50th secret of the world longest living life

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Best Practice Protocols Clinical Procedures Safety




 1. Ethics- Patient Consent 2. Record keeping 3. Operating Room (O.R.) 4. Hand Washing Techniques 5. Scrubbing and gowning 6. Prevention of Transmission of HIV 7. Infection Prevention and Universal Precautions 8. Waste disposal in clinical procedures at resource limited health care facility 9. Diagnosis of Labour 10. Diagnosis of vaginal bleeding in early pregnancy 11. Severe Pre-Eclampsia and Eclampsia 12. Eclampsia Management 13. Urinary Retention: Emergency Drainage 14. Caesarean Section 15. Check List Prior to inducing anaesthesia 16. Managing unexpected effects of a spinal anaesthetic 17. Postoperative management 18. Postoperative pain relief 19. Cardiac life support 20. Airway Management 

Anatomy of the Human Body





1. The Animal Cell 
2. The Ovum
3. The Spermatozoรถn 
4. Fertilization of the Ovum 5. Segmentation of the Fertilized Ovum 
6. The Neural Groove and Tube
7. The Notochord 
8. The Primitive Segments 
9. Separation of the Embryo 
10. The Yolk-sac
 11. Development of the Fetal Membranes and Placenta
 12. The Branchial Region
 13. Development of the Body Cavities 
14. The Form of the Embryo at Different Stages of Its Growth 

Pathophysiology of disease free download



Pathophysiology and Treatment of Human Diseases

Introduction 
Sir Thomas Willis is credited with the fi rst description of a patient with achalasia in 1674. Einhornin1888 hypothesized that the disease was due to the absence of opening of the cardia. Overthe pastthree centuries achalasia has emerged as an important model by which to understand the pathophysiology and therapy of motility disorders originating from defects of the enteric nervous system. It is the most extensively studied and readily treatable gastrointestinal motor disorder. This chapter reviews current concepts in achalasia, with emphasis on the pathophysiology and etiology of the disease. Specifi c secondary etiologies of achalasia are reviewed that provide insight into mechanisms responsible for the neurodegeneration that characterizes the disorder. Diffuse esophageal spasm, nutcracker esophagus and functional chest pain of presumed esophageal origin are also discussed, although there is limited evidence pointing to an enteric neural defect in these disorders

Abdominal Trauma

INTRODUCTION (TRAUMA) 

BLUNT TRAUMA

  •   Subdivision Mechanisms 
  •  Blast ( Pressure wave causes tissue disruption ) 
  •  Crush (Compression) Body is compressed between an object and a hard surface Direct injury of abdominal wall and internal structures 
  •  Deceleration Body in motion strikes a fixed object
Low Energy
  •  Arrows, knives, handguns
  •  Injury caused by direct contact
  •   cavitation
High Energy
  •  Military, hunting rifles & high powered hand guns
  •  Extensive injury due to high pressure cavitation












CEREBERAL ANEURYSM

Definition
A cerebral aneurysm occurs at a weak poin t in the wall of a blood vessel (artery) that supplies blood to the brain. Because of the flaw, the artery wall bulges outward and fills with blood. This bulge is called an aneurysm. An aneurysm can rupture, spilling blood into the surroun ding body tissue. A ruptured cerebral aneur ysm can cause permanent brain damage, disability, or death.

Symptom
  •  Headache 
  •  Vomiting 
  • Nausea 
  •  Facial pain 
  •  Alterations is consciousness 
  •  Seizures 
  •  Subarachnoid hemorrhage 
Diagnosis 
  • Cerebrospinal fluid (CSF) 
  •  Magnetic resonance imaging (MRI) 
  •  Angiography 
  •  CT scans


Spinal Tumor

Definition
A spinal tumor is a growth that develops within your spinal canal or within the bones of your spine. It may be cancerous or noncancerous. Tumor that affect the bones of the spine (vertebrae) are known as vertebral tumors. Tumors that begin within the spinal cord itself are called spinal cord tumors.


Type of Spinal Tumors

  • Vertebral column tumors 
  • Intradural-extramedullary tumors 
  • Intramedullary tumors
Vertebral column tumors
  1. Primary tumors: These tumors occur in the vertebral column, and grow either from the bone or disc elements of the spine. They typically occur in younger adults. Oseogenic sarcoma ( osteosarcoma) is the most common malignant bone tumor. Most primary spinal tumors are quite rare and usually grow slowly.
  2.  Metastatic tumors: Most often, spinal tumors metastasize (spread) from cancer in another area of the body. These tumors usually produce pain that does not get better with rest, may be worse at night, and is often accompanied by other signs of serious illness (such as weight loss, fever/chills/shakes, nausea or vomiting).

Meningioma

Definition
 Meningiomas are a diverse set of tumors arising from the meninges, the membranous layers surrounding the central nervous system.  They arise from the arachnoid "cap" cells of the arachnoid villi in the meninges.

Common Location For Meningioma

Symptoms 
Meningiomas usually grow slowly, and may reach a large size before interfering with the normal functions of the brain. The resulting symptoms depend on the location of the tumor within the brain. Headache and weakness in an arm or leg are the most common symptoms. However, seizures, personality changes, and/or visual problems may also occur.

Hydrocephalus

What is hydrocephalus ?
It is a condition that result from excessive accumulation of cerebrospinal fluid (CSF) in the brain.



Cause
•genetic inheritance
•developmental disorder
•complication of premature birth such as intraventricular hemorrhage
•disease , tumors , traumatic head injury
Pathophysiology
Ventricular dilation produces an increase in ICP. Compression of adjacent brain structure and cerebral
blood vessels may lead to ischemia and eventually cell death.
Signs and symptoms
•vomiting
•sleepiness
•itritability
•seizures
•rapid increase in head circumference
•downward deviation of the eyes
Diagnostic
•x-ray
•angiography
•CT scan
•ventriculography
Treatment
•surgical correction
•antibiotics
•serial lumbar puncture
Endoscopic third ventriculostomy

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