatic settings.
* Redefined Stage Groups for NPC, with T1-2N0-1 now often falling into Stage I, and Stage IV being exclusively for metastatic disease, further subdivided by the M1a/M1b categories.
* Salivary Gland Cancers: Revised criteria based on updated imaging and anatomical features are being incorporated.
* HPV-Related Oropharyngeal Cancers: New staging is introduced for HPV-associated oropharyngeal cancers to better reflect their distinct biological behavior and prognosis, which is generally more favorable than HPV-negative oropharyngeal cancers. This often involves specific considerations for nodal burden.
* Integration of Imaging and Anatomical Features: The updates are grounded in recent evidence, incorporating insights from advanced imaging techniques and a deeper understanding of anatomical spread.
* International Collaboration: These updates are the result of collaborative efforts between the AJCC and UICC, involving input from cancer registries, clinical outcomes data, and disease-specific experts worldwide. The goal is to provide a unified and globally applicable staging system.
* Dynamic Update Process: Similar to the AJCC's shift from "Editions" to "Versions" for specific sites, the UICC is also exploring more flexible ways to share future TNM updates.
In essence, the 9th edition of the UICC staging system for head and neck cancers, particularly in areas like NPC and HPVGAIT in Biomechanics along with abnormal gait
GAIT in Biomechanics along with abnormal gaitNerusu sai priyanka
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Gait , ab normal gait,normal biomechanics,pathomechanics of gait,unilateral stance,factors affectoing gait HEMOLYTIC ANEMIA - thalassemia, AIHA, and NACP
HEMOLYTIC ANEMIA - thalassemia, AIHA, and NACPSSIMS & RC
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Competency based classes for MBBS students.. Pharmaceutical Agents Acting on the Gastrointestinal Tract (GIT)
Pharmaceutical Agents Acting on the Gastrointestinal Tract (GIT)Sajini
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This presentation provides a detailed overview of gastrointestinal (GIT) agents used in pharmaceutical practice, including antacids, acidifying agents, cathartics, protectives, and adsorbents. It covers classification, mechanisms, properties, uses, and common brand names. Ideal for pharmacy students and healthcare professionals.A Day in the Life of an Immunologist.pptx
A Day in the Life of an Immunologist.pptxClinical Immunology Laboratory, HMRUO, Oran.
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My day usually begins with a short team meeting.
Then I move into the lab
To study how the immune system reacts...
Then I move into the clinic
After the lab, the clinic
I return to my office
Another part of my job is teaching. Inside the hospital and outside
Communication is also part of my job.
Another wonderful aspect of my life..
clinical studies
In the afternoons or evenings,
I often work on academic writing.
Special Research Contribution:
Special Research Contribution:
Ratricharya according to ayurveda along with day and night pattern in various...
Ratricharya according to ayurveda along with day and night pattern in various...DR DHARMENDRA BINJHWAR
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This slide are more importents for ayurveda students and teachers because i have mentioned in this slide night time routine in ayurveda the ancient science of India along with day and night pattern in various counteries within in one ppt. thanks for watching i will be greatful for your suggestion and feedback... please like share and suppourt5-Lift Analysis in ergonomics focuses on evaluating the safety and efficienc...
5-Lift Analysis in ergonomics focuses on evaluating the safety and efficienc...Bolan University of Medical and Health Sciences ,Quetta
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Ratricharya according to ayurveda along with day and night pattern in various...
Ratricharya according to ayurveda along with day and night pattern in various...DR DHARMENDRA BINJHWAR
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Abruptio Placenta.pptx
- 2. Defination A form of antepartum haemorrhage where the bleeding occurs due to premature separation of normally situated placenta
- 3. Different Types 1. revealed type- bloodinsinuate downwards between the membrane and decidua and blood comes out of cervical cannal to be visible externally , commonest type 2.concealed type- the blood is collected behind the separated placenta or collected in between the membrane and decidua, the blood is not visible outside 3.mixed type
- 4. Risk factors for placenta abrupction Hypertension, PE Smoking Trauma to abdomen Crack cocaine usage Anticoagulant therapy Polyhydramnios Low socialeconomic class IUGR Folate deficiency multipara
- 5. Clinical presentation -Classsical presentation is abdominal pain, vaginal bleeding and uterine contraction - Depend on degree of separation, speed of separation and type - Tense and tender uterus - Tachycardia and hypotension out of proportion to vaginal bleeding - Renal compromise - Coagulation disorder, possibly DIC
- 6. Revealed type Shock = amt of blood loss Pallor= amt of blood loss HOF = period of gestation Tenderness- localized Fetal parts- easily felt FHS- usually present Urine out put- usually normal Concealed type Out of proportion Severe and out of proportion More and globular Tense tender and rigid difficult to feel Usually absent Usually reduced
- 7. revealed Symptom Abdominal discomfort or pain followed by bleeding Lab investigation Coagulation profile- usually normal Urine protine- may be absent USS no retroplacenta clot concealed Acute intense pain followed by vaginal bleeding Pain may be continuous PE may be present CT prolonged, increased FDP , reduced platelet , decreased fibrinogen Usually present Usually present
- 9. Management outline Assessment of amount of blood loss,maturity, in labour or not Ressussitative meassure Investigation- urine protine, Hb%, grouping and matching, coagulation profile Blood transfusion if necessary
- 10. If in labour Arm and oxytocin to acclerate labour If not in labour, >38weeks-ARM +/- oxytocin <38 weeks- moderate to severe bleeding- induction +/- oxytocin -slight or stop bleeding- conservative treatment
- 11. Indication for CS Maternal distress and fetal distress at first stage FHS present at first stage Amniotomy failed to control bleeding Associated complicating factors FHS (-) but no progress of labour Fetus alive and if speedy vaginaldelivery is im possible
- 12. Active management of third stage and oxytocin infusion liberally Retroplcental clot must be noted Intake output chart
- 13. Complication of abruptio placenta Maternal Increased maternal mortality rate APH, PPH , shock Uterine rupture in concealed type Generalized coagulopathy,Decreased fibrinogenaemia, fibrinolysis DIC, sepsis Sheehans syndrome due to ischaemia of ptituitary
- 14. Fetal Increased fetal mortality Prematurity Fetal asphyxia IUFD