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Managing Sports Injuries
Explore the realm of sports injuries, their classifications based on causes, affected body tissues, and duration. Examine common sports injuries such as muscle pulls, tennis elbow, and tendonitis, understanding their mechanisms and preventive strategies. Learn the assessment protocols for sports injuries, beginning with the ABC (Airway, Breathing, Circulation) approach and progressing through TOTAPS (Talk, Observe, Touch, Active movements, Passive movements, Skills). Discover effective treatment and protection strategies including rest, ice, compression, elevation (RICE), and when to make appropriate referrals. Discuss critical dos and don'ts following a sports injury to avoid complications and the benefits of warm-up and cool-down therapies in both prevention and recovery phases. Join us to gain comprehensive knowledge and skills in handling sports injuries, enhancing athlete care and optimizing recovery.
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Approach to a Patient with Altered Mental Status
The evaluation of a patient with altered mental status begins with a detailed history. Because the patient may be unable to offer a history, it will be required to seek additional information from family, friends, or the primary medical team. The first step is to ascertain the timing of the mental status change and the circumstances surrounding it, such as medication/drug usage or trauma. An acute change in mental state is a medical emergency that necessitates an immediate, systematic evaluation. Airway, breathing, and circulation ("ABC's") should be evaluated in conjunction with an updated set of full vital signs and finger-stick blood glucose. Tachycardia may indicate a systemic infection, pulmonary embolism, or atrial fibrillation with high ventricular rate.
Thoracoabdominal Aortic Aneurysm Repair: Surgical Approach
A 31-year-old woman from Kenya presented at Indraprastha Apollo Hospitals, New Delhi, with occasional back and abdominal pain and was diagnosed with Takayasu’s arteritis, a thoracoabdominal aortic aneurysm (TAAA), and anti-nuclear antibodies (ANA) positivity. Her condition, complicated by the use of immunosuppressants and anticoagulants, posed significant medical challenges, particularly the high risk of aortic rupture. A multidisciplinary team optimized her care, addressing both her autoimmune disease and medication needs. The complex surgical repair of her TAAA was performed using a unique technique developed by Dr. Niranjan Hiremath, with support from Dr. B N Das, showcasing the hospital's expertise in managing high-risk aortic diseases. This case highlights the importance of innovative approaches and collaborative care in achieving successful outcomes for complex conditions.
AI Solutions for Hospitals
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Anemia in Dialysis Patients: Recent Evidence
The evaluation of a patient with altered mental status begins with a detailed history. Because the patient may be unable to offer a history, it will be required to seek additional information from family, friends, or the primary medical team. The first step is to ascertain the timing of the mental status change and the circumstances surrounding it, such as medication/drug usage or trauma. An acute change in mental state is a medical emergency that necessitates an immediate, systematic evaluation. Airway, breathing, and circulation ("ABC's") should be evaluated in conjunction with an updated set of full vital signs and finger-stick blood glucose. Tachycardia may indicate a systemic infection, pulmonary embolism, or atrial fibrillation with high ventricular rate.
Approach to Coronary Artery Diseases
Coronary artery disease (also known as coronary heart disease) is the leading cause of death for both men and women and the most frequent type of heart disease. This largely preventable condition causes hazardous thickening and narrowing of the coronary arteries—the channels that bring blood to the heart—interrupting the passage of oxygen and nutrients to the heart, resulting in major complications. Angina (chest pain) can result from coronary artery disease when there is insufficient blood flow. Over time, the heart needs to work harder, which can lead to heart failure (when the heart is unable to pump adequately) or arrhythmia. The injured arteries may become fully clogged or prone to clotting, resulting in a heart attack.