DR MANISH-2.pdf laser proctology piles and fistula
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Get the best piles and fistula treatment in Jaipur with advanced laser proctology techniques. Dr. Manish Rajput, a renowned specialist, provides painless, quick, and highly effective treatments for piles, fissures, and fistula. Using cutting-edge laser technology, the procedures ensure minimal discomfort, no stitches, and faster recovery, helping patients return to their daily lives with ease. Dr. Rajput is committed to offering personalized care and long-term solutions, ensuring lasting relief and improved quality of life. With his expertise and modern facilities, you can expect safe and reliable treatment for all proctological conditions.
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4. Discuss the synthesis, types & functions of ribosomes
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6. Summarize the functions of secretory vesicles
7. Discuss the structure & functions of vaults
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Eczema is a group of medical conditions which causes inflammation and irritation to skin.
It is also called as Dermatitis
Eczema is an itchy consisting of ill defined erythremotous patches. The skin surface is usually scaly and As time progress, constant scratching leads to thickened lichenified skin.
Several classifications of eczemas are available based on Etiology, Pattern and chronicity.
According to aetiology Eczema are classified as:
Endogenous eczema: Where constitutional factors predispose the patient to developing an eczema.
Family history (maternal h/o eczema) is often present
Strong genetic predisposition (Filaggrin gene mutations are often present).
Filaggrin is responsible for maintaining moisture in skin (hence all AD patients have dry skin.
Immunilogical factor-Th-2 disease, Type I hypersensitivity (hence serum IgE high)
e.g., Seborrheic dermatitis, Statis dermatitis, Nummular dermatitis, Dyshidrotic Eczema
Exogenous eczema: Where external stimuli trigger development of eczema,
e.g., Irritant dermatitis, Allergic Dermatitis, Neurodermatitis,
Combined eczema: When a combination of constitutional factors and extrinsic triggers are responsible for the development of eczema
e.g., Atopic dermatitis
Extremes of Temperature
Irritants : Soaps, Detergents, Shower gels, Bubble baths and water
Stress
Infection either bacterial or viral,
Bacterial infections caused by Staphylococcus aureus and Streptococcus species.
Viral infections such as Herpes Simplex, Molluscum Contagiosum
Contact allergens
Inhaled allergens
Airborne allergens
Allergens include
Metals eg. Nickle, Cobalt
Neomycin, Topical ointment
Fragrance ingredients such as Balsam of Peru
Rubber compounds
Hair dyes for example p-Phenylediamine
Plants eg. Poison ivy .
Atopic Dermatitis : AD is a chronic, pruritic inflammatory skin disease characterized by itchy inflamed skin.
Allergic Dermatitis: A red itchy weepy reaction where the skin has come in contact with a substance That immune system recognizes as foreign substances.
Ex: Poison envy, Preservatives from creams and lotions.
Contact Irritant Dermatitis: A Localized reaction that include redness, itching and burning where the skin has come In contact with an allergen or with irritant such as acid, cleaning agent or chemical.
Dyshidrotic Eczema: Irritation of skin on the palms and soles by
clear deep blisters that itch and burn.
Clinical Features; Acute Eczema:- Acute eczema is characterized by an erythematous and edematous plaque, which is ill-defined and is surmounted by papules, vesicles, pustules and exudate that dries to form crusts. A subsiding eczematous plaque may be covered with scales.
Chronic Eczema:- Chronic eczema is characterized by lichenification, which is a triad of hyperpigmentation, thickening markings. The lesions are less exudative and more scaly. Flexural lesions may develop fissures.
Pruritus
Characteristic Rash
Chronic or repeatedly occurring symptoms.
Hingula.ppt- Rasadravya parichaya- NCISM
Hingula.ppt- Rasadravya parichaya- NCISMShri Shivayogeeshwar Rural Ayurvedic Medical college, INCHAL, Hingula(Cinnabar)
Synonyms - Churna Parada, Darada, Mleccha, Rasagarbha,Rasodbhava,
Shukatunda, Hamsapada, Lohagna
Mineralogical Identification
Chemical Formula- HgS
Chemical name- mercury sulfide
Nature – Crystalline
Colour- Bright Red
Crystal- Trigonal.
Clevage- -
Diaphaneity- Transparent to Translucent
Fracture- Uneven
Tenacity- Brittle
Lustre- Vitreous
Streak- Red
Sp. Gravity- 8 to 8.1
Hardness- 2 to 2.5
Sources
- It is found near volcanic region and near mercury mines(extracted).
- It is associated with other minerals like Stibnite, pyrite, realgar, calcite etc.
- Almaden (Spain), California, Texas.
Types
1) Charmara
2) Shukhatunda
3) Hamsapada ( Ap 2/69)
1) Khanija
2) Kritrima (RT 9/4)
Grahya ad Agrahyata
जपा कुसुम वर्णाभ: पेषण सुमनोहर: |
महोज्वालो भारपूर्णो हिंगुल: श्रेष्ठ उच्यते || RT 9/3
Doshas
Andya( Blindness)
Kshinata
Klama
Bhrama
Moha
Prameha ( AP 2/73)
Shodhana
1) Grahya Hingula Churna—Ardraka rasa bhavana(7)--Shuddhahingula (RT 9/12)
Marana
Other Processing Techniques
Satwa Patana
-Shuddha Hingula—Adhaha patana/Urdhwa patana -Satva (Parada) (RRS – 3/144)
Yogas
Hinguleshwar rasa
Anandabhairava Rasa,
Mrutunjaya Rasa,
Tribhuvana keerti Rasa, etc.
Research Updates
A CONCEPTUAL REVIEW ON HINGULA (CINNABAR- HgS)
https://ijapr.in/index.php/ijapr/article/view/1237
EXTRACTION OF PARAD FROM HINGULA, A TRADITIONAL AYURVEDIC METHOD
https://www.researchgate.net/publication/323601866_EXTRACTION_OF_PARAD_FROM_HINGULA_A_TRADITIONAL_AYURVEDIC_METHOD
DrMahantesh.B.Rudrapuri,
M.D.(Ayu) FAGE , PGDYT
HOD Department of Rasa Shastra&BhaishajyaKalpana
Shri Shivayogeeshwar Rural Ayurvedic Medical College,
INCHAL – 591 102, Dist: Belgaum
Mob: 9972710790
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Mechanism of Dilute Urine formation by Kidneys
Mechanism of Dilute Urine formation by KidneysMedicoseAcademics Title: Mechanism of Dilute Urine Formation – A Comprehensive Physiology Lecture
Description:
The kidneys play a crucial role in maintaining body fluid and electrolyte balance by regulating urine concentration. This lecture provides a comprehensive overview of how dilute urine is formed when the body has excess water. The presentation is designed for medical students, educators, and healthcare professionals seeking a clear and structured explanation of renal physiology.
🔹 Key Learning Objectives:
Understand the mechanism of dilute urine formation in response to high water intake.
Compare and contrast dilute vs. concentrated urine and their physiological significance.
Explore the role of Antidiuretic Hormone (ADH) in water reabsorption and its absence in dilute urine formation.
Analyze tubular fluid osmolarity changes as filtrate passes through different segments of the nephron.
Learn about active and passive transport mechanisms in various nephron segments.
Examine the effects of hydration status, blood volume, and extracellular fluid osmolarity on urine dilution.
Understand clinical scenarios and conditions related to impaired urine concentration ability.
🔹 Lecture Highlights:
✔ Introduction to Urine Formation: Overview of how the kidneys regulate water excretion.
✔ Key Differences Between Dilute and Concentrated Urine:
Dilute urine: High volume, low osmolarity (50-100 mOsm/L).
Concentrated urine: Low volume, high osmolarity (up to 1200-1400 mOsm/L).
✔ Role of ADH: Understanding how the absence of ADH leads to increased water excretion.
✔ Step-by-Step Tubular Changes in Osmolarity:
Bowman’s Capsule: Filtrate begins iso-osmotic to plasma (~300 mOsm/L).
Proximal Tubule: Equal salt and water reabsorption, maintaining iso-osmolarity.
Loop of Henle:
Descending limb: Highly water-permeable → Hyperosmotic filtrate.
Thin ascending limb: Impermeable to water, NaCl reabsorbed passively.
Thick ascending limb: Active NaCl transport → Filtrate becomes hypo-osmotic.
Distal Tubule & Collecting Duct: Further dilution occurs due to continued salt reabsorption in the absence of ADH.
✔ Impact of Drinking 1L of Water: A case study demonstrating the physiological adaptation to excess water intake.
This lecture provides detailed diagrams, tables, and explanations to reinforce concepts and aid in exam preparation for MBBS, BDS, and other healthcare-related programs.
📌 Ideal For:
✅ Medical Students (MBBS, BDS, Nursing, Allied Health)
✅ Physiology Educators & Faculty
✅ Researchers in Renal Physiology
✅ Healthcare Professionals Preparing for Exams
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