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Approach to Arthritis
The approach to arthritis involves a systematic evaluation to identify the type and cause of joint inflammation. A comprehensive assessment, including patient history, physical examination, and diagnostic tests, helps differentiate between various arthritic conditions such as rheumatoid arthritis, osteoarthritis, or psoriatic arthritis. Treatment strategies aim to alleviate symptoms, slow disease progression, and improve overall function. These may include a combination of pharmacological interventions, lifestyle modifications, and physical therapy. Personalized care plans, often in collaboration with rheumatologists, focus on managing pain, reducing inflammation, and enhancing the patient's quality of life. Regular monitoring and adjustments to the treatment plan contribute to a holistic and effective approach in addressing arthritis.
About the Speaker
Dr. Shanmuganandan Krishnan
Professor SBMCH, Consultant Rheumatology: Apollo & Rela Hospitals, Chennai
Brig (Prof.) K. Shanmuganandan, a distinguished medical professional, brings over 25 years of extensive teaching and clinical experience to the field of medicine. With a robust academic background including an MBBS and MD in Medicine from AFMC, as well as specialized training in Rheumatology, HIV Medicine, and Health Research Methodology, he has continuously contributed to medical education and research. Currently serving as a Professor at SBMCH/BIHER and a Consultant Rheumatologist at prestigious institutions such as Apollo Hospitals and Rela Hospitals in Chennai
Upcoming Case Discussions
H. pylori Treatment with PYELRA®: Best Practices
PYLERA® is a medication used for the treatment of Helicobacter pylori (H. pylori) infection, a common cause of stomach ulcers and gastritis. It contains a combination of three active ingredients: bismuth subcitrate potassium, metronidazole, and tetracycline. This combination works synergistically to eradicate H. pylori bacteria and reduce associated symptoms. Treatment with PYLERA® typically involves taking multiple capsules four times a day for a specified duration, as prescribed by a healthcare provider. It is important to follow the treatment regimen as directed and to discuss potential side effects
Approach to Hypertensive Emergencies
Approaching hypertensive emergencies requires swift action to prevent life-threatening complications. The first step involves assessing the severity of hypertension, including signs of end-organ damage such as headache, blurred vision, chest pain, or altered mental status. In severe cases, immediate reduction of blood pressure is necessary to prevent complications such as stroke, heart attack, or organ failure. Intravenous medications such as nitroprusside, labetalol, or nicardipine are commonly used for rapid blood pressure control in a controlled setting. Continuous monitoring of blood pressure, cardiac function, and organ perfusion is essential during treatment. Additionally, identifying and addressing underlying causes such as renal artery stenosis or preeclampsia is crucial for long-term management. Collaborative care involving emergency medicine, cardiology, and nephrology specialists ensures comprehensive management and follow-up care for patients with hypertensive emergencies. Regular monitoring and adjustment of antihypertensive medications are necessary to prevent recurrence and optimize long-term blood pressure control.
OPD Level Pain Management Techniques in Ayurveda
In the outpatient department (OPD) setting of Ayurveda, pain management revolves around a comprehensive approach that integrates traditional wisdom with modern understanding. Ayurvedic practitioners employ a range of techniques tailored to each individual's unique constitution and condition. This may include the use of specific herbal formulations known for their analgesic properties, such as ginger, turmeric, ashwagandha, and boswellia. Dietary modifications are often recommended to reduce inflammation and support overall health, with an emphasis on anti-inflammatory foods like fresh fruits, vegetables, whole grains, and herbal teas. Lifestyle adjustments, including stress management techniques like yoga, meditation, and deep breathing exercises, play a crucial role in managing chronic pain by promoting relaxation and enhancing the body's natural healing mechanisms. Additionally, therapeutic procedures such as Ayurvedic massage (Abhyanga), oil treatments (Snehan), and heat therapy (Swedana) are utilized to improve circulation, alleviate muscle tension, and promote detoxification. By addressing the underlying imbalances in the body's doshas (Vata, Pitta, and Kapha), Ayurvedic pain management aims not only to provide symptomatic relief but also to foster long-term wellness and vitality
Abnormal Uterine Bleeding: Overview
Abnormal uterine bleeding (AUB) refers to irregular or excessive bleeding from the uterus, often indicative of underlying health issues. Causes of AUB vary and can include hormonal imbalances, uterine fibroids, polyps, or endometrial hyperplasia. Diagnosis typically involves a thorough medical history, physical examination, and various tests such as ultrasound, endometrial biopsy, or blood tests to identify the underlying cause. Management of AUB depends on the underlying cause and may involve medications such as hormonal contraceptives, nonsteroidal anti-inflammatory drugs (NSAIDs), or surgical interventions like endometrial ablation or hysterectomy. AUB can significantly impact a person's quality of life, causing symptoms such as fatigue, anemia, and emotional distress. Early intervention and regular gynecological screenings are crucial for diagnosing and managing AUB effectively. Patient education on menstrual health and awareness of symptoms is essential for timely medical intervention and improved outcomes. Hormonal therapies, lifestyle modifications, and dietary changes may also be recommended to manage symptoms and promote overall well-being in individuals with AUB.
Diabetes Management in the Era of Surging Obesity
Obesity is a significant risk factor for type 2 diabetes. Interventions focusing on lifestyle modifications, such as healthy eating and increased physical activity, are crucial for both diabetes prevention and management. Additionally, personalized treatment plans that address individual needs and comorbidities are essential in combating the dual burden of diabetes and obesity. Regular monitoring of blood glucose levels, along with medication adherence and regular medical check-ups, are integral components of effective diabetes management strategies. Multidisciplinary approaches involving healthcare providers, nutritionists, and fitness experts help tailor interventions to address the complex interplay between diabetes and obesity. Public health initiatives aimed at promoting healthy lifestyles and obesity prevention are also key in mitigating the growing burden of diabetes. Ultimately, a holistic approach that addresses both diabetes and obesity is necessary to improve outcomes and reduce the global burden of these interconnected conditions.