高血压英文精品课件pulmonary

BoardReviewVikramChhokarMDUniversityofTennesseeDivisionofCardiologyQuestionAn80-year-oldAsianwomanawakensat2a.m.feelingasifshewerebeingsmothered.Sheis

高血压英文精品课件pulmonaryTag内容描述:

1、Board Review,Vikram Chhokar MD University of Tennessee Division of Cardiology,Question,An 80-year-old Asian woman awakens at 2 a.m. feeling as if she were being smothered. She is brought to the ED and is found to be in pulmonary edema. She has a history of a heart murmur, discovered 20 years before. Prior to this episode she says she was in good health, although she has not been physically active due to arthritic discomfort for the past 5 years. On careful questioning she admits to brief episode。

2、Univariate Analysis and Table 1,Mark Drazner, MD, MSc University of Texas Southwestern Medical CenterJune 11, 2004,Risk Factor Outcome,Exposure Explanatory variable Independent variable,Dependent variable Response Disease,Types of Variables in Your Experiment,Objective,Is the risk factor associated with the outcome? Is there a pattern?,Validity and Generalizability,Internal ValidityI find a pattern, is it real (reproducible)? Chance Bias ConfoundingExternal ValidityDoes it apply to other。

3、Pediatric hypertension,Supervisor : VS. 邱元佑 Speaker : Int. 謝宜勳,Case information,Review: Pediatric hypertension,- Definition - Etiology - Clinical manifestation - Treatment,Definition,Task Force on Blood Pressure Control in Children( National Heart, Lung, and Blood Institute & National Institutes of Health)Age, sex and heightObesity important independent risk,Measurement of BP in Children,Measurement,standard mercury sphygmo-manometer right arm bladder width: 40% of the circumference o。

4、CHAPTER 5,CHAPTER-SPECIFIC GUIDELINES (ICD-9-CM CHAPTERS 1-8),ICD-9-CM, Chapter 1,Infectious and Parasitic Diseases Divided based on etiology (cause of disease) Many combination codes Example: 112.0 candidiasis infection of mouth, which reports both organism and condition with one code,Multiple Codes,Sequencing must be considered UTI due to Escherichia coli 599.0 (UTI) etiology 041.4 (E. coli) organism 041 category is a secondary-code only,Section I.C.1.a,d,e Human Immunodeficiency Virus,Code H。

5、WHY WORLD KIDNEY DAY?,WORLD KIDNEY DAY (1),PURPOSE:,World Kidney Day was established to increase awareness of the need for detection programs for CKD & to improve prevention & treatment of CKD. 2.The motto of World Kidney Day: Kidney Disease is Common, Harmful and Treatable.,About 20 Million People With Chronic Kidney Disease (CKD) in the United States and 20 Million More at RiskEstimates Suggest That About 10 Percent of Adult Patients Worldwide May Have CKD,Dialysis M。

6、Hypertension in CKD,Michael J Casey, MD Wake Nephrology Associates,Hypertension Stats,HTN affects approximately 1 billion worldwide $500 billion in direct costs Continuous, consistent and independent relationship between BP and Cads For those age 40-70, each increased increment of 20/10 mmHg in BP doubles the risk of CVD across the entire BP range of 115/75 to 185/115. Only 35% of hypertensive patients on treatment are under control.,Hypertension as Defined by JNC VII,120/80 - normal; “optimal。

7、Renin-Angiotensin System Drugs,Igor Spigelman, Ph.D.,Division of Oral Biology & Medicine,UCLA School of Dentistry, CA,Rm. 63-078 CHS,Email: igorucla.edu,RENIN-ANGIOTENSIN SYSTEM,Control of renin secretion: Mechanical Ionic NE release,- plays a major role in the regulation of hemodynamics and water and electrolyte balance via its circulating hormone, angiotensin II.,Renin: rate-limiting enzyme in angiotensin II production,RENIN-ANGIOTENSIN SYSTEM,Angiotensins I, II & III: Angiotensin I i。

8、Pregnancy Induced Hypertension,Dr. H. MansouriFRCS Canada,Significance :,Hypertensive disease in pregnancy: 12-22% Preeclampsia: 5-8% Chronic hypertension: 5% Directly responsible for 17.6% of maternal deaths in the United States,Classification,The National High Blood Pressure Education Program Working Group:gestational hypertension replace PIH Preeclampsia Eclampsia Preeclampsia superimposed on chronic hypertension Chronic hypertension,Definitions,Gestational hypertension: BP 140/90 for first。

9、Chronic Disease Prevention,Objectives,Background: Setting the Stage Status of Chronic Diseases in San DiegoEvidenced-based Best PracticesHHSA Chronic Disease Prevention Model,Setting the Stage,Why Chronic Disease?,Why Chronic Disease?,California Conference for Local Public Health Officers (CCHLO) Chronic Disease Conference Spurred Idea to develop CC Agency for Agency Two meeting held to date to develop an inventory of Agency Chronic Disease activities SPOS came to PHS to conduct a “Focused Dia。

10、CHAPTER 28,CENTRAL NERVOUS SYSTEM,CNS,NORMALPATHOLOGY,NORMAL,NEURONS (1%) GLIA (99%) ASTROCYTES OLIGODENDROCYTES EPENDYMAL CELLS MICROGLIA,PATHOLOGY,Cellular Pathology Edema, CSF Pressure, Hydrocephalus Malformations Perinatal Trauma Vascular Infections,Prion Diseases Demyelinating Diseases Degenerative Genetic Metabolic Acquired Metabolic Tumors,CELLULAR PATHOLOGY,REACTIONS OF NEURONSREACTIONS OF ASTROCYTES,EDEMA/PRESSURE/CSF,CEREBRAL EDEMA RAISED INTRACRANIAL PRESSURE AND HERNIATION HYDROCEPHA。

11、HYPERTENSIVE RETINOPATHY,DR AJAY DUDANI DR YASHESH MANIAR,- MANY CAUSES - MAINLY ESSENTIAL HYPERTENSION,SYSTEMIC HYPERTENSION (JNCV 5TH),STATE OF PERSISTENT ELEVATED BLOOD PRESSURE ABOVE 140/90 mmHg.,5TH JOINT NATIONAL COMMITTEE CLASSIFICATION OF BLOOD PRESSURE,CATEGORY SYSTOLIC BP DIASTOLIC BP(mmHg) (mmHg),NORMAL 210 120,PATHOPHYSIOLOGICAL CHANGES IN HYPERTENSIVE OCULAR DISEASE,HYPERTENSIVE CHOROIDOPATHY HYPERTENSIVE RETINOPATHY- VASOCONSTRICTIVE PHASE- SCLEROTIC PHASE。

12、1,Renal failure,2,患儿女,11月。因呕吐、腹泻伴发热9天,无尿5天入院。 9天前无诱因出现腹泻,每天34次,伴频繁呕吐,非喷射状,量较多;同时发热,体温最高41。给予口服抗生素治疗,三天后腹泻、呕吐次数减少,但体温仍在3839之间。近5天一直无尿。 体检: 呼吸60次/分,脉搏120次/分,血压85/54mmHg。 昏睡状态。双眼睑及球结膜水肿,睑结膜稍苍白,口唇干裂,咽充血,颈无抵抗;呼吸深大。 实验室检查: 便常规正常;血钾8.6mmol/L,血钠128mmol/L,氯化物100mmol/L, 血钙1.98mmol/L,血磷2.33mmol/L, 尿素氮37.12mmol/L,血肌酐804.44。

13、Blood Vessels,Frank A. Acevedo, PA-C,Vascular Abnormalities,Narrowing of the lumen Thrombosis Weakening of the walls,Normal,Intima - Endothelial Cells Media - Smooth Muscle Cells Adventitia - Connective Tissue,Arteries,Elastic arteries Muscular arteries Arterioles,Endothelium,Anticoagulant/Antithromboticprostacyclin, thrombomodulin, plasminogen activator, heparin-like molecules ProthromboticVonWillebrand Factor, tissue factor, plasminogen activator inhibitor,Vascular Smooth Muscle,Vasoconstricti。

14、Antihypertensive Drugs,Hypertension,Hypertension is not a disease It is an arbitrarily defined disorder to which both environmental and genetic factors contribute Major risk factor for: cerebrovascular disease myocardial infarction heart failure peripheral vascular disease renal failure,Definition,Elevation of arterial blood pressure above 140/90 mm Hg. Can be caused by:an underlying disease process: In 5-10% a cause can be found(secondary hypertension) Renal artery stenosisHyperaldosteronism。

15、Common Eye Disease,DR ARUNDHATI KALE SIDHAYEMBBS, DO MS, DNB, FICO (Germany) University Eye Hospital, Essen. GERMANY General and Pediatric Eye SurgeonConsultant - Sahyadri Hospital, Deccan. Oyster and Pearl Hospital, Shivaji Nagar .VISION EYE CLINIC Ground fl, Nilayam society, Opp. Kinara hotel, Paud rd, Kothrud, PUNE.www. eyeclinicpune.com,Common Eye Disease,Refractive errors like nearsightedness and farsightedness, astigmatism, presbyopia Allergies to dust, pollution gases, pollen etc. Infec。

16、Eisenmenger Syndrome,Presented by: Ri 高祥豐,Outline of Presentation,Eisenmenger syndrome: introduction Definition, manifestation, natural courses, diagnosis, differential, diagnostic tests Prognostic factors, especially for corrective surgery Intervention: medical and surgical Management of complications,Eisenmenger Syndrome,Definition: Pulmonary vascular obstructive disease that develops as a consequence of a large preexisting left-to-right shunt that pulmonary artery pressures approach system。

17、Valvular Heart Disease,Dr. Randa Al-Harizy Prof. of Internal Medicine,Tricuspid Valve,MITRAL STENOSIS Almost all mitral stenosis is due to rheumatic heart disease. It is much more common in women. Other causes include: Lutembachers syndrome, which is the combination of acquired mitral stenosis and an atrial septal defect, carcinoid tumours and SLE.,Valvular Heart Disease,PATHOPHYSIOLOGY When the normal valve orifice area is reduced to 1 cm2, severe mitral stenosis is present. To ma。

18、Hypertension,By: Daniel McGill, Alfred Brandolph Tica, and Elizabeth Barrera,Hypertension,What is it?,- Hypertension is a chronic medical condition in which the pressure or tension in the arteries is elevated.,Blood Pressure,Blood pressure is given in two numbers The top number is called the systolic blood pressure The bottom number is called the diastolic blood pressure A normal blood pressure is when its lower than 120/80mmHg A high blood pressure is when its above 140/90 mmHg,Stages of Hyper。

19、Pathology of Pulmonary Hypertension,Wolter J. Mooi Department of Pathology, VUmc Amsterdam WJ.MooiVUmc.nl,Pulmonary arterial hypertension (WHO definition),Sustained elevation of pulmonary arterial pressure to more than 25 mm Hg at rest, or to more than 30 mm Hg with exerciseMean pulmonary wedge pressure and left ventricular end-diastolic pressure less than 15 mm Hg,WHO Classification of Pulmonary Hypertension,Group I: Pulmonary arterial hypertension Idiopathic (primary) Familial Associated with。

20、Pulmonary Hypertension,Pulmonary Module Steven W. Harris MHS, PA-C,Pulmonary Hypertension,Defined as pressure within the pulmonary arterial system elevated above the normal range. greater than 25 mm Hg at rest or 30 mm Hg with exercise Pulmonary arterial pressure (PAP) usually 12-15 mmHg Left atrial pressure 6-10 mmHg,10/6/2018,2,Pulmonary hypertension develops when flow or resistance to flow across the pulmonary vascular bed increases,Four Categories of Pulmonary Hypertension Pulmonary hyperte。

【高血压英文精品课件pulmona】相关PPT文档
高血压英文ppt精品课件高血压
高血压英文ppt精品课件valvularheart
高血压英文ppt精品课件eisenmenger
高血压英文ppt精品课件commoneye
高血压英文ppt精品课件antihypertensive
高血压英文ppt精品课件blood
高血压英文ppt精品课件renal
高血压英文ppt精品课件hypertensive
高血压英文ppt精品课件centralnervous
高血压英文ppt精品课件chronicdisease
高血压英文ppt精品课件pregnancyinduced
高血压英文ppt精品课件reninangiotensinsystem
高血压英文ppt精品课件hypertensionin
高血压英文ppt精品课件worldkidney
高血压英文ppt精品课件chapterspecific
高血压英文ppt精品课件pediatric
高血压英文ppt精品课件univariate
高血压英文ppt精品课件board
高血压英文ppt精品课件 pathology of pulmonary
高血压英文ppt精品课件pulmonary
标签 > 高血压英文精品课件pulmonary[编号:83526]

电脑版 |金锄头文库版权所有
经营许可证:蜀ICP备13022795号 | 川公网安备 51140202000112号