Chapter 22: Processes and Stages of Labor and Birth
... occurs when the placenta attaches too deep in the uterine wall but it does not penetrate the uterine muscle. Placenta accreta is the most common accounting for approximately 75% of all cases. Approximately 1 in 2,500 pregnancies experience placenta accreta, increta or percreta. There are two further ...
... occurs when the placenta attaches too deep in the uterine wall but it does not penetrate the uterine muscle. Placenta accreta is the most common accounting for approximately 75% of all cases. Approximately 1 in 2,500 pregnancies experience placenta accreta, increta or percreta. There are two further ...
Polycystic Ovary Syndrome PCOS A diagnosis oriented approach
... FSH is not increased with LH, probably because of the synergistic negative feedback of chronically elevated estrogen level and normal follicular Inhibin. About 25% of patients with PCOS exhibit elevated PRL levels . This may result in abnormal estrogen feedback to the pituitary gland. In some patien ...
... FSH is not increased with LH, probably because of the synergistic negative feedback of chronically elevated estrogen level and normal follicular Inhibin. About 25% of patients with PCOS exhibit elevated PRL levels . This may result in abnormal estrogen feedback to the pituitary gland. In some patien ...
X-Plain Hysteroscopy Reference Summary
... After the procedure, you will be allowed to recover from the general anesthetic, if it was used. A tube may be placed in your bladder to help empty urine. This tube will be removed before leaving the hospital. Some cramping is expected after a hysteroscopy, as well as some vaginal bleeding. You shou ...
... After the procedure, you will be allowed to recover from the general anesthetic, if it was used. A tube may be placed in your bladder to help empty urine. This tube will be removed before leaving the hospital. Some cramping is expected after a hysteroscopy, as well as some vaginal bleeding. You shou ...
A case study/presentation on a patient with
... disorder. It may be obvious in emesis or stool or it may be occult or hidden.Upper gastrointestinal (GI) bleeding refers to hemorrhage in the gastrointestinal tract.Patients with upper GI hemorrhage often present with hematemesis,coffee ground vomiting, and melena. The presentation of bleeding depen ...
... disorder. It may be obvious in emesis or stool or it may be occult or hidden.Upper gastrointestinal (GI) bleeding refers to hemorrhage in the gastrointestinal tract.Patients with upper GI hemorrhage often present with hematemesis,coffee ground vomiting, and melena. The presentation of bleeding depen ...
What is Premenstrual Dysphoric Disorder?
... Premenstrual dysphoric disorder (PMDD) is a condition associated with severe emotional symptoms such as depression, anxiety and irritability that develops before the onset of menstruation. Although these symptoms are similar to those of PMS, they are debilitating enough to affect interpersonal relat ...
... Premenstrual dysphoric disorder (PMDD) is a condition associated with severe emotional symptoms such as depression, anxiety and irritability that develops before the onset of menstruation. Although these symptoms are similar to those of PMS, they are debilitating enough to affect interpersonal relat ...
APSA/SIA PAIN MANAGEMENT Project
... Ibuprofen, naproxen sodium More effective than APAP and ASA for most pain conditions Analgesic and anti-inflammatory effects Major side effects are bleeding, GI ulcers, bronchospasm in patients with asthma, increased blood pressure, fluid retention Generally avoid in pregnancy but OK in breastfeedin ...
... Ibuprofen, naproxen sodium More effective than APAP and ASA for most pain conditions Analgesic and anti-inflammatory effects Major side effects are bleeding, GI ulcers, bronchospasm in patients with asthma, increased blood pressure, fluid retention Generally avoid in pregnancy but OK in breastfeedin ...
Pregnancy-Related Conditions as Disabilities under the ADA
... frequently get carpal tunnel syndrome, and should receive the same breaks, job modifications, or supportive devices as non-pregnant employees with the syndrome. Otherwise, a nonsensical result occurs: a worker with carpal tunnel syndrome may qualify for ADA accommodation if the syndrome stems from a ...
... frequently get carpal tunnel syndrome, and should receive the same breaks, job modifications, or supportive devices as non-pregnant employees with the syndrome. Otherwise, a nonsensical result occurs: a worker with carpal tunnel syndrome may qualify for ADA accommodation if the syndrome stems from a ...
TechTalkCEDECENG - Canadian Healthcare Network
... starts and subside when menstruation begins. Symptoms affect almost 40% of women, with 5% of these women experiencing severe impairment.1 This severe subtype of PMS, known as premenstrual dysphoric disorder, is characterized by significant impairment of normal function and pronounced mood changes. T ...
... starts and subside when menstruation begins. Symptoms affect almost 40% of women, with 5% of these women experiencing severe impairment.1 This severe subtype of PMS, known as premenstrual dysphoric disorder, is characterized by significant impairment of normal function and pronounced mood changes. T ...
Treatment Induced Menopause
... and its usability depends on your individual risk factors. HRT has been shown to increase the risk of breast cancer. Research has found that estrogen only HRT can increase your risk when used for over 10 years, and combination HRT can increase your risk up to 75% even when only used for a short peri ...
... and its usability depends on your individual risk factors. HRT has been shown to increase the risk of breast cancer. Research has found that estrogen only HRT can increase your risk when used for over 10 years, and combination HRT can increase your risk up to 75% even when only used for a short peri ...
Susan Hayden Gray and S. Jean Emans 2007;28;175-182
... It is essential to review normal menstrual physiology before discussing abnormalities. An ovulatory menstrual cycle is comprised of three phases: follicular, ovulatory, and luteal. The follicular phase of the menstrual cycle typically lasts about 2 weeks but may vary from 7 to 21 days or longer. In ...
... It is essential to review normal menstrual physiology before discussing abnormalities. An ovulatory menstrual cycle is comprised of three phases: follicular, ovulatory, and luteal. The follicular phase of the menstrual cycle typically lasts about 2 weeks but may vary from 7 to 21 days or longer. In ...
INFERTILITY
... Marriage is considered to be sterile, if during 1 year of regular sexual life without using of contraceptives, pregnancy does not occur. Infertility happens in 10-12% of all marriages. It is subdivided into male, female and mixed. About 45% of sterile marriages are connected with male infertility, 5 ...
... Marriage is considered to be sterile, if during 1 year of regular sexual life without using of contraceptives, pregnancy does not occur. Infertility happens in 10-12% of all marriages. It is subdivided into male, female and mixed. About 45% of sterile marriages are connected with male infertility, 5 ...
COMMITTEE OPINION
... the most likely etiology of acute AUB is essential for choosing the most appropriate and effective management for the individual patient and is accomplished by obtaining a history, performing a physical examination, and requesting laboratory and imaging tests, when indicated. History Obtaining a tho ...
... the most likely etiology of acute AUB is essential for choosing the most appropriate and effective management for the individual patient and is accomplished by obtaining a history, performing a physical examination, and requesting laboratory and imaging tests, when indicated. History Obtaining a tho ...
Chapter 21 Review
... Review (1 of 2) 7. When obtaining a SAMPLE history, which of the following pieces of information is important to obtain? A. Use of a birth control device or birth control pills Rationale: The EMT should also inquire about the possibility of pregnancy and the date of the last menstrual period. B. Th ...
... Review (1 of 2) 7. When obtaining a SAMPLE history, which of the following pieces of information is important to obtain? A. Use of a birth control device or birth control pills Rationale: The EMT should also inquire about the possibility of pregnancy and the date of the last menstrual period. B. Th ...
Radiology -- ADENOMYOSIS
... An hysterosalpingogram (pelvic x-ray after filling the uterus with a contrast medium):The x-ray may show the diagnostic sign of contrast-filled spaces in the uterine wall. However, this finding is not consistently present and its extent on the x-ray may not reflect the extent of the disease. The mos ...
... An hysterosalpingogram (pelvic x-ray after filling the uterus with a contrast medium):The x-ray may show the diagnostic sign of contrast-filled spaces in the uterine wall. However, this finding is not consistently present and its extent on the x-ray may not reflect the extent of the disease. The mos ...
Uterine Fibroid Embolization– For Patients
... recommend that a woman who wishes to have more children consider surgical removal of the individual tumors rather than uterine fibroid embolization. If this is not possible, then UFE may still be the best option. It is not possible to predict whether the uterine wall is in any way weakened by UFE, ...
... recommend that a woman who wishes to have more children consider surgical removal of the individual tumors rather than uterine fibroid embolization. If this is not possible, then UFE may still be the best option. It is not possible to predict whether the uterine wall is in any way weakened by UFE, ...
Postpartum Recovery
... there is still a 2% chance of pregnancy. Over 50% of women interviewed at 3 months postpartum describe the lower interest in sexual activity. Particularly if breast-feeding, patients are encouraged to use a lubricant when resuming activity. If you have concerns regarding excessive dryness and pain p ...
... there is still a 2% chance of pregnancy. Over 50% of women interviewed at 3 months postpartum describe the lower interest in sexual activity. Particularly if breast-feeding, patients are encouraged to use a lubricant when resuming activity. If you have concerns regarding excessive dryness and pain p ...
U/S L-1 - Brigham and Women`s Hospital
... • Review your individual protocol • Discuss medications and pharmacies • Learn how to do injections ...
... • Review your individual protocol • Discuss medications and pharmacies • Learn how to do injections ...
1 A 45-year-old woman with heavy vaginal bleeding History of
... return to having regular menstrual periods. Some even become pregnant and go on to have a normal, term delivery. Cervical insufficiency has been reported, but there is inadequate published data with which to advise patients. Twenty percent of patients with successfully treated prolapsing myomas will r ...
... return to having regular menstrual periods. Some even become pregnant and go on to have a normal, term delivery. Cervical insufficiency has been reported, but there is inadequate published data with which to advise patients. Twenty percent of patients with successfully treated prolapsing myomas will r ...
Premenstrual Dysphoric Disorder
... 5-HT is reduced, triggering symptoms associated with 5- the best record of efficacy and appear to be effective in up to HT depletion (irritability, dysphoria, impulsivity, and carbo- 70% of PMDD patients. Sertraline (Zoloft), fluoxetine hydrate craving). Several studies point to altered 5-HT (Prozac ...
... 5-HT is reduced, triggering symptoms associated with 5- the best record of efficacy and appear to be effective in up to HT depletion (irritability, dysphoria, impulsivity, and carbo- 70% of PMDD patients. Sertraline (Zoloft), fluoxetine hydrate craving). Several studies point to altered 5-HT (Prozac ...
3. Common Discomforts and Relief Measures
... organs work harder. Hormonal changes can make you feel sluggish or sleepy. ...
... organs work harder. Hormonal changes can make you feel sluggish or sleepy. ...
Digestive system in children
... A hard stool passed with difficulty every 3rd day should be treated as constipation A nursing infant may have very infrequent stools of normal consistency True constipation in the neonatal period is most likely secondary to hirschsprung disease, intestinal pseudoobsturction, or hypothyroidism ...
... A hard stool passed with difficulty every 3rd day should be treated as constipation A nursing infant may have very infrequent stools of normal consistency True constipation in the neonatal period is most likely secondary to hirschsprung disease, intestinal pseudoobsturction, or hypothyroidism ...
Postpartum Complications - kusm
... – Edinburgh Postnatal Depression Scale – + screen with score >/= 10 – r/o anemia and thyroid disease ...
... – Edinburgh Postnatal Depression Scale – + screen with score >/= 10 – r/o anemia and thyroid disease ...
Swyer syndrome in a woman with pure 46,XY gonadal dysgenesis
... gonadectomy because of the high risk of neoplastic transformation. Therefore, females with Swyer syndrome required close follow up because of the high risk of neoplastic transformation in the dysgenetic gonads. In this case, after estrogen therapy patient had her first menstruation cycle but menstru ...
... gonadectomy because of the high risk of neoplastic transformation. Therefore, females with Swyer syndrome required close follow up because of the high risk of neoplastic transformation in the dysgenetic gonads. In this case, after estrogen therapy patient had her first menstruation cycle but menstru ...
Lecture Suggestions and Guidelines
... Critical Thinking Issue(s); 1. Distinguish among the terms amenorrhea, menorrhagia, and metrorrhagia. What are some common causes of each? Answer: Amenorrhea refers to an absence of menstrual periods. Possible causes include hormonal imbalance, ovarian or uterine disease, or emotional upset. Menorrh ...
... Critical Thinking Issue(s); 1. Distinguish among the terms amenorrhea, menorrhagia, and metrorrhagia. What are some common causes of each? Answer: Amenorrhea refers to an absence of menstrual periods. Possible causes include hormonal imbalance, ovarian or uterine disease, or emotional upset. Menorrh ...
Menstruation
Menstruation, also known as a period or monthly, is the regular discharge of blood and mucosal tissue from the inner lining of the uterus through the vagina. Up to 80% of women report having some symptoms prior to menstruation. Common symptoms include acne, tender breasts, bloating, feeling tired, irritability, and mood changes. These symptoms interfere with normal life and therefore qualify as premenstrual syndrome in 20 to 30% of women. In 3 to 8%, they are severe.The first period usually begins between twelve and fifteen years of age, a point in time known as menarche. However, periods may occasionally start as young as eight years old and still be considered ""normal"". The average age of the first period is generally later in the developing world and earlier in developed world. The typical length of time between the first day of one period and the first day of the next is 21 to 45 days in young women and 21 to 31 days in adults (an average of 28 days). Menstruation stops occurring after menopause which usually occurs between 45 and 55 years of age. Bleeding usually lasts around 2 to 7 days.The menstrual cycle occurs due to the rise and fall of hormones. This cycle results in the thickening of the lining of the uterus and production of an egg which is required for pregnancy. The egg is released around day fourteen in the cycle and the thickened lining of the uterus is to provide nutrients for a potential developing baby. If pregnancy does not occur, the lining is released in what is known as menstruation.A number of problems with menstruation may occur. A lack of periods, known as amenorrhea, is when periods do not occur by age 15 or have not occurred in 90 days. Periods also stop during pregnancy and typically do not resume during the initial months of breastfeeding. Other problems include painful periods and abnormal bleeding such as bleeding between periods or heavy bleeding. Menstruation also occurs in some other animals including shrews, bats, and other primates such as apes and monkeys.