...Urolithiasis: Renal Stones DEFINITION * Nephrolithiasis refers to renal stone disease; urolithiasis refers to the presence of stones in the urinary system. Stones, or calculi, are formed in the urinary tract from the kidney to bladder by the crystallization of substances excreted in the urine 1. Urinary calculi are stones in urinary tract * a. Nephrolithiasis: stones form in kidneys * b. Urolithiasis: stones form in urinary tract outside kidneys 2. Highest incidence in * 3. Males more often affected than females (4:1) * 4. Most common in young and middle adults B. Risk factors * 1. Majority of stones are idiopathic (no demonstrable cause) * 2. Prior personal or family history of urinary calculi * 3. Dehydration: increased urine concentration * 4. Immobility * 5. Excess dietary intake of calcium, oxalate, protein * 6. Gout, hyperparathyroidism, urinary stasis, repeated UTI infection ETIOLOGY * METABOLIC * LIFESTYLE * GENETIC FACTORS * DRUGS * OTHERS RISK FACTORS * IMMOBILITY * SEDENTARY LIFE STYLE * DEHYDRATION * METABOLIC DISTURBANCES * HISTORY OF RENAL CALCULI RISK FACTORS * HIGH MINERAL CONTENT IN DRINKING WATER * DIETARY INTAKE * UTI & H/O FEMALE GENITAL MUTILATION * PROLONGED INDWELLING CATHETERISATION * NEUROGENIC BLADDER Development and location of calculi within the urinary tract Pathophysiology 1. Factors leading to lithiasis include...
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...order to maintain homeostasis. However, the kidneys are responsible for more than just the contents that are forced through them. They also maintain proper plasma volume to control arterial blood pressure. One function of the kidneys is triggering the release of the hormone renin. This creates a chain reaction in salt conservation. When excessive sodium is consumed, too much calcium remains in the urine, which will eventually form kidney stones. Kidney stones can be composed of different substances that are dissolved in the urine such as calcium, oxalate, or uric acid. Stones can also develop when there is an imbalance between these substances and chemicals in the urine that should keep the substances dissolved. Stones, also known as nephrolithiasis, commonly develop in people who don’t drink enough water. Water dilutes uric acid and when there isn’t enough, the urine becomes too acidic. A highly acidic environment can lead to the formation of kidney stones. Not drinking enough water isn’t the only cause of kidney stones. Other causes can be a diet high in protein and low in fiber, obesity, or from family history. If someone has never experienced a kidney stone it will be to recognize the signs and symptoms that arise before the stone drops from the kidney into the ureter. In fact, an individual may think they ate something that made them feel ill or have a urinary tract infection. Once the stone has dropped, the most common symptoms are nausea, constant and urgent urination, possible...
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...The Disease of Kings Gout, a disease commonly referred to as “The Disease of Kings or as “Rich Man’s Disease is considered a chronic and progressive disease. Chronic gout can also lead to crystal deposits (sodium orate) of uric acid (a normal byproduct of purines) in the tissues, particularly in and around the joints. Gout can cause sudden severe arthritis and may cause joint destruction, decreased kidney function, and kidney (nephrolithiasis). Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history When our body has too much of uric acid (commonly known as “hyperuricema”), some of the needle-shaped crystals tend to deposit outside the bloodstream, most commonly around the joints. The condition, when such deposits develop and cause severe pain, is commonly referred to as “gout”. Now the question that arises is why would our body have an excess of uric acid? You yourself have the answer to this question,as it would not be completely wrong in generalizing, that gout is a man-made disease, and a result of the unhealthy lifestyle Hyperuricemia (or too much uric acid in the body) may be caused by your body producing too much uric acid (90% of cases), or by your body's inability to get rid of the uric acid it has (10% of cases). .though anyone can get hyperuricemia, but it's most frequent in overweight men over 40 and post-menopausal women. The few specific causes of gout are Poor diet, being overweight, certain medications...
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...Kidney Stones This is a research paper on Kidney Stones, also called nephrolithiasis. Kidney Stones are apart and family of the Excretory system. This can happen to anyone and may or may not affect you or your loved ones one day. This may be deadly for some people so I am here to inform you of ways to treat it and avoid it in any possible way. Anything helps when you are desperate with painful stones in your body. There are certain ways to get kidney stones and certain ways to treat them as well. They are treatable. This is not something you have to live with your whole life living in when having quick access to medical treatment. Kidney stones is a painful disease to have. Sometimes the stone is too big to pass so they have to break it up...
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...COURSE INFORMATION | IG NUMBER | | COURSE | NUTRITION THERAPY II | TOPIC: | NUTRITIONAL MANAGEMENT OF CARDIO-VASCULAR DISEASES | TERM | Prelim | WEEK NO | 2 | SESSION | 2 | DURATION | 5 hrs. | INTENDED LEARNINGOUTCOMES | COURSE OUTCOMES | 1. Explain the pathophysiology, the effects of the disease on patient’s nutritional status and the and the required dietary management. 2. Discuss the principles involved in the dietary management of a patient’s disease. 3. Design a nutritional therapy program for patient with cardio-vascular disease. | UNIT OUTCOME/S | 1. Discussion on cardio-vascular diseases and their nutritional therapy management. 2. Develop nutritional therapy program for a patient with cardio-vascular disease. | MATERIALS AND RESOURCES NEEDED | MATERIALS | * Overhead Projector/Laptop and LCD, Laboratory Manual in Nutrition Therapy | TEXTBOOK | Ruiz, Adela J. (2010). Basic Diet Therapy for Filipinos | SUBTOPICS | * TEACHING ACTIVITY | * LEARNING ACTIVITY | * TIME | * OLFU VMV * PEO, CEO * Course Outline | Interactive Lecture | Interactive Discussion | 1.5 hrs. | * OLFU VMV * PEO, CEO * Course Outline | Problem-solving: Organization of laboratory activities | Laboratory Activity: Class organization and Kitchen brigade system | 2.5 hrs. | SUBTOPICS | * ASSESSMENT TASKS | * ASSESSMENT TOOLS | * TIME | * OLFU VMV * PEO, CEO * Course Outline | * Objective test | * *...
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...Medical Terminology Term Project 1. Nephrology - Branch of medicine concerned with the kidneys. Root: Nephr/o - Kidney Prefix: None Suffix: Ology - A subject of study 2. Nephropathy - Kidney disease. Root: Nephr/o - Kidney Prefix: None Suffix: Pathy - Disease 3. Nephrosis - Non-inflammatory nephropathy. Root: Nephr - Kidney Prefix: None Suffix: Osis - Abnormal Condition 4. Nephritis - Inflammatory kidney disease. Root: Nephr - Kidney Prefix: None Suffix: Itis - Inflammation 5. Nephroptosis - Condition in which the kidney drops down into the pelvis. Root: Nephr/o - Kidney Prefix: None Suffix: Ptosis- Droop; Sag 6. Nephrocalcinosis - A disorder in which calcium levels in the kidneys are increased. Root: Calci/o - Calcium Prefix: Nephr/o - Kidney Suffix: Osis - Abnormal Condition 7. Nephromegaly - Enlargement of one or both kidneys. Root: Nephr/o - Kidney Prefix: None Suffix: Megaly - Enlargement 8. Nephralgia - Pain in the kidney. Root: Nephr - Kidney Prefix: None Suffix: Algia- Pain 9. Nephrectomy - Surgical removal of a kidney. Root: Nephr - Kidney Prefix: None Suffix: Ectomy - Surgical Removal 10. Nephroscopy - An endoscopic examination of the kidney. Root: Nephr/o - Kidney Prefix: None Suffix: Scopy - Visual Examination 11. Renopulmonary - Pertaining to the kidneys and the lungs. Root: Pulmon/o - Lung Prefix: Ren/o - Kidney Suffix: Ary - Pertaining to 12. Nephropexy - Surgical fixation of a floating or mobile kidney. Root:...
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...I. INTRODUCTION A. OVERVIEW Gallstones are collection of one or more stones in the gallbladder, which is the hollow organ under the liver that stores bile. Cholecystolithiasis is the fifth leading cause of hospitalization among adults. The disease may also be occurring in persons who are obese, who have high cholesterol, or who are on cholesterol lowering drugs. In most cases, gallbladder and bile duct diseases occur during middle age. Between ages 20 and 50, they're six times more common in women, but incidence in men and women becomes equal after age 50. Incidence rises with each succeeding decade. Diseases of the gallbladder and biliary tract are common and painful conditions that may be life threatening and mostly require surgery. They are generally associated with deposition of calculi and inflammation. B. CLIENT CENTERED Patient R.D. is a 24 year old female, was admitted at Candelaria District Hospital on 17th of August, 2011 with a reported history of recurring right upper quadrant pain for the past 4 months and complaining of severe RUQ abdominal pain that radiates to her back. She nauseated and has had a few episodes of vomiting at home. The pain is less intensed if she walks around bent forward. An ultrasound revealed stones in the gallbladder. She was admitted for the gallbladder stone removal. C. STUDENT CENTERED We, group 2, students of Columban College would like to thank Candelaria District Hospital, and also our Clinical...
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...BSBMED301B: Assignment 1 What you have to do Using the learning resource provided answer the following questions: Question 1 Using your knowledge of word components, give the correct medical term for each of the definitions below. Definition Medical Term 1. rectal hernia Rectocele 2. excision of the stomach Gastrectomy 3. inflammation of the kidney Nephritis 4. enlargement of the liver Hepatomegaly 5. incision to remove a stone Lithotomy 6. fixation of the intestine Enteropexy 7. artificial opening in the colon Colostomy 8. incision into the abdomen Laparotomy 9. absence of one or both testes Anarchism 10. rupture of the uterus Hysterorrhexis 11. excision of the prostate gland Prostatectomy 12. visual examination of the vagina Colposcopy 13. surgical repair of a testicle Orchiopexy 14. discharge of milk Galactorrhea 15. difficult labour or delivery Dystocia 16. suture of the tongue Glossorrhaphy 17. surgical puncture of the abdomen Abdominocentesis 18. pus in the urine Pyuria 19. pertaining to above the kidney Suprarenal 20. narrowing of the urethra Urethral Stricture Question 2 Give the meaning of each of the abbreviations below. Abbreviation Medical Meaning 1. LUQ Left upper quadrant 2. GI Gastrointestinal 3. OGD Oesophago-gastro duedenoscopy 4. CVS Chorionic villus sampling 5. STD Sexually transmitted disease 6. IUD Intrauterine device 7. TURP Transurethral resection of the prostate 8. DRE Digital rectal...
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...The Management of Hypertension Allison A. Torbert, Pharm.D. Roberta M. Skoronski, Pharm.D. Clinical Instructors UW School of Pharmacy Objectives • Explain the classification and goals of therapy in the treatment of hypertension based on JNC VI recommendations • Describe nonpharmacologic and pharmacologic treatment approaches • Recognize patients with hypertension and comorbid conditions in order to optimize therapy • Develop an approach to manage hypertensive patients Prevalence • Approximately 50-60 million Americans have HTN defined as: systolic BP (SBP) 140 mm Hg or > diastolic BP (DBP) 90 mm Hg or > • • • • Incidence increases with age Blacks > whites Men > women Greater in less educated, lower socioeconomic groups hard disk\course\728-721\htn.ppt 1 Classification of Blood Pressure for Adults Age 18 & Older* Category Optimal+ Normal High-normal Hypertension++ Stage 1 Stage 2 Stage 3 Systolic (mm Hg) < 120 < 130 130-139 140-159 160-179 > 180 & & & & & & Diastolic (mm Hg) < 80 < 85 85-89 90-99 100-109 > 110 *Not taking antiHTN drugs & not acutely ill. When SBP & DBP fall into different categories, highest classification should be used. Isolated systolic HTN defined as SBP > 140 and DBP < 90 and staged appropriately. In addition to classifying accordingly, clinicians should specify presence or absence of target organ disease & additional risk factors + Optimal BP with respect to CV risk is < 120/80; unusually low BP’s should be evaluated...
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...Nursing 3366 Pathologic Processes: Implications for Nursing (ONLINE BB COURSE) REQUIRED READING DOCUMENT #7 ~~~~~~~~ Disorders of the Genitourinary (GU) and Renal Systems Instructions: 1. Read this entire RRD (Required Reading Document) and other documents mentioned. 2. Work on Assignment #7 and submit by designated deadline. Note about objectives /outcomes and studying for this course: For ALL content in this course, the student will be able to DESCRIBE/DISCUSS/IDENTIFY correlations (links) between pathophysiology of the disease and its clinical manifestations. In other words, #1: how does the pathophysiology of a particular disease cause the signs and symptoms, and #2: if a patient presents the signs and symptoms of a disease, be able to use critical thinking to figure out the disease process that is most likely in that context. Objectives /outcomes for this subject: 1. the relationship between key aspects of normal genitourinary function and the pathophysiology involved in select genitourinary-related conditions, including: • female-specific disorders: endometriosis, ovarian cancer, PID, UTIs. • male-specific disorders: testicular cancer, benign prostatic hyperplasia, prostate cancer • nongender-specific problems: STIs, urologic obstructions 2. the relationship between key aspects of normal renal function and the pathophysiology involved in select renal conditions, including: • hydronephrosis. • glomerulonephritis • acute kidney injury (AKI;...
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...1. Congenital rubella: a) Has an incubation period of 7-10 days. b) May be complicated by polyarthralgia. c) Rarely causes deafness. d) Is an indication for termination if it occurs in the first two months of pregnancy. e) May cause prolonged jaundice. 2. Recognised causes of delayed bone age include: a) Hypopiturtarism b) Primary hypothyroidism c) Congenital adrenal hypoplasia d) Prolonged corticosteroid therapy e) Tuberculosis 3. Kwashiorkor: a) Hypothermia is a recognized complication T b) Edema is mainly due to protein losing enteropathy. T c) Measles is a recognized precipitant F d) The incidence is highest in the first two month of life F e) The birth of a second child to the mother may be a contributory factor F 4. At the age of eight months a baby can be expected to: a) Roll over from front to back T b) Sit up with a straight back T c) Pick a small bead between thumb and finger T d) Say up to five word clearly F e) Feed himself with a spoon F 5. if a child in the ward's develops measles, the following action are appropriate a) Close the wards to all admissions for one week F b) Actively immunized all the other patients against measles T c) Give gamma globulin to all patients who have not been immunized or had measles T d) Forbid visiting by the parents until the rash has gone F e) Give prophylactic antibiotics to all contacts at home T 6. Convulsion in the first week of life is characteristic of a) Hypocalcaemia T b) Post maturity...
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...Overview Hypercalcemia is the most common life-threatening metabolic disorder associated with neoplastic diseases, occurring in an estimated 10% to 20% of all adults with cancer. It also occurs in children with cancer, but with much less frequency (approximately 0.5%–1%).[1-3] Solid tumors (such as lung or breast cancer tumors) as well as certain hematologic malignancies (particularly multiple myeloma) are most frequently associated with hypercalcemia.[4] Although early diagnosis followed by hydration and treatment with agents that decrease serum calcium concentrations (hypocalcemic drugs) can produce symptomatic improvements within a few days, diagnosis may be complicated because symptoms may be insidious at onset and can be confused with those of many malignant and nonmalignant diseases. However, diagnosis and timely interventions not only are lifesaving in the short term but also may enhance the patient’s compliance with primary and supportive treatments and may improve quality of life.[5] When a patient has a refractory, widely disseminated malignancy for which specific therapy is no longer being pursued, the patient may want to consider withholding therapy for hypercalcemia. For patients or families who have expressed their wishes regarding end-of-life issues, this may represent a preferred timing and/or mode of death (as compared with a more prolonged death from advancing metastatic disease). This option is best considered long before the onset of severe hypercalcemia or...
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...Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ..........................................................................................
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...NE 2012 DANO LITY ABI TAIN SUS RT EPO R ance Perform and Strategy IC RATEG TS ST LIGH HIGH For All, Health, Nature People, E RmAnC fo GRI pERoRS T IndICA SUSTAINABILITY REPORT 2012 STRATEgY 4 EDITORIAL FRANCK RIBOUD 6 KEY SOCIAL TOPICS NUTRITION AND HEALTH ISSUES SOCIAL ISSUES ENVIRONMENTAL ISSUES 7 10 12 14 STRATEgY 2012 HIgHLIgHTS HEALTH FOR ALL PEOPLE NATURE 15 22 28 34 40 MEASURINg PROgRESS AND PERFORMANCE THROUgHOUT THE VALUE CHAIN DANONE WAY RESPECT DANONE’S EVALUATION BY NON-FINANCIAL RATING AGENCIES 41 46 56 HISTORICAL APPROACH AND HIgHLIgHTS REFERENCE DOCUMENTS HIGHLIGHTS AND KEY DATES 1972-2012 57 58 50 2 Danone Sustainability Report 2012 PERFORMANCE 62 gRI INDEx Self-evaluation of the application of GRI according to version 3.0 guidelines for the GRI with approval by KPMG Audit. 72 IMPACTS AND RESPONSIBILITIES IN BUSINESS, FROM END TO END 74 COMPANY PROFILE AND REPORT PARAMETERS COMPANY PROFILE REPORT PARAMETERS VALIDATION OF THE REPORT BY AN EXTERNAL THIRD PARTY 75 76 83 86 PERFORMANCE INDICATORS GOVERNANCE, COMMITMENTS AND DIALOGUE ECONOMIC ENVIRONMENTAL SOCIAL HUMAN RIGHTS SOCIETY PRODUCT RESPONSIBILITY 86 94 102 134 152 158 166 176 CONTACTS Danone Sustainability Report 2012 3 SUSTAINABILITY REPORT 2012 EDITORIAL FRANCK RIBOUD he year 2012 confirmed in spectacular manner the profound shift in the global economy that is gathering pace. On the one hand, new economic powers...
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...Preface A well-developed knowledge of clinical microbiology is critical for the practicing physician in any medical field. Bacteria, viruses, and protozoans have no respect for the distinction between ophthalmology, pediatrics, trauma surgery, or geriatric medicine. As a physician you will be faced daily with the concepts of microbial disease and antimicrobial therapy. Microbiology is one of the few courses where much of the "minutia" is regularly used by the practicing physician. This book attempts to facilitate the learning of microbiology by presenting the information in a clear and entertaining manner brimming with memory aids. Our approach has been to: 4) Create a conceptual, organized approach to the organisms studied so the student relies less on memory and more on logical pathophysiology. The text has been updated to include current information on rapidly developing topics, such as HIV and AIDS (vaccine efforts and all the new anti-HIV medications), Ebola virus, Hantavirus, E. coli outbreaks, Mad Cow Disease, and brand-new antimicrobial antibiotics. The mnemonics and cartoons in this book do not intend disrespect for any particular patient population or racial or ethnic group but are solely presented as memory devices to assist in the learning of a complex and important medical subject. We welcome suggestions for future editions. 1) Write in a conversational style for rapid assimilation. 2) Include numerous figures serving as "visual memory tools" and summary charts...
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