Puerperal venous thrombosis, pulmonary embolism, obstetric palsies, psychiatric disorders during the puerperium, and psychological responses to perinatal death are some complications of the abnormal puerperium. Venous thrombosis is caused by genetic and acquired thrombophilias as well as risk factors like obesity, infections, and trauma. Pulmonary embolism is a leading cause of maternal death and can cause sudden collapse. Obstetric palsies like foot drop are caused by pressure on the lumbosacral trunk during labor. Psychiatric disorders include the blues, postpartum depression, and postpartum schizophrenia. Psychological support is important to facilitate grieving when perinatal death
This topic contains detail information about all abnormalities during puerperium like puerperial pyrexia, sepsis, subinvolution, breast complications, urinary complications, puerperal venous thrombosis, pulmonary embolism, obstetric palsies, puerperal emergencies, psychiatric disroders, perinatal management
This topic contains detail information about all abnormalities during puerperium like puerperial pyrexia, sepsis, subinvolution, breast complications, urinary complications, puerperal venous thrombosis, pulmonary embolism, obstetric palsies, puerperal emergencies, psychiatric disroders, perinatal management
Obstetrics and Gynecological Nursing
The PPT contains detailed information about Abnormal uterine action, its classifications, causes, sign and symptoms and management.
it contains a presentation on injuries that occur during baby birth
summary:
Maternal injuries following childbirth process are quite common.
VULVA
PERINEUM
RISK FACTORS FOR THIRD DEGREE PERINEL TEAR
REPAIR OF COMPLETE PERINEAL TEAR
VAGINA
CERVIX
PELVIC HEMATOMA
DIAGNOSIS OF RUPTURE UTERUS
Obstetrics and Gynecological Nursing
The PPT contains detailed information about Abnormal uterine action, its classifications, causes, sign and symptoms and management.
it contains a presentation on injuries that occur during baby birth
summary:
Maternal injuries following childbirth process are quite common.
VULVA
PERINEUM
RISK FACTORS FOR THIRD DEGREE PERINEL TEAR
REPAIR OF COMPLETE PERINEAL TEAR
VAGINA
CERVIX
PELVIC HEMATOMA
DIAGNOSIS OF RUPTURE UTERUS
Puerperium is the period following childbirth during which the body tissues, specially the pelvic organs revert back approximately to the pre-pregnant state both anatomically and physiologically. puerperium begins as soon as the placenta is expelled and lasts for approximately 6 weeks when the uterus becomes regressed almost to the non-pregnant size.
Presented by:
Ahmad mukhtar
MD.,M.B.B.Ch., M.Sc Obstetrics and GynecologyConsultant and Lecturer of Obstetrics and Gynecology, Faculty of
MEDICINE, Zagazig University.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Telegram: bmksupplier
signal: +85264872720
threema: TUD4A6YC
You can contact me on Telegram or Threema
Communicate promptly and reply
Free of customs clearance, Double Clearance 100% pass delivery to USA, Canada, Spain, Germany, Netherland, Poland, Italy, Sweden, UK, Czech Republic, Australia, Mexico, Russia, Ukraine, Kazakhstan.Door to door service
Hot Selling Organic intermediates
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
4. Puerperal Thrombosis
Leg vein & pelvic vein is one of the
complication in western countries.
However the prevalence is low in Asians
& Africans.
Etiopathogenesis
In normal pregnancy there is rise in
concentration of coagulation factors 1, 2,
7, 8, 9, 10, 12. plasma fibrinolytic inhibitors
produced by placenta.
Alteration in blood constituents- increased
number of platelet & their adhesiveness.
5. Venous stasis is increased due to
compression of gravid uterus to IVC & iliac
veins. This stasis cause damage to
endothelial cells.
Thrombophilias are the genetic condition
associated with deficiencies of
antithrombin3 protein C .
Acquired thrombophilias are due to
presence lups anticoagulant &
antiphospholipids antibodies.
6. Risk factors:
Advanced age & parity
Operative delivery
Obesity
Anemia & heart disease.
Trauma to venous vessel wall.
Infections
DVT.
C/F: Asymptomatic,pain in calf muscle,
edema of leg, rise skin temperature.
Homan’s sign.
7. Investigations:
Doppler ultrasound.
Duplex Doppler ultrasound.
Venography.
Pelvic Thrombophlibits.
C/F:usually develop after 2nd
weeks of
puerperium.
Fever with chills & rigors.
Feature of toxemia i.e. headache, malaise
& rising pulse.
Affected leg is painful, swollen & cold.
Polymorph nuclear leucocytosis.
8. Prophylaxis for VTEPreventive measures.
low & high risk woman.
Management
bed rest & foot is raised.
Analgesics, Abs
Anticoagulants
Gentle movements of the leg after relief of
pain.
Vena caval fillers
Fibrinolytic agents
Venous thrombectomy.
10. 10
Pulmonary Embolism.
It is leading cause of maternal death.
Because of decline of maternal mortality
due to hemorrhage, hypertension &
sepsis.
Death occurs with in short time from shock
& vagal inhibition.
11. Clinical feature
Sudden collapse, acute chest pain & air
hunger these are classical symptoms of
massive pulmonary embolism.
Tachyponea,dysponea,pleuritic chest
pain, cough , tachycardia, haemoptysis &
rise in temperature > 37 degree Celsius
11
12. Diagnosis
X-ray of the chest shows decreased
vascular marking in area of infraction,
elevation of dome of diaphragm & often
pleural effusion.
It is useful to rule out
pnemonia,atelactasis.
ECG:tachycardia.
Doppler ultrasound : ? DVT.
12
13. Lung scan : ? Area of diminished blood
flow.Diminised in perfusion with
maintenance ventilation indicate PE.
MRI: risk of radiation is absent.
Pulmonary angiography: most accurate
method of diagnosis.
13
16. 1
Obstetric palsies
• The commonest form of palsy
encountered in puerperium is FOOT
DROP.
• It is usually unilateral & appears shortly
after the delivery.
Etiology
• Streching of the lumbo-sacral trunk by
prolapsed inter vertebral disc b/w L5&s1.
17. • Backward rotation of the sacrum during
labour
• Direct pressure by fetal head or by
forceps blade on lumbosacral cord.
Clinical feature.
1.Asymptomatic.
2.Flacidity & wasting of muscle.
3.Loss sensation.
2
18. • Management
• Bed rest for 6 wks.
• A splint is applied to prevent damage of
over stretch muscle.
• Massage & electric stimulation of the
muscle.
20. 20
1st 3 month after delivery the incidence of
mental illness is high.
Overall incidence is 15-20%
Risk factors:
Past H/O: mental illness, puerperal
psychiatric illness.
Family H/O: psychiatric illness, marital
conflict.
Present pregnancy: Caesarean section,
difficult labour, neonatal complication.
Idiopathic.
21. Puerperal BLUES
It is transient state of mental illness observed 4-5
days after delivery & it last for few days.
50% of the postpartum women suffer from
problem.
Clinical manifestation:
Depression, anxiety, tearfulness, insomnia,
helplessness & negative feelings towards infant.
No specific metabolic or endocrine abnormalities
have been detected. But lowered tryptophan level
is observed.
It suggest altered neurotransmitter function.
Treatment reassurance & psychological support
by the family.
22. Postpartum DEPRESSION
It is seen 10-20% of mothers.
It is more gradual onset, occurs 1st
4-6
months after delivery or abortion.
Changes in HypoThalamopitutaryarenal
axis may the cause.
Manifested by loss appetite, insomnia,
social withdrawal, irritability & even
suicidal tendency.
Risk of recurrence is high (50-100%) in
subsequent pregnancy .
24. SCHIZOPHRENIA
About 1in 500-1000 mothers.
Seen in woman with past H/O psychosis or with
positive family H/o.
Relatively sudden in onset with in 4 days after
delivery.
Manifestation:
Fear, restless, confusion followed by
hallucination, delusion and disorientation.
Suicidal, infanticidal impulse may be present.
Risk of recurrence in subsequent pregnancy is
20-20%.
25. Treatment
Psychiatrist consulted urgently.
Admission needed.
Chlorpromazine 150mg stat & 50-150mg
thrice daily.
ECT: needed if unresponsive case.
Lithium is indicated in manic depressive
psychosis & breast feeding
contraindicated.
27. Psychological response to
perinatal death.
Most perinatal events are joyful.
But when perinatal death occurs special
attention must given to grieving patient &
her family.
Perinatal grieving may also be due to
unexpected hysterectomy, birth
malformed, critically ill infant.
Obstetrician, nurse & attending staff must
understand the patient reaction.
28. Management.
Facilitating the grieving process, support &
sympathy.
Supporting the couple in holding or taking
photograph of the infant .
Requesting for autopsy .
Follow up visits & plan for subsequent
pregnancy.