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Symptoms and Signs of different Diseases in UrologyAbdullah Mohammad
油
How would you approach a Urological Patient? This presentation will tell you how to take a history and examination along with symptoms and common signs of different diseases in urology
Rectal bleeding has many potential causes, both minor and major. Minor bleeding may be due to hemorrhoids or fissures, while more severe bleeding requires emergency treatment. In cases of massive bleeding, initial steps include admission to the hospital, insertion of IV lines, monitoring of vitals, and blood transfusions as needed to stabilize the patient. Further tests such as colonoscopy or angiography aim to locate the source of bleeding so it can be addressed through methods like cauterization or surgery. Surgical intervention may be needed if other measures do not stop severe or persistent bleeding.
The plantar reflex is an important superficial reflex that involves polysynaptic pathways. A normal plantar reflex results in flexion of the toes when the sole is scratched, while an extensor plantar response (Babinski's sign) involves dorsiflexion of the great toe and fanning of the other toes and suggests corticospinal tract dysfunction. There are several methods to elicit the plantar reflex and variations in responses provide information about neurological conditions.
This document provides information on varicose veins and their management. It discusses the anatomy of veins in the lower extremities, including superficial, deep and perforator veins. It describes the pathogenesis of varicose veins which involves valve incompetence and reflux of blood. Clinical features include pain, heaviness, cramps and complications like ulcers. Investigations include Doppler ultrasound, duplex scan and venography. Management involves conservative measures like compression stockings as well as invasive options like sclerotherapy and surgery. Sclerotherapy involves injecting sclerosing agents into veins to cause scarring and closure.
This document discusses radial nerve palsy, which is an injury to the radial nerve resulting in impaired nerve function and causing wrist drop. Wrist drop is the characteristic clinical sign where the wrist hangs flaccidly and cannot be extended. Causes of radial nerve palsy include sleeping with one's arm compressed (e.g. Saturday night palsy from falling asleep with one's arm on a chair or bar), compression from walking with a crutch (crutch palsy), or from another person sleeping on one's arm (honeymoon palsy). Radial nerve palsy results in weakness of wrist and finger extension and grip. Treatment involves reducing pain, increasing range of motion, and restoring
Tuberculosis of the hip joint is the second most common site of bone and joint TB after the spine. It typically affects people in their first three decades of life. The infection spreads from a primary focus such as the lungs to the hip joint via the bloodstream. It can initially involve different areas of the hip and pelvis before spreading to the joint. Patients present with hip pain, limping, and constitutional symptoms. Treatment involves anti-TB drugs along with rest, traction, and surgery if needed to address complications like joint destruction and deformity. Surgical options depend on the stage of disease and can include synovectomy, arthrodesis, osteotomy, or arthroplasty.
Deep Vein Thrombosis (DVT) is a blood clot that forms in the deep veins of the legs, thighs, pelvis or arms. Risk factors for DVT include immobilization, recent surgery or trauma, certain medications, and inherited or acquired hypercoagulability. Symptoms include leg pain, tenderness, swelling, warmth, and skin discoloration of one leg. Diagnosis is made through Doppler ultrasound, CT venography, or MRI imaging along with blood tests. Treatment involves anticoagulant drugs like heparin or warfarin to prevent pulmonary embolism and further clots.
The radial nerve innervates the extensor muscles of the forearm and hand. Damage to the radial nerve causes wrist drop where the patient is unable to extend the wrist and fingers, impairing grasping. Symptoms include pain, numbness, weakness of hand grip and drooping of the wrist and fingers. Diagnosis involves assessing range of motion, imaging tests and electrodiagnostic tests. Treatment depends on the underlying cause but may include medications, injections, bracing and physical therapy.
Deep vein thrombosis (DVT) is a blood clot that forms in the deep veins, usually of the legs. It can be asymptomatic or cause leg pain, swelling, warmth, and redness. Risk factors include prolonged bed rest, surgery, cancer, and inherited or acquired hypercoagulable states. Diagnosis involves the Wells criteria for pre-test probability followed by D-dimer testing and duplex ultrasound imaging of the legs. Treatment aims to prevent pulmonary embolism and includes bed rest, leg elevation, compression stockings, and anticoagulation medications like heparin or warfarin. Differential diagnoses include cellulitis, arthritis, and peripheral edema from other causes.
Thoracic outlet syndrome is caused by compression of the neurovascular structures in the thoracic outlet. It can be neurogenic, venous, or arterial in type. Key findings on examination include a positive Adson's test or Roos test. Imaging such as MRI, CT, and angiography can help in diagnosis. Treatment involves conservative measures initially followed by surgical decompression if symptoms persist, with procedures such as scalenectomy and first rib resection.
This document discusses varicoceles, which are abnormal dilations and tortuosity of the internal spermatic veins. It provides definitions, epidemiology, pathogenesis, diagnosis, associated pathological processes like testicular hypotrophy, and effects on semen quality. Key points include that varicoceles are more common on the left side and prevalence increases with infertility. Causes involve increased venous pressure and valvular incompetence. Diagnosis involves physical exam and ultrasound to assess reflux and testicular size. Associated issues involve hypotrophy, though catch-up growth may occur after repair, and effects on semen quality are unclear in adolescents.
Varicose veins are swollen, enlarged veins that often appear blue or dark purple. They commonly occur in the legs but can affect other areas. Varicose veins are very common, affecting up to 30% of the UK adult population. While the exact cause is unknown, factors like family history, age, pregnancy, obesity, and standing for long periods can increase risk. Treatment options range from compression stockings and elevation for mild cases to invasive procedures like surgery or ablation techniques for more severe cases. The main risks of invasive treatments are nerve damage, which occurs in 8-40% of cases depending on the procedure and location of veins.
Chronic venous insufficiency is a condition where the veins in the legs cannot pump enough blood back to the heart. It involves dilated, tortuous veins and valvular incompetence, mainly in the legs. Risk factors include age, gender, heredity, pregnancy, obesity, and prolonged standing or sitting. Symptoms include leg pain, swelling, skin changes like eczema or ulcers. Treatment options include compression therapy, sclerotherapy, and surgery to ligate or strip varicose veins.
The document discusses the blood supply of various bones. It describes the extracapsular arterial ring and ligamentum teres artery supplying the femoral head and neck. The epiphysis is supplied by the subsynovial intra-articular ring and medial/lateral epiphyseal arteries, while the metaphysis receives blood from the extracapsular ring and ascending cervical branches. The scaphoid, talus, and tarsal bones also receive blood supply from specific arteries in their regions.
1) A malleolar fracture is a break in the bony prominence on the lateral or medial side of the ankle.
2) The majority are unimalleolar or bimalleolar fractures, most commonly caused by a twisting injury of the ankle.
3) Classification systems like the Weber system categorize fractures based on their location and relationship to the ankle joint. Displaced or unstable fractures often require open reduction and internal fixation to heal properly.
This document discusses the spaces of the forearm and hand. It begins with an introduction explaining that fascial septa form potential spaces filled with loose connective tissue. These spaces are clinically significant as they can become infected and limit the spread of infection. It then lists and describes the various forearm and hand spaces in detail, including the forearm space of Parona, palmar spaces (thenar, midpalmar, web), dorsal spaces, and superficial pulp spaces of the fingers. It concludes with discussions of clinical correlations of infections in these spaces, such as paronychia, felon, and appropriate incision sites for abscess drainage.
The document describes the venous drainage system of the lower extremity, including the long saphenous vein (LSV), short saphenous vein (SSV), deep veins, and perforating veins. It provides details on the anatomy and course of the LSV and SSV. Surgical procedures for varicose veins are discussed such as ligation and stripping, ligation of incompetent perforators, and newer minimally invasive techniques like foam sclerotherapy, endovenous laser ablation, and radiofrequency ablation. Post-operative care and potential complications are also summarized.
This document discusses the examination of the hip joint. It outlines the traditional steps in examining the hip, including taking a history, inspecting for deformities, palpating for tenderness, and measuring range of motion. Special tests are also described, such as the Trendelenberg test to assess abduction weakness. A variety of hip conditions can be evaluated through clinical examination, including developmental dysplasia of the hip, Perthes disease, tuberculosis, and traumatic injuries. Proper examination of gait, identification of fixed deformities, and use of special tests remains an important orthopedic skill.
This document discusses varicose veins and their treatment options. It begins by describing the anatomy of varicose veins and their branches. It then discusses various surgical treatment options for varicose veins including stripping, endovenous laser therapy (EVLT), sclerotherapy, and hook phlebectomy. It provides details on the procedures, risks, post-operative care, and complications. In summary, it provides an overview of varicose vein anatomy and treatments through both invasive and non-invasive surgical procedures.
Rectal prolapse (Surgical anatomy of rectum, pathology and management0sunil kumar daha
油
Rectal prolapse involves the descending of the rectum through the anal canal. It can involve the inner mucosa alone (mucosal prolapse), or all layers of the rectal wall (full-thickness prolapse). Mucosal prolapse is more common in children, presents as less than 4cm of protrusion, and can be treated with injections or surgery. Full-thickness prolapse presents as a protrusion over 4cm, involves the entire rectal wall, and is more common in elderly females. Surgical treatment depends on the degree of prolapse but involves approaches to fixate and support the rectum.
This document provides an overview of deep vein thrombosis (DVT). It defines DVT as a blood clot forming in the deep veins of the legs or pelvis. The document outlines key aspects of DVT including epidemiology, anatomy, pathophysiology, risk factors, diagnosis, management, and complications. Diagnosis involves imaging tests like ultrasound and assessment of clinical prediction rules like the Wells criteria. Treatment aims to prevent dangerous complications such as pulmonary embolism, while management seeks to reduce long-term issues like post-thrombotic syndrome.
This document provides an overview of bladder anatomy, function, and bladder outlet obstruction. It describes the key parts of the bladder including relations to other organs. Normal micturition and factors that assist storage are explained. Causes of bladder outlet obstruction include anatomical and functional issues. Common symptoms include hesitancy, weak stream, and urinary tract infections. Investigations help locate the site of obstruction and assess kidney and bladder function.
This document provides guidance on clinical examination of the elbow joint. It describes the different approaches needed for traumatic versus non-traumatic conditions, as well as acute versus chronic injuries. The elbow is examined through inspection, palpation, range of motion testing, and special tests. Common injuries like tennis elbow, pulled elbow in children, and fractures are discussed. Key examination findings for conditions like cubitus varus, cubitus valgus, and myositis ossificans are also outlined.
This presentation discusses the diagnosis and management of anorectal abscesses. Key points include:
- Anorectal abscesses typically present with perianal pain, swelling, and drainage and are usually caused by a cryptoglandular infection.
- Differential diagnoses depend on associated symptoms and may include hemorrhoids, fistulas, or Crohn's disease.
- Evaluation involves examination, blood tests, and imaging studies.
- Treatment is early surgical drainage of the abscess to prevent complications like fistula formation or impairment of sphincter function. Postoperative care involves antibiotics, pain relief, and follow-up to monitor for healing or complications.
Systematic interpretation of shoulder MRI: DR. D. P. SWAMIDR. D. P. SWAMI
油
This document provides an overview of shoulder MRI interpretation and anatomy. It discusses the stabilizing structures of the shoulder joint including muscles like the rotator cuff and ligaments like the glenohumeral ligaments. Common injuries like rotator cuff tears, labral tears, and biceps tendon pathology are described. MRI techniques for imaging the shoulder in different planes are also outlined. The goal is to understand the anatomy and recognize abnormalities that can be seen on shoulder MRI.
Deep vein thrombosis (DVT) is a blood clot that forms in the deep veins, usually of the legs. It can be asymptomatic or cause leg pain, swelling, warmth, and redness. Risk factors include prolonged bed rest, surgery, cancer, and inherited or acquired hypercoagulable states. Diagnosis involves the Wells criteria for pre-test probability followed by D-dimer testing and duplex ultrasound imaging of the legs. Treatment aims to prevent pulmonary embolism and includes bed rest, leg elevation, compression stockings, and anticoagulation medications like heparin or warfarin. Differential diagnoses include cellulitis, arthritis, and peripheral edema from other causes.
Thoracic outlet syndrome is caused by compression of the neurovascular structures in the thoracic outlet. It can be neurogenic, venous, or arterial in type. Key findings on examination include a positive Adson's test or Roos test. Imaging such as MRI, CT, and angiography can help in diagnosis. Treatment involves conservative measures initially followed by surgical decompression if symptoms persist, with procedures such as scalenectomy and first rib resection.
This document discusses varicoceles, which are abnormal dilations and tortuosity of the internal spermatic veins. It provides definitions, epidemiology, pathogenesis, diagnosis, associated pathological processes like testicular hypotrophy, and effects on semen quality. Key points include that varicoceles are more common on the left side and prevalence increases with infertility. Causes involve increased venous pressure and valvular incompetence. Diagnosis involves physical exam and ultrasound to assess reflux and testicular size. Associated issues involve hypotrophy, though catch-up growth may occur after repair, and effects on semen quality are unclear in adolescents.
Varicose veins are swollen, enlarged veins that often appear blue or dark purple. They commonly occur in the legs but can affect other areas. Varicose veins are very common, affecting up to 30% of the UK adult population. While the exact cause is unknown, factors like family history, age, pregnancy, obesity, and standing for long periods can increase risk. Treatment options range from compression stockings and elevation for mild cases to invasive procedures like surgery or ablation techniques for more severe cases. The main risks of invasive treatments are nerve damage, which occurs in 8-40% of cases depending on the procedure and location of veins.
Chronic venous insufficiency is a condition where the veins in the legs cannot pump enough blood back to the heart. It involves dilated, tortuous veins and valvular incompetence, mainly in the legs. Risk factors include age, gender, heredity, pregnancy, obesity, and prolonged standing or sitting. Symptoms include leg pain, swelling, skin changes like eczema or ulcers. Treatment options include compression therapy, sclerotherapy, and surgery to ligate or strip varicose veins.
The document discusses the blood supply of various bones. It describes the extracapsular arterial ring and ligamentum teres artery supplying the femoral head and neck. The epiphysis is supplied by the subsynovial intra-articular ring and medial/lateral epiphyseal arteries, while the metaphysis receives blood from the extracapsular ring and ascending cervical branches. The scaphoid, talus, and tarsal bones also receive blood supply from specific arteries in their regions.
1) A malleolar fracture is a break in the bony prominence on the lateral or medial side of the ankle.
2) The majority are unimalleolar or bimalleolar fractures, most commonly caused by a twisting injury of the ankle.
3) Classification systems like the Weber system categorize fractures based on their location and relationship to the ankle joint. Displaced or unstable fractures often require open reduction and internal fixation to heal properly.
This document discusses the spaces of the forearm and hand. It begins with an introduction explaining that fascial septa form potential spaces filled with loose connective tissue. These spaces are clinically significant as they can become infected and limit the spread of infection. It then lists and describes the various forearm and hand spaces in detail, including the forearm space of Parona, palmar spaces (thenar, midpalmar, web), dorsal spaces, and superficial pulp spaces of the fingers. It concludes with discussions of clinical correlations of infections in these spaces, such as paronychia, felon, and appropriate incision sites for abscess drainage.
The document describes the venous drainage system of the lower extremity, including the long saphenous vein (LSV), short saphenous vein (SSV), deep veins, and perforating veins. It provides details on the anatomy and course of the LSV and SSV. Surgical procedures for varicose veins are discussed such as ligation and stripping, ligation of incompetent perforators, and newer minimally invasive techniques like foam sclerotherapy, endovenous laser ablation, and radiofrequency ablation. Post-operative care and potential complications are also summarized.
This document discusses the examination of the hip joint. It outlines the traditional steps in examining the hip, including taking a history, inspecting for deformities, palpating for tenderness, and measuring range of motion. Special tests are also described, such as the Trendelenberg test to assess abduction weakness. A variety of hip conditions can be evaluated through clinical examination, including developmental dysplasia of the hip, Perthes disease, tuberculosis, and traumatic injuries. Proper examination of gait, identification of fixed deformities, and use of special tests remains an important orthopedic skill.
This document discusses varicose veins and their treatment options. It begins by describing the anatomy of varicose veins and their branches. It then discusses various surgical treatment options for varicose veins including stripping, endovenous laser therapy (EVLT), sclerotherapy, and hook phlebectomy. It provides details on the procedures, risks, post-operative care, and complications. In summary, it provides an overview of varicose vein anatomy and treatments through both invasive and non-invasive surgical procedures.
Rectal prolapse (Surgical anatomy of rectum, pathology and management0sunil kumar daha
油
Rectal prolapse involves the descending of the rectum through the anal canal. It can involve the inner mucosa alone (mucosal prolapse), or all layers of the rectal wall (full-thickness prolapse). Mucosal prolapse is more common in children, presents as less than 4cm of protrusion, and can be treated with injections or surgery. Full-thickness prolapse presents as a protrusion over 4cm, involves the entire rectal wall, and is more common in elderly females. Surgical treatment depends on the degree of prolapse but involves approaches to fixate and support the rectum.
This document provides an overview of deep vein thrombosis (DVT). It defines DVT as a blood clot forming in the deep veins of the legs or pelvis. The document outlines key aspects of DVT including epidemiology, anatomy, pathophysiology, risk factors, diagnosis, management, and complications. Diagnosis involves imaging tests like ultrasound and assessment of clinical prediction rules like the Wells criteria. Treatment aims to prevent dangerous complications such as pulmonary embolism, while management seeks to reduce long-term issues like post-thrombotic syndrome.
This document provides an overview of bladder anatomy, function, and bladder outlet obstruction. It describes the key parts of the bladder including relations to other organs. Normal micturition and factors that assist storage are explained. Causes of bladder outlet obstruction include anatomical and functional issues. Common symptoms include hesitancy, weak stream, and urinary tract infections. Investigations help locate the site of obstruction and assess kidney and bladder function.
This document provides guidance on clinical examination of the elbow joint. It describes the different approaches needed for traumatic versus non-traumatic conditions, as well as acute versus chronic injuries. The elbow is examined through inspection, palpation, range of motion testing, and special tests. Common injuries like tennis elbow, pulled elbow in children, and fractures are discussed. Key examination findings for conditions like cubitus varus, cubitus valgus, and myositis ossificans are also outlined.
This presentation discusses the diagnosis and management of anorectal abscesses. Key points include:
- Anorectal abscesses typically present with perianal pain, swelling, and drainage and are usually caused by a cryptoglandular infection.
- Differential diagnoses depend on associated symptoms and may include hemorrhoids, fistulas, or Crohn's disease.
- Evaluation involves examination, blood tests, and imaging studies.
- Treatment is early surgical drainage of the abscess to prevent complications like fistula formation or impairment of sphincter function. Postoperative care involves antibiotics, pain relief, and follow-up to monitor for healing or complications.
Systematic interpretation of shoulder MRI: DR. D. P. SWAMIDR. D. P. SWAMI
油
This document provides an overview of shoulder MRI interpretation and anatomy. It discusses the stabilizing structures of the shoulder joint including muscles like the rotator cuff and ligaments like the glenohumeral ligaments. Common injuries like rotator cuff tears, labral tears, and biceps tendon pathology are described. MRI techniques for imaging the shoulder in different planes are also outlined. The goal is to understand the anatomy and recognize abnormalities that can be seen on shoulder MRI.
Radiological evaluation of TKR by Dr. D. P. SwamiDR. D. P. SWAMI
油
(1) Pre-operative radiological assessment of the knee for total knee replacement includes AP, lateral, skyline, and full leg radiographs to evaluate alignment, joint spacing, patellar height, and leg length discrepancies.
(2) MRI may also be used pre-operatively to assess the integrity of menisci and ligaments.
(3) Post-operative assessment methods were not discussed in detail in the document.
The document provides an overview of the Ilizarov ring fixator, including its history, principles, instrumentation, operative techniques, and post-operative management. Some key points:
- The Ilizarov ring fixator was developed in the 1950s in Russia by Gavril Abramovich Ilizarov to treat difficult bone fractures and deformities. It uses a circular external fixator frame connected to bone with wires.
- The fixator works based on the principle of distraction osteogenesis, where bone segments are gradually separated and new bone grows in between.
- Key components of the fixator include rings, wires, rods, nuts, and other connectors. Proper positioning and tensioning of components
Kite String Injury Causing a Complete Tear of the TendoachillesDR. D. P. SWAMI
油
A 62-year-old man sustained a complete tear of his tendoachilles from a kite string injury while walking. His foot got entangled in the barely visible kite string coated with glass powder as a bicycle passed by. He underwent surgical repair of the tendon using the Krackow technique. At one-year follow-up, he had good strength in plantar flexion and normal ankle range of motion. This case report highlights the rare but serious potential injuries that can occur from kite strings, and the need to increase awareness of risks and consider regulations.
Club foot, or congenital talipes equinus varus, is a complex three-dimensional deformity of the foot with four main components: equinus, varus, adductus, and cavus. It has an incidence of about 1 in 1,000 live births. Treatment involves serial manipulation and casting, most commonly using the Ponseti method, with the goal of correcting all deformity components to achieve a functional, plantigrade foot. Maintenance treatment with a foot abduction brace is also required to prevent recurrence of the deformity. Surgery may be needed for resistant, relapsed, or neglected clubfoot cases and involves soft tissue releases to address all pathological structures.
1. Spinal injuries can range from stable compression fractures to unstable fracture-dislocations that involve failure of multiple spinal columns. A thorough history, physical exam, and imaging are needed to classify the injury and spinal stability.
2. Key considerations in management include immobilization to prevent further injury, intravenous fluids, medications like corticosteroids, and prompt referral to a spinal specialist. Complications can include neurological deficits, pressure sores, DVT, and respiratory issues.
3. Complete injuries result in total loss of motor and sensory function below the level of injury, while incomplete injuries involve a mixed or partial neurological picture. Grading systems like ASIA are used to document deficits and guide prognosis.
Principles of splints and casts in orthopaedics by Dr. D. P. SwamiDR. D. P. SWAMI
油
Principles of splints/slabs and casts in orthopaedics. historical perspective, technique of slab/cast application, indications/ contraindications, care of slab/cast
External fixation is used for definitive or temporary treatment of fractures. It has advantages of being minimally invasive and flexible, but disadvantages include potential pin site infections, inadequate immobilization, and soft tissue complications. Key components are pins, clamps, and connecting rods or rings. Pins must be carefully placed to avoid neurovascular injury and ensure stability. Frame construction and pin placement principles maximize stability and load sharing to promote fracture healing. Conversion to internal fixation is generally safe if done within 2-3 weeks to prevent pin track infections from compromising outcomes.
Damage control orthopaedics (DCO) is a strategy that focuses on temporary stabilization of major orthopaedic injuries in polytrauma patients who are physiologically unstable. The goals of DCO are to control haemorrhage, provisionally stabilize fractures, and minimize surgical insult. This is achieved through early external fixation followed by delayed definitive treatment once the patient is resuscitated. While early total care aimed for early definitive fixation, studies found this increased complications in unstable patients. DCO follows a staged approach using minimal fixation initially to stabilize the patient, allowing resuscitation before further treatment.
This document provides an overview of the history and development of orthopedics. It discusses how the field originated from treating bone and joint disorders in ancient civilizations. Key events and figures mentioned include Hippocrates describing fracture treatments in ancient Greece, advances during the Roman era, and developments during the Middle Ages. The modern era saw major breakthroughs in surgery, devices, and treatment of infections. Important orthopedic pioneers highlighted are Hugh Owen Thomas, regarded as the Father of Orthopedic Surgery in Britain, and Robert Jones, considered the Father of Modern Orthopedic Surgery. The document also reviews orthopedic subspecialties and orthopedic terminology.
Knee mri: systematic interpretation by dr. d. p. swamiDR. D. P. SWAMI
油
This document discusses the systematic interpretation of MRI of the knee. It recommends that T1-weighted or proton density images should be performed in the sagittal and coronal planes to assess anatomy, while T2-weighted images using fat saturation or STIR techniques should be used to evaluate pathology. Direct signs of ACL disruption on MRI include discontinuity of fibers, abnormal slope, or nonvisualization of the ligament. Indirect signs include bone contusions, a deep sulcus sign on the lateral femoral condyle, and a Segond fracture of the lateral tibial plateau. The document provides additional details on interpreting MRI findings for various structures of the knee.
1. The document discusses different types and purposes of triage. Triage is used to prioritize patient treatment during mass casualty events based on urgency of conditions. It aims to allocate patients to the most appropriate care provider and area to maximize lives saved.
2. Primary triage is done in the field to classify patients into categories of urgent need. Secondary triage in the ED further evaluates patients and assigns color codes. Tertiary triage by specialists determines who needs emergency surgery or ICU care.
3. The triage process involves classifying patients into categories of red (most urgent), yellow, green, or black (deceased) based on injury severity and prognosis to direct patients to the right level
TRAUMATOLOGY OF LOWER LIMB WITH MECHANISM OF INJURY, CLASSIFICATION, RADIOLOGY, NON OPERATIVE/ OPERATIVE TREATMENT, POTENTIAL PROBLEMS AND PREVENTIVE MEASURES
Dr. Vincenzo Giordano began his medical career 2011 at Aberdeen Royal Infirmary in the Department of Cardiothoracic Surgery. Here, he performed complex adult cardiothoracic surgical procedures, significantly enhancing his proficiency in patient critical care, as evidenced by his FCCS certification.
Chair and Presenters Sara A. Hurvitz, MD, FACP, Carey K. Anders, MD, FASCO, and Vyshak Venur, MD, discuss metastatic HER2-positive breast cancer in this CME/NCPD/CPE/AAPA/IPCE activity titled Fine-Tuning the Selection and Sequencing of HER2-Targeting Therapies in HER2-Positive MBC With and Without CNS Metastases: Expert Guidance on How to Individualize Therapy Based on Latest Evidence, Disease Features, Treatment Characteristics, and Patient Needs and Preferences. For the full presentation, downloadable Practice Aids, and complete CME/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/4f8sUs7. CME/NCPD/CPE/AAPA/IPCE credit will be available until March 2, 2026.
Stability of Dosage Forms as per ICH GuidelinesKHUSHAL CHAVAN
油
This presentation covers the stability testing of pharmaceutical dosage forms according to ICH guidelines (Q1A-Q1F). It explains the definition of stability, various testing protocols, storage conditions, and evaluation criteria required for regulatory submissions. Key topics include stress testing, container closure systems, stability commitment, and photostability testing. The guidelines ensure that pharmaceutical products maintain their identity, purity, strength, and efficacy throughout their shelf life. This resource is valuable for pharmaceutical professionals, researchers, and regulatory experts.
Presentaci坦 que va acompanyar la demostraci坦 prctica de metge d'Innovaci坦 Jos辿 Ferrer sobre el projecte Benestar de BSA, nom d'IDIAP Pere Gol, el 5 de mar巽 de 2025 a l'estand de XarSMART al Mobible Word Congress.
Rabies Bali 2008-2020_WRD Webinar_WSAVA 2020_Final.pptxWahid Husein
油
A decade of rabies control programmes in Bali with support from FAO ECTAD Indonesia with Mass Dog Vaccination, Integrated Bite Case Management, Dog Population Management, and Risk Communication as the backbone of the programmes
Creatines Untold Story and How 30-Year-Old Lessons Can Shape the FutureSteve Jennings
油
Creatine burst into the public consciousness in 1992 when an investigative reporter inside the Olympic Village in Barcelona caught wind of British athletes using a product called Ergomax C150. This led to an explosion of interest in and questions about the ingredient after high-profile British athletes won multiple gold medals.
I developed Ergomax C150, working closely with the late and great Dr. Roger Harris (1944 2024), and Prof. Erik Hultman (1925 2011), the pioneering scientists behind the landmark studies of creatine and athletic performance in the early 1990s.
Thirty years on, these are the slides I used at the Sports & Active Nutrition Summit 2025 to share the story, the lessons from that time, and how and why creatine will play a pivotal role in tomorrows high-growth active nutrition and healthspan categories.
The course covers the steps undertaken from tissue collection, reception, fixation,
sectioning, tissue processing and staining. It covers all the general and special
techniques in histo/cytology laboratory. This course will provide the student with the
basic knowledge of the theory and practical aspect in the diagnosis of tumour cells
and non-malignant conditions in body tissues and for cytology focusing on
gynaecological and non-gynaecological samples.
Acute & Chronic Inflammation, Chemical mediators in Inflammation and Wound he...Ganapathi Vankudoth
油
A complete information of Inflammation, it includes types of Inflammation, purpose of Inflammation, pathogenesis of acute inflammation, chemical mediators in inflammation, types of chronic inflammation, wound healing and Inflammation in skin repair, phases of wound healing, factors influencing wound healing and types of wound healing.
1. Explain the physiological control of glomerular filtration and renal blood flow
2. Describe the humoral and autoregulatory feedback mechanisms that mediate the autoregulation of renal plasma flow and glomerular filtration rate