Notes, summaries, assignments, exams, and problems for Medicine & Health

Yellow Fever Vaccination: Requirements and Procedure

Vaccination Fees

The total cost for the Yellow Fever vaccination service is $120, broken down as follows:

• Travel Consultation Fee: $50
• Yellow Fever (YF) Assessment Fee: $50
• Injection Fee: $20

Country Requirements for Yellow Fever Vaccine

The following countries often require proof of Yellow Fever vaccination for entry:

Pharmacy Workflow Steps

1. Patient checks in.
2. Fees are explained (Total: $120).
3. Consent is obtained.
4. Check Travax: Ensure the administration date is at least 10 days before the

Anti-Inflammatory Agents: NSAIDs

Anti-inflammatory agents are a class of medicines designed to reduce pain, swelling, and fever without causing drowsiness. They are widely recognized as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), commonly used for managing minor pain, edema, and tissue damage associated with inflammatory joint diseases.

Mechanism of Action

• NSAIDs primarily function by blocking cyclooxygenase (COX) enzymes. These enzymes are responsible for producing prostaglandins, which are compounds that promote inflammation, pain, and fever. By inhibiting COX enzymes, NSAIDs effectively reduce these symptoms.

Common NSAID Drugs

• Sodium Salicylate
• Aspirin
• Mefenamic Acid
• Meclofenamate
• Indomethacin
• Sulindac
• Tolmetin
• Zomepirac
• Diclofenac
• Ketorolac
• Ibuprofen
• Naproxen
• Piroxicam

Related

Heart Failure: Mechanism and Comprehensive Management

Defining Heart Failure (HF)

Heart failure (HF) is a clinical syndrome characterized by the heart's inability to pump sufficient blood to meet the metabolic needs of the body. It results from structural or functional cardiac disorders that impair the ability of the ventricles to fill with or eject blood.

Pathophysiology of Heart Failure

Classification of Heart Failure

Heart failure can be broadly classified based on the left ventricular ejection fraction (EF):

1. Systolic Heart Failure (HFrEF)

Also known as HF with reduced ejection fraction (HFrEF).

• The left ventricle loses its ability to contract normally, leading to decreased ejection of blood (EF < 40%).
• Common causes include: ischemic heart

Nouns: From Old English to Middle English

Gender Evolution in Nouns

The shift from grammatical gender, as in Old English (OE), to natural gender was a significant change. OE had three genders (feminine, masculine, neuter). In Middle English (ME), there was a reclassification of originally masculine and feminine inanimate nouns as neuter.

Plural Markers and Inflectional Changes

• -as: A strong masculine noun ending in OE, which developed into the Present Day English (PDE) -s plural marker.
• -an: A weak noun ending in OE, which developed into the PDE -en plural marker (e.g., oxen).
• R-plurals: Developed into two markers: -en and -r.
• O/E Vowel Umlaut: A process of vowel change in the root.

In ME, five main plural markers emerged: zero, root vowel change (... Continue reading "English Grammar Evolution: Old to Middle English Transformations" »

Respiratory System Basics

Respiratory Key Terms

• Dyspnea: Difficulty breathing
• Orthopnea: Difficulty breathing when lying flat
• Tachypnea: Abnormally fast breathing
• Bradypnea: Abnormally slow breathing
• Hemoptysis: Coughing up blood
• Hypoxia: Tissue oxygen deficiency
• Clubbing: Fingertip rounding due to chronic hypoxia
• Barrel chest: Increased chest diameter often from emphysema
• Cyanosis: Bluish skin or mucous membrane discoloration from low oxygen
• Rales/Crackles: Abnormal lung sounds indicating fluid
• Wheezing: High-pitched whistling from narrowed airways
• Rhonchi: Low-pitched rattling sounds (often due to secretions)
• Productive cough: Cough producing mucus or sputum
• Hypertonia: Increased muscle tone causing stiffness
• Hypotonia: Decreased muscle tone making muscles

Sequelae Untreated Maloc:1)Poor esthetics-2)caries-3)periodontal dis-4)Subs maloc more severe-5)mastication extraload digestive-6)swallowing-7)respiratory-8)TMJ-9)speech-10)Interference normal craniofacial growth-11)accidental fracture ant-12)Bruxism & clenching-13)Impaction cystic

Uses digital model:1)Visualization & Examination-2)Digital Space Cast Analysis & Measurements-3)Treatment Simulation & Patient Education-4)Bracket Positioning-5)Orthodontic Appliance Fabrication/Adv Digital Models:1)storage problems-2)easy diagnostic setups-3)accessible from multiple locations-4)easy shared-5)No risk breakage-5)easily manipulated-6)measurements less time & effort -7)Allows superimposition images treatment results-8)easy communication

CBCT

Understanding BPH and Overactive Bladder (OAB)

Pathophysiology of Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia (BPH) is characterized by non-malignant prostate growth, which leads to Bladder Outlet Obstruction (BOO) and subsequent detrusor hypertrophy. The body's compensatory changes include increased voiding pressure, incomplete bladder emptying, and urinary stasis. BOO disrupts afferent signaling, which can cause neurogenic detrusor overactivity. Furthermore, chronic obstruction can lead to myogenic bladder dysfunction due to altered smooth muscle excitability.

Epidemiology and Demographics

BPH is more common in older patients, particularly those over 75. There are also notable racial differences:

• Black men often have a higher

Pharmacology Fundamentals

Pharmacokinetics: What the Body Does to the Drug

Phases:

1. Absorption – How a drug enters the bloodstream

2. Distribution – How a drug travels through the body

3. Metabolism – How a drug is broken down (mainly in the liver)

4. Excretion – How a drug leaves the body (mainly through the kidneys)

🧠 Memory Trick: ADME — Absorb, Deliver, Metabolize, Exit

Pharmacodynamics: What the Drug Does to the Body

• Describes how a drug works at the target site

• Involves receptor binding, enzyme interactions, and therapeutic vs. side effects

Examples:

• Beta blockers bind to beta receptors → slow heart rate

• Insulin binds to insulin receptors → lowers blood sugar

Drug Release Types: ER, IR, SR, XL, CR