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Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
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1.3 new goals – cure, prevent resistance and break chain of transmission.
2. Introduction of daily regime.
3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.
4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.
5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).
6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.
7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.
8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.
9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.
10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.
11. Sputum should be around 2ml and preferably be mucopurulent.
12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.
13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students.
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity.
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended.
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced)
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed.
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.
I had married 5 years and no child for me. My penis fully covered with skin. Somebody told to me due to full skin covered also not able to birth. please solve my problems.
I feel very dryness and warmness in my stomach and neck during waking up. After drinking lot of water it becomes to normal. Why is it all happening?
Is there any reason for over sensitivity of penis? Getting an erection at slightest thought of opposite sex is normal or it's a abnormality?
My HbA1c is 8.5 I'm 41yrs, 76kgs, & 5.7" in height have started 30 mins walk plus 30 mins ground exercise. Havent yet consulted a doctor for medication. Please suggest a good diet plan to reduce my sugar levels Thanks in advance!
You don't have to have sex to get an STD. Skin-to-skin contact is enough to spread HPV, the virus family that causes genital warts. Some types cause warts and are usually harmless, but others may lead to cervical or anal cancer. Vaccines can protect against some of the most dangerous types.
Signs: Pink or flesh-colored warts that are raised, flat, or shaped like cauliflower. Often there are no symptoms.
2) Crabs (Pubic Lice)
Crabs" is the common term for lice that set up shop in pubic hair. The term comes from the shape of the tiny parasites, which look very different from head or body lice. The creatures crawl from one person to another during close contact. Pubic lice can be killed with over-the-counter lotions.
Symptoms: Intense itching, tiny eggs attached to pubic hair, or crawling lice.
Scabies is an itchy infestation caused by a tiny mite that burrows into human skin to lay eggs. It is not always an STD, as it can spread through any skin-to-skin contact. But among young adults, the mites are often acquired during sex. Scabies is treated with prescription creams.
Symptoms: Intense itching especially at night and a pimple-like rash. It may take 2-6 weeks for symptoms to appear.
Gonorrhoea spreads easily and can lead to infertility in both men and women, if untreated. Antibiotics stop the infection.
Symptoms: Common symptoms are burning during urination and discharge, but often there are no early symptoms. Later, the infection may cause skin rashes or spread to the joints and blood.
In Men: Discharge from the penis, swollen testicles.
In Women: Vaginal discharge, pelvic pain, spotting. Symptoms may be mild and are easily confused with a urinary tract or vaginal infection.
Most people don't notice the early symptoms of syphilis. Without treatment, it can lead to paralysis, blindness, and death. Syphilis can be cured with antibiotics.
Signs and Symptoms: The first sign is usually a firm, round, painless sore on the genitals or anus. The disease spreads through direct contact with this sore. Later there may be a rash on the soles, palms, or other parts of the body (seen here), as well as swollen glands, fever, hair loss, or fatigue. In the late stage, symptoms come from damage to organs such as the heart, brain, liver, nerves, and eyes.
Chlamydia is a common STD that can lead to infertility if left untreated. It clears up quickly with antibiotics. But it often goes unnoticed because symptoms are vague or absent. Chlamydia can also infect the rectum and throat.
Symptoms in Men: Burning and itching at the tip of the penis, discharge, painful urination.
Symptoms in Women: Vaginal itching, discharge that may have an odor, pain during sex, painful urination.
7) Herpes Simplex Virus Type 1
That painful cold sore you get on your lip every now and then? It's probably caused by a type of herpes virus called HSV-1. This virus is usually not an STD; it spreads easily among household members or through kissing. But it can be spread to the genitals through oral or genital contact with an infected person. Though there is no cure, drugs can shorten or prevent outbreaks.
Signs and Symptoms: Occasional cold sores or "fever blisters" on the lips. Small blister or sores on the genitals are also possible.
8) Herpes Simplex Virus Type 2
Most cases of genital herpes are caused by a virus called HSV-2. It's highly contagious and can spread through intercourse or direct contact with a herpes sore. As with HSV-1, there is no cure. But antiviral drugs can make outbreaks less frequent and help clear up symptoms more quickly.
Symptoms: Fluid-filled blisters that form painful, crusted sores on the genitals, anus, thighs, or buttocks. Can spread to the lips through oral contact.
9) Hepatitis B
Hepatitis B is a stealthy virus that can cause severe liver damage. It spreads through contact with blood and other body fluids. People can be infected through sex, needle sharing, and at birth, as well as by sharing razors and toothbrushes. There is no cure, but drugs can keep the virus in check. There's also an effective vaccine to prevent hepatitis B.
Symptoms: People may develop nausea, belly pain, dark urine, fatigue, and a yellowing of the skin or eyes with acute infection. Chronic infection can lead to liver cirrhosis and liver cancer. Many people have no symptoms for years.
10) HIV/ AIDS
The HIV virus weakens the body's defense against infections. HIV spreads through unprotected sex, needle sharing, or being born to an infected mother. It may cause no symptoms for years, so a blood test is the best way to learn your status. Timely treatment is important to help prevent serious illnesses.
Early symptoms of HIV Infection: Many have no symptoms, but some people get temporary flu-like symptoms one to two months after infection: swollen glands (seen here), a fever, headaches, and fatigue. Canker sores in the mouth can occur, too.
Trichomoniasis is caused by a parasite that spreads during sexual contact. It can be cured with prescription drugs.
Signs and Symptoms in Men: Most men have no obvious symptoms. Some develop a mild discharge or slight burning during urination.
Signs and Symptoms in Women: Women may develop a yellow-green discharge with a strong odor, vaginal itching, or pain during sex or urination. Symptoms usually begin five to 28 days after acquiring the parasite.
Chanchroid is a bacterial STD that is common in Africa and Asia but rare in the U.S. It causes genital sores that can spread the bacteria from one person to another. Antibiotics can cure the infection.
Symptoms in Men: Painful bumps on the penis that may develop into pus-filled open sores, pain in the genitals and groin.
Symptoms in Women: Painful bumps in the genital area that can develop into open sores, swollen lymph nodes in the groin.