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Showing posts from December, 2022

Head injuries,symptoms, causes, pathology, types, examination, treatment, physio

 It is the insult to the brain caused by external physical force leading to altered conscious levels, cognitive problems as well as motor & sensory deficits.  Commonly called traumatic brain injuries.  Head injuries have increased due to increased traffic and decreased traffic sense. Most of the cases are proved to be fatal death.  Incidence:-  High Head injuries from road traffic accidents are most common in young males.  RTA's although constituting only about 25% of all patients with head injury, are the cause of more severe injuries.  RTA's contribute to 60%of deaths from head injury, of these half die before reaching hospital.  Causes of head injuries:- Road traffic accidents (RTA's)  Gunshot Riots  Blow or hit on the head Fall from heights.  Pathology:- Primary brain damage - Occuring at impact Secondary brain damage - Occuring due to ongoing neuronal damage, haematoma, brain swelling, Ischaemia Or infection.  Types of head injuries:-  Focal & diffuse Open &

Muscular dystrophy, types, pathophysiology, symptoms, investigation, physiotherapy management

 Muscular dystrophy is a group of rare hereditary progressive disease in which muscle fibers are usually susceptible to damage.  Muscular dystrophies are genetically determined myopathies in which progressive degeneration & wasting of muscles occur.  Dystrophies can be of 3 types  Congenital muscular dystrophy Genetic muscular dystrophy Metabolic muscular dystrophy Epidemiology :- Commonly seen in males.  Pathophysiology :- Deficiency of dystrophin protein (due to defect in the XP21 gene which codes dystrophin)  Loss of properties of skeletal muscle cells membrane ( Dystrophin is essential to maintain the properties of skeletal muscle cells membrane)  Cell break down Release of all contents of cell into the serum Death of cell i.e necrosis of muscle cells Fatigue, weak & dystrophin muscles Elevated serum creatinine phosphokinase levels.  Classification :- based on inheritance & clinical picture X-linked recessive - Duchenne muscular dystrophy, Becker Muscular dystrophy.  Au

Today panchangam December 12-12-2022

ఈరోజు పంచాంగం డిసెంబర్ - సోమవారం 12-12-2022 శ్రీ శుభకృత నామ సంవత్సరం మార్గశిల మాసం దక్షిణాయనం సూర్యోదయం ఉదయం 6:21, సూర్య అష్టమయం సాయంత్రం 5:21, తిధి చవితి శుభసమయం :-సాయంత్రం 4:07

Cyclone may continue till December 15

A cyclone Mandous, which weakened into a deep depression over the land makes its journey towards Arabian Sea weather watchers said another system may form over Bay of Bengal by mid - December today tomorrow 100% rainfall 13,14,15th 50% chances of rainfall.

Ap Walk-in interview for Specialist Doctors

Walk in interview to fill up the few remaining vacant posts listed below General Medicine   51 Radiology                  34 Anaesthesia              34 Gynaecology            32 ENT                            11 Ophthalmology       16 Paediatric s               29 General Surgery      20 Pathology                  07 Dermatology             03 Orthopaedics            10 Forensic Medicine   02 Micro Biology           01 Total                           250 Remuneration on contract basis Rs. 1,30,000 per month in Urban Areas Rs. 2,00,000 per month in Rural Areas Rs. 2,50,000 Per month in Tribal areas Address Venue O/o Director of Medical Education, Old Government General Hospital Premises, Vijayawada, Andhrapradesh 520003. From 10 AM onwards on 14th, 16th, 19th December 2022 Maximum age limit 70 years For further details visit www.hmfw.ap.gov.in APVVP Recruitment Helpline 06301138782

తెలుగు బిగ్ బాస్ 6 నుండి ఇనాయా సుల్తానా తొలగించబడింది

ప్రతి వారం గడిచేకొద్దీ ఇనాయా పాపులారిటీ పెరిగింది.  ఆమె టైటిల్ గెలుచుకునే ఫేవరెట్ అని చాలా మంది నిపుణులు అంచనా వేశారు.  కానీ ఆమె పెద్ద ముగింపుకు కేవలం ఒక వారం ముందు తొలగించబడింది, ఇనాయా సుల్తానా 21 ఆగస్టు 1995న తెలంగాణలోని హైదరాబాద్‌లో జన్మించింది.  ఆమె ఒక నటి.

Parkinson's disease, etiology, pathology, symptoms, diagnosis, treatment Physiotherapy.

Parkinson's  disease is a chronic progressive disease of the nervous system characterised by 4 cardinal features Rigidity Tremor Bradykinesia Postural instability.  Onset is insidious (gradual) with a slow rate of progression. Disruption in daily function, roles& activities and depression are common in individuals with Parkinson's disease.  Epidemiology :-  1% - 55 years 2.6% - 85 years  Males are slightly more at risk than female.  Etiology :- The term Parkinson's is used to refer to a group of disorder that produce abnormalities of badal ganglia function 1° Parkinson's :- It is the most common cause, it is also known as true or paralysis agitans. Etiology is idiopathic, unknown.  Secondary Parkinson's: - In this type, Parkinson's has been reported with cryptococcal meningitis, encephalitis and Jacob- create feldt disease.  Parkinson- plus syndromes :- A group of neurodegenerative disease can affect the substantia nigra  Toxic Parkinsonism :- Parkinson'

Stroke Rehabilitation- Sensory, motor, tone, strength balance training.

 Rehabilitation starts as soon as the patient becomes medically stable Strategies to improve sensory function:- The greater the patient is encouraged to use the affected side, the more the chances of increased awareness &function. Sensory stimulation is important for recovery.  Sensory stimuli stimulates tactile, mechano and muscle receptors for example:- Stroking, Stretch, Superficial &deep pressure and approximation can be used.  Upper extremity tasks include:- Stroking hand with different textured fabric, pressing objects on the hand (coin, button, key) for drawing shapes/letters/numbers on the skin.  During Stimulation, the patients attention by providing visual,tactile &proprioceptive stimuli on the more affected side (stroking,icing, brushing,Vibrating the Hemiperetic limb) .  Teach active visual scanning movements through turning of the head & axial trunk rotation to the more involved side.  Cueing(visual, verbal &motor cues) is used to direct patient s atten

Stroke Notes, types, Epidemiology, pathophysiology, symptoms, diagnosis.

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 Stroke or brain attack is the sudden loss of neurological function caused by an interruption of the blood flow to the brain. Who Definition: -  Stroke is defined as rapidly developing clinical signs of focal or global disturbance of cerebral function with symptoms lasting  24 hours or longer or leading to death with no apparent cause other than of vascular origin.  Epidemiology :- Stroke is the 3rd leading cause of death and the most common cause of disability among adults.  The incidence of stroke is about 1.25 times greater for males than females.  The incidence of stroke increases dramatically with age doubling in the decade after 65 years of age.  Etiology :- Atherosclerosis is a major contributory factor in Cerebrovascular disease.  It is characterized by plaque formation with accumulation of lipids, fibrin, complex carbohydrates and calcium deposits on the arteries walls that leads to progressive narrowing of the blood vessels.  Pathophysiology :- Interruption of blood flow for

Meningitis, Clinical features, investigation, treatment.

 Meningitis refer to the inflammation of protective Meninges of brain and spinal cord, Pyogenic meningitis is a serious condition which can lead to brain damage and death especially in younger children Bacteria may invade the subarachnoid space directly by spread from continues structure eg:- sinus & fractures.  In more cause, the infection causing meningitis arise in the nasopharynx, intravascular invasion & penetrate the blood- brain barrier follow mucosal involvement & enter into CSF Causative Organisms:- In neonatal -- Grame negative bacilli, eg. E coli, klebsiella, Haemophilus influence In Children -- Haemophilus influence, Pneumococcus, Meningococcus.  In adult-- pneumococcus, Meningococcus Other bacteria -- listeria monocytogenes,Staphylococcus aurelia are responsible Pathology: Infection extends throughout the subarachnoid space Underlying brain, although not invading by bacteria becomes congested, oedematous and ischaemic Bacteria multiplies - inflammation Cytokine