Suspected gastrinoma HY
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The patient presented with multiple stomach ulcers and thickened gastric folds. To check for a possible gastrinoma, doctors measured the patient's serum gastrin level after stopping proton pump inhibitor therapy for a week, and performed a secretin stimulation test. Based on the results, further testing was recommended to localize a gastrinoma.
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Appendicitis
Appendicitismahamed adam
油
1) Appendicitis is caused by obstruction of the appendix, usually by feces, leading to inflammation and swelling. Left untreated, it can rupture.
2) Symptoms include pain localized to the lower right abdomen, nausea, loss of appetite, and fever. Diagnosis is made through physical exam and imaging tests.
3) Treatment is surgical removal of the appendix (appendectomy). Without rupture, it can be performed laparoscopically. With rupture, an open procedure and drainage may be needed. Nursing focuses on pain relief, preventing infection, and maintaining fluid balance pre- and post-operatively.Case Presentation
Case Presentation EM OMSB
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1) A 25-year-old pregnant woman presented with severe lower abdominal pain for 1 day. On examination, she had tenderness all over her abdomen.
2) An ultrasound showed a right ovarian cyst. She underwent surgery where they found an enlarged right ovary with old blood.
3) She was diagnosed with a ruptured ovarian cyst and hospitalized. She recovered well and was discharged after 5 days.Pyloric stenosis
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Pyloric stenosis is a narrowing of the pylorus, the valve between the stomach and small intestine, causing projectile vomiting after feeding. It most commonly affects young male infants and is treated with surgery to widen the pylorus. Nursing care involves correcting dehydration pre-operatively through IV fluids and monitoring for complications like infection or persistent vomiting post-operatively.Presentation gastritis ppt
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Gastritis is an inflammation of the stomach lining that can be acute or chronic. Common symptoms include epigastric discomfort, abdominal bloating, vomiting, and nausea. Treatment involves medications to reduce stomach acid such as antacids, H2 blockers, and antibiotics if caused by H. pylori infection. Tests like upper endoscopy, blood tests, and stool tests can help diagnose gastritis. Lifestyle changes including a soft diet, fluids, rest, and avoiding irritants can help. Medications are also used to treat gastritis, including antibiotics, acid reducers, and antacids. Acute gastritis causes severe pain and comes on suddenly while chronic gastritis develops more slowlyGASTROESOPHAGEAL REFLUX DISEASE
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GERD is a chronic condition where gastric contents flow back into the esophagus due to a weak lower esophageal sphincter. Risk factors include hiatal hernia, obesity, medications, and smoking. Symptoms include heartburn, regurgitation, and dysphagia. Complications include esophagitis, strictures, asthma, and Barrett's esophagus which increases cancer risk. Treatment involves lifestyle modifications, antacids, H2 blockers, proton pump inhibitors, prokinetics, and sometimes Nissen fundoplication surgery.Gerd group
Gerd groupWyeth Alejandro
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The document discusses risk factors, nursing diagnoses, interventions, and management of gastroesophageal reflux disease (GERD). Key risk factors include obesity, smoking, hiatal hernia, and pregnancy. Common nursing diagnoses are anxiety, impaired nutrition, and risk for aspiration. Nursing interventions focus on lifestyle changes, positioning, and medication administration or surgery to treat GERD.Gas Pain And Constipation
Gas Pain And ConstipationAsst.Prof.Dr.Terdsak Rojsurakitti
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This document discusses the presentation, evaluation, and management of gas pain and constipation. It describes the symptoms as excruciating abdominal pain that is relieved by bowel movements or passing gas. Physical exams are typically benign. Diagnostic tests like abdominal x-rays may be considered if the presentation is unclear. Treatment involves relieving constipation, observing patients for 1-2 hours, and instructing them to return if symptoms do not improve in 12-24 hours. Chronic or recurrent symptoms may indicate conditions like irritable bowel disease.Vaccines during pregnancy HY
Vaccines during pregnancy HYRickettsia Rickettsii
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Vaccines during pregnancy are recommended for Tdap, inactive influenza, and Rho(D) immunoglobulin. Hepatitis B, hepatitis A, pneumococcus, haemophilus influenzae, meningococcus, and varicella-zoster immunoglobulin are indicated for high-risk patients. HPV, MMR, live attenuated influenza, and varicella are contraindicated during pregnancy.Urinary tract infection in children HY
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Urinary tract infections in children can be caused by female sex, uncircumcised males, anatomical defects, dysfunctional voiding, or constipation. Symptoms include dysuria, fever, and pain in the bladder area or back/flank. Diagnosis involves finding white blood cells and bacteria in the urine. Treatment is with antibiotic therapy and sometimes additional imaging tests.Uric acid kidney stones HY
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Noninvasive positive pressure ventilation (NPPV) is recommended for patients with severe COPD exacerbation, cardiogenic pulmonary edema, acute respiratory failure, postoperative hypoxemic respiratory failure, and immunosuppressed patients to facilitate early extubation. Contraindications for NPPV include medical instability such as cardiac or respiratory arrest, severe acidosis, acute respiratory distress syndrome, nonrespiratory organ failure, unstable cardiac arrhythmias or hemodynamic instability, encephalopathy, or gastrointestinal bleeding. Inability to protect the airway due to being uncooperative, agitated, or unable to clear secretions with a high aspiration risk are also contraindications. Mechanical issues like a recent esophageal anastomosis orManagement of endometriosis HY
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This document provides guidance on managing endometriosis. It lists symptoms that could indicate suspected endometriosis such as chronic pelvic pain, painful periods, painful sex, and painful bowel movements. For patients with suspected endometriosis, the document recommends considering over-the-counter pain relievers and birth control pills initially, and performing a laparoscopy if symptoms do not improve or if there are concerns about infertility, medical contraindications, need for diagnosis, or potential malignancy.Lung cancer HY
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Factors associated with a poor outcome after witnessed out-of-hospital sudden cardiac arrest include an initial rhythm of pulseless electrical activity or asystole, time elapsed prior to effective resuscitation through delayed bystander CPR or defibrillation, prolonged CPR lasting over 5 minutes, absence of vital signs after CPR, advanced age, prior history of cardiac disease, having two or more chronic illnesses, remaining in a coma after CPR, and developing pneumonia, renal failure, sepsis, stroke, or severe heart failure after receiving CPR.OBSESSIVE COMPULSIVE DISORDER.pptx IN 5TH SEMESTER B.SC NURSING, 2ND YEAR GNM...
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OBSESSIVE COMPULSIVE DISORDER INCLUDED TOPICS ARE INTRODUCTION, DEFINITION OF OBSESSION, DEFINITION OF COMPULSION, MEANING OF OBSESSION AND COMPULSION, DEFINITION OF OBSESSIVE COMPULSIVE DISORDER, EPIDERMIOLOGY OF OCD, ETIOLOGICAL FACTORS OF OCD, CLINICAL SIGN AND SYMPTOMS OF OBSESSION AND COMPULSION, MANAGEMENT INCLUDED PHARMACOTHERAPY(ANTIDEPRESSANT DRUG+ANXIOLYTIC DRUGS), PSYCHOTHERAPY, NURSING MANAGEMENT(ASSESSMENT+DIAGNOSIS+NURSING INTERVENTION+EVALUATION)) More Related Content
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Combination oral contraceptives can cause side effects like breakthrough bleeding, breast tenderness, nausea, bloating, and amenorrhea. They also carry risks such as hypertension, blood clots, and increased triglycerides. However, combination oral contraceptives decrease the risk of ovarian and endometrial cancers while increasing the risk of cervical cancer.Scurvy (vitamin c deficiency) HY
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June 25 ISSIP Event - slides in process
20250618 PPre-Event Presentation Summary - Progress Update with Board Series June 25
ISSIP Website Upcoming Events Description: https://issip.org/event/semi-annual-issip-progress-call/
Register here (even if you cannot attend live online, all who register will get link to recording and slides post-event): https://docs.google.com/forms/d/e/1FAIpQLSdThrop1rafOCo4PQkYiS2XApclJuMjYONEHRMGBsceRdcQqg/viewform
This pre-event presentation: /slideshow/june-2025-progress-update-with-board-call_in-process-pptx/280718770
This pre-event recording: https://youtu.be/Shjgd5o488o
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This presentation has been made keeping in mind the students of undergraduate and postgraduate level. In this slide try to present the brief history of Chaulukyas of Gujrat up to Kumarpala To keep the facts in a natural form and to display the material in more detail, the help of various books, websites and online medium has been taken. Whatever medium the material or facts have been taken from, an attempt has been made by the presenter to give their reference at the end.
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BLUF:
The Texas outbreak has slowed down, but sporadic cases continue to emerge in Kansas, Oklahoma, and New Mexico.
Elsewhere in the US, we continue to see signs of acceleration due to outbreaks outside the Southwest (North Dakota, Montana, and Colorado) and travel-related cases. Measles exposures due to travel are expected to pose a significant challenge throughout the summer.
The U.S. is on track to exceed its 30-year high for measles cases (1,274) within the next two weeks.
Here is the latest update:
CURRENT CASE COUNT: 919
Texas: 744 (+2) (55% of cases are in Gaines County).
New Mexico: 81 (83% of cases are from Lea County).
Oklahoma: 20 (+2)
Kansas: 74 (+5) (38.89% of the cases are from Gray County).
HOSPITALIZATIONS: 104
Texas: 96 (+2) This accounts for 13% of all cases in Texas.
New Mexico: 7 This accounts for 9.47% of all cases in New Mexico.
Kansas: 3 This accounts for 5.08% of all cases in the state of Kansas.
DEATHS: 3
Texas: 2 This is 0.27% of all cases in Texas.
New Mexico: 1 This is 1.23% of all cases in New Mexico.
US NATIONAL CASE COUNT: 1,197
INTERNATIONAL SPREAD
Mexico: 2337 (+257), 5 fatalities
Chihuahua, Mexico: 2,179 (+239) cases, 4 fatalities, 7 currently hospitalized.
Canada: 3,207 (+208), 1 fatality
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Dive into the powerful journey from Thoreaus 19thcentury essay to Gandhis mass movement, and discover how one mans moral stand became the backbone of nonviolent resistance worldwide. Learn how conscience met strategy to spark revolutions, and why their legacy still inspires todays social justice warriors. Uncover the evolution of civil disobedience. Dont forget to like, share, and follow for more deep dives into the ideas that changed the world.
M.A. Sem - 2 | Presentation
Presentation Season - 2
Paper - 108: The American Literature
Submitted Date: April 2, 2025
Paper Name: The American Literature
Topic: Thoreaus Influence on Gandhi: The Evolution of Civil Disobedience
[Please copy the link and paste it into any web browser to access the content.]
Video Link: https://youtu.be/HXeq6utg7iQ
For a more in-depth discussion of this presentation, please visit the full blog post at the following link: https://rajdeepbavaliya2.blogspot.com/2025/04/thoreau-s-influence-on-gandhi-the-evolution-of-civil-disobedience.html
Please visit this blog to explore additional presentations from this season:
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#CivilDisobedience #ThoreauToGandhi #NonviolentResistance #Satyagraha #Transcendentalism #SocialJustice #HistoryUncovered #GandhiLegacy #ThoreauInfluence #PeacefulProtest
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civil disobedience, Thoreau, Gandhi, Satyagraha, nonviolent protest, transcendentalism, moral resistance, Gandhi Thoreau connection, social change, political philosophyHow to Manage Different Customer Addresses in Odoo 18 Accounting
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The story revolves around a college student who despairs not having a red rose as a condition for dancing with the girl he loves. The nightingale hears his complaint and offers to create the red rose at the cost of his life. He sang a love song all night with his chest stuck to the thorns of the rose tree. Finally, the red rose grew, but his sacrifice was in vain. The girl rejected the flower because it didnt match her outfit and preferred a jewellery gift. The student threw the flower on the street and returned to studying philosophyCode Profiling in Odoo 18 - Odoo 18 際際滷s
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The document outlines the format for the Sports Quiz at Quiz Week 2024, covering various sports & games and requiring participants to Answer without external sources. It includes specific details about question types, scoring, and examples of quiz questions. The document emphasizes fair play and enjoyment of the quiz experience.Intellectual Property Right (Jurisprudence).pptx
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Intellectual property corresponds to ideas owned by a person or a firm and thus subjected to legal protection under the law.
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- 1. Suspected gastrinoma Endoscopy shows multiple stomach ulcers & thickened gastric folds Check serum gastrin level off PPI therapy for 1 week Secretin stimulation test No gastrinoma Check gastric pH off PPI therapy for 1 week No gastrinoma Further testing to localize gastrinoma >1000 pg/mL <110 pg/mL 110-1000 pg/mL Negative Positive pH>4 pH 4