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PHYSIOLOGICAL CHANGES IN PREGNANCY

↑ ↓ constant

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Retic count Hb
WBC count Platelet EF
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India PAP
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->

-> colposcopy -

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screening

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concentration If
d

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motility
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CVTS
Pathophysiology: Failure of invasion of spiral artery by extra-villious trophoblasts

Amenorrhea:
13yrs-No secondary sexual characteristics
15yrs-Secondary sexual characteristics +
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updates
recent
and I
↳ 1871

. amenorrhea algorithm
·

infectivity
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PSM/3x - BTR
Entire
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13 - I deal

-
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as
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-
 Rabies
Categories of contact with Post – exposure prophylaxis Re-exposure: 0,3
suspect rabid animal measures
Category I None Pre-exposure: 0,7,21
• Touching of feeding animals
• Licks on intact skin Post-exposure:
Modified Thai Cross: 0,3,7,28
Category II 1. Immediate vaccination and
(I)
• Nibbling of uncovered skin 2. Local treatment of wound
• Minor scratches or abrasions 7, 14,28
Essen: 0,3,
without bleeding
(1m)
Category III 1. Immediate vaccination
• Single or multiple transdermal 2. Administration of rabies
bites or scratches immunoglobulin
• Licks on broken skin 3. Local treatment of the wound
• Contamination of mucous
membrane with saliva from
licks
• Contacts with bats
-

all seen bin-?

-
w

W
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W
First case in community: Primary case

First observed case: Inden case

Time between primary and secondary case: Serial interval

-
-

Time between entry of organism and symptom: Incubationperiod

Time between entry of organism and max communicability: Time

Generation
 W
W

P <0.05

X
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contio
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3
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tall
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X

X
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time

diagnosis

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clinical features c - a

I read time)

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>2yrs
↳
single
dose
rifampicin
Ardes Mansonin
Anopheles cules
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emposure
Program Management
and Review Technique
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unknown
-
Critical Path
Method

Contact the
in

necessary component:
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estimated
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BTR booklet
Cabellum
launch
-
Videos - bank - BTR
delivery
app
Health Index
q B G
Human Development Index Physical Quality of Life The Global Hunger Index
(HDI) Index (PQLI) ↳ I -
(GHI) 5

Knowledge: (Mean & expected Literacy rate Proportion of the population that
years of schooling) is undernourished

Income: real GNI per capita Infant Mortality Rate Prevalence of underweight in
IMR children under five (in %)

Life expectancy at birth Life expectancy at one year Proportion of children dying
LEO
LE before the age of five (in %)
 Epidemics

single exposure

secular bead
↳ NCD
(Nourcommunicable)
multiple 213 years
cyclical
source
point source -

Seasonal

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propagated
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&- child
Pediatric

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↓
UB
now
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melliroplasty
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-
12

6
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6 + 10
16
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sorafenib
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8 3 + +
eve
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Papillary
-

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cosmetic
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w

u Gold stand
and

-
Y

X
calculinotin options
if impacted
weds
when confirm
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-
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when
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days
Split thickness graft: Secondary
contractive <Iys (implant)
-

Contiacline
Full thickness graft: 1.

EC
fistula
• S: Sepsis elimination and skin protection
• N: A period of parenteral nutrition may be required I
• A: Anatomical assessment
• P: Definitive planned surgery X

BLUE
-

Probene::recht
-
Light weight large pores- Criterion
under
His diaphragen
MESH A Additional Treatment 1 fluids -
emplotary lapso
can
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Large S Serous discharge Is given.
diagnose from
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I Isolation of bacteria
>21
days
-

Grievous
a
S Stay in hospital prolonged over 14 days
SIRS0
CEAP
–2 or more +: Wente THR C class Description
C1 Telangiectasias or reticular veins
Core Temperature ˂36oC or ˃ 38oC
C2 Varicose veins GSV/SSU -:
HR >90bpm
C2r
RR ˃&
20/min or Pco2 ˂32 mmHg Recurrent varicose veins
C3 Edema 3 E
White blood cell count ˃12,000 /μL, <4000/μL,
-

C4 Changes in skin and subcutaneous tissue

10% bands
C4a Pigmentation or eczema
Big names

Ge
GARBAGERR SBP
C4b
C4cO
Lipodermatosclerosis
0
Corona phlebectatica
or atrophie blanche

RTS C5 Healed
grofor C6 Active venous ulcer
-
C6r Recurrent active venous ulcer
Nerve Injuries

-Breast surgery axilla clearance- ICBT (T2)

-Thyroid surgery- SLN JELN) > RLN

mandibular
-Parotid surgery- a) Deviation of angle- Marginal
b) Anaesthesia at angle- Greaterwriter (2/(s)
hernia by-
c) Frey- Auriculo limporal
& Open inquiral &
ofpenns
-
sensation
rose
of
-Submandibular surgery- ↳ingual nerve
adjacent
sedim
al

aresthetic)
↳
Glioinguin
-Lap hernia sx LCNT (meralgia p

Wharlow's dust
-Open hernia sx I to inguinal ↳ IOC: NCCT

-Mesh entrapment I liohypo gastric

-Thymectomy (courses
Perenic
in art mediastinum)
 &
Now immune
hydrops
↳ X HIV
CO SVR CVP

Cardiogenic o
fraction
dr ↑ ↑ -
Ejection
(EFS & Tamponade
- a
sharp
blunted
Hypovolemic y
↓ ↑ ↓
o tamponade
Obstructive - Pneumothoran
I ↑ ↑ -> EF -
Tension

-
Distributive 84 ↓d ↓ ->
Septicearly phase MVO2 >70%
limbs
I was

Neurogenic ↓ ↓ ↓