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==Rough sheet for Rinky==
==Rough sheet for Rinky==


<br /><br />
 
 
{| style="border: 2px solid #4479BA; align="left"
! style="width: Phenotype Domains; background: #4479BA;" | {{fontcolor|#FFF|Phenotype Domains}}
! style="width: Clinical Features; background: #4479BA;" | {{fontcolor|#FFF|Clinical Features}}
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Urinary
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Lower urinary tract symptoms that creates discomfort or High post-micturation residual volume
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Psychological
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Patient with depression or severe anxiety thinking the worst will happen to them 
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Organ-specific
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Tenderness in Prostate,Presence of blood in ejaculation,Leukocytes in prostatic fluid or post-massage urine
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Infectious
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Infection with gram negative bacilli or Enterococii localized to prostate or presence of Ureaplasma in urine
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Systemic
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Pain anywhere else in the body except abdomen or pelvis or having a diagnosis of fibromyalgia,chronic fatigue or irritable bowel syndrome
|-
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Tenderness
| style="padding: 0 5px; background: #F5F5F5; text-align: left;" | Presence of palpable musvle spams in abodomen or pelvic floor
|-
|}
{{clear}}
 
 
 
 
 
 
 
 
 
 
 
{{familytree/start |summary=Sample 9}}{{familytree/start |summary=PE diagnosis Algorithm.}}
{{familytree/start}}
{{familytree | | | | | | | | | | | | | | A01 | | |A01= '''Table'''<br>
<table class="wikitable">
<tr class="v-firstrow"><th>'''Phenotype Domains '''</th><th>'''Clinical presentation'''</th></tr>
<tr><td>'''Urinary'''</td><td>Lower urinary tract symptoms that creates discomfort or High post-micturation residual volume</td></tr>
<tr><td>'''Psychological'''</td><td>Patient with depression or severe anxiety thinking the worst will happen to them</td></tr>
<tr><td>'''Organ-specific'''</td><td>Tend\erness in Prostate,Presence of blood in ejaculation,Leukocytes in prostatic fluid or post-massage urine</td></tr>
<tr><td>'''Infectious'''</td><td>Infection with gram negative bacilli or Enterococii localized to prostate or presence of Ureaplasma in urine</td></tr>
<tr><td>'''Systemic'''</td><td>Pain anywhere else in the body except abdomen or pelvis or having a diagnosis of fibromyalgia,chronic fatigue or irritable bowel syndrome</td></tr>
<tr><td>'''Tenderness'''</td><td>Presence of palpable musvle spams in abodomen or pelvic floor</td></tr>
</table>}}
{{familytree/end}}
 
 
{{familytree/start}}
{{family tree| | | | | | | B01 | | | | B01=<div style="float: left; text-align: left;width: 28em; padding:1em;"> '''UPOINT domains''' <div class="mw-collapsible mw-collapsed"><br>
{{familytree/start |summary=Sample 9}}{{familytree/start |summary=PE diagnosis Algorithm.}}
{{familytree/start}}
{{familytree | | | | | | | | | | | | | | A01 | | |A01= '''Table'''
<table class="wikitable">
<tr class="v-firstrow"><th>'''Phenotype Domains '''</th><th>'''Clinical presentation'''</th></tr>
<tr><td>'''Urinary'''</td><td>Lower urinary tract symptoms that creates discomfort or High post-micturation residual volume</td></tr>
<tr><td>'''Psychological'''</td><td>Patient with depression or severe anxiety thinking the worst will happen to them</td></tr>
<tr><td>'''Organ-specific'''</td><td>Tend\erness in Prostate,Presence of blood in ejaculation,Leukocytes in prostatic fluid or post-massage urine</td></tr>
<tr><td>'''Infectious'''</td><td>Infection with gram negative bacilli or Enterococii localized to prostate or presence of Ureaplasma in urine</td></tr>
<tr><td>'''Systemic'''</td><td>Pain anywhere else in the body except abdomen or pelvis or having a diagnosis of fibromyalgia,chronic fatigue or irritable bowel syndrome</td></tr>
<tr><td>'''Tenderness'''</td><td>Presence of palpable musvle spams in abodomen or pelvic floor</td></tr>
</table>}}
</div> }}
 
==Complications in Central Nervous System==
#Cerebrovascular Accident
#Hemorrhagic
#Ischaemic
#Acute Encephalitis
#Viral Meningitis
#Epileptic Seizures
#Encephalopathy
#Headache
==Complications in Peripheral Nervous system==
#Guillain-Barre syndrome
#Anosmia
#Acute Myelitis
#Miller Fischer Sydrome
#Polyneuritis Cranialis
 
==Ego defenses==
===Immature Defenses===
*;Acting Out:Expressing unacceptable feelings and thoughts through actions
 
*;Denial:Avoiding the awreness of painful reality
 
*;Displacemnet: Transferring avoided ideas to neutral persons
 
*;Idealization: Expressing extreme positive thoughts of self and others while ignoring negative thoughts
 
*; Identification: Modeling behaviour after one person who is more powerful.
 
:These ego defenses are '''unconsious''' or '''conscious'''
 
<font color="red">DEFENSES</font> <BR/>
<font color="GREEN">DEFENSES</font> <BR/>
<font color="BLUE">Defenses</font> <BR/>
__NOTOC__
__TOC__
[[Sandbox:RAB#TopSection|Return to top]]
 
----
 
===Mature Defenses===
*;Sublimitaion:Replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one's value system.
 
*;Altruism:alleviating negative feelings via unsolicited generosity.
 
*;Suppression: Intentionally withholding an idea or feeling.
 
----
 
{{CURRENTDAY}},{{CURRENTDAYNAME}},{{CURRENTMONTH}},{{CURRENTYEAR}}
 
 
----
 
 
{| class="wikitable"
 
|-
 
!
 
! Increased behaviour
 
! Decreased behaviour
 
|-
 
| Add stimulus
 
| (+)ve reinformation
 
| (+)ve punishment
 
|-
 
| Remove stimulus
 
| (-)ve reinformation
 
 
| (-)ve punishment
 
|}
 
-------
 
----
 
__NOTOC__
==Tumor nomenclature==
 
'''Carcinoma''' implies epithelial origin,whereas '''sarcoma''' denotes mesenchymal origin. Both terms imply malignancy.
terms for non-neoplastic malformations include hamartoma(disorganized overgrowth of tissues in their native location, eg, Peutz- Jeghes polyps) and choriostoma9 normal tissue in foreign location, eg, gastric tissue located in distal ileum in Meckel Diverticulum).
*'''Benign''' tumor may show well demarcation, well diffreentiation, low mitotic activity, no necrosis, no metastasis.
*'''Malignant''' tumor shows poor demarcation, poor mitotic activity, erratic growth, local invasion, metastasis, reduced apoptosis. Upregulation of '''telomerase''' prevents chromosome shortening and cell death.
 
{| class= "wikitable"
 
|-
 
!CELL TYPE
 
!<font color="red"> Benign</font> <BR/>
 
! <font color= "red"> Malignant</font> <BR/>
 
|-
 
|'''Epithelium'''
 
|Adenoma,papilloma
 
| Adenocarcinoma, papillary carcinoma
 
|-
 
|'''Messenchmye'''
 
|
 
|
 
|-
 
 
|Blood cells
 
|
 
| lekaemia,Lymphoma
 
|-
 
|Blood vessels
 
| Hemangioma
 
| Angiosarcoma
 
|-
 
|Smooth muscle
 
| Leiomyoma
 
| Leiomyosarcoma
 
|-
 
| Striated muscle
 
| Rhabdomyoma
 
|Rhabdomyosarcoma
 
|-
 
| Connective tissue
 
| Fibroma
 
| Fibrosarcoma
 
|-
 
|Bone
 
| Osteoma
 
|Osteosarcoma
 
|-
 
|Fat
 
| Lipoma
 
| Liposarcoma
 
|-
 
|Melanocyte
 
| Nevus/Mole
 
| Melanoma
 
|}
 
 
-------
here is how we use reference
 
 
----
 
 
{| class= "wikitable"
 
|-
 
!'''TYPE'''
 
! '''DEFINITION'''
 
! '''EXAMPLES'''
 
! '''STRATEGY TO REDUCE BIAS'''
 
 
|-
 
| '''Selection Bias
 
| Error in assigning subjects to a study group resulting in an unreprestative sample.Most commomnly a sampling bias
 
|
; Berkson Bias: study population selected from hospital is less healthy than general population
; Healthy worker effect: study population is healthier than the general population
; Non-response bias: participating subjects differ from nonrespondents in meaningful ways.
 
| randomization
 
|-
 
|'''Recall Bias'''
 
| Awareness of disorder alters recall by subjects; common in retrospective studies
 
| patients with disease recall exposure after learning of similar cases
 
| Decrease time from exposure to followup
 
 
|-
 
| '''Measurement Bias'''
 
| Information is gathered in a systemically distorted manner.
 
| Association between HPV and cervical cancer not observed when using non-standarized classifications/
 
| Use objective, standardized, and previously tested methods of data collection that are planned ahead of time
 
|-
 
| '''Procedure Bias'''
 
| subjects in different groups are not treated the same
 
| patients in treatment group spend more time in highly specialized hospital units
 
| Blinding and use of placebo
 
|-
 
| '''Observer- expectancy Bias'''
 
| Researche's belief in the efficacy of a treatment changes the outcome of that treatment
 
| If observer expects treatment group to show signs of recovery, then he is more likely to document positive outcomes.
 
| Blinding
 
|}
 
 
__NOTOC__
 
==Heart Failure==
 
Clinical syndrome of cardiac pump dysfunction-->congestion and low perfusion.
Symptoms inlude dyspnea,orthopnea,fatigue; signs include '''rale''','''jugular venous distention(JVD)''','''pitting edema'''.
 
 
;Systolic Dysfunction:reduced EF,increased EDV;decreased contracility often secondary to ischaemia/MI or dialted cardiomyopathy
;Diastolic Dysfunction: preserved EF, normal EDV;compliance often secondary to myocardial hypertrophy.
 
 
----
 
{| class ="wikitable"
 
|-
!
!Caused BY
! Skin
!Preload
!CO
!Afterload
!Treatment
 
|-
|'''Hypovolumic'''
| hemorrhage,dehydration,burns
|Cold,clammy
|reduced
|reduced
|increased
|IV fluids
|-
|'''Cardiogenic'''
|Acute MI,HF
|Cold,clammy
|increased
|reduced
|Increased
|Inotropes, diuresis
|-
|'''Distributive'''
|Sepsis, anaphylaxis
|warm,dry
|reduced
|increased
|reduced
|IV fluids,pressors
|}
 
*this is how we add bullets
**this is how layers
#this is how numbers are added
----
reference
<references />

Latest revision as of 14:20, 14 August 2020

Rough sheet for Rinky

Phenotype Domains Clinical Features
Urinary Lower urinary tract symptoms that creates discomfort or High post-micturation residual volume
Psychological Patient with depression or severe anxiety thinking the worst will happen to them
Organ-specific Tenderness in Prostate,Presence of blood in ejaculation,Leukocytes in prostatic fluid or post-massage urine
Infectious Infection with gram negative bacilli or Enterococii localized to prostate or presence of Ureaplasma in urine
Systemic Pain anywhere else in the body except abdomen or pelvis or having a diagnosis of fibromyalgia,chronic fatigue or irritable bowel syndrome
Tenderness Presence of palpable musvle spams in abodomen or pelvic floor






 
 
 
 
 
 
 
 
 
 
 
 
 
Table
Phenotype Domains Clinical presentation
UrinaryLower urinary tract symptoms that creates discomfort or High post-micturation residual volume
PsychologicalPatient with depression or severe anxiety thinking the worst will happen to them
Organ-specificTend\erness in Prostate,Presence of blood in ejaculation,Leukocytes in prostatic fluid or post-massage urine
InfectiousInfection with gram negative bacilli or Enterococii localized to prostate or presence of Ureaplasma in urine
SystemicPain anywhere else in the body except abdomen or pelvis or having a diagnosis of fibromyalgia,chronic fatigue or irritable bowel syndrome
TendernessPresence of palpable musvle spams in abodomen or pelvic floor
 
 


 
 
 
 
 
 
UPOINT domains

Complications in Central Nervous System

  1. Cerebrovascular Accident
  2. Hemorrhagic
  3. Ischaemic
  4. Acute Encephalitis
  5. Viral Meningitis
  6. Epileptic Seizures
  7. Encephalopathy
  8. Headache

Complications in Peripheral Nervous system

  1. Guillain-Barre syndrome
  2. Anosmia
  3. Acute Myelitis
  4. Miller Fischer Sydrome
  5. Polyneuritis Cranialis

Ego defenses

Immature Defenses

  • Acting Out
    Expressing unacceptable feelings and thoughts through actions
  • Denial
    Avoiding the awreness of painful reality
  • Displacemnet
    Transferring avoided ideas to neutral persons
  • Idealization
    Expressing extreme positive thoughts of self and others while ignoring negative thoughts
  • Identification
    Modeling behaviour after one person who is more powerful.
These ego defenses are unconsious or conscious

DEFENSES
DEFENSES
Defenses

Return to top

Mature Defenses

  • Sublimitaion
    Replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one's value system.
  • Altruism
    alleviating negative feelings via unsolicited generosity.
  • Suppression
    Intentionally withholding an idea or feeling.

16,Saturday,11,2024




 
 
 
 
 
 
 
 
 
 
 
 
 
Table
Phenotype Domains Clinical presentation
UrinaryLower urinary tract symptoms that creates discomfort or High post-micturation residual volume
PsychologicalPatient with depression or severe anxiety thinking the worst will happen to them
Organ-specificTend\erness in Prostate,Presence of blood in ejaculation,Leukocytes in prostatic fluid or post-massage urine
InfectiousInfection with gram negative bacilli or Enterococii localized to prostate or presence of Ureaplasma in urine
SystemicPain anywhere else in the body except abdomen or pelvis or having a diagnosis of fibromyalgia,chronic fatigue or irritable bowel syndrome
TendernessPresence of palpable musvle spams in abodomen or pelvic floor
 
 
 
 
 
Increased behaviour Decreased behaviour
Add stimulus (+)ve reinformation (+)ve punishment
Remove stimulus (-)ve reinformation


(-)ve punishment



Tumor nomenclature

Carcinoma implies epithelial origin,whereas sarcoma denotes mesenchymal origin. Both terms imply malignancy. terms for non-neoplastic malformations include hamartoma(disorganized overgrowth of tissues in their native location, eg, Peutz- Jeghes polyps) and choriostoma9 normal tissue in foreign location, eg, gastric tissue located in distal ileum in Meckel Diverticulum).

  • Benign tumor may show well demarcation, well diffreentiation, low mitotic activity, no necrosis, no metastasis.
  • Malignant tumor shows poor demarcation, poor mitotic activity, erratic growth, local invasion, metastasis, reduced apoptosis. Upregulation of telomerase prevents chromosome shortening and cell death.
CELL TYPE Benign
Malignant
Epithelium Adenoma,papilloma Adenocarcinoma, papillary carcinoma
Messenchmye
Blood cells lekaemia,Lymphoma
Blood vessels Hemangioma Angiosarcoma
Smooth muscle Leiomyoma Leiomyosarcoma
Striated muscle Rhabdomyoma Rhabdomyosarcoma
Connective tissue Fibroma Fibrosarcoma
Bone Osteoma Osteosarcoma
Fat Lipoma Liposarcoma
Melanocyte Nevus/Mole Melanoma



here is how we use reference




TYPE DEFINITION EXAMPLES STRATEGY TO REDUCE BIAS


Selection Bias Error in assigning subjects to a study group resulting in an unreprestative sample.Most commomnly a sampling bias
Berkson Bias
study population selected from hospital is less healthy than general population
Healthy worker effect
study population is healthier than the general population
Non-response bias
participating subjects differ from nonrespondents in meaningful ways.
randomization
Recall Bias Awareness of disorder alters recall by subjects; common in retrospective studies patients with disease recall exposure after learning of similar cases Decrease time from exposure to followup


Measurement Bias Information is gathered in a systemically distorted manner. Association between HPV and cervical cancer not observed when using non-standarized classifications/ Use objective, standardized, and previously tested methods of data collection that are planned ahead of time
Procedure Bias subjects in different groups are not treated the same patients in treatment group spend more time in highly specialized hospital units Blinding and use of placebo
Observer- expectancy Bias Researche's belief in the efficacy of a treatment changes the outcome of that treatment If observer expects treatment group to show signs of recovery, then he is more likely to document positive outcomes. Blinding



Heart Failure

Clinical syndrome of cardiac pump dysfunction-->congestion and low perfusion. Symptoms inlude dyspnea,orthopnea,fatigue; signs include rale,jugular venous distention(JVD),pitting edema.


Systolic Dysfunction
reduced EF,increased EDV;decreased contracility often secondary to ischaemia/MI or dialted cardiomyopathy
Diastolic Dysfunction
preserved EF, normal EDV;compliance often secondary to myocardial hypertrophy.



Caused BY Skin Preload CO Afterload Treatment
Hypovolumic hemorrhage,dehydration,burns Cold,clammy reduced reduced increased IV fluids
Cardiogenic Acute MI,HF Cold,clammy increased reduced Increased Inotropes, diuresis
Distributive Sepsis, anaphylaxis warm,dry reduced increased reduced IV fluids,pressors
  • this is how we add bullets
    • this is how layers
  1. this is how numbers are added

reference