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Transthoracic Echocardiography
To evaluate left ventricular function, an echocardiography is typically performed. According to NICE (National Institute for Health and Clinical Excellence) recommendations, this is frequently asked for when patients exhibit heart failure-related symptoms. Despite the fact that clinical data and fundamental studies frequently reveal patients with severe left ventricular systolic dysfunction,4-6 echocardiography can measure the severity and pinpoint the underlying reason. It may be more challenging to diagnose clinically, but many heart failure patients also have concurrent or predominant diastolic dysfunction which should be suspected in patients who have heart failure symptoms but normal systolic function, especially the elderly and those with hypertension.
About the Speaker
Dr Nikhilesh jain
Director and Consultant Dept of Critical Care at CHL Hospitals
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
Amenorrhea: Clinical Features & Treatment
Amenorrhea refers to the absence of menstrual periods in women of reproductive age and can be classified as either primary or secondary. Clinical features of amenorrhea may include hot flashes, vaginal dryness, breast changes, headaches, and hair loss, depending on the underlying cause such as hormonal imbalances, stress, or anatomical abnormalities. Diagnosis involves a thorough medical history, physical examination, and tests including hormone levels (e.g., FSH, LH, estradiol, thyroid function tests) and imaging studies (e.g., ultrasound, MRI). Treatment depends on the cause and may include lifestyle modifications, hormone replacement therapy, medications to induce ovulation, or surgical intervention in cases of structural abnormalities. Management aims to address underlying factors, restore menstrual function, and address any associated symptoms or complications of amenorrhea. Regular follow-up and monitoring are essential to assess treatment efficacy and address any new concerns or changes in symptoms.
Science Behind Resuscitation
Resuscitation is a critical medical intervention aimed at restoring spontaneous circulation and breathing in individuals experiencing cardiac arrest or respiratory failure. The science behind resuscitation involves a multifaceted approach, including prompt recognition of the emergency, initiation of cardiopulmonary resuscitation (CPR) to maintain blood circulation and oxygenation, defibrillation to correct life-threatening cardiac arrhythmias, and advanced life support interventions such as airway management and medication administration. Key principles underlying successful resuscitation include early access to care, high-quality CPR, effective teamwork and communication among healthcare providers, and timely integration of advanced interventions based on the latest evidence-based guidelines. The ultimate goal of resuscitation is to improve the chances of survival with good neurological outcomes for patients in cardiac or respiratory arrest.
Case Scenario: Role of Point Care Ultrasound in NICU
Point-of-care ultrasound in the NICU allows for early diagnosis of various conditions such as respiratory distress, intraventricular hemorrhage, and congenital heart defects, aiding in timely interventions. POCUS enables real-time bedside monitoring of neonatal patients, providing immediate feedback on cardiac function, lung status, and fluid balance without the need for transportation to a separate imaging facility. Unlike traditional imaging modalities such as X-rays and CT scans, POCUS uses ultrasound waves that do not involve ionizing radiation, making it safer for frequent use in critically ill neonates. POCUS helps assess hemodynamics, including cardiac output, systemic and pulmonary blood flow, and evaluation of ductus arteriosus patency, guiding treatment decisions in hemodynamically unstable infants. Lung ultrasound provides rapid assessment of lung aeration and helps differentiate between different lung pathologies, aiding in the management of respiratory distress syndrome and other respiratory conditions. POCUS devices are portable and easy to use at the bedside, allowing neonatologists and intensivists to obtain immediate diagnostic information during rounds or emergent situations.
Oral Cancer Awareness: Strategies for Prevention
Promoting oral cancer awareness through educational campaigns aimed at informing the public about risk factors, signs, and symptoms of oral cancer is crucial for early detection and prevention. Encouraging individuals to quit smoking and avoid excessive alcohol consumption significantly reduces the risk of developing oral cancer, as these are major contributing factors. Emphasizing a balanced diet rich in fruits and vegetables, which are high in antioxidants, can help reduce the risk of oral cancer and support overall oral health. Routine dental visits for oral examinations and screenings play a vital role in detecting precancerous lesions or early-stage oral cancers, enabling prompt intervention and treatment. Encouraging vaccination against human papillomavirus (HPV), a known risk factor for oral cancer, especially among adolescents and young adults, can reduce the risk of developing HPV-related oral cancers. Teaching individuals how to perform self-examinations of their oral cavity to identify any changes or abnormalities, such as persistent sores or lumps, encourages early detection and timely medical evaluation.
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Dr Nikhilesh jain's Talks on Assimilate
- 18th-November-2022, TIME : 5:00PM - 6:00PM
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To evaluate left ventricular function, an echocardiography is typically performed. According to NICE (National Institute for Health and Clinical Excellence) recommendations, this is frequently asked for when patients exhibit heart failure-related symptoms. Despite the fact that clinical data and fundamental studies frequently reveal patients with severe left ventricular systolic dysfunction,4-6 echocardiography can measure the severity and pinpoint the underlying reason. It may be more challenging to diagnose clinically, but many heart failure patients also have concurrent or predominant diastolic dysfunction which should be suspected in patients who have heart failure symptoms but normal systolic function, especially the elderly and those with hypertension.