This document summarizes the cases seen by Dr. Muhammad Redzwan Bin Abdullah from 23-29 April 2017 at the Census Mawar. There were a total of 37 admissions, including 25 new cases and 10 readmissions. The most common cases were incomplete miscarriage (5 cases), nausea and vomiting in pregnancy (4 cases), and ovarian cyst (3 cases). There were also 6 emergency cases, including 2 cases of ectopic pregnancy requiring salpingectomy and 1 case of a twisted ovarian dermoid cyst requiring cystectomy. 7 elective cases were performed, including total abdominal hysterectomies for fibroids, ovarian cancer, and adenomyosis.
Multidisciplinary case chronic myelogenous leukemia in pregnancyDR MUKESH SAH
Pregnancy and CML
While pregnancy in and of itself does not affect the course of CML, there is a risk for maternal disease progression if CML remains untreated for the duration of pregnancy. Unfortunately, treatment of CML during pregnancy is complicated due to the teratogenic nature of TKIs
Anaesthetic Management of a Patient with HELLP SyndromeMd Rabiul Alam
HELLP syndrome can be an extremely serious and complex multisystem disorder involving much more than just eclampsia. Special considerations in obstetric and anaesthetic management are necessary, to minimize the morbidity and mortality are associated with this syndrome and its complications.
Multidisciplinary case chronic myelogenous leukemia in pregnancyDR MUKESH SAH
Pregnancy and CML
While pregnancy in and of itself does not affect the course of CML, there is a risk for maternal disease progression if CML remains untreated for the duration of pregnancy. Unfortunately, treatment of CML during pregnancy is complicated due to the teratogenic nature of TKIs
Anaesthetic Management of a Patient with HELLP SyndromeMd Rabiul Alam
HELLP syndrome can be an extremely serious and complex multisystem disorder involving much more than just eclampsia. Special considerations in obstetric and anaesthetic management are necessary, to minimize the morbidity and mortality are associated with this syndrome and its complications.
Lecture by Dr Sujoy Dasgupta in BOGSCON 2015, the Annual Conference of Bengal Obstetric and Gynaecological Society, held at Hotel Novotel, Kolkata in January, 2015; where he had been invited as FACULTY to deliver his lecture
Hypertensive crisis in pregnancy by dr alka mukherjee dr apurva mukherjee nag...alka mukherjee
Hypertension affects 10% of pregnancies, many with underlying chronic hypertension, and approximately 1–2% will undergo a hypertensive crisis at some point during their lives. Hypertensive crisis includes hypertensive urgency and emergency; the American College of Obstetricians and Gynecologists describes a hypertensive emergency in pregnancy as persistent (lasting 15 min or more), acute-onset, severe hypertension, defined as systolic BP greater than 160 mmHg or diastolic BP >110 mmHg in the setting of pre-eclampsia or eclampsia. Pregnancy may be complicated by hypertensive crisis, with lower blood pressure threshold for end-organ damage than non-pregnant patients. Maternal assessment should include a thorough history. Fetal assessment should include heart rate tracing, ultrasound for growth and amniotic assessment, and Doppler evaluation if growth restriction is suspected. Initial management of hypertensive emergency (systolic BP >160 mmHg or diastolic BP >110 mmHg in the setting of pre-eclampsia or eclampsia) generally includes the rapid reduction of blood pressure through the use of intravenous antihypertensive medications, with goal systolic blood pressure between 140 mmHg and 150 mmHg and diastolic pressure between 90 mmHg and 100 mmHg. First-line intravenous drugs include labetalol and hydralazine, but other agents may be used, including esmolol, nicardipine, nifedipine, and, as a last resort, sodium nitroprusside. Among patients with hypertensive urgency, slower blood pressure reduction can be provided with oral agents. The objective of this article is to review the current understanding, diagnosis, and management of hypertensive crisis during pregnancy and the postpartum period.
Placental abruption is when the placenta separates early from the uterus, in other words separates before childbirth. It occurs most commonly around 25 weeks of pregnancy. Symptoms may include vaginal bleeding, lower abdominal pain, and dangerously low blood pressure.
diagnostic criteria and pathophysiology of hellp syndrome. Its anesthetic management both pre-operatively and post operatively. complication and differential diagnosis of hellp
Lecture by Dr Sujoy Dasgupta in BOGSCON 2015, the Annual Conference of Bengal Obstetric and Gynaecological Society, held at Hotel Novotel, Kolkata in January, 2015; where he had been invited as FACULTY to deliver his lecture
Hypertensive crisis in pregnancy by dr alka mukherjee dr apurva mukherjee nag...alka mukherjee
Hypertension affects 10% of pregnancies, many with underlying chronic hypertension, and approximately 1–2% will undergo a hypertensive crisis at some point during their lives. Hypertensive crisis includes hypertensive urgency and emergency; the American College of Obstetricians and Gynecologists describes a hypertensive emergency in pregnancy as persistent (lasting 15 min or more), acute-onset, severe hypertension, defined as systolic BP greater than 160 mmHg or diastolic BP >110 mmHg in the setting of pre-eclampsia or eclampsia. Pregnancy may be complicated by hypertensive crisis, with lower blood pressure threshold for end-organ damage than non-pregnant patients. Maternal assessment should include a thorough history. Fetal assessment should include heart rate tracing, ultrasound for growth and amniotic assessment, and Doppler evaluation if growth restriction is suspected. Initial management of hypertensive emergency (systolic BP >160 mmHg or diastolic BP >110 mmHg in the setting of pre-eclampsia or eclampsia) generally includes the rapid reduction of blood pressure through the use of intravenous antihypertensive medications, with goal systolic blood pressure between 140 mmHg and 150 mmHg and diastolic pressure between 90 mmHg and 100 mmHg. First-line intravenous drugs include labetalol and hydralazine, but other agents may be used, including esmolol, nicardipine, nifedipine, and, as a last resort, sodium nitroprusside. Among patients with hypertensive urgency, slower blood pressure reduction can be provided with oral agents. The objective of this article is to review the current understanding, diagnosis, and management of hypertensive crisis during pregnancy and the postpartum period.
Placental abruption is when the placenta separates early from the uterus, in other words separates before childbirth. It occurs most commonly around 25 weeks of pregnancy. Symptoms may include vaginal bleeding, lower abdominal pain, and dangerously low blood pressure.
diagnostic criteria and pathophysiology of hellp syndrome. Its anesthetic management both pre-operatively and post operatively. complication and differential diagnosis of hellp
Appendicle abscess Siedah Telesford MDDr. Griffith Team .docxrossskuddershamus
Appendicle abscess
Siedah Telesford MD
Dr. Griffith Team
History
CC: H.M. age 42 M p/w vomiting and diarrhea for 3 days.
HPI: Pt p/w vomiting and diarrhea for 3 days.
Pt was diagnosed with gastroenteritis at Arima General after 1 day of vomiting and diarrhea.
Pt admitted to diffuse abdominal pain x 2 weeks. Initially 5/10, took antiemetics and panadol had some relief for 1 day.
1 day later, abdominal pain got progressively worse, 8/10, diffuse, took panadol but no relief
42 yo M came to the ED with vomiting and diarrhea x3days. 2 week h/o diffuse abd pain. Diagnosed as gastro 2 days before admission. Pt had pain relief with antiemetics and panadol initially. Physical
2
History
Exacerbated by movement and cough
Vomiting (3/7) 2 episodes/day of food bilious, nonbloody
Anorexia
Diarrhea
Subjective Fever
Tenesmus – he described wanting to pass stool but unable to
Denies urinary symptoms
No trauma
PMHx: Denies
Medications: Denies
PSx: Denies
Allergies: NKDA
ROS- Noncontributory
Tenesmus
3
Physical Exam
General appearance: Young male in mild painful distress
V/s: P- 96 O2- 98 T- 36.4 RR- 24 BP- 131/67
Abdomen: +BS, Nondistended, firm
Tenderness in lower abd; ++RLQ , +rebound, +guarding
+Rovsing sign, -Obturator sign,+iliopsoas sign, -DRE
Respiratory: CTAB
CVS: RRR, S1/S2 heard.
Labs and ED course
WBC- 16.9 Hb- 12 Plt- 290
RFT, LFT, amylase, lipase, UA- WNL
CXR and AXR-WNL
ED course: Pt received
4mg Buscopan
50mg Gravol
50mg zantac
1L IVF NS
Imaging
Appendix measuring 1.6cm
4.5mm appendicolith within its tip
Small amount of free fluid in RIF
Fat stranding around appendix
5.1cm x 4.2cm collection with enhancing walls at tip of appendix
Fat stranding around the sigmoid colon
Working diagnosis: Appendicitis with appendicular abscess
Procedure
General anesthesia. Open lap and appendectomy. 24 French was left.
7
Post op
POD # 1
V/S: WNL
Intake: 2L RL/24 hrs
Urine output: 600 ml/24 hrs
J-vac: 100 ml
WBC 14.82
- Abd: +BS, distended, tenderness at incision site.
Post op
WBC: 14.8—>13.7—>12.6
Remained NPO, IVF, pain meds
Antibiotic tx with Flagyl and Zinacef for 8 days and removal of the drain on POD #7
Management of appendicitis with abscess or mass
Management of appendicitis presenting with abscess
In acute appendicitis patients, the proportion of cases associated with an abscess or a tumor in the periappendix has been reported to be approximately 2% to 7%.
3 approaches:
Emergency surgery
Early conservative treatments followed by elective surgery
Conservative treatments and follow-up observation only
If surgery is performed under the condition that inflammation due to appendicitis has spread to adjacent areas, the inflammation may have spread over a wide area. In addition, because of edema and the vulnerability of the adjacent small intestine and large intestine, secondary fistulas, etc., may have developed. In our case, there was inflammation of the sigmoid and rectum. For.
This presentation describes approach to a patient presenting with early pregnancy bleeding. It also includes a brief outline about the management of miscarriage, molar pregnancy and ectopic pregnancy.
Gestational trophoblastic disease is a spectrum of interrelated disease processes originating from the placenta.
GTD is a spectrum of tumours with a wide range of biologic behaviour and potential for metastases
They are characterised by an abnormally high amount of HcG levels in the blood
Asthma Signs and Symptoms, Severity Classification, GINA and ATS Classification, Step-up Management of Chronic Asthma and Management of Acute Exacerbation of Asthma
Delayed blood transfusion reaction is a reaction too blood transfusion occurring after 24 hours. Can be divided to immune mediated and non-immune mediated. Share about the cause, symptoms, investigations and management.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
3. LIST OF CASES
NO CASES TOTAL
1 INCOMPLETE MISCARRIAGE 5
2 SILENT MISCARRIAGE 1
3 ECTOPIC PREGNANCY 2
4 EARLY PREGNANCY 2
5 FAILED PREGNANCY 1
6 NAUSEA AND VOMITING IN PREGNANCY 4
7 PUEPERAL PYREXIA 1
8 SECONDARY PPH 1
9 ENDOMETRIOMA 1
10 ABNORMAL UTERINE BLEEDING FOR INVESTIGATIONS 1
4. LIST OF CASES
NO CASES TOTAL
11 ENDOCERVICAL POLYPOIDAL TUMOUR 1
12 OVARIAN CANCER 3
13 ENDOMETRIAL CANCER 1
14 LEOIOMYISARCOMA 1
15 POST SVD WITH SINUS TACHYCARDIA SECONDARY TO ANEMIA 1
16 OVARIAN CYST 3
17 ADENOMYOSIS 1
18 INCOMPLETE EVACUATION OF MOLAR PREGNANCY 1
19 POST-MENOPAUSAL BLEEDING 1
20 ENDOMETRITIS 1
21 PELVIC TUMOUR 1
22 POST SVD WITH GESTATIONAL HYPERTENSION 1
5. CASES NEW READMISSION REMARKS
INCOMPLETE MISCARRIAGE 5 0 ●3 cases POC removed perspeculum at Casualty.
complete miscarriage
●1 case from EPAS. P/w bleeding PV Post S/L
misoprostol 600mcg OD x 2/7. TAS ET 21mm. In
ward developed PV bleed. Repeat TAS ET 12mm.
→ Complete miscarriage
●1 case POC removed per speculum at ED. ET
15mm in ED. Repeat scan in ward ET 15.3mm. →
incomplete miscarriage, treat conservatively.
SILENT MISCARRIAGE 1 0 To repeat scan at EPAS clinic in 2/52
6. CASES NEW READMISSION REMARKS
ECTOPIC PREGNANCY 2 0 ●1 case done Emergency Laparoscopy with left
Salphyngectomy for ruptured left tubal
EBL 500cc.
●1 case done Emergency Laparotomy with Right
Salphyngectomy for leaking right tubal
EBL 300cc
EARLY PREGNANCY 2 0 ●1 case initially referred for PUL. M4 prediction
score suggest 94% probability of IU pregnancy.
Repeat TAS: IUGS seen
●1 case initially referred for PUL. Discharged with
diagnosis of early pregnancy*
FAILED PREGNANCY 0 1 *case Readmitted to trace 48Hr B-HCG. M4
prediction suggested failed pregnancy
7. CASES NEW READMISSION REMARKS
NAUSEA AND VOMITING IN
PREGNANCY
3 1 Readmission case: 3rd readmission.
32 Years old G3P1+1 at 12w6d POG. PUQE 12.
Urine ketone 4+. Previously given Prednisolone
and maxolon. Discharge well, weight gaining,
ketone nil. Discharged with T zofran 8mg TDS, T
valoxene 1 tab OD for 2/52 and T prednisolone.
PUEPERAL PYREXIA 1 0 Para 1, Day 4 post SVD with maternal pyrexia.
Initially admitted secondary to Endometritis, but
discharged with pyrexia secondary to bilateral
breast engorgement
8. CASES NEW RE-ADMISSION REMARKS
SECONDARY PPH 1 0 Para 2 Day 4 post SVD with secondary PPH
to Endometritis
ENDOMETRIOMA 0 1 24 y.o Single Nulliparous. p/w dysmenorrhea with PS
9/10. Known case of endometrioma. H/o Open
cystectomy and for endometrium cyst and
appendicectomy for acute appendicitis. In this
admission treated as recurrent endometrioma.
Discharged with tab Rigividone 1 tab OD 21 days for
3 cycles and C Celebrex 400mg PRN
ABNORMAL UTERINE
BLEEDING
1 0 26 y.o Single, Nulliparous. Admitted for symptomatic
anemia secondary to menorrhagia. Referred with Hb
4.9. transfused 2 pints PC in ward. Hb on discharge
8.6.
Discharged with: TCA Gynae 3/12, T provera 10mg
x 21 days, T. tranexemic acid 500mg TDS D1-D5 for 3
cycles, T. Iberet folic 500mg BD x 3/12
9. CASES NEW READMISSION REMARKS
ENDOCERVICAL
TUMOUR
0 1 Electively admitted for Polypectomy KIV TAH
OVARIAN CANCER 0 3 All cases readmitted for chemotherapy
10. CASES NEW READMISSION REMARKS
ENDOMETRIAL CANCER 0 1 For chemo
LEIOMYOSARCOMA 0 1 For chemo
POST SVD WITH SINUS
TACHYCARDIA
SECONDARY TO ANEMIA
1
(t/in
from
CRW)
0 18y.o Para 1, Referred case from Hosp Tumpat at
6Hr post SVD with Tachycardia TRO Pulmonary
Embolism. Bedside ECHO/TAS: Normal. Admitted
to CRW for observation. CTPA done: No evidence
of PE. Transfused 1 pint PC during admission. Hb
post tx: 9.5. Discharged well with T Iberet 500mg
BD x 1/12
11. CASES NEW READMISSION REMARKS
OVARIAN CYST 3 0 ●Initially admitted to surgical ward 28 for acute
appendicitis. Upon reassessment from surgical team
mass per abdomen. p/w on and off abdominal pain, PS
upto 9/10 ot Casualty. Done Exploratory Laparotomy
Right Ovarian Cystectomy. Final diagnosis: Right twisted
ovarian dermoid cyst. For WI today.
●26 years old Para 2. Referred for Twisted ovarian cyst.
Upon further review and scan in ward mass just below
liver 13 x 4cm:Most likely gall bladder. Refer and T/o to
surgical ward, treated as Biliary colic, Ddx Pancreatitis.
●36 years old, Para 2. TAS done Rt multiloculated ovarian
cyst 3.7x5.5cm cystic, no solid component. Lt ovarian
measuring 4.5x5.4cm,mixed solid and cystic. Unlikely
twisted. Treated conservatively. Discharged well and
comfortable. TCA Gynae x 4/12
12. CASES NEW READMISSION REMARKS
ADENOMYOSIS 1 0 Para 0+1. k/c/o Adenomyosis since 2006.
admitted for TAH KIV BSO today.
INCOMPLETE EVACUATION
OF MOLAR PREGNANCY
1 0 30 years old, G3P2. h/o 2 previous scars.
to HSNZ for Molar Pregnancy. Day 12 post
and Evacuation at HSNZ, discharged with TCA
HSNZ. However presented to us with nausea and
vomiting with persistent PV spotting. Post suction
HCG at HSNZ: 112,897U. Repeated HCG Day 10 at
HRPZII: pending. Repeat TAS: Cystic like lesions,
with honeycomb appearance. Treated as Molar
pregnancy with incomplete evacuation.
13. CASES NEW READMISSION REMARKS
ENDOMETRITIS 1 1
POST-MENOPAUSAL
BLEEDING
0 1 73y.o Para 2. Admitted for hysteroscopy +
Diagnostic Dilatation and Curretage under LA.
Findings: VV and cervix atrophy. Very minimal
endometrial tissue currete from endometrium.
Discharge with TCA 6/52 to review HPE.
14. CASES NEW READMISSION REMARKS
PELVIC TUMOUR 0 1 69y.o Para 3, Electively admitted for TAHBSO on
tuesday.
GESTATIONAL
HYPERTENSION
1 0 24 y.o Para 2. Day 5 post SVD with Skin Nick
complicated with primary PPH secondary to
Uterine Atony. Antenatally: Severe PE, completed
MgSO4. Discharge well without medications.
Admitted for gestational hypertension. Urine Alb
nil. Dishcarged with t labetolol 100mg TDS, and T
iberet folic 500mg BD, and daily BP monitoring
1/52.
16. ELECTIVE CASES
TOTAL CASES: 7
NO OPERATION POST-OP DIAGNOSIS
1 Halimah Binti Said TAH for Para 4 with Multiple Uterine
Fibroid
2 Halimah Binti Harun Laparoscopic + Salphyngoopherectomy
KIV Open for Dermoid Cyst
3 Rosliza Mustapha Secondary Suturing for Day 21 post
EMLSCS with Infected Hematoma
4 Roshidah binti Ab Salam Suction and Evacuation for Molar
Pregnancy
17. ELECTIVE CASES
TOTAL CASES: 2
NO OPERATION POST-OP DIAGNOSIS
5 Hamidah Abu Bakar TAH + Omentectomy for Advanced
Ovarian Ca.
6 Azizah Binti Ahmad TAH + Omentectomy + PLND for Ovarian
Tumour with Ascites
7 Rahmah binti Ibrahim Hysteroscopy and Diagnostic Dilatation
and Curretage for Post Menopausal
Bleeding
18. EMERGENCY CASES
TOTAL CASES: 5
NO OPERATION POST-OP DIAGNOSIS INTRA-OP FINDINGS
1 EMERGENCY LAPAROSCOPY + LEFT
SALPHYNGECTOMY
LEFT RUPTURED TUBAL PREGNANCY
2 EMERGENCY LAPAROTOMY + RIGHT
SALPHYNGECTOMY
RIGHT LEAKING TUBAL PREGNANCY POOLING OF BLOOD 250CC + CLOT 50CC
INTRAPERITONEUM. UTERUS SIZE 8 WEEKS.
RIGHT LEAKING TUBAL PREGNANCY 4 X 2 X 2
CM. LATERAL THIRD RIGHT TUBE.
3 EMERGENCY LAPAROTOMY + RIGHT
CYSTECTOMY
RIGHT OVARIAN DERMOID CYST TWISTED RIGHT DERMOID CYST 10X10CM.
TWISTED X3. RUPTURED DURING
MANIPULATION: STRAW COLOURED FLUID,
SEBUM AND HAIR. MINIMAL SPILLAGE
4 WOUND DEBRIDEMENT + CHEMOPORT
RESUTURING
INFECTED NECROTIC CHEMOPORT
SITE
NECROTIC TISSUE
5 EMERGENCY LAPAROTOMY WITH
SPLENECTOMY
PREOP DIAGNOSIS:
RETROPLACENTAL BLEEDING TRO
SPLENIC INJURY
POSTOP DIAGNOSIS: SPLENIC
INJURY TRO CAUSES
*Initially referred for retroplacental bleeding
with IUD. Referred surgical on table for splenic
injury.