Varicose veins are enlarged veins near the skin’s surface, often found in the legs due to increased pressure from standing and walking. For Best Varicose Veins Treatment in Jaipur, Dr. Manish Rajput provides advanced, personalized care using modern techniques to help you achieve healthier, smoother legs and a better quality of life.
Looking for the best treatment options for Best DVT Doctor in Jaipur, look no further than the highly esteemed Dr. Manish Rajput. With his extensive expertise and compassionate approach to patient care, Dr. Manish specializes in diagnosing and treating this serious condition.
If you’re searching for the Best DVT Doctor in Jaipur, Dr. Manish Rajput stands out for his exceptional expertise and patient-focused care. Deep Vein Thrombosis (DVT) is a serious condition where blood clots form in the deep veins, often in the legs, potentially leading to life-threatening complications like pulmonary embolism. Dr. Manish Rajput is highly regarded for his advanced understanding of vascular conditions and his ability to provide precise, individualized treatment. Whether it’s medical management through anticoagulant therapy, minimally invasive procedures like thrombolysis, or venous stenting, he offers comprehensive solutions tailored to each patient’s needs. Dr. Manish stays updated with the latest advancements in diagnostic and therapeutic techniques, ensuring care of the highest international standards. Patients trust his compassionate approach, which emphasizes clear communication, thorough assessment, and long-term management strategies to prevent recurrence.
Looking for the best treatment options for Best DVT Doctor in Jaipur, look no further than the highly esteemed Dr. Manish Rajput. With his extensive expertise and compassionate approach to patient care, Dr. Manish specializes in diagnosing and treating this serious condition.
If you’re searching for the Best DVT Doctor in Jaipur, Dr. Manish Rajput stands out for his exceptional expertise and patient-focused care. Deep Vein Thrombosis (DVT) is a serious condition where blood clots form in the deep veins, often in the legs, potentially leading to life-threatening complications like pulmonary embolism. Dr. Manish Rajput is highly regarded for his advanced understanding of vascular conditions and his ability to provide precise, individualized treatment. Whether it’s medical management through anticoagulant therapy, minimally invasive procedures like thrombolysis, or venous stenting, he offers comprehensive solutions tailored to each patient’s needs. Dr. Manish stays updated with the latest advancements in diagnostic and therapeutic techniques, ensuring care of the highest international standards. Patients trust his compassionate approach, which emphasizes clear communication, thorough assessment, and long-term management strategies to prevent recurrence.
Looking for the best treatment options for Best DVT Doctor in Jaipur, look no further than the highly esteemed Dr. Manish Rajput. With his extensive expertise and compassionate approach to patient care, Dr. Manish specializes in diagnosing and treating this serious condition.
If you’re searching for the Best DVT Doctor in Jaipur, Dr. Manish Rajput stands out for his exceptional expertise and patient-focused care. Deep Vein Thrombosis (DVT) is a serious condition where blood clots form in the deep veins, often in the legs, potentially leading to life-threatening complications like pulmonary embolism. Dr. Manish Rajput is highly regarded for his advanced understanding of vascular conditions and his ability to provide precise, individualized treatment. Whether it’s medical management through anticoagulant therapy, minimally invasive procedures like thrombolysis, or venous stenting, he offers comprehensive solutions tailored to each patient’s needs. Dr. Manish stays updated with the latest advancements in diagnostic and therapeutic techniques, ensuring care of the highest international standards. Patients trust his compassionate approach, which emphasizes clear communication, thorough assessment, and long-term management strategies to prevent recurrence.
Looking for the best treatment options for Best DVT Doctor in Jaipur, look no further than the highly esteemed Dr. Manish Rajput. With his extensive expertise and compassionate approach to patient care, Dr. Manish specializes in diagnosing and treating this serious condition.
If you’re searching for the Best DVT Doctor in Jaipur, Dr. Manish Rajput stands out for his exceptional expertise and patient-focused care. Deep Vein Thrombosis (DVT) is a serious condition where blood clots form in the deep veins, often in the legs, potentially leading to life-threatening complications like pulmonary embolism. Dr. Manish Rajput is highly regarded for his advanced understanding of vascular conditions and his ability to provide precise, individualized treatment. Whether it’s medical management through anticoagulant therapy, minimally invasive procedures like thrombolysis, or venous stenting, he offers comprehensive solutions tailored to each patient’s needs. Dr. Manish stays updated with the latest advancements in diagnostic and therapeutic techniques, ensuring care of the highest international standards. Patients trust his compassionate approach, which emphasizes clear communication, thorough assessment, and long-term management strategies to prevent recurrence.
Looking for the best treatment options for Best DVT Doctor in Jaipur, look no further than the highly esteemed Dr. Manish Rajput. With his extensive expertise and compassionate approach to patient care, Dr. Manish specializes in diagnosing and treating this serious condition.
If you’re searching for the Best DVT Doctor in Jaipur, Dr. Manish Rajput stands out for his exceptional expertise and patient-focused care. Deep Vein Thrombosis (DVT) is a serious condition where blood clots form in the deep veins, often in the legs, potentially leading to life-threatening complications like pulmonary embolism. Dr. Manish Rajput is highly regarded for his advanced understanding of vascular conditions and his ability to provide precise, individualized treatment. Whether it’s medical management through anticoagulant therapy, minimally invasive procedures like thrombolysis, or venous stenting, he offers comprehensive solutions tailored to each patient’s needs. Dr. Manish stays updated with the latest advancements in diagnostic and therapeutic techniques, ensuring care of the highest international standards. Patients trust his compassionate approach, which emphasizes clear communication, thorough assessment, and long-term management strategies to prevent recurrence.
Best Varicose Veins Treatment in Jaipurdeepikavedyan
6 slides•10 views
Varicose veins are enlarged veins near the skin’s surface, often found in the legs due to increased pressure from standing and walking. For Best Varicose Veins Treatment in Jaipur, Dr. Manish Rajput provides advanced, personalized care using modern techniques to help you achieve healthier, smoother legs and a better quality of life.
Looking for the best treatment options for Deep Vein Thrombosis in Jaipur, look no further than the highly esteemed Dr. Manish Rajput. With his extensive expertise and compassionate approach to patient care, Dr. Manish specializes in diagnosing and treating this serious condition.
This document provides the biographical details of Dr. BOLLAMPALLI BABU RAO including his education, professional experience, community projects, research, publications, courses attended, organizational activities, and references. It outlines his extensive experience in public health, epidemiology, primary healthcare, teaching, and research in India and abroad.
1. Santosh Kumar Bhagat is a Nepalese radiologist currently working in Yangzhou, China.
2. He has over 10 years of experience as a medical officer and radiologist in Nepal and China.
3. His objective is to grow as a clinical practitioner and researcher by surrounding himself with professionals at the top of their fields.
This document provides biographical information about Dr. A.K. Dwivedi, including his educational background and accomplishments. He has a BHMS, MD in Homeopathy, MBA in HR, and PhD in Schooling. Dr. Dwivedi has had a long career in homeopathy, serving as Chairman of the Board of Studies of Homeopathy at Devi Ahilya University and as a professor. He operates the Advanced Homeo Health Center and Homeopathic Medical Research Center, and publishes a health magazine called Sehat Evam Surat to promote health and homeopathy.
This document provides details about Dr. BOLLAMPALLI BABU RAO's education and professional experience. It outlines his medical degrees and fellowships. It then describes his extensive experience working in public health roles in India, including as a professor, health officer, epidemiologist, and gynecologist. It lists the various research projects, surveys, and programs he has been involved in. Finally, it provides references and a list of his scientific research publications.
This document provides a detailed summary of Dr. Mridul Panditrao's professional experience and credentials. Over the past 33 years, he has held various roles including Professor, Head of Department, Dean, and Consultant at several hospitals and universities in India, Bahamas, Kuwait, and Jamaica. He has extensive experience in anesthesiology, intensive care, administration, teaching, research, and publishing.
Dr. Ashish Pandey is a qualified dental professional with over 25 years of experience in clinical practice, teaching, and administration. He holds an MDS in Prosthodontics and an MBA in Hospital Administration. Dr. Pandey is currently the Principal, Professor, and Consultant at SDKS Dental College & Hospital in Nagpur, India. He has held various leadership roles, including Vice Principal, at other dental institutions. Dr. Pandey is skilled in prosthodontics, hospital management, teaching, and administration. He seeks an opportunity to utilize his expertise and contribute to organizational objectives through clinical work, research, and teaching.
Jammalamadugu Srikanth is seeking an opportunity to utilize his skills as a medical laboratory technologist. He has over 7 years of experience in diagnostic laboratories and has worked in various departments including microbiology, biochemistry, and hematology. He is proficient in collecting samples, operating laboratory machines, analyzing test results, and generating accurate reports. Srikanth holds a D.M.L.T degree from Vaani Institute of Medical Sciences and has worked in several diagnostic centers and hospitals in Andhra Pradesh, India.
Dr. Vishnu Mittal has over 10 years of experience in public health. He received his Masters in Public Health from Panjab University in 2012 and his BDS from Surendra Dental College in 2009. His areas of interest include public health education, health program planning and evaluation, maternal and child health, and research. He has worked as a District Epidemiologist in Haryana and with NGOs and foundations on public health projects. His career objective is to establish a career in public health and contribute to community development and welfare.
The document provides an overview of Rainbow Insights magazine and Rainbow Group of Hospitals. It summarizes the founding and growth of the hospital from the vision of Dr. Prabha Malhotra. The hospital has expanded to provide best services across many medical fields including IVF, neurosurgery, and more. It is dedicated to transparent, high quality patient care with compassion. The document introduces key people involved in leading and managing the hospital.
This is a resume for Dr. Jeeshan G. Shaikh, an orthopedic surgeon. He received his medical education in India and obtained a diploma in orthopedics in 2005-2006. His career experience includes positions at various hospitals in Mumbai. His aims are to gain experience at a premier Mumbai institute and learn new orthopedic techniques. He provides contact information for three physician references.
The document discusses medical facilities in the Powai region. It describes the main hospitals in the area - Nahar Medical Centre located 1km from the school, and Dr. L. H. Hiranandani Hospital located 4km away. The document includes interviews with doctors at Dr. Hiranandani Hospital about common illnesses, equipment, and nursing facilities. In summary, the document examines the quality and range of healthcare available to residents of the Powai region.
Dr.Mehta's Hospitals Chennai is the best hospital in Chennai with experienced doctors and trained technicians. Dr.Mehta's Hospital s one of the top hospitals in Chennai with 85 years of excellence in the medical field with successful stories of having 5000 and more happy faces cured of severe diseases.
Professor Bikha Ram Devrajani is a physician who currently serves as the Vice Chancellor of Liaquat University of Medical and Health Sciences in Jamshoro, Pakistan. He has over 28 years of clinical and teaching experience and holds medical degrees from Pakistan, the United States, and the United Kingdom. Throughout his career, Professor Devrajani has held numerous leadership roles, published over 100 research papers, and received several awards for his contributions to medicine and education.
This document discusses the launch of the "Adbhut Matrutva" project by the Federation of Obstetric and Gynaecological Societies of India (FOGSI) at the All India Congress of Obstetrics and Gynaecology on January 19th, 2018. The Adbhut Matrutva program aims to provide holistic antenatal care to reduce maternal and perinatal morbidity and mortality as well as prevent noncommunicable diseases. It addresses the fetal origins of adult diseases. The document notes that the Indian government prioritizes healthcare, especially for mothers and children, through programs targeting maternal mortality, infant mortality and malnutrition.
Dr. Nivedya D. Ramesh is a homoeopathic physician with over 2 years of experience working in multiple hospitals and clinics. She has skills in identifying patient issues, clinical examination, forming diagnoses, and prescribing homeopathic medicines. Dr. Ramesh completed her BHMS degree from Fr Muller Homoeopathic Medical College and Hospital, including a 1-year internship working in 17 different medical facilities. She also has a background in psychology, having worked with cases of ADHD, depression, anxiety and stress disorders. Dr. Ramesh received several academic awards and honors during her education.
This document contains a resume for Hafiz Muhammad Ishfaq. Some key points:
- Ishfaq is an Occupational Therapist and Senior Lecturer currently working at Helping Hands Institute of Rehabilitation Sciences in Mansehra.
- He has a B.S. in Occupational Therapy and a Master's in Public Health.
- Ishfaq has work experience in rehabilitation centers including the Pakistan Society for the Rehabilitation of Disabled in Lahore.
- He has professional certificates in areas like wrist/hand therapy and sensory integration therapy.
These hospitals are a ray of hope for those ailing patients, who want a relief from their sufferings. Hence, in this issue of Insights Success, we present to you India’s Best of 5 Recommended Hospitals, that are changing the face of healthcare through their dedication and innovation. We also recommend you read articles curated by our in-house editorial team.
Dr. Rajashekar Somanatti is seeking a position in the healthcare industry. He has an MBA from the University of Northampton UK and a BDS from SDM College of Dental Sciences and Hospital. He has over 10 years of experience as a dentist and over 8 years of experience managing clinical services as an administrator at KLES Hospital. He is trained in quality management systems and risk reduction practices.
THIS MY DETAILED REPORT ON RAMESH HOSPIAL. IN THE SUMMER INTERNSHIP TIME. IN THIS REPORT WHAT ARE AVAILABLE IN HOPITAL AND MY WORK . MY WORK WAS CUSTOMER SATISFACTION ABOUT THE RAMESH HOSPITAL.
Dr. Amit Saini is a dental surgeon looking to work with non-profits on oral health initiatives for underserved rural communities. He operates his own dental clinic in Nawanshahr, India and has over 20 years of experience in dentistry. He also started his own NGO called the Global Oral Health Foundation Society to provide affordable dental care to rural and marginalized groups.
Unlocking the Secrets of the Skeletal System: Relevance for NursingViresh Mahajani
104 slides•594 views
This presentation provides nursing students with a comprehensive understanding of the skeletal system, crucial for effective patient care. We will explore the anatomy and physiology of bones, joints, and cartilage, emphasizing their vital roles in support, movement, and protection. Key topics include common skeletal disorders, their clinical manifestations, and the nurse's role in assessment, intervention, and patient education. This session aims to equip future nurses with the foundational knowledge necessary to address musculoskeletal health issues and promote optimal patient outcomes across diverse healthcare settings.
Management of Hypothyroidism and Hyperthyroidism
Introduction
Thyroid disorders, including hypothyroidism and hyperthyroidism, affect millions worldwide. The management of these conditions varies based on etiology, severity, patient comorbidities, and response to treatment. This document provides a comprehensive review of the diagnosis and management of both hypothyroidism and hyperthyroidism.
---
Management of Hypothyroidism
1. Etiology and Diagnosis
Hypothyroidism occurs due to insufficient thyroid hormone production. Common causes include:
Primary Hypothyroidism: Hashimoto’s thyroiditis (autoimmune), iodine deficiency, post-thyroidectomy, post-radioiodine therapy.
Secondary Hypothyroidism: Pituitary or hypothalamic dysfunction leading to inadequate TSH production.
Diagnosis involves:
TSH levels: Elevated in primary hypothyroidism, low/normal in secondary.
Free T4 levels: Low in overt hypothyroidism.
Anti-thyroid antibodies: Anti-TPO (thyroid peroxidase) and anti-Tg (thyroglobulin) in autoimmune hypothyroidism.
2. Treatment Approaches
a. Levothyroxine Therapy
First-line treatment for primary hypothyroidism.
Dosing:
Healthy adults: 1.6 mcg/kg/day.
Elderly/cardiac patients: Start with 25-50 mcg/day, titrate gradually.
Pregnancy: Increase dose by 30-50% due to increased demand.
Monitoring: TSH and Free T4 levels checked every 6-8 weeks after dose adjustments, then annually.
Patient counseling:
Take on empty stomach, 30-60 min before breakfast.
Avoid iron, calcium, antacids, and soy-based products within 4 hours of dosing.
b. Alternative Therapies
Liothyronine (T3): Rarely used, due to short half-life and risk of cardiovascular side effects.
Combination T4/T3 therapy: Reserved for refractory cases where symptoms persist despite normal TSH.
c. Special Considerations
Myxedema Coma: Life-threatening hypothyroidism treated with IV levothyroxine (300-500 mcg), IV hydrocortisone if adrenal insufficiency is suspected, and supportive care (warming, ventilation, IV fluids).
Subclinical Hypothyroidism: Treated if TSH > 10 mIU/L, symptomatic, or in pregnant women.
---
Management of Hyperthyroidism
1. Etiology and Diagnosis
Hyperthyroidism results from excessive thyroid hormone production. Common causes:
Graves’ disease (autoimmune, most common cause)
Toxic multinodular goiter
Toxic adenoma
Thyroiditis (subacute, silent, postpartum)
Exogenous thyroid hormone intake
Diagnosis involves:
TSH levels: Suppressed in primary hyperthyroidism.
Free T4 and T3 levels: Elevated.
Thyroid autoantibodies: TSH receptor antibodies (TRAb) for Graves’ disease.
Radioactive iodine uptake (RAIU) scan:
High uptake: Graves’ disease, toxic adenoma.
Low uptake: Thyroiditis, exogenous hormone intake.
2. Treatment Approaches
a. Antithyroid Drugs (ATDs)
Methimazole (MMI): Preferred due to longer half-life and fewer hepatotoxic effects.
Propylthiouracil (PTU): Preferred in first trimester of pregnancy and thyroid storm.
Dosing:
More Related Content
Similar to Best Varicose Veins Treatment in Jaipur (20)
1. Santosh Kumar Bhagat is a Nepalese radiologist currently working in Yangzhou, China.
2. He has over 10 years of experience as a medical officer and radiologist in Nepal and China.
3. His objective is to grow as a clinical practitioner and researcher by surrounding himself with professionals at the top of their fields.
This document provides biographical information about Dr. A.K. Dwivedi, including his educational background and accomplishments. He has a BHMS, MD in Homeopathy, MBA in HR, and PhD in Schooling. Dr. Dwivedi has had a long career in homeopathy, serving as Chairman of the Board of Studies of Homeopathy at Devi Ahilya University and as a professor. He operates the Advanced Homeo Health Center and Homeopathic Medical Research Center, and publishes a health magazine called Sehat Evam Surat to promote health and homeopathy.
This document provides details about Dr. BOLLAMPALLI BABU RAO's education and professional experience. It outlines his medical degrees and fellowships. It then describes his extensive experience working in public health roles in India, including as a professor, health officer, epidemiologist, and gynecologist. It lists the various research projects, surveys, and programs he has been involved in. Finally, it provides references and a list of his scientific research publications.
This document provides a detailed summary of Dr. Mridul Panditrao's professional experience and credentials. Over the past 33 years, he has held various roles including Professor, Head of Department, Dean, and Consultant at several hospitals and universities in India, Bahamas, Kuwait, and Jamaica. He has extensive experience in anesthesiology, intensive care, administration, teaching, research, and publishing.
Dr. Ashish Pandey is a qualified dental professional with over 25 years of experience in clinical practice, teaching, and administration. He holds an MDS in Prosthodontics and an MBA in Hospital Administration. Dr. Pandey is currently the Principal, Professor, and Consultant at SDKS Dental College & Hospital in Nagpur, India. He has held various leadership roles, including Vice Principal, at other dental institutions. Dr. Pandey is skilled in prosthodontics, hospital management, teaching, and administration. He seeks an opportunity to utilize his expertise and contribute to organizational objectives through clinical work, research, and teaching.
Jammalamadugu Srikanth is seeking an opportunity to utilize his skills as a medical laboratory technologist. He has over 7 years of experience in diagnostic laboratories and has worked in various departments including microbiology, biochemistry, and hematology. He is proficient in collecting samples, operating laboratory machines, analyzing test results, and generating accurate reports. Srikanth holds a D.M.L.T degree from Vaani Institute of Medical Sciences and has worked in several diagnostic centers and hospitals in Andhra Pradesh, India.
Dr. Vishnu Mittal has over 10 years of experience in public health. He received his Masters in Public Health from Panjab University in 2012 and his BDS from Surendra Dental College in 2009. His areas of interest include public health education, health program planning and evaluation, maternal and child health, and research. He has worked as a District Epidemiologist in Haryana and with NGOs and foundations on public health projects. His career objective is to establish a career in public health and contribute to community development and welfare.
The document provides an overview of Rainbow Insights magazine and Rainbow Group of Hospitals. It summarizes the founding and growth of the hospital from the vision of Dr. Prabha Malhotra. The hospital has expanded to provide best services across many medical fields including IVF, neurosurgery, and more. It is dedicated to transparent, high quality patient care with compassion. The document introduces key people involved in leading and managing the hospital.
This is a resume for Dr. Jeeshan G. Shaikh, an orthopedic surgeon. He received his medical education in India and obtained a diploma in orthopedics in 2005-2006. His career experience includes positions at various hospitals in Mumbai. His aims are to gain experience at a premier Mumbai institute and learn new orthopedic techniques. He provides contact information for three physician references.
The document discusses medical facilities in the Powai region. It describes the main hospitals in the area - Nahar Medical Centre located 1km from the school, and Dr. L. H. Hiranandani Hospital located 4km away. The document includes interviews with doctors at Dr. Hiranandani Hospital about common illnesses, equipment, and nursing facilities. In summary, the document examines the quality and range of healthcare available to residents of the Powai region.
Dr.Mehta's Hospitals Chennai is the best hospital in Chennai with experienced doctors and trained technicians. Dr.Mehta's Hospital s one of the top hospitals in Chennai with 85 years of excellence in the medical field with successful stories of having 5000 and more happy faces cured of severe diseases.
Professor Bikha Ram Devrajani is a physician who currently serves as the Vice Chancellor of Liaquat University of Medical and Health Sciences in Jamshoro, Pakistan. He has over 28 years of clinical and teaching experience and holds medical degrees from Pakistan, the United States, and the United Kingdom. Throughout his career, Professor Devrajani has held numerous leadership roles, published over 100 research papers, and received several awards for his contributions to medicine and education.
This document discusses the launch of the "Adbhut Matrutva" project by the Federation of Obstetric and Gynaecological Societies of India (FOGSI) at the All India Congress of Obstetrics and Gynaecology on January 19th, 2018. The Adbhut Matrutva program aims to provide holistic antenatal care to reduce maternal and perinatal morbidity and mortality as well as prevent noncommunicable diseases. It addresses the fetal origins of adult diseases. The document notes that the Indian government prioritizes healthcare, especially for mothers and children, through programs targeting maternal mortality, infant mortality and malnutrition.
Dr. Nivedya D. Ramesh is a homoeopathic physician with over 2 years of experience working in multiple hospitals and clinics. She has skills in identifying patient issues, clinical examination, forming diagnoses, and prescribing homeopathic medicines. Dr. Ramesh completed her BHMS degree from Fr Muller Homoeopathic Medical College and Hospital, including a 1-year internship working in 17 different medical facilities. She also has a background in psychology, having worked with cases of ADHD, depression, anxiety and stress disorders. Dr. Ramesh received several academic awards and honors during her education.
This document contains a resume for Hafiz Muhammad Ishfaq. Some key points:
- Ishfaq is an Occupational Therapist and Senior Lecturer currently working at Helping Hands Institute of Rehabilitation Sciences in Mansehra.
- He has a B.S. in Occupational Therapy and a Master's in Public Health.
- Ishfaq has work experience in rehabilitation centers including the Pakistan Society for the Rehabilitation of Disabled in Lahore.
- He has professional certificates in areas like wrist/hand therapy and sensory integration therapy.
These hospitals are a ray of hope for those ailing patients, who want a relief from their sufferings. Hence, in this issue of Insights Success, we present to you India’s Best of 5 Recommended Hospitals, that are changing the face of healthcare through their dedication and innovation. We also recommend you read articles curated by our in-house editorial team.
Dr. Rajashekar Somanatti is seeking a position in the healthcare industry. He has an MBA from the University of Northampton UK and a BDS from SDM College of Dental Sciences and Hospital. He has over 10 years of experience as a dentist and over 8 years of experience managing clinical services as an administrator at KLES Hospital. He is trained in quality management systems and risk reduction practices.
THIS MY DETAILED REPORT ON RAMESH HOSPIAL. IN THE SUMMER INTERNSHIP TIME. IN THIS REPORT WHAT ARE AVAILABLE IN HOPITAL AND MY WORK . MY WORK WAS CUSTOMER SATISFACTION ABOUT THE RAMESH HOSPITAL.
Dr. Amit Saini is a dental surgeon looking to work with non-profits on oral health initiatives for underserved rural communities. He operates his own dental clinic in Nawanshahr, India and has over 20 years of experience in dentistry. He also started his own NGO called the Global Oral Health Foundation Society to provide affordable dental care to rural and marginalized groups.
Unlocking the Secrets of the Skeletal System: Relevance for NursingViresh Mahajani
104 slides•594 views
This presentation provides nursing students with a comprehensive understanding of the skeletal system, crucial for effective patient care. We will explore the anatomy and physiology of bones, joints, and cartilage, emphasizing their vital roles in support, movement, and protection. Key topics include common skeletal disorders, their clinical manifestations, and the nurse's role in assessment, intervention, and patient education. This session aims to equip future nurses with the foundational knowledge necessary to address musculoskeletal health issues and promote optimal patient outcomes across diverse healthcare settings.
Management of Hypothyroidism and Hyperthyroidism
Introduction
Thyroid disorders, including hypothyroidism and hyperthyroidism, affect millions worldwide. The management of these conditions varies based on etiology, severity, patient comorbidities, and response to treatment. This document provides a comprehensive review of the diagnosis and management of both hypothyroidism and hyperthyroidism.
---
Management of Hypothyroidism
1. Etiology and Diagnosis
Hypothyroidism occurs due to insufficient thyroid hormone production. Common causes include:
Primary Hypothyroidism: Hashimoto’s thyroiditis (autoimmune), iodine deficiency, post-thyroidectomy, post-radioiodine therapy.
Secondary Hypothyroidism: Pituitary or hypothalamic dysfunction leading to inadequate TSH production.
Diagnosis involves:
TSH levels: Elevated in primary hypothyroidism, low/normal in secondary.
Free T4 levels: Low in overt hypothyroidism.
Anti-thyroid antibodies: Anti-TPO (thyroid peroxidase) and anti-Tg (thyroglobulin) in autoimmune hypothyroidism.
2. Treatment Approaches
a. Levothyroxine Therapy
First-line treatment for primary hypothyroidism.
Dosing:
Healthy adults: 1.6 mcg/kg/day.
Elderly/cardiac patients: Start with 25-50 mcg/day, titrate gradually.
Pregnancy: Increase dose by 30-50% due to increased demand.
Monitoring: TSH and Free T4 levels checked every 6-8 weeks after dose adjustments, then annually.
Patient counseling:
Take on empty stomach, 30-60 min before breakfast.
Avoid iron, calcium, antacids, and soy-based products within 4 hours of dosing.
b. Alternative Therapies
Liothyronine (T3): Rarely used, due to short half-life and risk of cardiovascular side effects.
Combination T4/T3 therapy: Reserved for refractory cases where symptoms persist despite normal TSH.
c. Special Considerations
Myxedema Coma: Life-threatening hypothyroidism treated with IV levothyroxine (300-500 mcg), IV hydrocortisone if adrenal insufficiency is suspected, and supportive care (warming, ventilation, IV fluids).
Subclinical Hypothyroidism: Treated if TSH > 10 mIU/L, symptomatic, or in pregnant women.
---
Management of Hyperthyroidism
1. Etiology and Diagnosis
Hyperthyroidism results from excessive thyroid hormone production. Common causes:
Graves’ disease (autoimmune, most common cause)
Toxic multinodular goiter
Toxic adenoma
Thyroiditis (subacute, silent, postpartum)
Exogenous thyroid hormone intake
Diagnosis involves:
TSH levels: Suppressed in primary hyperthyroidism.
Free T4 and T3 levels: Elevated.
Thyroid autoantibodies: TSH receptor antibodies (TRAb) for Graves’ disease.
Radioactive iodine uptake (RAIU) scan:
High uptake: Graves’ disease, toxic adenoma.
Low uptake: Thyroiditis, exogenous hormone intake.
2. Treatment Approaches
a. Antithyroid Drugs (ATDs)
Methimazole (MMI): Preferred due to longer half-life and fewer hepatotoxic effects.
Propylthiouracil (PTU): Preferred in first trimester of pregnancy and thyroid storm.
Dosing:
This presentation provides a comprehensive overview of the Drugs and Cosmetics Act, 1940, and its associated rules from 1945. It covers the objectives of the Act, its significance in regulating the import, manufacture, distribution, and sale of drugs and cosmetics in India. Key definitions such as drugs, cosmetics, misbranded, adulterated, and spurious products are explained in detail. Additionally, it highlights the legal definitions and important schedules to the Act, ensuring clarity on regulatory standards. Essential roles such as Drug Inspector and Government Analyst are also discussed. This presentation is useful for pharmacy students, regulatory professionals, and individuals interested in pharmaceutical law.
There is always more than one neurone involved in the transmission of a nerve impulse from its origin to its destination, whether it is sensory or motor.
There is no physical contact between two neurones.
Synapse: The point at which the nerve impulse passes from the presynaptic neurone to the postsynaptic neurone.
Presynaptic Neurons: The neurons that carries action potential to the synapse.
Postsynaptic Neurons: Neurons that carries action potential away from the synapse.
Synaptic knobs or terminal boutons: At its free end, the axon of the presynaptic neurone breaks up into minute branches that terminate in small swellings.
These are in close proximity to the dendrites and the cell body of the postsynaptic neurone.
The space between them is the synaptic cleft.
Synaptic knobs contain spherical membrane bound synaptic vesicles, which store a chemical (the neurotransmitter) that is released into the synaptic cleft.
Neurotransmitters are synthesised by nerve cell bodies, actively transported along the axons and stored in the synaptic vesicles.
They are released by exocytosis in response to the action potential in the presynaptic neurons and diffuse across the synaptic cleft.
They act on specific receptor sites on the postsynaptic membrane.
Their action is short lived, because immediately they have acted on the postsynaptic cell such as a muscle fibre, they are either inactivated by enzymes or taken back into the synaptic knob.
Some important drugs act by mimicking, neutralising (antagonising), or prolonging normal actions of neurotransmitters.
Neurotransmitters usually have an excitatory effect on postsynaptic receptors but they are sometimes inhibitory.
There are more than 50 neurotransmitters in the brain and spinal cord including noradrenaline (norepinephrine), adrenaline (epinephrine), dopamine, histamine, serotonin, gamma aminobutyric acid (GABA) and acetylcholine.
Other substances, such as Neuropeptides (enkephalins, endorphins and substance P) have specialised roles in, for example, transmission of pain signals.
Excitatory neurotransmitters: Acetylcholine, Norepinephrine, Dopamine (Initiate New Impulse)
Inhibitory neurotransmitters: GABA, Serotonin, Glycine (Reduces the chance of new impulse, Hyperpolarization).
Medicinal and Toilet Preparations Act, 1955 – Excise Duty Regulations on Alco...Dr.Navaneethakrishnan S
22 slides•68 views
This presentation provides a comprehensive overview of the Medicinal and Toilet Preparations Act, 1955, which regulates the excise duty on medicinal and cosmetic products containing alcohol, opium, or narcotics in India. It covers key definitions, the distinction between bonded and non-bonded manufactories, licensing requirements, excise duty regulations, manufacturing guidelines, and penalties for violations. Special provisions related to Ayurvedic preparations, government hospital exemptions, and testing procedures are also highlighted. The presentation is valuable for pharmacy students, regulatory professionals, manufacturers, and excise officers involved in the pharmaceutical and cosmetic industries.
Chair, Andrea Necchi, MD, Sia Daneshmand, MD, and Shilpa Gupta, MD, discuss bladder cancer in this CME/MOC/AAPA/IPCE activity titled “Maximizing Therapeutic Innovations in Bladder Cancer: Expert Strategies for Comprehensive Care Across Disease Stages.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/422z9Kf. CME/MOC/AAPA/IPCE credit will be available until March 14, 2026.
his presentation provides an in-depth look into Rheumatoid Arthritis (RA), a chronic autoimmune condition that primarily affects the joints, causing pain, stiffness, and potential deformities. It explores the pathophysiology, diagnosis, and symptoms of RA, providing a clear understanding of how the disease progresses and the impact it has on patients' lives.
Additionally, this presentation focuses on the role of physiotherapy in managing RA. It covers various physiotherapy techniques, including exercise therapy, manual therapy, and modalities such as heat/cold therapy and TENS, which help improve joint mobility, reduce pain, and enhance overall function. It also emphasizes the importance of patient education and the need for a multidisciplinary approach to effectively manage RA.
This resource is designed for healthcare professionals, students, and individuals interested in understanding both the medical and rehabilitation aspects of Rheumatoid Arthritis. Whether you’re looking to enhance your knowledge of RA or seeking effective physiotherapy strategies for management, this presentation serves as a comprehensive guide.
Lipid Autocoids: A Comprehensive Overview
Introduction
Lipid autocoids, also known as eicosanoids and related lipid mediators, are bioactive molecules derived from polyunsaturated fatty acids (PUFAs). These molecules play crucial roles in inflammation, immunity, hemostasis, cardiovascular function, and various physiological and pathological processes. Unlike classical hormones, lipid autocoids act locally, exerting their effects at or near their site of synthesis.
This document provides an in-depth analysis of lipid autocoids, covering their biosynthesis, classification, physiological roles, and clinical significance.
Classification of Lipid Autocoids
Lipid autocoids are broadly classified into the following categories:
1. Eicosanoids (Derived from Arachidonic Acid)
Prostaglandins (PGs)
Thromboxanes (TXs)
Leukotrienes (LTs)
Lipoxins (LXs)
2. Specialized Pro-resolving Mediators (SPMs)
Resolvins
Protectins
Maresins
3. Endocannabinoids
Anandamide (AEA)
2-Arachidonoylglycerol (2-AG)
4. Platelet-Activating Factor (PAF)
5. Sphingolipid-Derived Mediators
Sphingosine-1-Phosphate (S1P)
Ceramides
Biosynthesis of Lipid Autocoids
Lipid autocoids are derived from membrane phospholipids through enzymatic pathways:
1. Phospholipase A2 (PLA2) Activation:
PLA2 catalyzes the release of arachidonic acid (AA) from membrane phospholipids.
2. Cyclooxygenase (COX) Pathway:
Converts AA into prostaglandins and thromboxanes.
COX-1: Constitutive enzyme (housekeeping functions).
COX-2: Inducible enzyme (inflammation and pain response).
3. Lipoxygenase (LOX) Pathway:
Converts AA into leukotrienes and lipoxins.
5-LOX: Leads to leukotrienes (inflammation, bronchoconstriction).
12-LOX & 15-LOX: Lead to lipoxins (anti-inflammatory action).
4. Cytochrome P450 (CYP) Pathway:
Converts AA into epoxyeicosatrienoic acids (EETs), which regulate vascular tone.
5. Endocannabinoid Biosynthesis:
Derived from membrane phospholipids via enzymatic reactions.
Degraded by fatty acid amide hydrolase (FAAH) and monoacylglycerol lipase (MAGL).
Physiological Roles of Lipid Autocoids
1. Inflammation and Immune Response
Prostaglandins (e.g., PGE2) modulate fever and pain.
Leukotrienes mediate allergic responses and asthma.
Lipoxins and resolvins promote resolution of inflammation.
2. Cardiovascular System
Thromboxanes (TXA2) induce platelet aggregation and vasoconstriction.
Prostacyclin (PGI2) inhibits platelet aggregation and promotes vasodilation.
EETs regulate blood pressure and vascular homeostasis.
3. Pulmonary Function
Leukotrienes (LTC4, LTD4, LTE4) are potent bronchoconstrictors.
PGE2 has bronchodilatory effects.
4. Renal Function
Prostaglandins regulate glomerular filtration rate and sodium excretion.
EETs contribute to natriuresis.
5. Neurotransmission and Pain
Endocannabinoids modulate pain perception and neuroprotection.
Prostaglandins contribute to central pain sensitization.
6. Reproductive System
P
Let's Talk About It: Ovarian Cancer (Making Meaning after a Cancer Diagnosis)RheannaRandazzo
19 slides•172 views
Making meaning from hardship is a complex conversation. Many cancer survivors feel the delicate balance between making meaning and the internalized or external pressure that often follows a cancer diagnosis. Questions such as “What now?” are common when treatment ends. Well-meaning friends and family may subtly (or not so subtly) expect us to behave or view the world differently. If figuring out who you are now feels puzzling, join us on Wednesday, December 11th. Together, we will discuss how changes in your identity and perspective are a valid and essential part of this journey. Research has shown us how making meaning after hardship facilitates adjustment and well-being.
TOBACCO (nicotina tabbacum)-the Tobacco: A Global Perspective harmbiswalamandeep
42 slides•101 views
Tobacco refers to the plant Nicotiana tabacum and the cured leaves used for smoking, chewing, or snuffing, containing the highly addictive substance nicotine.
ECG-Interpretation-and-Management-of-Arrhythmias.pptx Dr ankush goyalDr Ankush goyal
8 slides•257 views
ECG Interpretation and Management
Introduction
Electrocardiography (ECG) is a crucial diagnostic tool used to assess the electrical activity of the heart. It provides essential information about heart rate, rhythm, conduction abnormalities, myocardial ischemia, and electrolyte disturbances. Correct interpretation of an ECG requires a systematic approach and understanding of normal and pathological waveforms.
Basics of ECG Interpretation
1. ECG Waves and Intervals
P wave: Represents atrial depolarization.
PR interval: Time from atrial depolarization to ventricular depolarization (normal: 120-200 ms).
QRS complex: Ventricular depolarization (normal: <120 ms).
ST segment: Represents the interval between ventricular depolarization and repolarization.
T wave: Represents ventricular repolarization.
QT interval: Duration of ventricular depolarization and repolarization (normal: <450 ms in males, <460 ms in females).
2. Systematic Approach to ECG Interpretation
1. Determine heart rate
Regular rhythm: 300 divided by the number of large squares between R waves.
Irregular rhythm: Count QRS complexes in 6 seconds and multiply by 10.
2. Assess heart rhythm
Regular or irregular?
Presence of P waves?
Relationship between P waves and QRS complexes?
3. Evaluate cardiac axis
Normal: -30 to +90 degrees.
Left axis deviation: <-30 degrees (e.g., left anterior hemiblock, left ventricular hypertrophy).
Right axis deviation: >+90 degrees (e.g., right ventricular hypertrophy, pulmonary embolism).
4. Analyze P wave morphology
Peaked P waves (right atrial enlargement).
Broad P waves (left atrial enlargement).
5. Assess PR interval
Short PR: Wolff-Parkinson-White syndrome.
Prolonged PR: First-degree AV block.
6. Inspect QRS complex
Narrow QRS (<120 ms): Normal conduction.
Wide QRS (>120 ms): Bundle branch block or ventricular origin.
7. Evaluate ST segment and T waves
ST elevation: Myocardial infarction.
ST depression: Ischemia or hypokalemia.
Inverted T waves: Ischemia, infarction, or hypertrophy.
8. Check QT interval
Prolonged QT: Risk of Torsades de Pointes.
Short QT: Hypercalcemia.
Common ECG Abnormalities and Management
1. Arrhythmias
a) Sinus Bradycardia
ECG Findings: HR < 60 bpm, normal P waves, and QRS complexes.
Causes: Increased vagal tone, hypothyroidism, beta-blockers.
Management: Treat underlying cause; consider atropine if symptomatic.
b) Sinus Tachycardia
ECG Findings: HR > 100 bpm, normal P waves, and QRS complexes.
Causes: Fever, dehydration, anemia, hyperthyroidism.
Management: Address underlying cause; beta-blockers if needed.
c) Atrial Fibrillation
ECG Findings: Irregularly irregular rhythm, absent P waves, fibrillatory waves.
Causes: Hypertension, valvular heart disease, hyperthyroidism.
Management: Rate control (beta-blockers, calcium channel blockers), rhythm control (amiodarone, cardioversion), anticoagulation (warfarin, DOACs).
d) Atrial Flutter
ECG Findings: Sawtooth flutter
Pharmacy Act, 1948 – Regulation of Pharmacy Education and Profession in IndiaDr.Navaneethakrishnan S
This presentation provides a detailed overview of the Pharmacy Act, 1948, which governs the education, registration, and regulation of pharmacists in India. It covers the history, objectives, and key provisions of the Act, including the establishment of the Pharmacy Council of India (PCI) and State Pharmacy Councils (SPC). The roles and responsibilities of these councils, including the design of educational regulations, approval of pharmacy institutions, maintenance of central and state registers of pharmacists, and regulatory enforcement, are discussed in detail. The presentation also highlights foreign qualification recognition, inspection protocols, and penalties for non-compliance. Essential for pharmacy students, educators, regulatory professionals, and industry stakeholders.
Chair, Kathleen N. Moore, MD, MS, David M. O'Malley, MD, and Bhavana Pothuri, MD, MS, discuss ovarian cancer in this CME/MOC/NCPD/AAPA/IPCE activity titled “A New Era in Treating Advanced Ovarian Cancer: Practical Tips for Maximizing the Use of PARP Inhibitors, Immunotherapy, and ADCs.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/48VGDQV. CME/MOC/NCPD/AAPA/IPCE credit will be available until April 14, 2026.
Test item characterization- importance and methods in regulatory toxicology s...sakshiaggarwal979034
Test item characterization is a crucial aspect of regulatory toxicology studies, ensuring that substances used in research—whether chemicals, biological agents, medical devices, or living organisms—are properly identified, handled, and documented. Following Good Laboratory Practice (GLP) guidelines, this process involves assessing attributes like purity, stability, composition, and identification to confirm that test items meet study requirements. Proper characterization helps maintain the integrity and reliability of scientific research, supporting regulatory compliance and the safe development of pharmaceuticals, chemicals, and medical products. Ultimately, it plays a vital role in public health protection by ensuring that test items used in toxicology studies are accurately defined and suitable for their intended use.
Ranitidine Recall:- Regulatory Response to NDMA ContaminationSuyash Jain
Ranitidine Recall:- Regulatory Response to NDMA Contamination
introduction about ranitidine
rise and fall of ranitidine:- drug discovery pipeline
NDMA Contamination: A Ticking Time Bomb
VALISURA laboratory
Claims by VALISURA
Testing Methods for NDMA
Regulatory Procedure Timeline
European Medical Agency
CHMP(Committee for Medicinal Products for Human Use)
usfda
Recall
what are recalls
21CFR
Recall Process: A Step-by-Step Guide
Regulatory actions
(FDA recall, EMA recommendations)
Guidelines to consumers
Alternatives to ranitidine
What Ranitidine Taught Us About Drug Safety?
Neurotransmitters are chemical messengers that transmit signals between nerve cells (neurons) and other cells, playing a crucial role in various bodily functions, including motor control, perception, and cognitive processes
This PPT includes - two topics - Liver abscess & Liver timours which is very much essential for MBBS - Students. The students should know the causes, clinical features & management aspects of the above liver diseases. Also it includes the latest staging system of liver tumours.
Co-Chairs, Prof. Dr. Selim Corbacioglu and Christine N. Duncan, MD, discuss hepatic veno-occlusive disease in this CME/NCPD activity titled “A Roadmap for Managing Post-HCT VOD/SOS: Team-Based Guidance on Capturing, Assessing, and Managing Diverse Presentations.” For the full presentation, downloadable Practice Aids, and complete CME/NCPD information, and to apply for credit, please visit us at https://bit.ly/4fbOeNt. CME/NCPD credit will be available until April 19, 2026.
