copy of प्रतिश्याय by santosh kadam 15

Upload: srushti

Post on 11-Feb-2018

224 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/23/2019 Copy of by santosh kadam 15

    1/40

    Final Year

    B.A.M.S

    Roll No.15

  • 7/23/2019 Copy of by santosh kadam 15

    2/40

    ll

    .. 20/1

    :l

    : !"# $ ll .. 24/18

  • 7/23/2019 Copy of by santosh kadam 15

    3/40

    %. &" '$

    (. $ '$). "

    *. +! ',. $ "

  • 7/23/2019 Copy of by santosh kadam 15

    4/40

    %. - . ll

    /0!: 1/ . l2/ 34 l

    .

    .(*

    /(,(.

    2/5!!'" " l

    6 4."7 / 8: ll

  • 7/23/2019 Copy of by santosh kadam 15

    5/40

    (.

    3

    :2!

    /;$

    !.$1 .(9/%)),%)*

  • 7/23/2019 Copy of by santosh kadam 15

    6/40

    *. - $? : $#/

    . 2"- l =./..(*/%,

    ,. @ A"B!" !C#/ B/ l

    :B- ":2: ll.. (9/%*%

    +$/ +/! &"$D l -!! # 0"+ll

    / - ll=./..(*/%%,%(

  • 7/23/2019 Copy of by santosh kadam 15

    7/40

    %.-

  • 7/23/2019 Copy of by santosh kadam 15

    8/40

    ).

    $ / 2$! ll

    ..(*/(J

    *..K- : - 1/ 23/23/ .K -... ll

    ..(9/%*),. ! 2$+ / /2 : l 4 !"+$2$L . ll

  • 7/23/2019 Copy of by santosh kadam 15

    9/40

    - +

  • 7/23/2019 Copy of by santosh kadam 15

    10/40

    %.!/O 7" :7 !/O/ P ll ..

    (9/%*I(.-

    &": .K !Q 2 ll

    ..(9/%*I

    ). O3

    R+ A/ !$lA # /

  • 7/23/2019 Copy of by santosh kadam 15

    11/40

    *.-

    " ".U :l D1 ":B0 ll

    =./..(*/(,-(J,.-!! 0 -! -37 / ' !/ 0/ 0/ / !0 / "G

    ..(*/)%,)(

  • 7/23/2019 Copy of by santosh kadam 15

    12/40

    9. !$FB0V0 3: l ""W: .$ ll

    ..(*/))J. @-

    K!&"!.XY+: l

    : RC#/ 2:B-/ ll.

    >.(9/%,,

  • 7/23/2019 Copy of by santosh kadam 15

    13/40

    $ ' Z : ' l 0+# #: "+ ll

    . .(*/)*

    %.- 24 O3 (.!- $ ! ). - [+ !

  • 7/23/2019 Copy of by santosh kadam 15

    14/40

    %.- :' $ &"4-+/ /+A!K/ 4/ : ll

    +$E O3 +/! !"/ 0"+ l =./. (*/),,)9

  • 7/23/2019 Copy of by santosh kadam 15

    15/40

    %. =$

    (. ). O3*. -

    ,. 9. "

    - !"#$

  • 7/23/2019 Copy of by santosh kadam 15

    16/40

    -R"3:'/ ?\ /

    :.l 2"2/ 0+0"+ /: l +SS 3/ B!4/ .2l

    -

    - #

  • 7/23/2019 Copy of by santosh kadam 15

    17/40

    "S:': : 3"+ l. 3C 0+ -U$ ll

    ..(*/*(

    : 21 : l

    :' -1$#5 l # ': 8"S"" / L: ll

    ..(*

    %#&

  • 7/23/2019 Copy of by santosh kadam 15

    18/40

    Nose Anatomy

  • 7/23/2019 Copy of by santosh kadam 15

    19/40

    SINUSES

  • 7/23/2019 Copy of by santosh kadam 15

    20/40

    RHINITIS

  • 7/23/2019 Copy of by santosh kadam 15

    21/40

  • 7/23/2019 Copy of by santosh kadam 15

    22/40

    Nasal congestion

    Nasal dischage

    Snee!ing

    Nasal itchiness

    an" t#o $o %24 ho&s

    'e(nition 0$ )*INI+IS

  • 7/23/2019 Copy of by santosh kadam 15

    23/40

    2

    a&ses o$ )hinitis

    lleg"

    N)ES s"ndoe

    cc&ational*oonal

    '&g ind&ced

    natoic de$ects

    Iitants

    dese $ood eaction

    Eotional

    tohic

    ilia" d"s3inesia

    I&node(cienc"diseases

  • 7/23/2019 Copy of by santosh kadam 15

    24/40

    History

    Physical !amination Nose" yes" ars" #$n%s an&S'in

    Nasal e!am (ith en&osco)e e&emato$s IT" )oly)s

    Bloo& test * I%" eosino)hilia

    Nasal +io)sy ,or &ierential &!

    S'in test

    RAST ra&io-aller%osor+ent test/

    In0esti%ations

  • 7/23/2019 Copy of by santosh kadam 15

    25/40

    asic 5anageent o$ )hinitis

  • 7/23/2019 Copy of by santosh kadam 15

    26/40

    A 2NRA# -

    1. Analgesics & decongestants hels"toaticall"

    2. Antibiotics

    ae e6&ied i$ thee isseconda" in$ection.

    3. Antihistamines ed&ces nasal iitations.

    4. Vitamin C is o$ do&7t$&l al&e.5. General rest & warmth ae soothing to

    the atient.

    TRATMNT o, RHINITIS

  • 7/23/2019 Copy of by santosh kadam 15

    27/40

    B #34A#

    1. Decongestant drops -ed&ce the nasals"tos.

    i9asoconstictos nasal dos

    o"etaoline

    iiSteoid

    7ecloethasone

    Nasone

    2. team inhalation is co$oting ;+inct&e 7en!oin o

    5ethanol a" 7e added i$ desied.

  • 7/23/2019 Copy of by santosh kadam 15

    28/40

    4 PR3PHY#AIS

    1. 4ontact #ith atient sho&ld 7e aoided.

    2.Vaccines ae not 3no#n to 7e e" e

  • 7/23/2019 Copy of by santosh kadam 15

    29/40

    S>EI?I+)E+5EN+

  • 7/23/2019 Copy of by santosh kadam 15

    30/40

  • 7/23/2019 Copy of by santosh kadam 15

    31/40

    1. ntitoin &s&all" 10,000 &nits o$ se& aes&@cient $o nasal ditheia .

    2. nti7iotics E"tho"cin /enicillin contolsthe 7acteial in$ection, 7&t the toin isco&nteed 7" the antitoin.

    . >oh"lais +hose childen #ho ae li3el" tocoe in contact #ith atient ,sho&ld 7e

    gien antitoin /a 7ooste dose o$ theditheia tooid.

    Nasal 'itheia

  • 7/23/2019 Copy of by santosh kadam 15

    32/40

    oidance o$ identi(ed allegens

    Nasal steoids

    ntihistaine nasal sa"

    ntihistaines Asedating and no sedating

    'econgestants

    Nasal sa"s Aliited 2- da"s

    al e$eed Aliited 7" side e

  • 7/23/2019 Copy of by santosh kadam 15

    33/40

    1.>edesosing $actos sho&ld 7e eliinated .

    2. l3aline Nasal 'o&ching hels to get id o$thic3 iscid secetions .

    honic Sile )hinitis

    h i * t hi

  • 7/23/2019 Copy of by santosh kadam 15

    34/40

    1. +oical Nasal 'econgestants gies teoa"elie$ olonged &se o$ decongestant dossho&ld 7e discontin&ed totall" to eente7o&nd congestion = ha7it $oation.

    2. *"etohic t&7inate a" 7e teated 7"

    i Electoca&te"

    ii S&7 &cosal diathe"

    iii"os&ge" i Base = adiothea"

    >atial +&7inecto"

    honic *"etohic)hinitis

  • 7/23/2019 Copy of by santosh kadam 15

    35/40

    C >ia" ca&se teated

    C onseatie teatent-

    1. Bocal Nasal 'os

    A2Dgl&cose/chloahinicol >lacental etact

    l3aline nasal do&che

    2. S"steic nti7iotics

    N&tition

    9asodilatos

    C S&gical teatent

    tohic )hinitis

  • 7/23/2019 Copy of by santosh kadam 15

    36/40

    Initiate toical steoid 7ilateall", discontin&edecongestant in one nostil, then the secondnostil one #ee3 late

    ne-#ee3 dose o$ taeing steoids

    Eal&ate $o the &ndel"ing ca&se o$ the hinitis

    F

    )hinitis 5edicaentosa

  • 7/23/2019 Copy of by santosh kadam 15

    37/40

    lleg" contol

    Intanasal steoids

    S"steic steoids

    oidance o$ S, NSI's

    >ol"ecto"

    Ethoidecto"

    G

    Nasal >ol"s

  • 7/23/2019 Copy of by santosh kadam 15

    38/40

    a&tion #ith edication &sage

    Nasal saline sa"s, stea inhalation

    oidance o$ 3no#n tigges+oical edical thea" athe than s"steic

    #hen ossi7le

    al se&doehedine

    hloheniaine

    8

    )hinitis in >egnanc"

  • 7/23/2019 Copy of by santosh kadam 15

    39/40

    Inade6&ate contol #ith aoidance andhaacothea"

    >haacothea" $o oe than -4onths e "ea

    Intolea7le side eogessie seeit" o$ disease

    'esie $o long-lasting contol #itho&t)

    H

    Indications $o I&nothea"

  • 7/23/2019 Copy of by santosh kadam 15

    40/40

    Than' Yo$