- Metabolic cuases of Impotence.

Metabolic cuases of Impotence (erectile dysfunction).

"Rash"

Renal Failure.
Alcoholism.
Sickle cell disease
Hoemochromatosis.
Hepatic failure.
Hyperglycemia (D.M).

Dr Ibrahim

- Nematodes affecting skin and s.c tissue.

Nematodes affecting skin and subcutaenous tissue.

"Hook was old"

Hook worms(Ground itching).


Wuchereria Bancrofti,Wuchereria malayi(they cause Elephentiasis).
Ancylstoma caninum,Ancylstoma Brazilliense (they cause creeping eruption).
Strongyloides stercoralis (creeping eruption).




Onchocerca volvulus(Nodules and Elephentiasis).
Loa Loa (Calabar swelling).
Dracunculus medinensis(ulcer and cellulitis).

Dr Ibrahim

- Parasites affecting Heart.

Parasites affecting Heart

"Heart Team" 

Heterophyes heterophyes (Eggs)

Taenia solium (cysticercosis), 
Trichinella spiralis (Trichina capsule),
Trypanosoma cruzi (Leishmanial form),
Toxoplasma gondii (true tissue cyst).

Echinococcus granulosus (Hydatid cyst).
Acanthocheilonema perstans (Adult worm in the pericardium).
Mansonella ozzardi (Adult worm in the pericardium).

or  Arabic students can use the word "Hatem"

Dr Ibrahim

- Parasites affecting Spleen.

Parasites affecting Spleen

"Spleen"

Schistosoma species.

PLasmodia species.

LEishmania donovani.

EchiNococcus granulosus .

Dr Ibrahim

- Nematodes transmitted through contaminated soil.

 Nematodes transmitted through contaminated soil
(Nematodal geoparasites)

(Alessandro Nesta the famous Italian footballer )

(source of pic here )

you will surprise what the relation between Alessandro Nesta and Nematodes.!? really i will need "Nesta" part to help us to remember nematodes transmitted through contaminated soil..

"Nesta" 

Necator americanus (filariform larvae).

Enterobius vermicularis (eggs).
Strongyloides  stercoralis (filariform larvae).
Toxocara canis and cati (eggs),Trichocephalus trichiurus.
Ascaris lumbricoides,Ancylostoma duodenale.
 

Dr Ibrahim

- Nematodes transmitted by eating raw vegetables.

Nematodes transmitted by eating raw vegetables

"Eat"

Enterobius vermicularis (eggs).

Ascaris lumbricoides (eggs).

Toxocara canis and cati(eggs) ,Trichocephalus trichiurus(eggs),Trichostrongylus colubriformis (Larvae).

Dr Ibrahim

- Parasites affecting oropharynx.

Parasites affecting oropharynx

"Melt"

Myiasis : larvae of calliphora and gasterophilus.

Entamoeba gingivalis.

leishmania brasiliense.

Trichomonas buccalis.

Dr Ibrahim

- Air Borne parasitic infections.

Air Borne parasitic infections

"Net Cam"

Naegleria fowleri (Trophozoites).

Enterobius vermicularis (eggs).

Taenia solium (eggs),Toxoplasma gondii (Oocyst).

Cryptosporidium parvum (Oocyst).

Acanthamoeba castellanii (Trophozoites),Ascaris lumbricoides (eggs).

Microsporidia (spores).

Dr Ibrahim

- Laboratory acquired nematodal infections.

Laboratory acquired nematodal infection.

"Sheat"

Strongyloides stercoralis.

Hook worm.

Enterobius vermicularis.
Ascaris lumbricoides.
Trichocephalus trichiurus,Trichinella spiralis.

Dr Ibrahim

- Parasites transmitted through trans-mammary route.

Parasites transmitted through trans-mammary route

(International Breastfeeding Symbol)

"SAT"

Strongyloides stercoralis larvae.

Ancylostoma duodenale larvae.

Toxocara canis and cati  larvae.

Dr Ibrahim 

- Components of Quality of health care.

components of Quality of health care are collected in the word

" Re-cast"

- Interpersonal Relationship which refers to the inter-action between providers and clients, health team and community and in between medical staff.

- Effectivness.

- Efficiency.

- Continuity:- client recieve ccomplete health service without interruption,cessation or unneccessary repetition of diagnosis or treatment.

- Accessibility:- health care must be unrestricted.

- Amenities ( Non medical aspect of Quality) .

- Safety = minimizing risk of danger

( infection,injury,harmfuk side effects)

for both clients & providers.

- Technical compotence = clinical skills.

see you,
Dr Ibrahim

- Tuberculin non reactors high risk groups.

One of the indications for administration of BCG vaccine is

"Tuberculin non reactors high risk groups"

they are "Dig camp"

- Dangerous group of the community who deal with large number of people transmitting infection to them ..e.g food handlers,teachers,nurses,wet nurses,hair dressers.

- Industrial workers especially exposure to silica dust as T.B follow silicosis as its shadow.

- Geriatric homes .


- Contacts with cases.

- Camps.

- Cases of D.M & chronic debilitating diseases.


- Agricultural workers and farmers.

- Adolescents with symptoms > 4 weeks.


- Medical and Paramedical persons.

- Military groups.

- Malnutrition syndrome.


- People of underdeveloped countries and living in slums.

- Non typhoidal salmonella.

-Non typhoidal salmonella are bacteria which cause

salmonellosis in human which is a type of

food poisoning...

- While typhoidal salmonella lead to Typhoid

-Non typhoidal salmonella are collected in word

"sect"

- Salmonella Sonnei.

- Salmonella Enteritidis.

- Salmonella Cholerae suis.

- Salmonella Typhimurium.

See you,

Dr Ibrahim.

- causes of re-emerging of T.B.

causes of re-emerging of T.B

Or

why does the burden of T.B increases?!

"Dim shape"

- Demographic changes e.g poor housing and overcrowding.


- Immuno-suppressive drugs.


- Microbial adaptation.

- Multi-drug resistant for T.B.

- Malnutrition.


- Smoking.


- HIV.


- Addiction.


- Increase Prevalence of T.B diagnosis than expected.


- Environmental factors e.g air pollution.

- Decrease Effectiveness of BCG.

see you,

- Plumbism.

Plumbism is manifested by

" flea crop "

Facial pallor.

Lead line.

Encephalopathy.

Anaemia.


Constipation

Colic

Cardiac manifestations.


Renal manifestations.

Reproductive manifestations.


Optic atrophy.

Paralysis.

Enjoy,,,,

Dr Ibrahim samaha.

- Health needs of adolescent.

They need "DELTA"

Diet ( healthy and good)

Education ( sex and family )

Loving home and good family relationship.

Trust and confidentiality.

Accept autonomy.

Enjoy,,,,

Dr Ibrahim samaha.

- Risks in adolescence period.

" Muster HDL " جمع HDL

Malnutrition and aneamia.

Lot of Unmets regarding nutrition, reproductive and mental health.

School dropouts and child labour.
Sexual maturity and onset of sexual activity.
Social risks - look here -.

Transition from dependence to relative indpendence.
Teenage pregnancy.

Early marriage.

Reqiure safe and supportive environment.

Habits and behaviors picked up in adolescence period have long life impact.

Desire for experimentation.

Lack of formal and informal education.

Enjoy,,,,
Dr Ibrahim samaha.

- Social Risks in adolescence period.

" FILMS "

Social Frustration.

Inadequate school syllabus about adolescent health.
Ignorance of sex and sexuality.

Lack of understanding.
Lack of recreational , reactive and working opportunities.

Misdirected peer pressure in abscence of adequate knowledge.

Suboptimal support at family level.

Enjoy,,,,
Dr Ibrahim samaha.

- Rules for counselling.

Collected in the word " GATHER"

• Great the person and show respect and trust.
• Ask about his problem ,encourage him express himself with his own words.
• Tell him relevant information.
• Help them to make decisions,explore alternatives and ensure that nothing has been emposed.
• Explain any misunderstanding.
• Return to follow up visits.

Source:- Communication and ;health behavior p.g 28, Prof. Doctor,Nadia montaser, Mansoura Uni.

- Components of Antenatal care.

Collected in the word " IRON chase المطاردة الحديدية"

• Immunization.
• Registration and  Record keeping.
• Outrech services (home visits).
• Nutritional care.

• Clinical services.
• Health education.
• At risk approach.
• Social care.
• Examination : 1st visit and periodic visits.