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Unit 2

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0% found this document useful (0 votes)
29 views18 pages

Unit 2

Uploaded by

Hema Priyaa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Upon re-reading the original text, I noticed that I missed some points.

Here's an updated
explanation that covers more content:

What are Chickenpox and Shingles?

Chickenpox and shingles are caused by the same virus, called Varicella-Zoster. Chickenpox
usually affects children, while shingles affects adults.

Symptoms of Chickenpox

- Itchy, blister-like rash


- Fever
- Headache
- Fatigue
- Loss of appetite

Symptoms usually last 5-7 days.

Symptoms of Shingles

- Painful, burning rash (usually on one side of the body)


- Fever
- Headache
- Fatigue
- Nerve pain (postherpetic neuralgia)

Symptoms usually last 2-4 weeks.

How are Chickenpox and Shingles Spread?

- Person-to-person contact
- Droplet or airborne spread of vesicle fluid or secretions
- Indirectly through articles freshly soiled by discharges from vesicles and mucous membranes

Prevention

1. Vaccination: Varicella vaccine is available and recommended for children and adults who
haven't had chickenpox.
2. Avoid Close Contact: Avoid close contact with people who have chickenpox or shingles.
3. Isolation: Keep patients isolated until the rash crusts over (usually 5-7 days).
4. Varicella-Zoster Immune Globulin (VZIG): VZIG can be given to prevent or modify disease in
high-risk individuals, such as newborns, pregnant women, and immunocompromised
individuals.

Treatment

1. Antiviral Medications: Acyclovir, valacyclovir, or famciclovir can help shorten the duration of
symptoms.
2. Rest, Hydration, and Pain Relief: Rest, drink plenty of fluids, and take over-the-counter pain
relievers like acetaminophen or ibuprofen.

Complications

1. Severe Chickenpox: Pregnant women, newborns, and people with weakened immune systems
are at risk of severe chickenpox.
2. Shingles: Can cause lasting nerve pain (postherpetic neuralgia).
3. Secondary Bacterial Infections: Bacterial infections can occur in people with weakened
immune systems.
4. Congenital Varicella Syndrome: Infection during pregnancy can cause congenital varicella
syndrome in 0.7% of cases.

Epidemiology

- Chickenpox is highly contagious, with an 80-90% risk of infection after household exposure.
- Shingles is less contagious than chickenpox.
- Chickenpox is more common in children, while shingles is more common in adults.

Control Measures

1. Isolation: Isolate patients until the rash crusts over (usually 5-7 days).
2. Quarantine: Quarantine may be necessary for susceptible close contacts of cases.
3. Vaccination: Vaccinate susceptible individuals, especially those at high risk of complications.
4. Varicella-Zoster Immune Globulin (VZIG): Administer VZIG to high-risk individuals, such as
newborns, pregnant women, and immunocompromised individuals.

Disaster Implications

- Outbreaks of chickenpox may occur among children crowded together in emergency housing
situations.

Chickenpox and shingles are related but not exactly the same. They are caused by the same
virus, Varicella-Zoster Virus (VZV).

Chickenpox (Varicella):

1. Primary infection
2. Highly contagious
3. Typically affects children under 10
4. Symptoms:
- Itchy, blister-like rash
- Fever
- Headache
- Fatigue
5. Usually resolves within 5-7 days

Shingles (Herpes Zoster):


1. Reactivation of latent VZV
2. Less contagious than chickenpox
3. Typically affects adults over 50 or those with weakened immune systems
4. Symptoms:
- Painful, burning rash (usually on one side of the body)
- Fever
- Headache
- Fatigue
- Nerve pain (postherpetic neuralgia)
5. Usually resolves within 2-4 weeks

Key differences:

1. Age: Chickenpox primarily affects children, while shingles affects adults.


2. Contagiousness: Chickenpox is highly contagious, whereas shingles is less contagious.
3. Symptoms: Chickenpox rash is usually itchy, while shingles rash is painful.
4. Duration: Chickenpox resolves faster than shingles.

Connection between the two:

1. After recovering from chickenpox, VZV remains dormant in nerve cells.


2. Later in life, VZV can reactivate, causing shingles.

Vaccinations:

1. Varicella vaccine (chickenpox vaccine) helps prevent chickenpox.


2. Shingles vaccine (Zostavax or Shingrix) helps prevent shingles or reduce severity.

Tuberculosis (TB) Simplified Explanation

What is TB?
Tuberculosis (TB) is a disease caused by bacteria called Mycobacterium tuberculosis. It mainly
affects the lungs but can also damage other parts of the body like lymph nodes, bones, and
kidneys. TB spreads through the air when someone with active TB coughs, sneezes, or talks.

. Infectious agents—Mycobacterium tuberculosis complex. This includes M. tuberculosis, M.


africanum, M. canettii (the latter two responsible for a small number of cases in Africa), all
primarily from humans,

incubation period—From infection to demonstrable primary lesion or significant tuberculin


reaction, about 2–10 weeks.

How does TB affect people?

Many people get infected without symptoms. This is called latent TB.
About 10% of people with latent TB will develop active TB disease, especially if their immune
system is weak (e.g., from HIV or malnutrition).

Without treatment, active TB can cause severe lung damage and death.

Symptoms of Active TB

Persistent cough (sometimes with blood)

Fever and night sweats

Fatigue and weight loss

Chest pain

How is TB detected?

1. Skin or blood tests: Detect if you were exposed to TB bacteria.

2. Chest X-rays: Look for lung damage caused by TB.

3. Sputum test: Check if TB bacteria are in the mucus from your lungs.

How does TB spread?

Through tiny droplets in the air when an infected person breathes out forcefully.

TB spreads more in crowded spaces, like prisons or shelters.

Types of TB:

1. Pulmonary TB: Affects the lungs (most common).

2. Extrapulmonary TB: Affects other body parts like bones or kidneys (less common).

Who is at risk?

Babies, children, and older adults.


People with weak immune systems, like those with HIV.

People who live in crowded places or have poor healthcare access.

Prevention and Treatment

1. Prevention:

Early testing and treatment for TB infection.

Vaccination (BCG) for babies in high-risk areas.

Better living conditions, nutrition, and education.

2. Treatment:

Latent TB: Usually treated with medicine like isoniazid to prevent active TB.

Active TB: Requires a 6-12 month course of antibiotics (e.g., isoniazid and rifampin). Stopping
treatment early can cause drug resistance (MDR-TB).

Close contacts of TB patients should also get tested and treated if needed.

Key Points to Remember

TB is preventable and curable with proper treatment.

Good hygiene, ventilation, and avoiding raw milk can reduce TB spread.

People with TB should take all medicines as prescribed to avoid complications.

Here's a simplified explanation of COVID-19:

What is COVID-19?

COVID-19 is a respiratory illness caused by the SARS-CoV-2 virus.

Transmission

- Person-to-person transmission through respiratory droplets


- Close contact with an infected person
- Contaminated surfaces

Symptoms

- Fever
- Cough
- Shortness of breath
- Fatigue
- Headache
- Sore throat
- Runny nose
- Body aches
- Diarrhea
- Nausea
- Vomiting

Severe Symptoms

- Pneumonia
- Acute respiratory distress syndrome (ARDS)
- Multi-organ failure
- Death

Risk Groups

1. Older adults
2. Young children
3. Pregnant women
4. People with underlying health conditions (e.g., heart disease, diabetes, lung disease)
5. Immunocompromised individuals (e.g., HIV/AIDS, cancer)

Prevention

1. Vaccination: COVID-19 vaccines are available and recommended for most people.
2. Mask-wearing: Wear masks in public places to reduce transmission.
3. Social distancing: Maintain at least 6 feet of distance from others.
4. Hand hygiene: Wash hands frequently with soap and water.
5. Stay home when sick: Avoid contact with others if you're experiencing symptoms.

Diagnosis

1. PCR test: Detects the virus's genetic material.


2. Antigen test: Detects the virus's proteins.
3. Serology test: Detects antibodies against the virus.

Treatment

1. Supportive care: Rest, hydration, and oxygen therapy.


2. Antiviral medications: Oseltamivir, lopinavir/ritonavir, and remdesivir.
3. Corticosteroids: For severe cases.

Complications

1. Pneumonia
2. Acute respiratory distress syndrome (ARDS)
3. Multi-organ failure
4. Death
5. Long-term health effects: Some people may experience lingering symptoms or health effects
after recovery.

Vaccination

1. Types of vaccines: Inactivated whole virus, protein-based, and mRNA-based vaccines.


2. Efficacy: Vaccines have been shown to be highly effective in preventing severe illness and
death.
3. Boosters: Booster shots may be recommended to maintain immunity.

Global Response

1. World Health Organization (WHO): Declared COVID-19 a pandemic in March 2020.


2. Centers for Disease Control and Prevention (CDC): Provides guidance on prevention,
diagnosis, and treatment.
3. National governments: Implemented measures to slow the spread of the virus, such as
lockdowns, travel restrictions, and vaccination campaigns.

Here are the detailed explanations with at least 10 points for each disease:

Hepatitis B

1. Definition: Hepatitis B is a viral infection that affects the liver.


2. Transmission: Mother-to-child during birth, unprotected sex, sharing needles or syringes,
blood transfusions, and organ transplants.
3. Symptoms: Fatigue, loss of appetite, nausea and vomiting, abdominal pain, dark urine, pale
stools, and yellowing of the skin and eyes (jaundice).
4. Complications: Liver damage, liver cancer, cirrhosis, and kidney disease.
5. Prevention: Vaccination, safe sex practices, avoiding sharing needles or syringes, and
screening of blood and organ donations.
6. Treatment: Antiviral medications, interferon therapy, and liver transplant in severe cases.
7. Incubation Period: 45-180 days.
8. Vaccine: Available and recommended for all newborns and individuals at high risk.
9. Chronic Infection: Can occur in 5-10% of infected individuals.
10. Global Prevalence: Estimated 257 million people living with chronic hepatitis B infection
worldwide.

Hepatitis C
1. Definition: Hepatitis C is a viral infection that affects the liver.
2. Transmission: Sharing needles or syringes, unprotected sex, blood transfusions, and organ
transplants.
3. Symptoms: Fatigue, loss of appetite, nausea and vomiting, abdominal pain, dark urine, pale
stools, and yellowing of the skin and eyes (jaundice).
4. Complications: Liver damage, liver cancer, cirrhosis, and kidney disease.
5. Prevention: Avoiding sharing needles or syringes, safe sex practices, and screening of blood
and organ donations.
6. Treatment: Antiviral medications, interferon therapy, and liver transplant in severe cases.
7. Incubation Period: 15-150 days.
8. Vaccine: Not available.
9. Chronic Infection: Can occur in 75-85% of infected individuals.
10. Global Prevalence: Estimated 71 million people living with chronic hepatitis C infection
worldwide.

HIV / AIDS

1. Definition: HIV (Human Immunodeficiency Virus) is a viral infection that attacks the body's
immune system. AIDS (Acquired Immune Deficiency Syndrome) is the most advanced stage of
HIV infection.
2. Transmission: Unprotected sex, sharing needles or syringes, mother-to-child during birth,
blood transfusions, and organ transplants.
3. Symptoms: Flu-like symptoms, fever, chills, rash, muscle and joint pain, swollen lymph nodes,
diarrhea, and weight loss.
4. Complications: Opportunistic infections (e.g., pneumonia, tuberculosis), cancer (e.g., Kaposi's
sarcoma, lymphoma), and neurological problems (e.g., dementia, neuropathy).
5. Prevention: Safe sex practices, avoiding sharing needles or syringes, pre-exposure prophylaxis
(PrEP) for high-risk individuals, and post-exposure prophylaxis (PEP) after potential exposure.
6. Treatment: Antiretroviral therapy (ART), combination therapy, and treatment of opportunistic
infections.
7. Incubation Period: 2-4 weeks.
8. Vaccine: Not available.
9. Chronic Infection: Can occur in individuals who do not receive treatment.
10. Global Prevalence: Estimated 38 million people living with HIV/AIDS worldwide.

Influenza

1. Definition: Influenza, also known as the flu, is a viral infection that affects the respiratory
system.
2. Transmission: Airborne transmission through coughing, sneezing, or talking, close contact
with an infected person, and contaminated surfaces.
3. Symptoms: Fever, chills, cough, sore throat, runny or stuffy nose, headache, fatigue, muscle
or body aches, diarrhea, and vomiting.
4. Complications: Pneumonia, bronchitis, sinus and ear infections, and worsening of underlying
health conditions (e.g., heart disease, diabetes).
5. Prevention: Vaccination, good hygiene practices (e.g., handwashing, covering mouth and
nose), and avoiding close contact with infected individuals.
6. Treatment: Antiviral medications (e.g., oseltamivir, zanamivir), supportive care (e.g., rest,
hydration, pain relief).
7. Incubation Period: 1-4 days.
8. Vaccine: Available and recommended for everyone 6 months of age and older.
9. Seasonality: Typically peaks between December and February.
10. Global Impact: Estimated 3-5 million cases of severe illness and

Here’s a detailed, comprehensive explanation of each disease with expanded information to


help you prepare for long-form answers.

---

1. Diabetes Mellitus

Definition:

A chronic metabolic disorder characterized by persistent hyperglycemia due to insulin


deficiency, resistance, or both.

Types:

1. Type 1 Diabetes:

Autoimmune destruction of pancreatic beta cells.

Usually occurs in childhood or adolescence.

Requires lifelong insulin therapy.

2. Type 2 Diabetes:

Insulin resistance with relative insulin deficiency.

Strongly linked to obesity, lifestyle, and genetics.

3. Gestational Diabetes Mellitus (GDM):

Occurs during pregnancy due to hormonal changes.

Usually resolves postpartum but increases the risk of type 2 diabetes later.
4. Other Specific Types:

Due to genetic defects, pancreatic diseases, or medication-induced (e.g., corticosteroids).

Pathophysiology:

Type 1: Immune-mediated destruction → Absolute insulin deficiency → Hyperglycemia.

Type 2: Obesity → Fat accumulation → Insulin resistance → Beta-cell dysfunction → Progressive


hyperglycemia.

Symptoms:

Polydipsia (increased thirst), polyuria (frequent urination), and polyphagia (excessive hunger).

Unexplained weight loss.

Fatigue, blurry vision, and recurrent infections.

Complications:

1. Acute:

Diabetic ketoacidosis (DKA): Common in Type 1.

Hyperosmolar hyperglycemic state (HHS): More in Type 2.

2. Chronic:

Microvascular: Retinopathy, nephropathy, neuropathy.

Macrovascular: Cardiovascular disease, stroke, peripheral artery disease.

Diagnosis:

Fasting blood glucose (≥126 mg/dL).


HbA1c (≥6.5%).

Random blood glucose (≥200 mg/dL with symptoms).

Oral glucose tolerance test (OGTT).

Management:

1. Lifestyle Changes:

Diet: Low glycemic index foods, portion control.

Exercise: Regular aerobic and resistance training.

2. Medications:

Type 1: Insulin.

Type 2: Metformin, sulfonylureas, GLP-1 agonists, SGLT-2 inhibitors, and sometimes insulin.

3. Monitoring:

Self-monitoring of blood glucose (SMBG).

Regular screening for complications.

---

2. Atherosclerosis

Definition:

A progressive disease where fatty deposits (plaques) build up in arterial walls, leading to
reduced blood flow.

Etiology:

High LDL cholesterol, low HDL cholesterol.


Hypertension, smoking, and diabetes.

Chronic inflammation and genetic predisposition.

Pathogenesis:

1. Endothelial injury → Lipid accumulation → Foam cell formation.

2. Plaque growth → Fibrous cap formation.

3. Plaque rupture → Thrombus formation → Acute ischemia.

Symptoms:

Early stages: Asymptomatic.

Advanced stages:

Chest pain (angina) in coronary arteries.

Claudication (pain while walking) in peripheral arteries.

Stroke symptoms if cerebral arteries are involved.

Complications:

Myocardial infarction, stroke, aneurysm, and limb ischemia.

Diagnosis:

Lipid profile, CRP (inflammatory marker).

Imaging: Angiography, Doppler ultrasound, CT angiogram.

Treatment:

1. Lifestyle:
Diet low in saturated fats.

Smoking cessation and weight loss.

2. Medications:

Statins (e.g., atorvastatin).

Antihypertensives and antiplatelets (e.g., aspirin).

3. Procedures:

Angioplasty with stent placement.

Coronary artery bypass graft (CABG).

---

3. Fatty Liver Disease

Definition:

Excess fat accumulation in liver cells, leading to potential liver inflammation and damage.

Types:

Non-Alcoholic Fatty Liver Disease (NAFLD): Not due to alcohol.

Alcoholic Fatty Liver Disease (AFLD): Directly related to alcohol consumption.

Risk Factors:

Obesity, type 2 diabetes, high cholesterol, metabolic syndrome.

Chronic alcohol use for AFLD.

Stages:
1. Simple fatty liver (steatosis).

2. Steatohepatitis (inflammation): NAFLD progresses to NASH.

3. Fibrosis → Cirrhosis → Liver failure.

Symptoms:

Mostly asymptomatic in early stages.

Fatigue, abdominal pain, jaundice in advanced stages.

Diagnosis:

Elevated liver enzymes (ALT, AST).

Ultrasound, CT, or MRI showing liver fat.

Liver biopsy for confirmation.

Management:

1. Lifestyle:

Weight loss through diet and exercise.

Avoiding alcohol.

2. Medications:

Vitamin E and insulin sensitizers (e.g., pioglitazone).

3. Advanced Cases:

Liver transplant for cirrhosis.


---

I'm glad you found the detailed explanations helpful! Here's a continuation of the explanations:

Obesity

1. Introduction: Obesity is a condition characterized by excessive fat accumulation, which can


lead to various health problems.

2. Formation: Obesity occurs when an individual consumes more calories than they burn,
resulting in excess energy being stored as fat.

3. Agent: There is no specific agent that causes obesity. However, genetic and environmental
factors contribute to its development.

4. Caused by: Obesity is caused by a combination of factors, including:


- Overeating
- Sedentary lifestyle
- Genetic predisposition
- Hormonal imbalances

5. Process in body: When an individual consumes more calories than they burn, the excess
energy is stored as fat in the body.

6. Protection: Maintaining a healthy weight, exercising regularly, and eating a balanced diet can
help prevent obesity.

7. Prevention: The following can help prevent obesity:


- Eating a balanced diet
- Exercising regularly
- Avoiding overeating
- Getting enough sleep
- Managing stress

8. Vaccine: There is no vaccine for obesity.

9. Effects: Obesity can lead to a range of complications, including:


- Diabetes
- Heart disease
- Stroke
- Sleep apnea
- Osteoarthritis

10. Transmission: Obesity is not contagious and cannot be transmitted from person to person.

11. Treatment: Treatment for obesity typically involves lifestyle changes, such as diet and
exercise, and may also include medications or surgery.

12. Real-life scenario: Obesity is a common condition that affects millions of people worldwide.
For example, a person who has a desk job and eats a diet high in calories and low in nutrients
may be at risk of developing obesity.

Cancer

1. Introduction: Cancer is a group of diseases characterized by abnormal cell growth with the
potential to invade and spread to other parts of the body.

2. Formation: Cancer occurs when genetic mutations lead to uncontrolled cell growth and
division.

3. Agent: There is no specific agent that causes cancer. However, genetic and environmental
factors contribute to its development.
4. Caused by: Cancer is caused by a combination of factors, including:
- Genetic mutations
- Exposure to carcinogens (e.g., tobacco, radiation, chemicals)
- Chronic infections (e.g., HPV, hepatitis B/C)

5. Process in body: When genetic mutations lead to uncontrolled cell growth and division,
cancer can develop.

6. Protection: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can
help reduce the risk of developing cancer.

7. Prevention: The following can help prevent cancer:


- Avoiding tobacco and secondhand smoke
- Limiting alcohol consumption
- Eating a balanced diet
- Exercising regularly
- Getting enough sleep
- Managing stress

8. Vaccine: There are vaccines available for certain types of cancer, such as:
- HPV vaccine (for cervical, anal, and oropharyngeal cancers)
- Hepatitis B vaccine (for liver cancer)

9. Effects: Cancer can lead to a range of complications, including:


- Tumor growth and spread
- Organ damage
- Pain
- Fatigue
- Weight loss

10. Transmission: Cancer is not contagious and cannot be transmitted from person to person.
11. Treatment: Treatment for cancer typically involves surgery, radiation, chemotherapy, and/or
immunotherapy.

12. Real-life scenario: Cancer is a common condition that affects millions of people worldwide.
For example, a person who has a family history of cancer and smokes regularly may be at risk of
developing lung cancer.

Let me know if you have any further questions or if there's anything else I can help you with!

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