SlideShare ist ein Scribd-Unternehmen logo
1 von 19
Downloaden Sie, um offline zu lesen
Nathan Butler,[object Object],Active Health Clinic,[object Object],What is the right treatment for your patient?,[object Object]
“There are known knowns. These are things we know that we know. There are known unknowns. That is to say, there are things that we know we don't know. But there are also unknown unknowns. There are things we don't know we don't know” Donald Rumsfeld,[object Object]
What is the cause?,[object Object],Origin unknown,[object Object],Viral, neurological, immune dysfunction, deconditioning, psychological, leaky gut...,[object Object],CFS/ME is a diagnosis of exclusion and an umbrella term,[object Object],It could be all the above or none at the same time,[object Object],Multi-factorial as in any chronic condition,[object Object]
Physical fatigue,[object Object],Mental fatigue,[object Object],Concentration difficulties,[object Object],Sore throat,[object Object],Tender Glands,[object Object],Joint pain,[object Object],Myalgia,[object Object],Headaches,[object Object],Photophobia,[object Object],Bowel problems,[object Object],Sleep disturbance,[object Object],Temperature regulation,[object Object],Dizziness,[object Object],Anxiety,[object Object],Depression,[object Object],Symptoms,[object Object]
How do we treat something without knowing the cause?,[object Object]
Patient Pathway,[object Object]
“To study the phenomena of disease without books is to sail an uncharted sea, while to study books without patients is to not go to sea at all” Osler, 1901,[object Object]
How does your patient present?,[object Object],What are their primary symptoms?,[object Object],Physical, cognitive, pain, anxiety, headache, etc.,[object Object],What are their illness beliefs?,[object Object],Medical illness, deconditioning, emotional, unsure,[object Object],If we don’t listen then how can we recommend and appropriate course of action?,[object Object]
Assessing your patient,[object Object],CFS/ME is a medical diagnosis and should not be trivialised,[object Object],Malingerers,[object Object],Complainers,[object Object],“Your are just depressed, get on with it”,[object Object],“We all get tired”,[object Object],“It would be great to rest all day”,[object Object],Patients are generally high achievers academically, professionally and/or physically,[object Object]
Patient Advice,[object Object],Belief and empathy,[object Object],Vicious cycles,[object Object],Deconditioning, sleep, social, emotional,[object Object]
What is the right treatment for your patient?
Patient Advice,[object Object],Belief and empathy,[object Object],Vicious cycles,[object Object],Deconditioning, sleep, social, emotional,[object Object],Don’t force ideals or models,[object Object],Psychological support  ≠ ‘it’s all in my mind’,[object Object],Exercise ≠ ‘it’s just deconditioning’,[object Object],Flexibility,[object Object],Discuss the ‘three P’s’,[object Object],Predisposing, precipitating and perpetuating factors,[object Object]
The three P’s,[object Object],Predisposing,[object Object],Genetic,[object Object],Environmental,[object Object],Personality,[object Object],Perfectionism, anxiety, high achiever,[object Object],Lifestyle,[object Object],Imbalance in work, rest and play,[object Object],Food intolerances,[object Object]
The three P’s,[object Object],Precipitating,[object Object],Physical,[object Object],Infection, injury,[object Object],Psychological,[object Object],Life events, prolonged stress,[object Object]
The three P’s,[object Object],Perpetuating,[object Object],Physical deconditioning,[object Object],Sleep disturbance,[object Object],Psychological,[object Object],Anxiety, depression, loss, self worth, financial,[object Object],Personality,[object Object],Social,[object Object],Food intolerances,[object Object]
Treatments,[object Object],Evidence based,[object Object],Graded Exercise Therapy,[object Object],Exercise that doesn’t exacerbate fatigue, pacing, goals, sleep and setback planning,[object Object],Cognitive Behavioural Therapy,[object Object],Promising treatments,[object Object],Pacing,[object Object],Food intolerances and nutritional interventions,[object Object],Gluten, lactose and fructose,[object Object]
The team,[object Object],GP - ‘The Pitcher’,[object Object],Initial contact, assessment, treatment,[object Object],Specialist – ‘The catcher’,[object Object],Confirmation of diagnosis, medications, treatment,[object Object],Therapists – ‘Basemen’,[object Object],Exercise Physiologists, Physiotherapists, Psychologists, Dieticians,[object Object],Treatment,[object Object]
Which treatment?,[object Object],Medical, GET, CBT, Nutritional or a combination?,[object Object],Listen to your patient,[object Object],Initial focus on management and not cure,[object Object],By addressing the three P’s it can lead to better management and recovery,[object Object],Early intervention,[object Object],Team work,[object Object],Message of hope,[object Object],Belief,[object Object]
There is no one ‘right treatment’ but hopefully there are now more known knowns and less known unknowns but there still are and always will be unknown unknowns…,[object Object],Nathan Butler: info@activehealthclinic.com.au,[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

Post Partum Disorders [2001]
Post Partum Disorders [2001]Post Partum Disorders [2001]
Post Partum Disorders [2001]Zahiruddin Othman
 
Psychiatric aspect of obstetrics and gynecology
Psychiatric aspect of obstetrics and gynecologyPsychiatric aspect of obstetrics and gynecology
Psychiatric aspect of obstetrics and gynecologyKavindya Fernando
 
Women’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal PsychiatryWomen’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal PsychiatryDr. Umi Adzlin Silim
 
Case Study2
Case Study2Case Study2
Case Study2gbrown
 
Demystifying Postpartum Depression And Anxiety For Moms And Dads
Demystifying Postpartum Depression And Anxiety For Moms And DadsDemystifying Postpartum Depression And Anxiety For Moms And Dads
Demystifying Postpartum Depression And Anxiety For Moms And DadsSummit Health
 
Postpartum depression
Postpartum depressionPostpartum depression
Postpartum depressionfitango
 
Postpartum depression & selfcare deficit theory
Postpartum depression & selfcare deficit theoryPostpartum depression & selfcare deficit theory
Postpartum depression & selfcare deficit theoryKelsey Shannen Mejorada
 
Perinatal Mental Health Awareness
Perinatal Mental Health Awareness Perinatal Mental Health Awareness
Perinatal Mental Health Awareness Emma Jane Sasaru
 
Postpartum Depression
Postpartum DepressionPostpartum Depression
Postpartum Depressionadinaharlan
 
Generalized anxiety disorder
Generalized anxiety disorderGeneralized anxiety disorder
Generalized anxiety disorderAishwaryaGhosh4
 
Talking psychiatry...Psychiatric disorders in pregnancy
Talking psychiatry...Psychiatric disorders in pregnancyTalking psychiatry...Psychiatric disorders in pregnancy
Talking psychiatry...Psychiatric disorders in pregnancyProfessor Yasser Metwally
 
Mental health problem in pregnancy by sarah mohamed aboelsoud
Mental health problem in pregnancy by sarah mohamed aboelsoudMental health problem in pregnancy by sarah mohamed aboelsoud
Mental health problem in pregnancy by sarah mohamed aboelsoudSarahAboelsoud1
 

Was ist angesagt? (20)

Lovesickness
LovesicknessLovesickness
Lovesickness
 
Post Partum Disorders [2001]
Post Partum Disorders [2001]Post Partum Disorders [2001]
Post Partum Disorders [2001]
 
Stress
StressStress
Stress
 
Adhd
AdhdAdhd
Adhd
 
Anxiety
AnxietyAnxiety
Anxiety
 
Psychiatric aspect of obstetrics and gynecology
Psychiatric aspect of obstetrics and gynecologyPsychiatric aspect of obstetrics and gynecology
Psychiatric aspect of obstetrics and gynecology
 
Women’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal PsychiatryWomen’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal Psychiatry
 
Anxiety disorders
Anxiety disordersAnxiety disorders
Anxiety disorders
 
Depression
Depression Depression
Depression
 
Case Study2
Case Study2Case Study2
Case Study2
 
Demystifying Postpartum Depression And Anxiety For Moms And Dads
Demystifying Postpartum Depression And Anxiety For Moms And DadsDemystifying Postpartum Depression And Anxiety For Moms And Dads
Demystifying Postpartum Depression And Anxiety For Moms And Dads
 
Postpartum depression
Postpartum depressionPostpartum depression
Postpartum depression
 
Perinatal psychiatry
Perinatal psychiatryPerinatal psychiatry
Perinatal psychiatry
 
Postpartum depression
Postpartum depressionPostpartum depression
Postpartum depression
 
Postpartum depression & selfcare deficit theory
Postpartum depression & selfcare deficit theoryPostpartum depression & selfcare deficit theory
Postpartum depression & selfcare deficit theory
 
Perinatal Mental Health Awareness
Perinatal Mental Health Awareness Perinatal Mental Health Awareness
Perinatal Mental Health Awareness
 
Postpartum Depression
Postpartum DepressionPostpartum Depression
Postpartum Depression
 
Generalized anxiety disorder
Generalized anxiety disorderGeneralized anxiety disorder
Generalized anxiety disorder
 
Talking psychiatry...Psychiatric disorders in pregnancy
Talking psychiatry...Psychiatric disorders in pregnancyTalking psychiatry...Psychiatric disorders in pregnancy
Talking psychiatry...Psychiatric disorders in pregnancy
 
Mental health problem in pregnancy by sarah mohamed aboelsoud
Mental health problem in pregnancy by sarah mohamed aboelsoudMental health problem in pregnancy by sarah mohamed aboelsoud
Mental health problem in pregnancy by sarah mohamed aboelsoud
 

Andere mochten auch

Quilts: A metaphor for content
Quilts: A metaphor for contentQuilts: A metaphor for content
Quilts: A metaphor for contentAndrea L. Ames
 
Content Experience Leadership: Transforming Your Organization for Content Exc...
Content Experience Leadership: Transforming Your Organization for Content Exc...Content Experience Leadership: Transforming Your Organization for Content Exc...
Content Experience Leadership: Transforming Your Organization for Content Exc...Andrea L. Ames
 
Tw Technology Radar Qtb Sep11
Tw Technology Radar Qtb Sep11Tw Technology Radar Qtb Sep11
Tw Technology Radar Qtb Sep11Adrian Treacy
 
Strategic IA Careers: Skills and Knowledge for Success
Strategic IA Careers: Skills and Knowledge for SuccessStrategic IA Careers: Skills and Knowledge for Success
Strategic IA Careers: Skills and Knowledge for SuccessAndrea L. Ames
 
Poke The Box - Presentation to OD Network of Western NY
Poke The Box - Presentation to OD Network of Western NYPoke The Box - Presentation to OD Network of Western NY
Poke The Box - Presentation to OD Network of Western NYbarbbabij
 
Technical Communicators: Breaking Boundaries and Driving Change
Technical Communicators: Breaking Boundaries and Driving ChangeTechnical Communicators: Breaking Boundaries and Driving Change
Technical Communicators: Breaking Boundaries and Driving ChangeAndrea L. Ames
 
Human development 1
Human development 1Human development 1
Human development 1vcrrcv
 
80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...
80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...
80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...Francisco Aguiar
 
Measuring Content Effectiveness
Measuring Content EffectivenessMeasuring Content Effectiveness
Measuring Content EffectivenessAndrea L. Ames
 
You Mean You Don't Have to Start Over Every Time?
You Mean You Don't Have to Start Over Every Time?You Mean You Don't Have to Start Over Every Time?
You Mean You Don't Have to Start Over Every Time?Andrea L. Ames
 
Operational risk management (orm)
Operational risk management (orm)Operational risk management (orm)
Operational risk management (orm)Bushra Angbeen
 
Trade Marketing Fundamentals
Trade Marketing FundamentalsTrade Marketing Fundamentals
Trade Marketing FundamentalsSpreadCast Inc.
 

Andere mochten auch (20)

Quilts: A metaphor for content
Quilts: A metaphor for contentQuilts: A metaphor for content
Quilts: A metaphor for content
 
Content Experience Leadership: Transforming Your Organization for Content Exc...
Content Experience Leadership: Transforming Your Organization for Content Exc...Content Experience Leadership: Transforming Your Organization for Content Exc...
Content Experience Leadership: Transforming Your Organization for Content Exc...
 
Tw Technology Radar Qtb Sep11
Tw Technology Radar Qtb Sep11Tw Technology Radar Qtb Sep11
Tw Technology Radar Qtb Sep11
 
Strategic IA Careers: Skills and Knowledge for Success
Strategic IA Careers: Skills and Knowledge for SuccessStrategic IA Careers: Skills and Knowledge for Success
Strategic IA Careers: Skills and Knowledge for Success
 
Roquaiya
RoquaiyaRoquaiya
Roquaiya
 
Poke The Box - Presentation to OD Network of Western NY
Poke The Box - Presentation to OD Network of Western NYPoke The Box - Presentation to OD Network of Western NY
Poke The Box - Presentation to OD Network of Western NY
 
Technical Communicators: Breaking Boundaries and Driving Change
Technical Communicators: Breaking Boundaries and Driving ChangeTechnical Communicators: Breaking Boundaries and Driving Change
Technical Communicators: Breaking Boundaries and Driving Change
 
Anatapur
AnatapurAnatapur
Anatapur
 
Práctica insertar video
Práctica insertar videoPráctica insertar video
Práctica insertar video
 
Human development 1
Human development 1Human development 1
Human development 1
 
80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...
80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...
80281213 desenvolvimento-economico-do-estado-de-goias-no-seculo-xx-transicao-...
 
Measuring Content Effectiveness
Measuring Content EffectivenessMeasuring Content Effectiveness
Measuring Content Effectiveness
 
You Mean You Don't Have to Start Over Every Time?
You Mean You Don't Have to Start Over Every Time?You Mean You Don't Have to Start Over Every Time?
You Mean You Don't Have to Start Over Every Time?
 
Operational risk management (orm)
Operational risk management (orm)Operational risk management (orm)
Operational risk management (orm)
 
Adidas nike case study
Adidas nike case studyAdidas nike case study
Adidas nike case study
 
Trade Marketing Fundamentals
Trade Marketing FundamentalsTrade Marketing Fundamentals
Trade Marketing Fundamentals
 
Trade Marketing Tips
Trade Marketing TipsTrade Marketing Tips
Trade Marketing Tips
 
Días de la Semana
Días de la SemanaDías de la Semana
Días de la Semana
 
Pantallas
PantallasPantallas
Pantallas
 
Pantallas
PantallasPantallas
Pantallas
 

Ähnlich wie What is the right treatment for your patient?

Stress and breathlessness
Stress and breathlessnessStress and breathlessness
Stress and breathlessnessGraham Atherton
 
Homeopathic approach to depression and anxiety mk
Homeopathic approach to depression and anxiety mkHomeopathic approach to depression and anxiety mk
Homeopathic approach to depression and anxiety mkSujata Owens
 
Spiritual approach to psychosomatic cases
Spiritual approach to psychosomatic casesSpiritual approach to psychosomatic cases
Spiritual approach to psychosomatic casesAndri Andri
 
Shine Connect Conference - Understanding and Managing Anxiety workshop
Shine Connect Conference -  Understanding and Managing Anxiety workshopShine Connect Conference -  Understanding and Managing Anxiety workshop
Shine Connect Conference - Understanding and Managing Anxiety workshopEmily Hodge
 
Student stress managment short version
Student stress managment   short versionStudent stress managment   short version
Student stress managment short versionJitesh Patil
 
Stress management 1_
Stress management 1_Stress management 1_
Stress management 1_rrhester
 
Illness anxiety disorder pps
Illness anxiety disorder ppsIllness anxiety disorder pps
Illness anxiety disorder ppsSatyajeet Singh
 
Coping with stress in middle and late adolescence
Coping with stress in  middle and late adolescenceCoping with stress in  middle and late adolescence
Coping with stress in middle and late adolescenceWilfredJrFredeluces
 
Stress Management Conference
Stress Management ConferenceStress Management Conference
Stress Management ConferenceLaurrana Leigon
 
Mindfulness As A Treatment For Depression
Mindfulness As A Treatment For DepressionMindfulness As A Treatment For Depression
Mindfulness As A Treatment For DepressionKatie Williams
 
Heal Depression & Anxiety Through Mind-Body Medicine
Heal Depression & Anxiety Through Mind-Body MedicineHeal Depression & Anxiety Through Mind-Body Medicine
Heal Depression & Anxiety Through Mind-Body MedicineRomila Mushtaq
 
STUDENT STRESS MANAGMENT
STUDENT STRESS MANAGMENTSTUDENT STRESS MANAGMENT
STUDENT STRESS MANAGMENTaadharhospital
 
Geriatric assessment for mental illness
Geriatric assessment for mental illnessGeriatric assessment for mental illness
Geriatric assessment for mental illnessramkumar g s
 
Phsychological Disorders
Phsychological DisordersPhsychological Disorders
Phsychological Disordersfiedlert
 

Ähnlich wie What is the right treatment for your patient? (20)

Stress and breathlessness
Stress and breathlessnessStress and breathlessness
Stress and breathlessness
 
Homeopathic approach to depression and anxiety mk
Homeopathic approach to depression and anxiety mkHomeopathic approach to depression and anxiety mk
Homeopathic approach to depression and anxiety mk
 
Spiritual approach to psychosomatic cases
Spiritual approach to psychosomatic casesSpiritual approach to psychosomatic cases
Spiritual approach to psychosomatic cases
 
Shine Connect Conference - Understanding and Managing Anxiety workshop
Shine Connect Conference -  Understanding and Managing Anxiety workshopShine Connect Conference -  Understanding and Managing Anxiety workshop
Shine Connect Conference - Understanding and Managing Anxiety workshop
 
Student stress managment short version
Student stress managment   short versionStudent stress managment   short version
Student stress managment short version
 
Stress management 1_
Stress management 1_Stress management 1_
Stress management 1_
 
Illness anxiety disorder pps
Illness anxiety disorder ppsIllness anxiety disorder pps
Illness anxiety disorder pps
 
Ptsd
PtsdPtsd
Ptsd
 
Stress management new
Stress management newStress management new
Stress management new
 
Coping with stress in middle and late adolescence
Coping with stress in  middle and late adolescenceCoping with stress in  middle and late adolescence
Coping with stress in middle and late adolescence
 
Stress
StressStress
Stress
 
Stress
StressStress
Stress
 
Stress Management Conference
Stress Management ConferenceStress Management Conference
Stress Management Conference
 
Mindfulness As A Treatment For Depression
Mindfulness As A Treatment For DepressionMindfulness As A Treatment For Depression
Mindfulness As A Treatment For Depression
 
Heal Depression & Anxiety Through Mind-Body Medicine
Heal Depression & Anxiety Through Mind-Body MedicineHeal Depression & Anxiety Through Mind-Body Medicine
Heal Depression & Anxiety Through Mind-Body Medicine
 
Stress & Resilience
Stress & ResilienceStress & Resilience
Stress & Resilience
 
STUDENT STRESS MANAGMENT
STUDENT STRESS MANAGMENTSTUDENT STRESS MANAGMENT
STUDENT STRESS MANAGMENT
 
Geriatric assessment for mental illness
Geriatric assessment for mental illnessGeriatric assessment for mental illness
Geriatric assessment for mental illness
 
Phsychological Disorders
Phsychological DisordersPhsychological Disorders
Phsychological Disorders
 
A SIMPLIFIED APPROACH TO DEPRESSION
A SIMPLIFIED APPROACH TO DEPRESSIONA SIMPLIFIED APPROACH TO DEPRESSION
A SIMPLIFIED APPROACH TO DEPRESSION
 

Kürzlich hochgeladen

Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 

Kürzlich hochgeladen (20)

Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 

What is the right treatment for your patient?

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.