"The only disablity in life is a bad attitute" Scott Hamilton

special care dentistry in india

geriatric dentist in india

dentistry for medically compromised patients\\

can we have scully like contributor in hospital dentistry in india to understand pattern of oral diseases in india
 

revision

syphilis-treopnema pallidium
primary,secondery,tertiry,congenital..penicillin is drug of choice
sexually transmitted disease
chancare on lip in primary
mucocutaneous patch in secondery
gumma in tertiry syphilis


pyodermatitis pyostomatitis vegetans
pustular papules in oral cavity and skin

exclusively associated with infla,matery bowel disease

microabscesses seen in epithelium

snail track ulcer seen in oral cavity


myasthenia gravis and thymectomy and thymus gland
pydrostigmine-anticholine sterase inhibitor,steroids are tt of choice..

jaw claudication seen

angioedema-hereditary and acquired

due to complement system involvement

c1-inh or fresh frozen plasma are drugs in hereditary type

danzole or tranemixic acid,ethymsylate are drug of choice in acquired types


fibromyalgia

nsaids causes gastric as well as risk of mi with cox 2 inhibitors

serotonin reuptake inhibitor

tricyclic antidepreesent

  tramadol

drugs are given with food which needs acidic medicum because of food stimulates acid production

cbct and ct use

hodgkin lymphoma have clonal b lymphocytes as sten redberg cells
invilv nodes rarely seen extranodally

nonhodgkin involves extranodal sites

burkit lymphoma caused by ebv

commanly seen in jaws

check for ct scan chest,abdomen..bone marrow biopsy

to evaluate marrow changes

candidiasis-

breach in mucosal barrier of body defence  due to radiotherapy or chemotherapy in cancer

c albicans,c glabrata,c kruseli,

resistant to ketoconazole

sweet syndrome-- fever with apthous ulcers-corticosteroids are tt of choice

sialdenosis due to dehydration- secondeery to major surgery

sailadenosis in diabetes-bulemia due to dehydration

bells palsy in sarcodosis-herefordt syndrome

bis phossy jaws-bisphosphonates 2 types nitrogen containiong-

in tt of paget disease

initially in bone scan

in tt of multiple ,myeloma

work as inhibition of osteoclastic activity

so are useful in tt of osteolytic lesion in multiple myeloma

myalgia,myositis

hot and cold increase blood circulation

cold causes nerves to be sensitized..vasodilation to increase the body temp of that area

2 types of exerxises--

journey of life..happiness around

Clinical Evaluation of Immune Status

Suspicion of an immune disorder should trigger testing of immune function. For example, patients with chronic, recurrent, or unusual infections, may have an immune deficiency. Alternatively, persons who consistently present with localized edema and itching following contact with an object in their environment may be suspected of having a hypersensitivity response to an antigen associated with that object.

 Defects in the humoral arm usually result in a patient having difficulty clearing encapsulated bacteria from the bloodstream, which may result in life-threatening infections. The bacteria seen in these immunocompromised states are mostly Streptococcus pneumoniae, Haemophilus influenza, and Neissera meningitidis. Defects in humoral immunity may be primary and often present since birth, or they may be acquired. They are quite diverse and include such diseases as selective IgA defiency, common varible immune defiency in which immunoglobin levels are depressed, and the acquired immune defiency state caused by human immunodeficiency virus (HIV)-1 in which immunoglobulin levels are elevated but disordered secondary to immune dysregulation and are therefore ineffective. It is important to realize that patients with asplenia, whether secondary to a functional defect or frank absence, are also at greatly increased risk of overwhelming bacteremia, especially with encapsulated bacteria and subsequent life-threatening sepsis syndrome.

 

The cellular componet fights viral infections and performs immune surveillance and may prevent or delay malignancy. The best example for the role of T lymphocytes is in advanced HIV-1 disease, acquired immune deficiency syndrome (AIDS), when CD4⁺ T cells are severely depleted. Such patients develop opportunistic infections with fungi such as cryptococcus, viruses such as CMV and adenovirus, and mycobacteria such as Mycobacterium tuberculosis and Mycobacterium avium-intracellulare complex.

 

every day shuld be started with ram

must read for increased focus and target and to prevent conversion of error into mistake

self belief is must

8 11 11----


  restarting life with a new dream---------    
   
omr ka sachin tendulkar

oral physician,oral radiologist,special care dentist,geriatric dentist,syndromes specialist,hospital dentistry