Dilatation and curettage (D & C) is a procedure to remove tissue from inside the uterus. Doctors perform D & C to diagnose and treat certain uterine conditions — such as a heavy bleeding — or to clear the uterine lining after an abortion or miscarriage.
Dilatation and curettage (D & C) is a procedure to remove tissue from inside the uterus. Doctors perform D & C to diagnose and treat certain uterine conditions — such as a heavy bleeding — or to clear the uterine lining after an abortion or miscarriage.
Please find the power point on Vacuum delivery. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Please find the power point on Vacuum delivery. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Hysteroscopy Explained - Procedure, Benefits, and Recovery.pdfMeghaSingh194
If you’re researching ‘hysteroscopy,’ you’re likely seeking information on this medical procedure used to examine the inside of the uterus. Hysteroscopy can identify and sometimes treat causes of abnormal bleeding, assist with infertility evaluations, or detect and remove growths like polyps and fibroids. Let's explore more: https://www.southlakegeneralsurgery.com/hysteroscopy-explained-procedure-benefits-and-recovery/
Facing a laparoscopic hysterectomy can raise questions about recovery, risks, and the surgical process. This article targets these concerns head-on, providing detailed insights into how this minimally invasive procedure could lead to a smoother recovery and fewer postoperative complications. Let's explore more: https://www.southlakegeneralsurgery.com/laparoscopic-hysterectomy-recovery-benefits/
It is the expulsion or extraction from its mother of an embryo or fetus weighing 500 gm or less when it is not capable of independent survival (WHO).
The 500gm of fetal development is attained approximately at 22 weeks of gestation.
Expelled fetus- Abortus
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
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
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
1. Dilation and curettage (D&C)
INTRODUCTION — Dilation and curettage (D&C) is a procedure in which
material from the inside of the uterus is removed. The "dilation" refers to
dilation of the cervix, the lower part of the uterus that opens into the vagina.
"Curettage" refers to the scraping or removal of tissue lining the uterine cavity
(endometrium) with a surgical instrument called a curette. Some curettes are
sharp while others use suction.
2. REASONS FOR DC — There are a number of reasons a D&C might be
performed. In some cases, the procedure is used to gain information about
the uterus to diagnose a medical condition (called diagnostic D&C). In other
cases, the procedure is used to treat a medical problem or condition (called
therapeutic D&C).
Diagnostic DC — The primary reason for a diagnostic D&C is to obtain
samples of the endometrium to evaluate abnormal uterine bleeding or
abnormal cells found during routine screening for cervical cancer.
In most cases, a healthcare provider will try to obtain a tissue sample with an
office procedure called endometrial biopsy. In some cases, endometrial
biopsy is not possible or insufficient tissue is obtained. When this occurs, D&C
must be done to obtain an adequate tissue sample.
Diagnostic D&C is usually done with hysteroscopy; this involves dilating the
cervix and inserting a small instrument that allows the physician to examine
and photograph the inside of the uterus. The images are displayed on a
monitor, allowing the physician to visualize the endometrium. This helps the
physician to avoid missing small polyps and ensures that the most visibly
abnormal areas are sampled.
Examination of the endometrial tissue by a pathologist can help establish
certain diagnoses, including endometrial (uterine) cancer, endometrial polyps,
or precancerous conditions of the lining of the uterus (endometrial
hyperplasia).
Therapeutic DC — Therapeutic D&C is done to remove the contents of the
uterus in the following circumstances:
Miscarriage — In some miscarriages, the tissues from a pregnancy are
passed completely. In other cases, a D&C is needed to remove this tissue or
to ensure that all of it has been passed.
3. Abortion — A D&C can be done to remove the contents of the uterus when
a woman chooses to end a pregnancy.
Treatment of molar pregnancies — A molar pregnancy occurs when a
tumor forms in place of normal pregnancy placenta. It is often treated with a
D&C.
Prolonged or excessive vaginal bleeding — D&C may be done as a
treatment in some cases of prolonged or excessive bleeding that do not
respond to medical treatment.
Postpartum hemorrhage — Curettage may be done to manage excessive
bleeding after delivery of an infant (postpartum hemorrhage).
PREPARING FOR DC — Some patients will need to have blood testing
before D&C (such as a blood count), although this is not always necessary.
Patients should not eat or drink anything before the procedure. All patients will
need someone to accompany them home because it will not be safe to drive
after receiving anesthesia, which causes sedation.
Some patients will need to have a device or medication placed in the cervix
the day before their procedure. The purpose is to safely and gradually enlarge
the cervical opening, reducing the risk of cervical injury. Devices are used
when the cervix must be dilated to a larger size than is typically needed for
D&C, such as with pregnancy terminations and some types of hysteroscopy.
Some patients will be instructed to insert a medicine in the vagina to soften
the cervix prior to the procedure.
After arriving for the procedure, a nurse may place an intravenous (IV) line,
which can be used to give fluids and medicine before, during, and after the
procedure. The nurse or doctor will review the patient's medical history, list of
medications used, and any drug allergies.
PROCEDURE — D&C can be performed in an operating room in a hospital
or clinic. Many patients have a D&C performed in an outpatient setting. A
4. woman's blood pressure, pulse, and blood oxygen levels are monitored during
the procedure. The procedure takes 15 to 30 minutes to complete.
Anesthesia — The procedure can be done using general, regional, or local
(Paracervical) block anesthesia. The type of anesthesia chosen depends
upon the reason for the procedure as well as the medical history.
General anesthesia — General anesthesia induces sleeps and
completely relaxes the muscles, which makes it easier for the doctor to
perform a pelvic examination.
Regional anesthesia — Reginonal anesthesia uses an injection of an
anesthetic into the area around the spinal cord to block pain sensation during
surgery. The patient may be sedated with medicine given through an
intravenous (IV) line.
Paracervical block — Anesthetic agents are injected directly into and
around the cervix, numbing the area. The woman is given a sedative through
an intravenous (IV) line.
POST-PROCEDURE CARE — After the procedure, the patient will be
cared for in a recovery or post-anesthesia care unit for a few hours. This is
necessary to monitor for excessive vaginal bleeding or other complications,
and allows time for recovery from the anesthesia. Patients who received
general anesthesia occasionally have nausea and vomiting, which can be
treated with medications.
Most patients should be able to resume their regular activities within a day or
two. Mild cramping and spotting may occur for a few hours or days; cramping
can be treated with nonsteroidal antiinflammatory medications such as
ibuprofen (Advil ฎ, Motrin ฎ). Patients should not put anything into the vagina
(tampons, douches) during this time and should ask when they can safely
have sexual intercourse. The next menstrual period usually occurs within 4 to
6 weeks of the procedure.
5. A woman should call her physician if she develops fever (temperature greater
than 100.4 บ F), cramps lasting longer than 48 hours, increasing rather than
decreasing pain, prolonged or heavy bleeding, or foul-smelling vaginal
discharge.
COMPLICATIONS — D&C is a commonly performed procedure that is
usually very safe. Yet as with any operation, complications occur.
Complications of D&C can include:
Uterine perforation — Uterine perforation occurs when one of the surgical
instruments makes a hole in the uterus. It is more common when the
procedure is done during pregnancy due to softening of the uterine wall.
Fortunately, most uterine perforations heal on their own and do not require
any treatment. Two potential problems caused by perforation are bleeding
from injury to a blood vessel and injury to other internal organs. A second
procedure may be needed to repair these types of injury.
Cervical injury — Injuries to the cervix can occur during dilation or from
trauma related to the curettage. Lacerations (cuts) to the cervix are managed
with pressure to the area, application of medications that help stop bleeding,
or in some cases, stitches in the cervix.
Infection — Infection from D&C is rare.
Intrauterine adhesions — Adhesions (areas of scar tissue) can sometimes
form in the uterus following D&C. Adhesion is most common when D&C is
performed postpartum or post abortion. In some cases, this can lead to
abnormalities in the menstrual cycle, painful menstrual cycles, infertility, or
miscarriage. If adhesions are extensive, a woman can be treated with
hormones to encourage growth of healthy uterine tissue and the scar tissue
can be removed with a surgical procedure.
WHERE TO GET MORE INFORMATION — Your healthcare provider is
the best source of information for questions and concerns related to your
6. medical problem. Because no two patients are exactly alike and
recommendations can vary from one person to another, it is important to seek
guidance from a provider who is familiar with your individual situation.