19 year old fell on buttocks and complains of sacral pain
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Patient diagnosed with a Sacral Fracture after patient complains of sacral pain from falling on buttocks.
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17 year old elite soccer player has left lower back pain. Left low back painful symptoms, episodes a couple times over the past couple years. He does not currently have any right-sided symptoms but he has had right-sided lower back pain in the past.
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You are trying to predict what symptoms this patient has based upon imaging. He currently describes lower back "discomfort“ which tends to be worse with walking any distance and relieved with bending forward. His other symptom which is currently more significant to him, is numbness in the right buttock radiating down to the outside of the right foot.
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Ligament stress, strain on the back, annular and disc tears, degenerative changes and aging can lead to chronic back pain. Understanding disorders of the spine and how they are caused will help provide the right treatment option for individual patients.
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Patient is 63 year old with “stiffening” LB ache and Type I DM
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Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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