respiratory system problems in gp
TRANSCRIPT
![Page 1: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/1.jpg)
Respiratory Problems in GP Opaque Patch of
Pneumonia Presented By
• Prof.Dr.
• R.R.Deshpande
• 9226910630
8/8/2015 Prof.Dr.R.R.Deshpande 1
![Page 2: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/2.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 2
Respiratory Problems in GP
• Presented By –
• Prof.Dr.R.R.Deshpande (M.D in Ayurvdic
Medicine & M.D. in Ayurvedic Physiology)
• www.ayurvedicfriend.com
• Mobile – 922 68 10 630
![Page 3: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/3.jpg)
Respiratory system
![Page 4: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/4.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 4
Respiratory Problems in GP
• 1) Acute Rhinitis
• 2) Hoarseness of voice
• 3) Acute bronchitis
• 4) Chr bronchitis
• 5) Pneumonia
• 6) TB
• 7) Br. Asthama
• 8) Bronchieactesis
• 9) Emphysema
![Page 5: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/5.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 5
Causes of Cough
• 1) Respiratory causes
• 2) Cardiac
• 3) Mediastinal
• 4) Drugs
• 5) Miscellaneous
![Page 6: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/6.jpg)
Alveoli & capillaries
![Page 7: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/7.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 7
Investigation for Cough
• 1) Haemogram ESR
• 2) Stool Routine
• 3) Chest X – ray (PA view) (priorly for pleurisy, pneumonia or T.B.)
• 4) AFB – Acid Fast bacilli – Mycobacterium Tubercle
• 5) Consecutive 3 days sputum examination is done
• 6) Bronchoscopy
![Page 8: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/8.jpg)
Alveoli & Capillary
![Page 9: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/9.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 9
Medicines of Cough
• 1) Allergy – Anti Allergy
• 2) Antibiotic
• 3) Anti tussive – dry cough
• 4) Expectorant – for productive cough
• 5) Mucolytic – for breaking mucoid ,sticky fibers
• 6) Bronchodiator
• 7) Steroids
• 8) Anti-pyretic & Anti inflammatory NSAIDS
• 9) Avoids Irritants
• 10) Steam Inhalation.
![Page 10: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/10.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 10
Note Carefully
• In Respiratory & GIT problems use of
Ayurvedic Medicines show 80 % more
better results than Allopathy
• Above age – 50 years sudden change in
voice and no response to treatment then
refer to ENT surgeon for laryngoscopy
(laryngeal cancer)
![Page 11: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/11.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 11
1) Allergic Rhinitis
• Short attacks of severe sneezing and
running of nose.
• Allergen – Pollen dust
• Vasomotar rhinitis – Sneezing less but
blocking and running of nose. Cold
remains throughout the year
![Page 12: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/12.jpg)
Para nasal sinuses
![Page 13: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/13.jpg)
Allergic sinusitis
![Page 14: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/14.jpg)
Sinusitis
![Page 15: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/15.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 15
Treatment of Allergic Rhinitis
• Tab – Zyrtec – 10 mg OD (Cetrizine)
• or Tab – Lorfast – 10 mg OD (Loratidine)
• These are non-sedeting drugs.
• or Rhinocort Nasal Spray
• or Otrivin Nasal drops (spray)
• Nasivion Nasal drops / nasivion pediatric nasal drop
• or Tab – Wysolone – 5 mg TDS x 5 days (Prednisolone)
• Adv. – Skull Xray to rull out – DNS – Deviated Nasal Septum & Sinusitis
![Page 16: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/16.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 16
2) Hoarsness of Voice
• Causes :
• 1) Infective Laryngitis
• 2) Traumatic (misuse or overuse of voice)
• 3) Malignancy
![Page 17: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/17.jpg)
Hoarseness of voice
![Page 18: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/18.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 18
2) Hoarsness of Voice --
Treatment
• Advice :
• 1) No talking (whispering is more dangerous)
• 2) Steam inhalation (loose sticky secretion) Tr. Benzoic or vicks
• Tab – Roxid – 150 mg – BD x 7 days (Roxythromycein)
• Tab – Betnelan – TDS x 7 days (Betamethasone)
• Tab – Gatri – 400 mg OD (Gattifloxacin)
• Stops smoking
![Page 19: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/19.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 19
Hoarsness of Voice
• Caution :
• If the patient is > 50 years old No URTI, no
overuse of voice, Hoarseness > 2 weeks
refer to ENT, before treatment for
laryngoscopy.
![Page 20: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/20.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 20
3) Acute Bronchitis
• Clinical Features
• 1) Complaining of fever :
• 2) Cough with expectorant
• 3) Retrosternal chest pain
• O/E (on examination) Few Rhonchi and bilateral crepitations
• Adv – Bed rest and stop smoking
• Steam inhalation.
![Page 21: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/21.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 21
3) Acute Bronchitis-- Treatment
• Treatment :
• 1) Cap – Novamox (Amoxycillin) 500 mg QID
• 2) Benadryl expectorant 1 TSF TDS (Anti allergic)
• 3) Tab- Bromhexine 8 mg TDS (Mucolytic)
• 4) Tab- Combiflam – 1 TDS (paracetamol)
• If Dyspnoea -- Tab – Deriphylline 1 TDS (Bronchodialator)
![Page 22: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/22.jpg)
Bronchi & Bronchioles
![Page 23: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/23.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 23
4) Chronic Bronchitis
• Complaining of – cough with expectoration
– at least 2 years
• O/E – Wide spread Rhonchi, basal
crepitations, prolonged expiration.
• Fever (only in exacerbation – attack)
• Adv – X-Ray
• If prominent broncho vascular makings,
which indicates chr. bronchitis
![Page 24: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/24.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 24
Chronic Bronchitis -- Treatment
• Adv – in acute exacerbation
• 1) Steam inhalation
• Tab – Bromhexine 8 mg TDS
• If Dyspnoea / Breathlessness then
• Tab – Asthalin (Salbutamol) 4 mg BDS
• Tab – Bricanyl 2.5 mg TDS (Terbutalyn)
![Page 25: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/25.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 25
Antibiotics useful in all diseases in
R.S.
• 1) Cap. Mox 500 mg TDS
• 2) Cap cephalexin 500 mg QID
• 3) Tab- Cefuroxime – 250 mg BD (Ceftum)
• 4) Tab – Levofloxacin – 500 mg OD (L – cin)
• 5) Tab – Azee – 500 mg OD (Azithromycin)
• 6) Tab – Bactim DS – 1 BD (very cheap
antibiotic)
• 7) Tab wysolone (prednisolone) 10 mg TDS if
bronchospasm persists.
![Page 26: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/26.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 26
Chronic Bronchitis -- Treatment
• After acute attack -- medicines to prevent
recurrence.
• 1) Tab Doxy – 1 --100 mg, 1OD (doxycycline)
• 1st – 5th day of each month
• 2) Cap. Novamox – 500 mg -- When the cough
becomes purulent, yellow / greenish immediate
start this tab 1 TDS.
• Adv – 1) Stop smoking completely
• 2) Avoid Irritants
![Page 27: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/27.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 27
5) Pneumonia
• C/O – High grade fever with chills.
• Cough with expectoration, unilateral chest
pain,
• Patient looks very toxic and ill
• O/E bronchial breathing, localized
crepitations, less air entry
• X-Ray -- White opaque patch.
![Page 28: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/28.jpg)
Alveoli in Pneumonia
![Page 29: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/29.jpg)
Pneumonia Lung Patch
![Page 30: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/30.jpg)
Symptoms of Pneumonia
![Page 31: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/31.jpg)
X ray of Pneumonic patch
![Page 32: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/32.jpg)
DD of Broncho & Lobar Pneumonia
Broncho pneumonia Lobar pneumonia
1) Organisms Strepto haemolyticus Diplococcus pneumonia.
2) Age Extreme of age i.e. in
children and old people.
Young adult
3) Pathological lesion Both lungs diffused. Limited to right lower
lobe
4) Onset Insidious Acute
5) Toxemia More Less
6) Temp. Not so high but
remissions
High temp. & continued.
8/8/2015 Prof.Dr.R.R.Deshpande 32
![Page 33: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/33.jpg)
DD of Broncho & Lobar Pneumonia
Broncho pneumonia Lobar pneumonia
7) Signs Patchy and bilateral Unilateral, located to the
right lower lobe.
8) Course (Duration) More (15 – 1 month) 7 – 10 days.
9) X-Rays Diffused finding Opaque shadow at rt.
lower lobe.
10) Air entry Not specific Is less
11) Complications Common Rare
12) Treatment Antibiotics in hospital
i.e. through I/V
In G.P. – Antibiotics
gives
8/8/2015 Prof.Dr.R.R.Deshpande 33
![Page 34: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/34.jpg)
Pneumonia 3
![Page 35: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/35.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 35
Pneumonia - Treatment
• Same antibiotics like the previous
diseases, but Tab Roxid – covers nearly
all the organism, responsible for
pneumonia
![Page 36: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/36.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 36
Pneumonia
• Caution – Pneumonia patient should be admitted in following conditions
• 1) Age > 60 years
• 2) Co-existing illness – DM
• 3) High fever, dehydrated, toxic (Thready and feeble pulse)
• I/V and antibiotics
• 4) X-Ray – Shows involvement of more than 1 lobe (broncho-pneumonia)
• 5) If patient refuses or unable to take medicine orally.
• In addition to antibiotics also gives Tab-combiflam and Benadryl expectorant.
![Page 37: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/37.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 37
Breathless / Dyspnoea
• 1) Respiratory causes : 80 %
• 2) Cardiac causes
• 3) Other
• 4) Psychological
![Page 38: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/38.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 38
1) Respiratory causes of
Dyspnoea
• a) Acute Asthma
• b) Acute exacerbation of COPD
(chr. bronchiatis)
• 3) Pneumonia
• 4) Massive pleural effusion
• Admit – If
• 1) Pneumothorax
• 2) Pulmonary embolism
• 3) Pulmonary oedema / cardiac asthma / CCF
![Page 39: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/39.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 39
2) Cardiac causes of Dyspnoea
• 2) Cardiac Causes :
• a) Acute LVF
• b) Valvular heart disease
![Page 40: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/40.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 40
3) Other causes of Dyspnoea
• a) Renal failure (Uremia – breathlessness
increases) Adv – Urea , Creatinine
• b) Diabetic ketoacidosis / Daibetic coma
![Page 41: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/41.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 41
6) Pulmonary TB
• Cardinal symptoms of T.B.
• 1) Persistent cough with expectoration of long duration ( more than 3 weeks)
• 2) Recurrent respiratory infections are common.
• 3) Dyspnoea is generally not prominent at rest but is more on exertion.
• 4) Cyanosis : Patients are called "blue bloaters
• 5) Features of right heart failure (Cor pulmonale) are common.
• 6) Chest X-ray shows enlarged heart with prominent vessels.
![Page 42: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/42.jpg)
Symptoms of Tuberculosis
![Page 43: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/43.jpg)
TB
![Page 44: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/44.jpg)
Honeycomb Lung
![Page 45: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/45.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 45
Treatment of T.B.
• A) Sputum positive – New Patient
• HRZE for 2 months
• HR x 4 months
• AKT 4 1 kit per day x 2 months & cap
Rcinex 100 x 4 months (Rifampicin)
• clinical, radiological and pathological
(sputum)
![Page 46: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/46.jpg)
Mycobactrium Tubercle Bacilli
![Page 47: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/47.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 47
Treatment of T.B.
• B) Sputum negative – New pt.
• on clinical and radiological
• HRZ – 2 months
• HR – 4 months
• Rimactazid – Z 1 kit/day x 2 months
• Cap Rcinex 100 x 4 months.
![Page 48: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/48.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 48
Treatment of T.B.
Sr.
No
Drug Child
Dose(mg/kg
/day)
Adult
Dose
Side Effect
1 Isonex
(H)
10 to 20 300 MG Neuritis,Rash
2 Rifampicin
(R)
10 to 15 450 MG Hepatitis,
Rash, Red Urine
3 Pyrazinamide (Z) 20 to 30 1.5 gm Hepatitis,
Arthralgia
![Page 49: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/49.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 49
Treatment of T.B.
Sr.
No
Drug Child
Dose
(mg/kg/d
a)
Adult
Dose
Side Effect
4 Ethambutol
(E)
15 – 25 800
gm
Optic neuritis
– check
vision
5 Streptomycin
(S)
20 – 40 1 gm Autotoxicity
(irreversible)
![Page 50: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/50.jpg)
Progress of TB
![Page 51: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/51.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 51
Treatment of T.B.
• Adv :
• Avoid crowded places & House rest for
minimum 1 month.
• Restrict complete physical & mental
stress.
• Takes high protein diet, milk – 1 lit / day,
egg, meat and Tonic like Chavanprash
• Give supportive Ayurvedic treatment
![Page 52: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/52.jpg)
DD of Bronchial & Cardiac Asthama
Bronchial Asthma Cardiac Asthma
1) Pathology Bronchospasm Pulmonary congestion
oedema.
2) Age Young Elderly (above 50-60
years)
3) Sex Both Male mostly
4) Past history Of Eczema, urticaria (allergy)
suseptibility to cold, allergy to
polon, groundnuts, eggs.
No history of allergy, very
few attacks, LVF, RVF
5) family history Other family members may
have similar disease.
Hypertension may run in
families
6) personal history Highly sensitive individual Nil
8/8/2015 Prof.Dr.R.R.Deshpande 52
![Page 53: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/53.jpg)
DD of Bronchial & Cardiac Asthama
Bronchial Asthma Cardiac Asthma
7) Onset Acute, usually in early hours
of morning or late hours of
night.
Acute usually at
midnight (very specific)
8) Symptoms a) Expiratory Dyspnoea
b) Expectoration – scanty &
mucoid
c) No palpation cough with
sticky mucus.
a) Both dyspnoea expi.
& inspiratory
b) Profuse and frothy
c) Palpatation present
d) lot of sputum
8/8/2015 Prof.Dr.R.R.Deshpande 53
![Page 54: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/54.jpg)
DD of Bronchial & Cardiac Asthama
Bronchial Asthma Cardiac Asthma
9) O/E in
examination
a) Expiratory wheez present
b) sweating absent. may be present
c) cyanosis absent
d) pulse rate may be high
e) BP normal or slightly more
systolic
f) Heart sounds are distant (normal)
a) Absent (basal crepts and
rate)
b) sweating present
c) Cyanosis present
d) Very high (may be pulsus
alterance)
e) BP usually high.
f) 3 heart sounds Gallop
rhythm may be present in
mitral area
10) Examination of
lungs
Plenty of wheezing bronchii. Plenty of Rales & basal
crepitus
8/8/2015 Prof.Dr.R.R.Deshpande 54
![Page 55: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/55.jpg)
DD of Bronchial & Cardiac Asthama
Bronchial Asthma Cardiac Asthma
11) Treatment Antiasthematic,
antiallergic,
bronchodialators –
Asthalin, inj – Adrenalin
S/C. I/V deriphylin, inj –
Amonophylin.
Inj – Lasix (diuretic)
I/V admit patient, inj
– Aminophylin
Diluted in glucose &
given very slowly
(for 10-15 min)
Adrenalin not gives
in
8/8/2015 Prof.Dr.R.R.Deshpande 55
![Page 56: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/56.jpg)
Bronchial Asthama
![Page 57: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/57.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 57
Bronchial Asthma
• 1) Asthlin inhaler (salbutamol) 2 puff
• 2) Inj – Deriphyllin – 2CC
• 3) or Inj. Alupent 2CC – IM/SC
(orciprenalin)
• 4) Inj – Salbutamol – 0.25 mg I/V slowly
![Page 58: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/58.jpg)
Asthama inhaler
![Page 59: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/59.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 59
Bronchial Asthma
• If patient is young
• 1) Isoprenalin autohalor – 2 puff
• 2) Inj – Adrenalin – 0.5 ml s/c
![Page 60: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/60.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 60
Bronchial Asthma
• If attack is severe
• Inj – Aminophyllin – 10ml -diluted in 25 %
dextrose 10 ml, I/V very slowly in 5 mins
• or Nebuliser – Asthalin or Ipratropium
![Page 61: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/61.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 61
Bronchial Asthma
• C) If still not relieved with Aminophyllin
• 1) Repeat inj. Aminophyllin
• 2) Inj. Efcorlin – 100 mg I/V
(Hydrocortisone – steroid) or inj. Decadron
(Dexamethasone)
• & O2 by nasal catheter.
![Page 62: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/62.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 62
The patient should be admitted if
• 1) Patient is too breathless, to talk
• 2) Pulse > 120/min
• 3) RR > 30/min in children / young and in adult > 50/min.
• 4) Cyanosis present – central – tongue, lips etc, peripheral – tips of fingures
• 5) Bradycardia, hypotension, exhaustion
• 6) Silent chest – due to complete broncho spasm (no respiratory sounds)
![Page 63: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/63.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 63
Maintenance of
Bronchial Asthma
• A) Mild intermittent Asthma :
• Attack < one / week & mild
• Treatment
• 1) Asthalin – Inhalar – 2 puff stat. & then BD
• 2) Tab – Asthalin 4 mg BD or
• Tab – Deriphyllin (Theophyllin) 1 TDS
• Tab – Bricanyl 5 mg BD (Terbutalin)
![Page 64: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/64.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 64
Maintenance of
Bronchial Asthma
• B) Mild Persistent Asthma :
• Attack > 2 times / week, but not daily.
• Treatment
• 1) Asthalin – inhaler 2-3 puff. if attack
occur
• 2) Beclate inhaler 500 mg BD to prevent
that attacks (Beclomethasone)
![Page 65: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/65.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 65
Maintenance of
Bronchial Asthma
• C) Severe Persistent Asthma
• Attack daily
• Treatment
• 1) Beclate – inhaler – 500 mg BD
• 2) Serobid inhaler – 1 puff BD
• 3) Asthalin – 2-3 puffs (SOS)
• Tab – Wysolone (Prednisolon) 5 mg TDS (SOS)
![Page 66: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/66.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 66
Kindly Note
• It is proved that for the Asthmatic patient
duration is not important severity of attack
is important
• So there is change in the concept of
Status Asthamaticus
![Page 67: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/67.jpg)
Bronchiole & Alveoli
![Page 68: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/68.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 68
Bronchiectasis
• Permanent dialation of bronchioles
• Causes – Chr. respiratory diseases like chr. Brochitis
• Symptoms
• Cough with expectoration –Related to change of posture, hence prominent in early hours of morning or while going to bed.
• Copious and purulent
• Rarely haemoptysis
• Chest pain recurrently, due to dry pleurisy.
• febrile episode (attack) due to sec. infection.
![Page 69: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/69.jpg)
Bronchiectasis
![Page 70: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/70.jpg)
Vocal cords – Vicious cycle
![Page 71: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/71.jpg)
X ray of Bronchietasis
![Page 72: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/72.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 72
Bronchiectasis
• General symptoms:
• Malaise, loss of weight
• O/E -- Clubbing
• Impaired Resonance – Percussion -- dull note
• Vocal resonance decreases
• Basal – plenty of leathery rales
• X-Ray Chest (PA view) --- Thickening of basal pleura.
• Bird’s nest – appearance of basal lung.
![Page 73: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/73.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 73
Bronchiectasis
• Treatment
• 1) Postural Drainage : in the morning
• 2) Bronchoscopic Aspiration
• 3) Antibiotics (Bed ridden pts. are kept
under antibiotic cover and surgical
invention is done when necessary )
![Page 74: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/74.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 74
Tropical Eosinophilia
• C/O Intractable cough – not responding to
routine treatment
• Adv – PBS – for absolute Eosinophil count
• IF Eosinophil is greater than 30 to 40 %
![Page 75: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/75.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 75
Tropical Eosinophilia
• Treatment :
• Tab- Hetrazan – 100 mg TDS x 1 month
• Diethyl carbamazin citrate
• Tab wysolone ---Tapering Dose
• 1 – 1 – 1 2 days
• 1 – 0 – 1 2 days
• 1 – 0 – 0 2 days and then stop
• Note that Antiepileptic, Antihypertensive and steroids should not be suddenly stop.
![Page 76: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/76.jpg)
COPD
![Page 77: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/77.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 77
Emphysema
• Definition :
• Over distension of alveoli with rupture at
some places – due to chr. bronchitis or
chronic bronchial asthma.
• Dyspnoea – exertional to begin with and
then at rest also. Aggravation from time to
time, due to repeated infections
![Page 78: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/78.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 78
Emphysema
• In advanced cases dyspnoea increases,
even after normal routine movements e.g.
after eating, talking, defecation.
• Cough with expectoration – due to
associated chr. bronchitis.
• Wheezing sound
• Gradual weakness and loss of weight
![Page 79: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/79.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 79
Emphysema
• Sign
• 1) RR increases
• 2) Central cyanosis (tongue bluish)
• 3) Decubitus (special gait) -- propped up and
stopping forward.
• 4) Inspection : Barrel shaped chest
• 5) At the line of diaphragmatic attachment,
varicose veins are prominent called as
• Emphysematous Girdle
![Page 80: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/80.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 80
Emphysema
• Papation – VF (Vocal fremitus) decreases
• Percussion – Hyper resonant note.
• Auscultation – Breath sounds are
diminished,
• vesicular with prolonged expiration, VR
decreases (vocal resonance)
![Page 81: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/81.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 81
Emphysema
• X-ray – Radio translucent – lung fields, low
and flat diaphragm, elongation of cardiac
shadow – ‘Tubular heart’
• Complications
• Right sided heart failure – chronic cor-
pulmonale“( In ECG – Tall P wave – P
pulmonale)
![Page 82: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/82.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 82
Emphysema
• Treatment
• 1) Breathing exercises.
• 2) Antibiotics to prevent sec. infection,
intermittent O2 for CCP : diuretics (Lasix)
salt less diet and digitalis in CCF (gives
strength to heart)
![Page 83: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/83.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 83
Good Experiences
• Anti Allergic –
• Tab Relent =cetrizine Hcl 5 mg+ Ambroxol
hcl 60 mg -- 1 Tab at night
![Page 84: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/84.jpg)
Cough ( Kasa)
• Gojihvadi Kwatha 20 to 40 ml TDS
• Sitopaladi Churna 5 to 10 gm TDS
• Kantakaryavaleha 5 to 10 ml TDS
8/8/2015 Prof.Dr.R.R.Deshpande 84
![Page 85: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/85.jpg)
Expectorant ( Kapha Nissarana)
• Tankan Bhasma 500 mg to 1 gm TDS
• Talisadi Churna --- 3 to 5 gm TDS
• Vasavleha – 5 to 10 gm TDS
8/8/2015 Prof.Dr.R.R.Deshpande 85
![Page 86: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/86.jpg)
Bronchitis ( Svasanika shoth)
• Laghu malini vasant -- 2TDS
• Lavangadi Churna – Half tsf tds with
honey
• Chousashtha Pippali churna -- Half tsf tds
with honey
8/8/2015 Prof.Dr.R.R.Deshpande 86
![Page 87: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/87.jpg)
TB ( Rajayakshma)
• Raj mrigank ras – 250 mg TDS
• Suvarna malini vasant – 1 tab tds
• Shataputi Abhrak bhasma – 125 mg tds
• Mukta panchamruta – 250 mg tds
• Shilajitvadi Lauha – 500 mg tds
8/8/2015 Prof.Dr.R.R.Deshpande 87
![Page 88: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/88.jpg)
Common cold ( Pratisyaya)
• Hinguleshvara rasa 250 mg tds
• Panchakola churna half tsf tds with honey
• Nag guti ( very Hot) – Not for Pitta Prakruti
• Cap Nesolarin ( Phyto Pharma) – Nag guti
+ Sameerpannag – 1 cap BD
8/8/2015 Prof.Dr.R.R.Deshpande 88
![Page 89: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/89.jpg)
Sinusitis ( Peenas)
• Shadbindu oil 3 drops TDS
• Dashamula Rasayanam – 2 tsf tds
8/8/2015 Prof.Dr.R.R.Deshpande 89
![Page 90: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/90.jpg)
Powders to treat Respiratory
problems like Asthama,Cough
• 1) Sitopaladi (Piitaja Kasa)
• 2) Karpuradi ( Kaphaja Kasa)
• 3) Talisadi ( Vataj Kasa)
• 4) Chausastha Pimpali
• 5) Shrungyadi
• 6) Yashtimadhu
• 7) Katphaladi
• 8) Bhagottar
8/8/2015 Prof.Dr.R.R.Deshpande 90
![Page 91: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/91.jpg)
Ayurvedic Tablets for Respiratory Problems
• Cough --- Anandabhirav Kasa
• Cold,Cough,Br.Asthama – Lavangadi
vati,Naga guti,Chaturbhuja rasa,Shwas
kuthar
• Tuberculosis ( Rajayakshma) –
Shriphalakusum vati ,Vasanta Kalpa like
Suvarna malini vasant
8/8/2015 Prof.Dr.R.R.Deshpande 91
![Page 92: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/92.jpg)
Ayurvedic Medicines for Respiratory Problems
• Tubercular Lymphadenitis – Kanchanar Guggulu
• Tonic in diseases like Tuberculosis, Chronic cough,
Br.Asthama – Drakshasav
• Cough,Br.Asthama – Kanakasav,Vasakasav,Vasadi
kadha
• Allergy ,Chronic sinusitis – Bhallatakadi
Kadha,Bhallatakasav
• Respiratory problems ( Rasayan for RS) –
Chavanprash, Dhatri Rasayan, Amalaki Avaleha
8/8/2015 Prof.Dr.R.R.Deshpande 92
![Page 93: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/93.jpg)
Ayurvedic Jams for Respiratory Problems
• Cough or Haemoptysis – Vasa Avaleha,
Vasa Ghruta
• Chronic cough,Ch.Bronchitis –
Katakaryavleha
• Cough,Br.Asthama – Ardrakavleha
8/8/2015 Prof.Dr.R.R.Deshpande 93
![Page 94: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/94.jpg)
Ayurvedic Medicines for Cough
• Katphaladi or Karpuradi or Talisadi or Sitopaladi or
Dadimadi or Yashtimadhu or Shrungyadi Churna
• Lavangadi or Eladi or Sitopaladi Vati
• Drakshasav, Punarnavasav
• Agastya Hartaki avaleh,Ardrakav leh (Aalepak)
,Kantakaryav leh, Chavanprash,Vasav leh,
• Vasa Ghruta, Lakshadi Tail,
• Kasis bhasma, Lokanath ras, Shrunga bhasma
8/8/2015 Prof.Dr.R.R.Deshpande 94
![Page 95: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/95.jpg)
Ayurvedic Medicines for
Bronchial Asthama • Karpuradi or Dadimashtak, Pippalyadi or
Yashtimadhu, Samsharkar chuna, Chausashta
Pippali
• Bruhatvat chintamani, Suvarna malini vasant
• Kanakasav,Draksav,Dashamularishta
• Swaskuthar
8/8/2015 Prof.Dr.R.R.Deshpande 95
![Page 96: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/96.jpg)
Ayurvedic Medicines for
Bronchial Asthama • Ardrakav leh, Chavanprash,
• Dadimvleh, Dhatri rasayan, Lashun pak,
Vasavleh,
• Narayan tail
• Abhrak bhasma, Manikya ras, Shrunga
bhasma, Makardhwaja, Mallasindur,
Rasaparpati,Rasa sindur, Loknath ras,
Sameerpannag
8/8/2015 Prof.Dr.R.R.Deshpande 96
![Page 97: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/97.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 97
Ayurved for General Practioner
• Very very popular
Book in Medical
Practioners
• 100 common
symptoms of General
Practice with
causes,Investigations
& Ayurvedic
Treatments
![Page 98: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/98.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 98
Clinical Examination
• Systemic Examination
of 8 systems
• Ayurvedic Srotas
Examination
• Clinical significance of
Lab Tests &
Radiology,USG,2D
Echo
![Page 99: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/99.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 99
Notes on Medicine Part 1
• Very very useful Book
for all Medical
Practioners
• Guidelines with
causes,symptoms,Ay
urvedic & Modern
Treatments to treat
Fever,Pain in
Abdomen & Arthritis
![Page 100: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/100.jpg)
8/8/2015 Prof.Dr.R.R.Deshpande 100
Best Book for
Medical Students & Practioners
![Page 101: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/101.jpg)
Preventive Cardiology
& Ayurvedic Management
• Best Book for GP
• All cardiac problems
like
Hypertention,CCF,
Angina,Myocardial
Infarct are discussed
with Ayurvedic
Management
Contact -922 68 10 630
8/8/2015 Prof.Dr.R.R.Deshpande 101
![Page 102: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/102.jpg)
Digestive Problems
& Ayurvedic Management
• Best Book for GP
• All Digestive
problems like
Acidity,Pain in
abdomen,
• Constipation ,colitis
are discussed with
Ayurvedic
Management
Contact -922 68 10 630
8/8/2015 Prof.Dr.R.R.Deshpande 102
![Page 103: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/103.jpg)
Gynaecological Problems &
Ayurvedic Management
• Best Book for GP
• All Gynaecological
problems like Heavy
bleeding,White
discharge,Infertility,ca
ncer are discussed
with Ayurvedic
Management
Contact -922 68 10 630
8/8/2015 Prof.Dr.R.R.Deshpande 103
![Page 104: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/104.jpg)
Arthritis,Backache &
Ayurvedic Management
• Best Book for GP
• All Joint problems
like Rheumatoid
Arthritis,Osteoarthritis
,Backache are
discussed with
Ayurvedic
Management
Contact -922 68 10 630
8/8/2015 Prof.Dr.R.R.Deshpande 104
![Page 105: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/105.jpg)
Neurological Problems & Ayurvedic
Management
• Best Book for GP
• All Neurological
problems like
Headache,Epilepsy,Al
zeimer’s Disease are
discussed with
Ayurvedic
Management
Contact -922 68 10 630
8/8/2015 Prof.Dr.R.R.Deshpande 105
![Page 106: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/106.jpg)
Ayurvedic Concept of Diet
& Nutrition
• Best Book for GP
• Dietary Advice
according to Prakruti
,Dietary prescriptions
for many diseases are
given
• Contact -922 68 10
630
8/8/2015 Prof.Dr.R.R.Deshpande 106
![Page 107: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/107.jpg)
Health Tips for 365 Days
8/8/2015 Prof.Dr.R.R.Deshpande 107
• This Book is very
useful from Common
man to Doctors
• It covers all imp
aspects mentioned in
Ayurveda
• Open as per date &
complete reading of
one page only
![Page 108: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/108.jpg)
Prof.Dr.Deshpande’s
Popular Links on Internet
• Just Start Internet on Desk top or Lap top
or on your mobile . Copy Following Link &
Paste as Web address –URL
• http://www.youtube.com/user/deshpande1
959
• http://www.slideshare.net/rajendra9a/
• http://www.mixcloud.com/jamdadey/
8/8/2015 Prof.Dr.R.R.Deshpande 108
![Page 109: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/109.jpg)
Prof.Dr.Deshpande’s
Popular Links on Internet
• Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL
• http://professordeshpande.blogspot.in
• http://professordrdeshpande.blogspot.in/
• http://www.mixcloud.com/rajendra-deshpande
• https://soundcloud.com/professor-deshpande
8/8/2015 Prof.Dr.R.R.Deshpande 109
![Page 110: Respiratory system Problems in GP](https://reader034.vdocument.in/reader034/viewer/2022052217/55d053bcbb61eb6e708b4587/html5/thumbnails/110.jpg)
Prof.Dr.R.R.Deshpande
• Sharing of Knowledge
• FOR
• Propagating Ayurved
8/8/2015 110 Prof.Dr.R.R.Deshpande