Pelvic inflammatory disease (PID) refers to inflammation of the upper female genital tract. Common causes include sexually transmitted infections like Neisseria gonorrhoeae and Chlamydia trachomatis. Symptoms include abdominal and pelvic pain, abnormal vaginal discharge, fever, and painful sex. Diagnosis involves examination, testing cervical/vaginal secretions, and sometimes ultrasound. Complications can include infertility, ectopic pregnancy, and chronic pelvic pain. Several homeopathic remedies are discussed as treatments based on individual symptoms.
pelvic inflammatory diseases is an infection of reproductive organ , more common in females than man. sexually transmitted infection spread from vagina to ovaries , ovaries to other organs .
its medical treatment with complication and physiotherapy indication
pelvic inflammatory diseases is an infection of reproductive organ , more common in females than man. sexually transmitted infection spread from vagina to ovaries , ovaries to other organs .
its medical treatment with complication and physiotherapy indication
Explains the inflammatory process of endometrium,its causes and its two clinical variants as acute and chronic endometritis.
Describes the pathology of its two types with histologic perspective.
An Obstetrics and gynecology presentation: A 20 years old single female undergraduate presents to the emergency unit with fever, lower abdominal pain and abnormal vaginal discharge of 5 days duration. Discuss her management
what is endometriosis? Theories in endometriosis, sites of endometriosis. types and clinical presentation. signs and symptoms.
Investigations :TVS, CA125
laparoscopic findings
chocolate cyst and extrapelvic endometriosis.
Classification of endometiosis
Diffential diagnosis
Management :of asymptomatic and symptomatic cases
drugs and minimally invasive surgery
surgey and preventive measures in endometiosis.
Secretions produced by the glands of vaginal wall and cervix that drain from the vaginal opening.
Vaginal discharge is a common presentation of women to the STI clinic
Can be physiological or pathological
Related with some common STIs
this lecture involves full, simple and easy description of cervicitis
including acute and chronic cervicitis and the major causes for it as Neisseria gonorrhea and chlamydia trachomatous
also chronic infection and ectopy
Leucorrhoea
Dr. Yashika
Abnormal Vaginal Discharge
Frequent complaint.
Discharge may vary from excess to normal.
Discharge may be blood-stained / contaminated with urine or stool.
Characteristics of normal vaginal fluid
Nature - watery
Colour - white
Odour - Odourless
pH - 4.0
Microscopically - Squamous epithelial cells,
Leucorrhoea
Leucorrhoea is defined as excessive normal vaginal discharge.
Features of vaginal discharge in leucorrhoea :
Excess secretion.
Non purulent
Non offensive
Non irritant
Never causes pruritis.
Etiology :
Physiological excess
Cervical causes
Vaginal causes
Physiologic excess
Puberty
Menstrual Cycle
Pregnancy
Sexual excitement
Cervical causes:
Cervicitis
Cervical ectopy
Cervical polyp
Treatment
General health improvement
Surgical treatment of cervical factors
Pill users are asked to stop pill immediately
Local hygiene
Explains the inflammatory process of endometrium,its causes and its two clinical variants as acute and chronic endometritis.
Describes the pathology of its two types with histologic perspective.
An Obstetrics and gynecology presentation: A 20 years old single female undergraduate presents to the emergency unit with fever, lower abdominal pain and abnormal vaginal discharge of 5 days duration. Discuss her management
what is endometriosis? Theories in endometriosis, sites of endometriosis. types and clinical presentation. signs and symptoms.
Investigations :TVS, CA125
laparoscopic findings
chocolate cyst and extrapelvic endometriosis.
Classification of endometiosis
Diffential diagnosis
Management :of asymptomatic and symptomatic cases
drugs and minimally invasive surgery
surgey and preventive measures in endometiosis.
Secretions produced by the glands of vaginal wall and cervix that drain from the vaginal opening.
Vaginal discharge is a common presentation of women to the STI clinic
Can be physiological or pathological
Related with some common STIs
this lecture involves full, simple and easy description of cervicitis
including acute and chronic cervicitis and the major causes for it as Neisseria gonorrhea and chlamydia trachomatous
also chronic infection and ectopy
Leucorrhoea
Dr. Yashika
Abnormal Vaginal Discharge
Frequent complaint.
Discharge may vary from excess to normal.
Discharge may be blood-stained / contaminated with urine or stool.
Characteristics of normal vaginal fluid
Nature - watery
Colour - white
Odour - Odourless
pH - 4.0
Microscopically - Squamous epithelial cells,
Leucorrhoea
Leucorrhoea is defined as excessive normal vaginal discharge.
Features of vaginal discharge in leucorrhoea :
Excess secretion.
Non purulent
Non offensive
Non irritant
Never causes pruritis.
Etiology :
Physiological excess
Cervical causes
Vaginal causes
Physiologic excess
Puberty
Menstrual Cycle
Pregnancy
Sexual excitement
Cervical causes:
Cervicitis
Cervical ectopy
Cervical polyp
Treatment
General health improvement
Surgical treatment of cervical factors
Pill users are asked to stop pill immediately
Local hygiene
Menopause: Symptoms, Concerns, and Management StrategiesSummit Health
Presentation about menopause, including information about common symptoms such as hot flashes, sleeplessness, and weight gain as well as other physiologic changes such as bone loss and cardiovascular risks. Dr. Gibbons and Dr. Cummings will offer recommendations on treatment and management options that can help you navigate this important life transition.
A comprehensive guide to the management of hyperglycaemia in pregnancy aimed at the primary care physician and based on latest evidenced based criteria. Includes information from latest studies such as HAPO study and ACHOIS, and involves guidelines from the IADPSG, ADA, WHO and Malaysia.
The patient is a young adult male who presents to the clinic with complaints of swelling and pain in the scrotum. He reports having had a fever, headache, and malaise for the past several days. Upon examination, the clinician notes that the patient's scrotum is swollen and tender to the touch. The patient reports that the pain has been increasing steadily over the past 48 hours.
The clinician takes a medical history and discovers that the patient had not received the mumps vaccine as a child. The clinician suspects that the patient may have contracted mumps and orders a blood test to confirm the diagnosis. The test comes back positive for mumps IgM antibodies, confirming the diagnosis.
The clinician advises the patient to rest, stay hydrated, and take pain relievers such as ibuprofen to manage the pain and swelling. The patient is also instructed to avoid contact with others to prevent spreading the infection. The clinician closely monitors the patient's symptoms and recommends follow-up appointments to monitor the patient's condition.
In the case of orchitis, the clinician may recommend supportive care such as wearing supportive underwear and applying ice packs to the affected area. In severe cases, the patient may require hospitalization for pain management and monitoring for complications such as testicular infarction.
Overall, a case presentation of a patient with mumps and orchitis highlights the importance of vaccination in preventing this viral illness and the potential complications that can arise from it. Early diagnosis and management of symptoms can help to minimize complications and improve outcomes for the patient.
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
Abdominal pain is one of common problems
encountered by doctors, either in primary or
secondary health care (specialists). It may be
mild, but it may also a life-threatening sign. It
has been estimated that almost 50% adults have
experienced abdominal pain. In general, abdominal pain is categorized
based on the onset as acute or chronic pain.
Sudden onset of abdominal pain that lasts for less
than 24 hours is considered as acute abdominal
pain.
The problems of a surgeon
If 'I' operate 'and 'the' problem 'is' not 'surgical, Pt
exposed 'to' unnecessary 'risk ,'anesthetic,'etc.'
Risks 'greater' with 'concomitant 'illness,'older 'age'
If 'I' do 'not' operate 'and' problem 'is' surgical, 'patient 'at'
risk 'because' of 'wrong' therapy.'
Again 'the' older 'patient 'is' under 'greater' burden.'
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
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.
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
Pelvic inflammatory disease by Dr.Shuchita chattree
1. PELVIC INFLAMMATORY DISEASES
And Its Therapeutics
By: Dr. SHUCHITA CHATTREE
M.D (PGR)
Department of Materia Medica
Homoeopathy University, Jaipur
11/09/14 1
3. Defination:
Pelvic Inflammatory Disease refers to the inflammation of
Upper Genital Tract involving fallopian tubes as well as
ovaries.
11/09/14 3
4. EPIDEMIOLOGY:
A crude marker of PID in
developing countries can be
obtained from the reported
hospital admission rates .
It accounts for 3-10% in India
11/09/14 4
5. Estimates of the annual incidence of PID
according to W.H.O.:
Between 9.5 to 14 cases per
1,000 fertile women, with a
higher rate of 18 to 20 per
1,000 among women aged
15 to 24 years.
11/09/14 5
6. Etiology:
• Post Abortal and Peuperal Sepsis.
• Hysterosalpingiography can cause ascending infection.
• Manual Removal of Plecenta and evacuation of products of
conceptions.
• Use of IUCD has increase the risk of pelvic infection by three folds.
• Pelvic peritonitis due to appendicitis and diverticulitis may spread to
involve fallopian tube of that side.
• Tuberculosis is blood borne in most of the cases.
11/09/14 6
9. The most common etiologic agents in PID
are:
• Neisseria gonorrhoeae
• Chlamydia trachomatis
• Anaerobic bacterial species found in the vagina, particularly
Bacteroides
• Anaerobic gram-positive cocci, ( Peptostre-ptococci),
• E.coli
• Mycoplasma hominis and M.urealyticum.
NOTE:
• These organisms initially cause lower genital tract infections and then
spread in to the genital tract via the endometrium.
11/09/14 9
11. PID History & Examination:
• Abdominal pain (usually bilateral and in
the lower quadrants),
• [Abnormal] Vaginal discharge,
• Fever, and/or chills Nausea or vomiting
• Dysuria,
• Menometrorrhagia,
• Onset of pain in association with menses,
• Dyspareunia
11/09/14 11
12. • Backache
• General malaise
• Loss of appetite
• Tachycardia
• Tongue coated (shows dehydration)
11/09/14 12
15. Investigations of PID:
• Haemoglobin count may be low
• Leucocyte count raised (>10,000 percumm)
• Erythrocyte sedimentation rate (ESR) raised
• C-reactive protein is increased to 20 to 30 mg/dl or
more.
• Culture of cervical and high vaginal swab for both
aerobic and anaerobic organisms.
• If gonorrhoea is suspected urethral swab culture.
15
11/09/14
16. • Direct Chlamydial smear enzyme immunoassay and
direct immunofluorescence examination of the
smear.
• If bacteraemia sets in-Blood culture.
• Blood urea serum electrolytes
• Serological test for syphilis should be carried out for
both partners.
• Culdocentesis - To rule out an ectopic pregnancy
and to establish the diagnosis of a pelvic abscess.
• Laproscopic examination-The pus extruding from
the fimbrial end adhesions are sure signs of PID.
11/09/14
16
17. • Ultrasound– It is of limited value. It is helpful in distinguishing
an adenexal abscess.
• C T scan
• MRI – does not give more specific information than USG and
17
is expensive
11/09/14
22. Diagnosis of Acute PID – CDC Criteria:
22
• Cervical motion tenderness and uterine and adnexal
tenderness, along with WBCs seen on vaginal wet mount.
• Additional supportive criteria to increase the specificity:
• Oral temperature higher than 101ºF (38.3ºC).
• Abnormal cervical or vaginal mucopurulent discharge.
• Elevated erythrocyte sedimentation rate.
• Elevated C-reactive protein level.
• Laboratory documentation of cervical infection with
N.gonorrhoeae or C trachomatis
11/09/14
23. Chronic PID: History and Examination:
23
• Symptoms suggestive of chronic PID
include:
• History of previous pelvic infection.
• Constant lower abdominal pain which
get worse before menses.
• Low backache.
• Dyspareunia.
11/09/14
24. • Vaginal discharge may be absent.
• Menorrhagoea.
• Polymenorrhoea
• Congestive dysmenorrhea.
• Infertility.
• Rectal irritation.
• Poor general health.
11/09/14 24
25. PELVIC EXAMINATION:
• Appendages are found to
be tender, thickened and
fixed.
• At times the uterus and
appendages are densely
adherent to each other and
a fixed hard mass along
with pelvic cellulitis-known
as “Frozen pelvis”.
11/09/14 25
33. ACUTE APPENDICITIS:
Pain is initially central around the umbilicus and then radiate to Rt.iliac
fossa.
The sequence of symptoms,viz. pain, vomiting and temperature (Murphy’s
syndrome).
Vomiting severe and fever is less ( cf. PID ).Tenderness at McBurney’s point.
Vaginal discharge and menstrual irregularities absent.
33
11/09/14
38. The most frequent location of the sycotic manifestations in
women is in the pelvic organs.
Pelvic inflammations such as oophoritis, salpingitis; in fact,all
the inflammatory disease of the female pelvis may be traced
to this taint.
In the more chronic types we get cystic degeneration of the
ovaries, the uterus and the fallopian tubes.
Syphilitic miasm seldom attacks the ovaries or uterus.
(The principles and art of cure by homoeopathy – Herbert A .
Robert )
11/09/14 38
39. • Sycosis is generally understood to be the gonorrhoeal poison.
We should make the distinction clear between gonorrhoea &
sycosis.
•Gonorrhoea is the acute infection of the gonococci, which
takes from 5 to 10 days to develop a urethritis after an
exposure. During this incubation period it is purely an
infection; then the local manifestations are thrown outward
by nature at the point of attack as a resentment of the vital
energy to the infection.
• If the gonorrhoea thoroughly & completely cured, practically
no sycosis ever develops.
11/09/14 39
40. Sycosis is established after a suppressed gonorrhoea, when
the acute infection is driven in upon the vital energy by
external methods of suppression, and it then become a
systematic stigma.
PID = Sycotic manifestation
(The principles and art of cure by homoeopathy – H.A.Roberts)
11/09/14 40
45. 45
ACONITE:
Ovaries congested and painful , sharp shooting pain in uterus.
Fever with dry, hot skin and burning thirst for large quantities
of cold water.
Cold stage most marked , sweat >
11/09/14
46. APIS MELIFICA:
46
Ovaritis worse in rt. Ovary , endometritis with soreness &
burning , stinging pain suddenly migrating from one part to
another.
Incontinence of urine with great irritation of the parts.
Thirstless except during chill stage before fever
Pt. Is hasty ,awkward, drops thing while handling. Indifferent &
weeping tendency.
<warm&heated room , >cold water,open air , uncovering.
11/09/14
47. ARSENIC ALBUM:
47
Burning pain in ovarian region, stitching pain in pelvis extending down
the thigh.
Leucorrhoea acrid , burning ,offensive and thin , causes great fatigue.<
least exertion >warm room.
Burning thirst without special desire to drink, takes little quantity of cold
water often, just to moisten dry mouth.
High fever with marked exhaustion, mental restlessness and fear of
death. Pt. thinks it is useless to take medicine with aversion to meet
people.
11/09/14
48. AURUM MURIATICUM
NATRONATUM:
Useful in chronic PID ,Chronic metritis & prolapse.
Uterus fills up whole pelvis, ulceration of neck of womb &
vagina, cervix & ovaries indurated, ossified uterus.
Leucorrhoea with spasmodic contraction of vagina.
Young girls with palpitation
48
11/09/14
49. BELADONNA:
49
Acute inflammatory condition.
Cervical mucous membrane is very congested and red.
Pressing downwards as if the contents of abdomen would issue from the
vulva > standing and sitting erect worse morning.
Dryness and heat of vagina .
Menses bright red, too early, too profuse and HOT and offensive.
Fever with burning heat and without thirst.
Superficial blood vessels distended.
11/09/14
50. CALCAREA CARBONICA:
50
Leucophlegmatic constitution &tendency to obesity.
Useful in pelvic abscess, tendency to form abscess in deep muscles , uterus
easily displaced. Before menses- headache,colic ,chilliness ,
leucorrhoea(milky). breast tender & swollen .
During menses cutting pain in uterus.
Menses too early,too profuse,too long with vertigo, toothache & cold,
damp feet.
The least mental excitement causes profuse return of menses.
11/09/14
51. MEDORRHINUM:
51
For women with chronic ovaritis, salpingitis , pelvic cellulitis,
fibroids, cysts, post menopausal PID.
Pelvic abscess as a result of STDs or due to septic abortion.
Adhesions of the surrounding organs , tendency to outgrowth
and malignant changesOvarian pain worse lt. side or from
ovary to ovary. Infertility.
11/09/14
52. 52
Menses offensive, profuse, dark, clotted, stains difficult to wash
out. Metrorrhagia .Intense dysmenorrhoea. Leucorrhoea thin,
acrid excoriating, fishy odour.
Sycotic warts on genital, burning palms & soles , ravenous
hunger immediately after eating with constant thirst.
11/09/14
53. MERCURIUS SOLUBILIS:
53
Chronic cervicitis & ovaritis, suppressed STDs.
Stinging pain in ovaries, sensation of rawness in parts.
Menses profuse with abdominal pain. Leucorrhoea excoriating,
greenish & bloody.
Sweetish metallic taste , profuse salivation, tongue large ,flabby
,shows imprint of teeth , intense thirst with moist mouth.
11/09/14
54. PLATINA:
54
Intense vaginismus with chronic cervicitis.
Platina lady is prone to get recurrent urogenital infections
resulting in oophoritis, salpingitis & endometritis resulting in
sterility.
Sexual organs exceedingly sensitive, cannot bear the napkin to
touch her, will go in to spasm from an examination, vulva
painfully sensitive during coitus, will faint during coitus
nymphomania, excessive sexual development.
11/09/14
55. SABINA:
55
Inflammation of ovaries or uterus after abortion, premature
labor . Pt. – tendency to miscarriages,esp. at 3rd month.
Haemorrhage from the uterus; flow partly pale red, partly
clotted;worse from least motion > by walking ,pain extending
from sacrum to pubes.
Menses – too early, too profuse, too protracted in women who
menstruated very early in life; flow in paroxysms ;with colic &
labor like pain . Menorrhagia - during climacteric.
11/09/14
56. MUREX PURPUREA:
56
Useful in post menopausal PID, chronic Endometritis with
displacement in nervous, lively, affectionate women.
Sore pain in uterus; a distinct sensation of a womb.
Bearing down sensation,as if internal organs would be pushed
out, must sit down & cross limbs to> pressure.
11/09/14
57. 57
Menses : irregular, early profuse, protracted, large clots.
Leucorrhoea : green or blood , happier when leucorrhoea is
worse.
Nymphomania; least contact of parts,causes violent sexual
excitement.
11/09/14
66. References:
Homoeopathic materia medica and repertory- W. Boericke.
Allen`s key notes.
Gynaecology & obstetric therapeutics – Dr. Shrikant Kulkarni.
Shaw`s textbook of Gynaecology.
67. Miasmatic diagnosis – Dr. S K Banerjee.
The principles and art of cure by homoeopathy- Herbert A .Robert
http://www.cdc.gov.
http://4women.gov.
http://www.familydoctor.org.
Synthesis Repertory9.0 Edition.
Murphy Repertory.
Kent Repertory.