Asthma Diagnostic criteria 1. FEV1 > 12% following administration of bronchodilator 2. >20% diurnal variation for >= 3 days in a week 3. FEV1 >15% decrease after 6 mins of exercise #Asthma severe hoise kmne bujhba Silentl chest pabo, no chest movement, no breathing # Rx of asthma Step up 🪜 therapy 1. Short acting beta 2 agonist salbutamol 2. Inhaled corticosteroids ( Budesonide 3. Long acting beta 2 agonist (LAbA) , long acting muscarinic antagonist ( LAMA) 4. Leukotrine receptor antagonist theophylline 5. Oral corticosteroids Onek din dhore steroid use korle oropharyngeal candidiasis
COPD ( Chronic bronchitis and emphysema) Def: Cough and sputum on most days at least 3 consecutive months for at least 2 successive years C/F of emphysema 1.Barrel shaped chest 2.Intercostal n supraclavicular recession 3. Purse lip breathing 4. Vesicular breath sound with prolonged expiration 5.Any feature of Type II resp failure for eg, cyanosis, bounding pulse or Flapping tremor
Hemoptysis Cause 1. Pulmonary TB 2. Bronchial carcinoma Rare, Good Pasteur syndrome ( type II hypersensitivity reaction , antibody against kidney and lung, so hemoptysis and hematuria) Kivabe bujhbe hemoptysis and hematesemis? Bright red , Coffee ☕ / brownish color Clumpy, frothy
Pneumothorax Cause Lung cause 1.COPD 2.TB Trauma te most common hcche tension pneumothorax M/A of tension pneumothorax It's a one way valve Air dhukte pare, ber hote parena Air accumulate Kore mediastinum shift kore, Inferior vena cava te affect Kore, VR jete pare, pt shock e jay. Clinical findings Hyperresonant*** specific Rx Percutaneous needle 💉 aspiration at 2nd intercostal space, at midclavicular line Water seal intercostal drainage
#Cor pulmonale Def: Right ventricular Hypertrophy with or without heart failure due to diease of 1.lung parenchyma,2. lung vasculature, 3.chest wall 🧱 Eg, 1.COPD, 2.pul embolism, 3.kyphoscoliosis COPD Pink 🩷 puffer in emphysema, Purse lip breathing, lean and thin, no edema ,no cyanosis A Blue blotter in chronic bronchitis , cyanosis, edema present, no purse lip breathing
Admin vdo upload korar somoi jini cls niccen tr ager cls er vdo er link soho add kore dile description e subidha hoi.. Jmn ami apur ager kora cls er vdo ta pacci na..😑
#DPLD Progressive shortness of breath End inspiratory crackles that do not disapper with cough ( bronchiectasis e ei crackle disapoear kore) Inves HR CT scan
#Sarcoidosis Angiotensin converting enzyme bare Kon electrolyte bere jay? Calcium Due to increase production by macrophages Similarities between sarcoidosis and TB Ans: Formation of granuloma TB( Caseating granuloma) Non caseating granuloma)
12:09 pneumothorax
14:24 asthma
17:22 copd
20:16 pneumonia
24:54 TB
28:02 bronchpiectasis
30:16 lung abcess
😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢
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Asthma
Diagnostic criteria
1. FEV1 > 12% following administration of bronchodilator
2. >20% diurnal variation for >= 3 days in a week
3. FEV1 >15% decrease after 6 mins of exercise
#Asthma severe hoise kmne bujhba
Silentl chest pabo, no chest movement, no breathing
# Rx of asthma
Step up 🪜 therapy
1. Short acting beta 2 agonist salbutamol
2. Inhaled corticosteroids ( Budesonide
3. Long acting beta 2 agonist (LAbA) , long acting muscarinic antagonist ( LAMA)
4. Leukotrine receptor antagonist theophylline
5. Oral corticosteroids
Onek din dhore steroid use korle oropharyngeal candidiasis
Please apur aro lecture upload korben ! Please !
Thankyou so much apu ! U r supremely talented ❤️
Your way of teaching is really gifted dear!!
COPD ( Chronic bronchitis and emphysema)
Def: Cough and sputum on most days at least 3 consecutive months for at least 2 successive years
C/F of emphysema
1.Barrel shaped chest
2.Intercostal n supraclavicular recession
3. Purse lip breathing
4. Vesicular breath sound with prolonged expiration
5.Any feature of Type II resp failure for eg, cyanosis, bounding pulse or Flapping tremor
Cough cause
Acute: acute resp infection particularly pneumonia and lung abscess
Acute LVF
Acute exacerbation of asthma and COPD
Aspiration to the lung
Chronic: 1COPD
branchial asthma
Pulmonary TB
Branchial carcinoma
Bronchiectasis
thank you
Jajakallahu khair আপু, unr class গুলো খুব e helpful, আরো class chai
Hemoptysis
Cause
1. Pulmonary TB
2. Bronchial carcinoma
Rare, Good Pasteur syndrome ( type II hypersensitivity reaction , antibody against kidney and lung, so hemoptysis and hematuria)
Kivabe bujhbe hemoptysis and hematesemis?
Bright red , Coffee ☕ / brownish color
Clumpy, frothy
Pneumothorax
Cause
Lung cause
1.COPD
2.TB
Trauma te most common hcche tension pneumothorax
M/A of tension pneumothorax
It's a one way valve
Air dhukte pare, ber hote parena
Air accumulate Kore mediastinum shift kore, Inferior vena cava te affect Kore, VR jete pare, pt shock e jay.
Clinical findings
Hyperresonant*** specific
Rx
Percutaneous needle 💉 aspiration at 2nd intercostal space, at midclavicular line
Water seal intercostal drainage
Apu r Aro lecture chai GIT,Nephrology, Haematology system ar upor
Apu u r just amazing
#Cor pulmonale
Def: Right ventricular Hypertrophy with or without heart failure due to diease of 1.lung parenchyma,2. lung vasculature, 3.chest wall 🧱
Eg, 1.COPD, 2.pul embolism, 3.kyphoscoliosis
COPD
Pink 🩷 puffer in emphysema,
Purse lip breathing, lean and thin, no edema ,no cyanosis
A Blue blotter in chronic bronchitis , cyanosis, edema present, no purse lip breathing
Admin vdo upload korar somoi jini cls niccen tr ager cls er vdo er link soho add kore dile description e subidha hoi..
Jmn ami apur ager kora cls er vdo ta pacci na..😑
Respiratory distress
Acute
Acute exacerbation of asthma and COPD
Tension pneumothorax
Acute LVF
Chronic cause
COPD and Asthma
DPLD
CHF
Best review class apu❤️❤️
Aro arokom class chacchi❤️
Please kindly take surgery and gyne and obs classes also 🙂
gyne obs er jonno dr. dilruba mam er chanel ta visit koren.....highly highly recommended.... etto sundr poran mam
@@vxvxvxvdv ji madam er class dekhachi uni onk valo poran.
Surgery jonno ker class valo hobe keu janale upokrito hotam
Pleural effusion
Cause
1. Para pneumonic effusion
2. Pul TB
3. Bronchial Carcinoma
Effusion is mostly extrapulmonary
1.Exudative or transudative
Lives criteria
1. Pleural fluid prot: serum fluid prot> 0.5
2.pleural fluid LDH; Serum fluid LDH > 0.6 or > two thirds
X-ray 🩻 finding of pleural effusion
1. Dense haemogeneous opacity with curved lineae line,
2. Costophrenic and cardiophrenic angles obliterated
3. Trachea shifted to opposite site
Imp investigation
Pleural fluid study
Physical
Biochemical ( glucose, protein and serum ...
Microbiological
Rx:
1. Rx of underlying cause, ( TB. Hole TB Rx kora, pneumonia hole pneumonia
2. Therapeutic aspiration
3. If very large pleural effusion,not responding to anything else, pleuro
betterthan other classes
Thank you Apu
Too much helpful ❤️
the Messenger of Allah (ﷺ) said: "Whoever takes a path upon which to obtain knowledge, Allah makes the path to Paradise easy for him."
#DPLD
Progressive shortness of breath
End inspiratory crackles that do not disapper with cough ( bronchiectasis e ei crackle disapoear kore)
Inves
HR CT scan
#Sarcoidosis
Angiotensin converting enzyme bare
Kon electrolyte bere jay?
Calcium
Due to increase production by macrophages
Similarities between sarcoidosis and TB
Ans: Formation of granuloma
TB( Caseating granuloma)
Non caseating granuloma)
Apo many many thanks
Thank you apu ❤️
Thank you so much apu🥰🥰
Superb class
Best
Soo much helpful
Plz apu aro vedio diben
Please mam jodi Haematology and blood transfusion class niten please khub valo hoito please mam
ALHAMDULILLAH
ম্যাম অনেক দিন এন্টিবায়োটিক খাওয়ার পরেও কাজ কেনও করে না??
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