Pelvic+prolapse+student1
•
0 likes•234 views
Pelvic floor dysfunction can cause uterine prolapse, where the uterus descends from its normal position. There are three degrees of uterine prolapse: first degree involves descent below the ischial spine but not reaching the vaginal opening, second degree has the cervix visible at the vaginal opening, and third degree or procidentia means the entire uterus protrudes outside the vaginal opening. Management of pelvic organ prolapse includes treating any underlying causes, conservative options like Kegel exercises or pessaries, and surgical procedures such as anterior colporrhaphy.
Report
Share
Report
Share
Recommended
Ectopic Pregnancy: New ESHRE terminology
This document provides new terminology and classifications for ectopic pregnancies according to consensus recommendations from an ESHRE working group. Key points include:
- Pregnancies are classified as normally located (eutopic), ectopic, or of unknown location (PUL).
- Ectopic pregnancies can be further specified as uterine (cervical, caesarean scar, intramural) or extrauterine.
- Uterine ectopic pregnancies involve trophoblast invasion beyond the endometrial-myometrial junction. They can be partial or complete.
- The terms "angular pregnancy" and "tubal miscarriage" should be abandoned in the new terminology.
Placental anomalies
The document discusses several placental anomalies including bilobed, multilobed, succenturiate, circumvallate, battledore, velamentous cord insertion, vasa previa, placenta accreta, increta, and percreta. It defines each anomaly, describes their clinical significance and risks, and provides images. It also discusses causes, symptoms, risk factors, and therapeutic management for some anomalies. The document is presented as part of a lecture on placental anomalies for maternal and child nursing students.
1.abnormal adherence of placenta
The document discusses abnormal placenta adherence, known as placenta accreta. It defines three types - placenta accreta where villi are attached to the uterus, placenta increta where villi invade the uterus, and placenta percreta where villi penetrate through the uterus. Risk factors include prior uterine surgery and placenta implantation in the lower uterine segment. Complications include hemorrhage, uterine rupture, and difficulty removing the placenta often requiring hysterectomy.
Uterine anomalies and reproductive outcomes
Uterine anomalies can affect reproductive outcomes. Septate uteri, the most common anomaly, are associated with higher risks of infertility, miscarriage (26-90% higher risk), and preterm labor (9-33% higher risk). The evidence suggests septal resection can improve outcomes, but randomized controlled trials are still needed. Bicornuate uteri confer better outcomes than septate uteri but are still linked to higher risks of miscarriage (25-35%) and preterm labor (20%). Diagnosis relies on imaging like ultrasound, MRI, and hysteroscopy. While uterine anomalies clearly impact reproduction, their exact effects and best treatments remain controversial areas of ongoing study.
5 malpresentations.warda (5) SHOULDER COMPLEX CORD
This document discusses shoulder, complex, and cord presentations during labor. It defines each type of presentation and provides information on incidence, etiology, diagnosis, and management. For shoulder presentations, the document outlines the 4 classical positions and explains that spontaneous vaginal delivery is impossible with a mature fetus due to lack of a mechanism for descent. It recommends external cephalic version during pregnancy or cesarean section. For complex presentations, the best treatment is typically masterful inactivity if labor is progressing normally, but cesarean section may be needed if progress arrests. Cord presentations carry risks of compression, so immediate delivery is usually recommended if the cervix is fully dilated.
Inferior epigastric vessels injury; What to do ?
This document discusses inferior epigastric vessels injury during abdominal procedures. It begins by describing the various vessels of the anterior abdominal wall including the superficial and deep epigastric vessels and circumflex iliac vessels. It then discusses the surface anatomy and course of the deep epigastric vessels, specifically the superior and inferior vessels. The document notes that injury to these vessels most commonly occurs during laparoscopic trocar insertion and provides the incidence of such injuries. It outlines ways to prevent vessel injuries including internal and external identification techniques during surgery. Finally, it describes the management and treatment approaches if an injury does occur, such as tamponade with a Foley catheter, vessel ligation, or suturing.
Placenta praevia, placenta praevia accreta and vasa praevia
This document provides guidelines for screening, diagnosis, management and delivery planning for three conditions: placenta praevia, placenta accreta, and vasa praevia. For placenta praevia and suspected accreta, routine ultrasound screening at 20 weeks is recommended, with follow up imaging based on findings. Management involves preventing anemia, planning for possible preterm labor and hemorrhage. Delivery planning includes consent discussions, availability of blood products, and ensuring appropriate staff and facilities are available. For placenta accreta, conservative management of the placenta is preferable to disruption if possible. Vasa praevia screening is not routinely recommended, but diagnosis is by ultrasound and management involves
ADHERENT PLACENTA DIAGNOSIS & MANAGEMENT BY DR SHASHWAT JANI
1. Adherent placenta occurs when there is a defect in the decidua basalis, resulting in abnormal invasion of the placenta directly into the uterus.
2. Diagnosis is usually made using ultrasound and MRI to detect irregularities in the placenta and loss of tissue planes between the placenta and uterus.
3. Treatment depends on the extent of invasion and patient desires, ranging from conservative surgeries like resection to hysterectomy, with the goal of managing blood loss and preserving the uterus if possible.
Recommended
Ectopic Pregnancy: New ESHRE terminology
This document provides new terminology and classifications for ectopic pregnancies according to consensus recommendations from an ESHRE working group. Key points include:
- Pregnancies are classified as normally located (eutopic), ectopic, or of unknown location (PUL).
- Ectopic pregnancies can be further specified as uterine (cervical, caesarean scar, intramural) or extrauterine.
- Uterine ectopic pregnancies involve trophoblast invasion beyond the endometrial-myometrial junction. They can be partial or complete.
- The terms "angular pregnancy" and "tubal miscarriage" should be abandoned in the new terminology.
Placental anomalies
The document discusses several placental anomalies including bilobed, multilobed, succenturiate, circumvallate, battledore, velamentous cord insertion, vasa previa, placenta accreta, increta, and percreta. It defines each anomaly, describes their clinical significance and risks, and provides images. It also discusses causes, symptoms, risk factors, and therapeutic management for some anomalies. The document is presented as part of a lecture on placental anomalies for maternal and child nursing students.
1.abnormal adherence of placenta
The document discusses abnormal placenta adherence, known as placenta accreta. It defines three types - placenta accreta where villi are attached to the uterus, placenta increta where villi invade the uterus, and placenta percreta where villi penetrate through the uterus. Risk factors include prior uterine surgery and placenta implantation in the lower uterine segment. Complications include hemorrhage, uterine rupture, and difficulty removing the placenta often requiring hysterectomy.
Uterine anomalies and reproductive outcomes
Uterine anomalies can affect reproductive outcomes. Septate uteri, the most common anomaly, are associated with higher risks of infertility, miscarriage (26-90% higher risk), and preterm labor (9-33% higher risk). The evidence suggests septal resection can improve outcomes, but randomized controlled trials are still needed. Bicornuate uteri confer better outcomes than septate uteri but are still linked to higher risks of miscarriage (25-35%) and preterm labor (20%). Diagnosis relies on imaging like ultrasound, MRI, and hysteroscopy. While uterine anomalies clearly impact reproduction, their exact effects and best treatments remain controversial areas of ongoing study.
5 malpresentations.warda (5) SHOULDER COMPLEX CORD
This document discusses shoulder, complex, and cord presentations during labor. It defines each type of presentation and provides information on incidence, etiology, diagnosis, and management. For shoulder presentations, the document outlines the 4 classical positions and explains that spontaneous vaginal delivery is impossible with a mature fetus due to lack of a mechanism for descent. It recommends external cephalic version during pregnancy or cesarean section. For complex presentations, the best treatment is typically masterful inactivity if labor is progressing normally, but cesarean section may be needed if progress arrests. Cord presentations carry risks of compression, so immediate delivery is usually recommended if the cervix is fully dilated.
Inferior epigastric vessels injury; What to do ?
This document discusses inferior epigastric vessels injury during abdominal procedures. It begins by describing the various vessels of the anterior abdominal wall including the superficial and deep epigastric vessels and circumflex iliac vessels. It then discusses the surface anatomy and course of the deep epigastric vessels, specifically the superior and inferior vessels. The document notes that injury to these vessels most commonly occurs during laparoscopic trocar insertion and provides the incidence of such injuries. It outlines ways to prevent vessel injuries including internal and external identification techniques during surgery. Finally, it describes the management and treatment approaches if an injury does occur, such as tamponade with a Foley catheter, vessel ligation, or suturing.
Placenta praevia, placenta praevia accreta and vasa praevia
This document provides guidelines for screening, diagnosis, management and delivery planning for three conditions: placenta praevia, placenta accreta, and vasa praevia. For placenta praevia and suspected accreta, routine ultrasound screening at 20 weeks is recommended, with follow up imaging based on findings. Management involves preventing anemia, planning for possible preterm labor and hemorrhage. Delivery planning includes consent discussions, availability of blood products, and ensuring appropriate staff and facilities are available. For placenta accreta, conservative management of the placenta is preferable to disruption if possible. Vasa praevia screening is not routinely recommended, but diagnosis is by ultrasound and management involves
ADHERENT PLACENTA DIAGNOSIS & MANAGEMENT BY DR SHASHWAT JANI
1. Adherent placenta occurs when there is a defect in the decidua basalis, resulting in abnormal invasion of the placenta directly into the uterus.
2. Diagnosis is usually made using ultrasound and MRI to detect irregularities in the placenta and loss of tissue planes between the placenta and uterus.
3. Treatment depends on the extent of invasion and patient desires, ranging from conservative surgeries like resection to hysterectomy, with the goal of managing blood loss and preserving the uterus if possible.
Maternal obstetric injuries for undergraduate
This document discusses various maternal obstetric injuries that can occur during childbirth including lacerations, hematomas, and uterine rupture. It provides details on:
- Types of lacerations like those of the cervix, vagina, and perineum. It also discusses hematomas that can form from trauma during delivery.
- Uterine rupture, its causes like previous c-section scars, and signs to watch for like abdominal pain and abnormal fetal heart rate.
- Management of various injuries through techniques like repair of lacerations, drainage of hematomas, and surgery for uterine rupture depending on severity.
- Risks of trial of vaginal delivery for a woman with a
Congenital abnormaleties of the uterus
Uterine malformations can result from failures in agenesis, fusion, or resorption of the müllerian ducts during development. This document discusses several types of uterine anomalies:
1. A septate uterus is the most common anomaly and results from a failure of resorption, leaving a fibrous or muscular septum dividing the uterus. It can increase risks of pregnancy loss and infertility.
2. A bicornuate uterus is partially divided with a fundal cleft. It may be associated with cervical incompetence and early pregnancy loss.
3. A unicornuate uterus has failure of one müllerian duct to develop, resulting in a single-horned uterus that
C section by syed hassnain shah
Caesarean section is a surgical procedure to deliver a baby through incisions in the abdomen and uterus. It is commonly performed worldwide with main indications including previous C-section, cephalo-pelvic disproportion, fetal distress, malpresentation, and failure to progress in labor. The procedure involves preparing the patient, administering spinal or epidural anesthesia, making a transverse or vertical incision on the lower or upper uterine segment, delivering the baby and placenta, and closing the incisions. Post-operative care focuses on monitoring vitals, bleeding, hydration and pain management during recovery.
Placenta accreta
The document discusses placenta accreta, a condition where the placenta invades and attaches abnormally to the uterine wall. It has increased in incidence 10-fold over the past 50 years due to rising cesarean delivery rates. Risk factors include placenta previa, prior uterine surgery, and increasing maternal age and parity. Ultrasound and MRI can be used to diagnose placenta accreta prenatally based on signs like lack of a hypoechoic zone between the placenta and uterus. Management options for severe postpartum hemorrhage from placenta accreta include uterine packing, arterial ligation, hysterectomy, and the B-Lynch compression suture
Surgical Management of Uterine Abnormality
This document discusses the surgical management of uterine abnormalities. It begins by defining congenital genital abnormalities and Mullerian anomalies. It then provides classifications for uterine anomalies and discusses their prevalence. Various uterine anomalies are described in more detail, including their associated symptoms, prevalence, and effects on pregnancy outcomes. The document discusses diagnostic challenges and various treatment approaches for different uterine anomalies, particularly for septate uteri. It concludes that management must be individualized based on each patient's anatomy and clinical situation.
Uterine anomalies
This document discusses uterine anomalies, their prevalence in the general and infertile populations, and their clinical presentations. Uterine anomalies are classified into three groups based on embryonic development defects: 1) agenesis of the uterus and vagina, 2) defects in vertical fusion that can be obstructive or non-obstructive, and 3) lateral fusion defects that can also be obstructive or non-obstructive. Specific types of uterine anomalies include unicornuate, bicornuate, septate, subseptate, arcuate, and didelphys uteri.
Presentation1.pptx, radiological imaging of uterine lesions.
This document discusses radiological imaging techniques for evaluating various uterine lesions. It provides details on congenital uterine anomalies, pelvic inflammatory disease, endometriosis, adenomyosis, leiomyomas (fibroids), and endometrial polyps. Transvaginal ultrasound, CT, MRI, and hysterosalpingography are described as methods for diagnosing these conditions. Symptoms can include abnormal bleeding, pelvic pain, and infertility. Early diagnosis is important but can be challenging without invasive methods.
Mayer rokitansky-küster-hauser syndrome
An 18-year-old woman presented with primary amenorrhea and dyspareunia. MRI showed a complete absence of the cervix and uterus with an abnormally truncated vagina, along with normal ovaries and unilateral renal agenesis. This is consistent with Mayer-Rokitansky-Küster-Hauser syndrome, a condition caused by disruption of müllerian duct development during embryogenesis that results in müllerian duct anomalies. Imaging plays an essential role in diagnosing müllerian duct anomalies and determining appropriate treatment.
Doppler in diagnosis of placental invasion
This document discusses the use of Doppler ultrasound in diagnosing placental invasion abnormalities. It defines placenta accreta, increta, and percreta as abnormal placenta attachments that can be life-threatening. The rate of these conditions has increased with rising C-section rates. Doppler ultrasound signs suggestive of invasion include irregular lacunae with turbulent flow within the placenta, loss of the retroplacental zone, and thin or disrupted bladder interfaces. Color Doppler can detect diffuse lacunar flow and hypervascularity at bladder junctions. 3D power Doppler provides clearer views of vascular abnormalities. Proper prenatal diagnosis allows time to plan a safer delivery for these high-risk pregnancies.
Mellss anomalies of uterus
This document discusses anomalies of the uterus that can be classified based on their cause: absent or incomplete migration of the paramesonephric duct, partial or complete failure of the lower parts of the two paramesonephric ducts to fuse, or failure of resorption of the median dividing wall. Examples of anomalies include unicornuate uterus, uterus didelphys, and uterus septus. Genes such as WNT4 are involved in normal uterine development. During development, the paramesonephric ducts fuse and canalize to form the uterus and vagina.
PLACENTA ACCRETA
This document discusses placenta accreta syndrome, including risk factors, diagnostic methods, and management strategies. It begins with an overview of placenta accreta classifications. Ultrasound and MRI are important diagnostic tools, with ultrasound being the primary method. Risk factors include prior c-sections, placenta previa, and uterine surgeries. Early diagnosis allows for elective c-section and interventions like arterial embolization to reduce bleeding. Hysterectomy is often needed to control hemorrhage but conservative approaches aim to preserve the uterus. Proper multidisciplinary care and prevention of delays in management can improve outcomes for this serious condition.
Placenta accreta
Placenta accreta is currently the most common indication for peripartum hysterectomy. It occurs when the placenta invades and attaches abnormally to the myometrium. The risk and incidence of placenta accreta has increased significantly in recent decades due to rising cesarean delivery rates. Prenatal diagnosis using ultrasound and MRI is important to identify high-risk women and allow planning with a multidisciplinary team. Optimal management involves scheduled cesarean hysterectomy between 34-35 weeks gestation. Conservative management can be considered but is associated with higher risks of hemorrhage, infection and need for emergency hysterectomy.
Radiological evaluation of the Placenta
The document discusses the evaluation of the placenta through ultrasound imaging. It describes normal placental development and appearance at various gestational ages. Common abnormalities that can be assessed include placental location, size, texture, and lesions. Placental positioning such as placenta previa is discussed. Rare conditions like placenta accreta that require MRI are also covered. The roles of ultrasound and MRI in evaluating high-risk placentas are summarized.
Placenta accreta for post graduate
- Decompression of the abdominal compartment by
opening the abdomen and leaving it open with a
temporary abdominal closure device.
- Aggressive fluid resuscitation should be avoided to prevent dilutional coagulopathy and increased intra-abdominal pressures. Early administration of platelets and fresh frozen plasma in a 1:1:1 ratio with packed red blood cells can help achieve hemostasis earlier.
- Cesarean hysterectomy is usually required for placenta accreta, though in select stable cases a conservative approach retaining the placenta may be attempted with strict follow up given high morbidity.
Role of us in evaluation of infertility Dr. Muhammad Bin Zulfiqar
Ultrasound is useful for evaluating the causes of infertility. It can identify uterine, ovarian, and tubal abnormalities. For the uterus, ultrasound can detect congenital anomalies, infections, synechiae, lesions, scarring, and alterations in endometrial thickness and vascularity. Hysterosonography allows clear visualization of the uterine cavity and detection of polyps, fibroids, and synechiae. Adenomyosis is identified by heterogeneous myometrial texture, poorly defined endometrial borders, and cysts. Three-dimensional ultrasound helps diagnose uterine anomalies. Overall, ultrasound is a first-line, non-invasive tool for evaluating infertility.
Bleeding disorders
This document discusses various types of bleeding disorders that can occur during pregnancy, including bleeding in each trimester of pregnancy. In the first trimester, it describes bleeding that can result from miscarriage, threatened abortion, inevitable abortion, and ectopic pregnancy. The second trimester discusses bleeding from incompetent cervix, hydatidiform mole, and placenta previa. The third trimester outlines placenta previa and abruptio placenta as causes of bleeding. It provides details on symptoms, management, and nursing considerations for each condition.
Ectopic pregnancy
An ectopic pregnancy occurs when a fertilized egg implants and grows outside the uterus, most commonly in the fallopian tubes. Risk factors include pelvic inflammatory disease, previous ectopic pregnancy, infertility treatments, and IUD use. Symptoms include abdominal pain, vaginal bleeding, and a positive pregnancy test. Diagnosis is often made using transvaginal ultrasound and beta-hCG levels. Treatment depends on whether the ectopic pregnancy has ruptured but may include medication with methotrexate or laparoscopic or open surgery to remove the ectopic pregnancy. The incidence of ectopic pregnancy is rising but maternal mortality is falling due to earlier diagnosis and treatment.
Fertility & infertility
The document discusses fertility and infertility. It provides information on factors that affect fertility, including age, frequency of intercourse, and health issues. It also covers terminology related to fertility and infertility. Various causes of female infertility are explained, such as disorders of ovulation, problems with the fallopian tubes, uterus or cervix, and medical conditions. Signs and symptoms of infertility and things to inquire about during a patient's history are also mentioned.
Presentation1.pptx, ultrasound examination of the uterus and ovaries.
This document discusses ultrasound examination of the uterus and ovaries. It provides information on normal ultrasound anatomy and techniques for imaging the uterus longitudinally, transversely, and transvaginally. Common pathologies that can be identified include fibroids, polyps, cysts, cancers, and other masses. The roles of ultrasound include examining the pelvic organs, classifying masses, and guiding procedures. Indications for ultrasound and common ultrasound findings are summarized.
Cervical Incompetence
Cervical incompetence is the inability for the cervix to retain an intra-uterine pregnancy till term as a result of structural and functional defects of the cervix.
NEHA
Neha is a Chartered Accountant with over 2.5 years of experience in accounting and taxation. She is currently working as an Associate Tax Consultant at KPMG Global Services where her responsibilities include maintaining client portfolios, preparing tax computations and returns, analyzing financial statements, and ensuring compliance. Previously she worked as a Revenue Analyst at Oracle India where she assisted with contract processing and ensured stakeholder expectations were met. She is pursuing an M.Com and has strong communication, analytical, and teamwork skills.
Proposta per un Atlante del Paesaggio part 2/2
L'Atlante è una raccolta aperta di materiali documentari, scelti dal MIBACT, georiferiti. Utile per le valutazioni di impatto, le commissioni paesaggistiche, il dibattito sui progetti e il turista curioso.
More Related Content
What's hot
Maternal obstetric injuries for undergraduate
This document discusses various maternal obstetric injuries that can occur during childbirth including lacerations, hematomas, and uterine rupture. It provides details on:
- Types of lacerations like those of the cervix, vagina, and perineum. It also discusses hematomas that can form from trauma during delivery.
- Uterine rupture, its causes like previous c-section scars, and signs to watch for like abdominal pain and abnormal fetal heart rate.
- Management of various injuries through techniques like repair of lacerations, drainage of hematomas, and surgery for uterine rupture depending on severity.
- Risks of trial of vaginal delivery for a woman with a
Congenital abnormaleties of the uterus
Uterine malformations can result from failures in agenesis, fusion, or resorption of the müllerian ducts during development. This document discusses several types of uterine anomalies:
1. A septate uterus is the most common anomaly and results from a failure of resorption, leaving a fibrous or muscular septum dividing the uterus. It can increase risks of pregnancy loss and infertility.
2. A bicornuate uterus is partially divided with a fundal cleft. It may be associated with cervical incompetence and early pregnancy loss.
3. A unicornuate uterus has failure of one müllerian duct to develop, resulting in a single-horned uterus that
C section by syed hassnain shah
Caesarean section is a surgical procedure to deliver a baby through incisions in the abdomen and uterus. It is commonly performed worldwide with main indications including previous C-section, cephalo-pelvic disproportion, fetal distress, malpresentation, and failure to progress in labor. The procedure involves preparing the patient, administering spinal or epidural anesthesia, making a transverse or vertical incision on the lower or upper uterine segment, delivering the baby and placenta, and closing the incisions. Post-operative care focuses on monitoring vitals, bleeding, hydration and pain management during recovery.
Placenta accreta
The document discusses placenta accreta, a condition where the placenta invades and attaches abnormally to the uterine wall. It has increased in incidence 10-fold over the past 50 years due to rising cesarean delivery rates. Risk factors include placenta previa, prior uterine surgery, and increasing maternal age and parity. Ultrasound and MRI can be used to diagnose placenta accreta prenatally based on signs like lack of a hypoechoic zone between the placenta and uterus. Management options for severe postpartum hemorrhage from placenta accreta include uterine packing, arterial ligation, hysterectomy, and the B-Lynch compression suture
Surgical Management of Uterine Abnormality
This document discusses the surgical management of uterine abnormalities. It begins by defining congenital genital abnormalities and Mullerian anomalies. It then provides classifications for uterine anomalies and discusses their prevalence. Various uterine anomalies are described in more detail, including their associated symptoms, prevalence, and effects on pregnancy outcomes. The document discusses diagnostic challenges and various treatment approaches for different uterine anomalies, particularly for septate uteri. It concludes that management must be individualized based on each patient's anatomy and clinical situation.
Uterine anomalies
This document discusses uterine anomalies, their prevalence in the general and infertile populations, and their clinical presentations. Uterine anomalies are classified into three groups based on embryonic development defects: 1) agenesis of the uterus and vagina, 2) defects in vertical fusion that can be obstructive or non-obstructive, and 3) lateral fusion defects that can also be obstructive or non-obstructive. Specific types of uterine anomalies include unicornuate, bicornuate, septate, subseptate, arcuate, and didelphys uteri.
Presentation1.pptx, radiological imaging of uterine lesions.
This document discusses radiological imaging techniques for evaluating various uterine lesions. It provides details on congenital uterine anomalies, pelvic inflammatory disease, endometriosis, adenomyosis, leiomyomas (fibroids), and endometrial polyps. Transvaginal ultrasound, CT, MRI, and hysterosalpingography are described as methods for diagnosing these conditions. Symptoms can include abnormal bleeding, pelvic pain, and infertility. Early diagnosis is important but can be challenging without invasive methods.
Mayer rokitansky-küster-hauser syndrome
An 18-year-old woman presented with primary amenorrhea and dyspareunia. MRI showed a complete absence of the cervix and uterus with an abnormally truncated vagina, along with normal ovaries and unilateral renal agenesis. This is consistent with Mayer-Rokitansky-Küster-Hauser syndrome, a condition caused by disruption of müllerian duct development during embryogenesis that results in müllerian duct anomalies. Imaging plays an essential role in diagnosing müllerian duct anomalies and determining appropriate treatment.
Doppler in diagnosis of placental invasion
This document discusses the use of Doppler ultrasound in diagnosing placental invasion abnormalities. It defines placenta accreta, increta, and percreta as abnormal placenta attachments that can be life-threatening. The rate of these conditions has increased with rising C-section rates. Doppler ultrasound signs suggestive of invasion include irregular lacunae with turbulent flow within the placenta, loss of the retroplacental zone, and thin or disrupted bladder interfaces. Color Doppler can detect diffuse lacunar flow and hypervascularity at bladder junctions. 3D power Doppler provides clearer views of vascular abnormalities. Proper prenatal diagnosis allows time to plan a safer delivery for these high-risk pregnancies.
Mellss anomalies of uterus
This document discusses anomalies of the uterus that can be classified based on their cause: absent or incomplete migration of the paramesonephric duct, partial or complete failure of the lower parts of the two paramesonephric ducts to fuse, or failure of resorption of the median dividing wall. Examples of anomalies include unicornuate uterus, uterus didelphys, and uterus septus. Genes such as WNT4 are involved in normal uterine development. During development, the paramesonephric ducts fuse and canalize to form the uterus and vagina.
PLACENTA ACCRETA
This document discusses placenta accreta syndrome, including risk factors, diagnostic methods, and management strategies. It begins with an overview of placenta accreta classifications. Ultrasound and MRI are important diagnostic tools, with ultrasound being the primary method. Risk factors include prior c-sections, placenta previa, and uterine surgeries. Early diagnosis allows for elective c-section and interventions like arterial embolization to reduce bleeding. Hysterectomy is often needed to control hemorrhage but conservative approaches aim to preserve the uterus. Proper multidisciplinary care and prevention of delays in management can improve outcomes for this serious condition.
Placenta accreta
Placenta accreta is currently the most common indication for peripartum hysterectomy. It occurs when the placenta invades and attaches abnormally to the myometrium. The risk and incidence of placenta accreta has increased significantly in recent decades due to rising cesarean delivery rates. Prenatal diagnosis using ultrasound and MRI is important to identify high-risk women and allow planning with a multidisciplinary team. Optimal management involves scheduled cesarean hysterectomy between 34-35 weeks gestation. Conservative management can be considered but is associated with higher risks of hemorrhage, infection and need for emergency hysterectomy.
Radiological evaluation of the Placenta
The document discusses the evaluation of the placenta through ultrasound imaging. It describes normal placental development and appearance at various gestational ages. Common abnormalities that can be assessed include placental location, size, texture, and lesions. Placental positioning such as placenta previa is discussed. Rare conditions like placenta accreta that require MRI are also covered. The roles of ultrasound and MRI in evaluating high-risk placentas are summarized.
Placenta accreta for post graduate
- Decompression of the abdominal compartment by
opening the abdomen and leaving it open with a
temporary abdominal closure device.
- Aggressive fluid resuscitation should be avoided to prevent dilutional coagulopathy and increased intra-abdominal pressures. Early administration of platelets and fresh frozen plasma in a 1:1:1 ratio with packed red blood cells can help achieve hemostasis earlier.
- Cesarean hysterectomy is usually required for placenta accreta, though in select stable cases a conservative approach retaining the placenta may be attempted with strict follow up given high morbidity.
Role of us in evaluation of infertility Dr. Muhammad Bin Zulfiqar
Ultrasound is useful for evaluating the causes of infertility. It can identify uterine, ovarian, and tubal abnormalities. For the uterus, ultrasound can detect congenital anomalies, infections, synechiae, lesions, scarring, and alterations in endometrial thickness and vascularity. Hysterosonography allows clear visualization of the uterine cavity and detection of polyps, fibroids, and synechiae. Adenomyosis is identified by heterogeneous myometrial texture, poorly defined endometrial borders, and cysts. Three-dimensional ultrasound helps diagnose uterine anomalies. Overall, ultrasound is a first-line, non-invasive tool for evaluating infertility.
Bleeding disorders
This document discusses various types of bleeding disorders that can occur during pregnancy, including bleeding in each trimester of pregnancy. In the first trimester, it describes bleeding that can result from miscarriage, threatened abortion, inevitable abortion, and ectopic pregnancy. The second trimester discusses bleeding from incompetent cervix, hydatidiform mole, and placenta previa. The third trimester outlines placenta previa and abruptio placenta as causes of bleeding. It provides details on symptoms, management, and nursing considerations for each condition.
Ectopic pregnancy
An ectopic pregnancy occurs when a fertilized egg implants and grows outside the uterus, most commonly in the fallopian tubes. Risk factors include pelvic inflammatory disease, previous ectopic pregnancy, infertility treatments, and IUD use. Symptoms include abdominal pain, vaginal bleeding, and a positive pregnancy test. Diagnosis is often made using transvaginal ultrasound and beta-hCG levels. Treatment depends on whether the ectopic pregnancy has ruptured but may include medication with methotrexate or laparoscopic or open surgery to remove the ectopic pregnancy. The incidence of ectopic pregnancy is rising but maternal mortality is falling due to earlier diagnosis and treatment.
Fertility & infertility
The document discusses fertility and infertility. It provides information on factors that affect fertility, including age, frequency of intercourse, and health issues. It also covers terminology related to fertility and infertility. Various causes of female infertility are explained, such as disorders of ovulation, problems with the fallopian tubes, uterus or cervix, and medical conditions. Signs and symptoms of infertility and things to inquire about during a patient's history are also mentioned.
Presentation1.pptx, ultrasound examination of the uterus and ovaries.
This document discusses ultrasound examination of the uterus and ovaries. It provides information on normal ultrasound anatomy and techniques for imaging the uterus longitudinally, transversely, and transvaginally. Common pathologies that can be identified include fibroids, polyps, cysts, cancers, and other masses. The roles of ultrasound include examining the pelvic organs, classifying masses, and guiding procedures. Indications for ultrasound and common ultrasound findings are summarized.
Cervical Incompetence
Cervical incompetence is the inability for the cervix to retain an intra-uterine pregnancy till term as a result of structural and functional defects of the cervix.
What's hot (20)
Presentation1.pptx, radiological imaging of uterine lesions.
Presentation1.pptx, radiological imaging of uterine lesions.
Role of us in evaluation of infertility Dr. Muhammad Bin Zulfiqar
Role of us in evaluation of infertility Dr. Muhammad Bin Zulfiqar
Presentation1.pptx, ultrasound examination of the uterus and ovaries.
Presentation1.pptx, ultrasound examination of the uterus and ovaries.
Viewers also liked
NEHA
Neha is a Chartered Accountant with over 2.5 years of experience in accounting and taxation. She is currently working as an Associate Tax Consultant at KPMG Global Services where her responsibilities include maintaining client portfolios, preparing tax computations and returns, analyzing financial statements, and ensuring compliance. Previously she worked as a Revenue Analyst at Oracle India where she assisted with contract processing and ensured stakeholder expectations were met. She is pursuing an M.Com and has strong communication, analytical, and teamwork skills.
Proposta per un Atlante del Paesaggio part 2/2
L'Atlante è una raccolta aperta di materiali documentari, scelti dal MIBACT, georiferiti. Utile per le valutazioni di impatto, le commissioni paesaggistiche, il dibattito sui progetti e il turista curioso.
Real estate in dubai
Every individual who comes to us will find the team at Driven Properties to be passionate about real estate dubai.
http://www.drivenproperties.ae/real-estate-dubai
1222222
This document summarizes cancer epidemiology in Saudi Arabia based on data from the Saudi Cancer Registry. It finds that:
1) In 2007, there were 12,309 new cancer cases reported in Saudi Arabia, with an overall age-adjusted incidence rate of 82.1 per 100,000 people.
2) The most common cancers among Saudi males were breast cancer, followed by colon cancer and non-Hodgkin's lymphoma. The most common cancers among Saudi females were breast cancer, thyroid cancer, and colon cancer.
3) Cancer incidence rates varied by region, with the highest rates in Riyadh, Tabuk, and the Eastern regions, and the lowest in Madinah.
Ehandel svårare än du tror
Min presentation på webbdagarna i Malmö den 14/11-2011. E-handel är mycket svårare än du tror. Det är dags att vi börjar prata sanning om ehandeln i Sverige.
Il paesaggio per la gestione degli enti locali
Intervento di Oriol Porcel (Direttore Recep) al convegno "Il paesaggio per: strategie al tempo della crisi per abitare meglio sempre". Torino, 10 dicembre 2010.
Design for Emotion - #8 Industry Sessions by EDIT. | UX & Responsive Design
Design for Emotion - #8 Industry Sessions by EDIT. | UX & Responsive DesignEDIT. - Disruptive Digital Education
O documento fornece dois links para vídeos no Vimeo que mostram exemplos do PHOTOJOJO, um serviço de fotografia online que permite aos usuários adicionar efeitos visuais e filtros às suas fotos.Божевілля: : причини, молекулярні механізми, методи відтворення та профілактики
Що знають вчені про психічні захворювання? Чому "таргани" регулярно заводяться в мозку людини? Генетичні та епігенетичні механізми виникнення наркоманії, шизофренії, маніакально-депресивного психозу та інших патологій.
Lenguaje de programación MySQL
Presentación sobre el lenguaje de programación MySQL, su historia, sus características, sus ventajas, desventajas, entre otras cosas más.
From Good to Great: Rethinking Skanska's global intranet
Presented by Hanna Karppi from Skanska at Intranätverk 2016: Malmö, 29 september.
- Focusing on usability: User’s needs as source of inspiration and development
- Leveraging on being a global company: Encouraging knowledge sharing and collaboration
- Leading business critical change process involving multiple countries and units
Key take-aways:
- How to lead a successful implementation project
- How to focus on the user and organizational needs
- Implementing digital workplace step by step
Scania - global och digital arbetsplats
Presenterad av Karin Gustavsson på Intranätverk 2016: Göteborg den 26 maj.
I slutet av 2014 initierade Scania projektet att skapa ett nytt, globalt intranät. Det innebär många och stora utmaningar, inte minst mot bakgrunden att man försöker möta både centrala och lokala behov, med användare i över 100 länder. Karin kommer också att berätta om hur Scania med en best-of-breed-lösning skapar en modern plattform som ska stötta kunskapsöverföring och interaktion, och skapa värde för användare över hela världen.
Hur mår Sveriges intranät 2016?
Presenterat av Pierre du Rietz från Web Service Award på Intranätverk 2016: Stockholm den 20 oktober.
Modelo OSI y TCP/IP
El documento describe el Modelo OSI y el Modelo TCP/IP. El Modelo OSI fue desarrollado por la ISO para facilitar la interoperabilidad entre redes, y consta de 7 capas que describen las funciones de red. El Modelo TCP/IP, desarrollado para Internet, consta de 4 capas y combina algunas capas del Modelo OSI. Ambos modelos son importantes para entender cómo viaja la información a través de una red.
suresh_Updated Resume
Suresh Kumar Bandi is applying for a relevant position in the Process Safety and Engineering department. He has 10 years of experience in process safety and engineering activities in his previous roles at Divi's Laboratories Ltd and Laurus Labs Ltd. He is seeking a senior position in a well-established organization where he can take on creative and challenging assignments with responsibility and sincerity. He has included his resume detailing his academic qualifications and technical experience evaluating chemical processes for hazards, implementing process safety, and solving issues related to crystallization, scale-up, and solvent recovery.
Viewers also liked (16)
Design for Emotion - #8 Industry Sessions by EDIT. | UX & Responsive Design
Design for Emotion - #8 Industry Sessions by EDIT. | UX & Responsive Design
Божевілля: : причини, молекулярні механізми, методи відтворення та профілактики
Божевілля: : причини, молекулярні механізми, методи відтворення та профілактики
From Good to Great: Rethinking Skanska's global intranet
From Good to Great: Rethinking Skanska's global intranet
Similar to Pelvic+prolapse+student1
Breech presentation
Breech presentation refers to when the fetus is in a longitudinal lie with its buttocks as the lowest part. The document discusses the different types of breech presentations as well as their incidence, classifications, positions, etiology, diagnosis, and management both during pregnancy and delivery. Management during pregnancy includes attempting external cephalic version after 36 weeks to convert the fetus to head-first position. Management during delivery depends on factors such as gestational age and fetal/maternal conditions, and may involve vaginal delivery with assistance, total breech extraction, or cesarean section to avoid risks to the mother and fetus.
The perforated uterus
The document discusses uterine perforation, a potential complication of various gynecological procedures. It notes that termination of pregnancy is the most common associated procedure. Risk factors include uterine anomalies, infection, recent pregnancy, and postmenopause. Most perforations occur in the uterine body and cause little bleeding, but some can involve other organs. Prevention focuses on risk assessment, cervical preparation, and gradual dilation. Management tips include urinary catheterization, cauterization, and seeking help from senior physicians. Overall, uterine perforation is rare but can have serious consequences, so appropriate training and caution are important.
Seminar aph
This document discusses placenta praevia, beginning with definitions and classifications. It then discusses causes, pathology, clinical presentation, investigations and management. Placenta praevia is defined as the placenta being wholly or partly in the lower uterine segment. It is classified depending on the extent of coverage of the cervical os, from Type I where the placenta reaches the margin to Type IV where it completely covers the os. Clinical presentation includes painless vaginal bleeding. Investigations include ultrasound and CTG. Management depends on the type, with Types I and II anterior usually being managed by ARM and oxytocin, while Types II posterior, III and IV usually require caesarean section due to risk of
Pre-invasive and Invasive Lesions of the Cervix
The document discusses pre-invasive and invasive lesions of the cervix, including normal cervix, cervical intraepithelial neoplasia (CIN), and cervical cancer. It covers carcinogenic factors like human papillomavirus that can lead to CIN I, CIN II, CIN III, and eventual cancer. Screening tools like Pap smears and management approaches for each stage of CIN and cancer are also summarized.
Breast Surgery - Julie Cornish
This document provides an overview of breast anatomy, development, hormones, cancer epidemiology, risk factors, diagnosis, staging, pathology, and management. It discusses the following:
- Breast anatomy and development in relation to hormones like estrogen and progesterone.
- Breast cancer is the most commonly diagnosed cancer in women worldwide, with incidence rates increasing rapidly between ages 30-50.
- Risk factors include genetic, hormonal, dietary, and environmental factors.
- Diagnosis involves physical examination, mammography, and biopsies. Staging uses the TNM system to classify cancer extent and severity.
- Management depends on cancer type and stage, and may include surgery, radiation, chemotherapy, hormone therapy,
Postmenopausal bleeding for undergraduate
undergraduate course lectures in Obstetrics&Gynecology prepared by Dr Manal Behery .Professor OB&Gyne .Faculty of medicine ,Zagazig University
Obstetric injuries of genital system
The document discusses several types of obstetric injuries that can occur including ruptured uterus, cervical tears, and perineal tears. It provides details on the causes, risk factors, clinical presentation, diagnosis, and treatment for each type of injury. Ruptured uterus is more common with high parity and previous c-sections. It can occur during pregnancy or labor from spontaneous causes or trauma. Cervical tears are often caused by instrumental deliveries or rapid cervical dilation and can lead to bleeding or incompetence. Perineal tears degree is based on the extent of tearing and is usually due to overstretching of the perineum from issues like malposition or a large baby. Proper repair and care is important to
Ectopic pregnancy
Ectopic pregnancy occurs when a fertilized egg implants and grows outside of the uterus, most commonly in the fallopian tubes. It is a serious condition that can cause life-threatening bleeding. Symptoms include missed period, abdominal pain, and vaginal bleeding. Diagnosis is confirmed through blood tests of beta-hCG and progesterone levels, ultrasound showing empty uterus, and sometimes laparoscopy. Treatment depends on severity but may include medication, surgery, or in rare cases expectant management.
Uterovaginal Prolapse simply taken good luck
Uterovaginal Prolapse refers to the descent of the uterus, cervix, and top part of the vagina. It is one of several types of pelvic organ prolapse (POP) that can occur when the muscles and tissues supporting the pelvic organs become weak or stretched. POP has a lifetime risk of surgery of 12-19% and can range from minimal descent to a complete eversion of the pelvic organs from the vagina. Surgery aims to restore anatomy and relieve symptoms by repairing the vaginal wall and/or using abdominal sacrocolpopexy or sacrospinous fixation to suspend the vaginal apex.
Extra gonadal germ cell tumor case presentation
- A 12-year-old female presented with progressive vaginal bleeding since 7/2012. Imaging revealed a large vaginal mass. She underwent surgical removal of the mass. Pathology found it to be an extra-gonadal vaginal yolk sac tumor. Post-operatively, imaging and markers were normal, indicating complete resection of the stage 1 tumor. She was diagnosed with an extra-gonadal yolk sac tumor that was fully removed surgically.
Obstetric bleeding
ECTOPIC PREGNANCY. An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, usually in the fallopian tubes. Risk factors include previous pelvic inflammatory disease or use of an intrauterine device. Clinical presentation includes amenorrhea, abdominal pain, and vaginal bleeding. Diagnosis is made through pregnancy tests, ultrasound, and clinical examination. Treatment options include surgery such as salpingectomy or salpingotomy. Conservative treatment with methotrexate may also be used. Complications can include hemorrhage and shock.
dlIlDGMCDGN5Sp1Y131.pptx
This document discusses shoulder, complex, and cord presentations. It defines each type of presentation and provides information on incidence, etiology, diagnosis, and management. Shoulder presentation occurs when the fetus is transverse or oblique, with the scapula acting as the denominator. Complex presentations involve a cephalic or breech presentation with prolapse of one or both limbs. Cord presentation is when the umbilical cord is below the presenting part, while cord prolapse is when the cord descends through the cervix into the vagina. The document outlines the specific considerations and approaches for managing each type of presentation depending on factors such as cervical dilation, fetal condition, and presentation.
20
This document provides information on breech presentation and delivery. It defines breech presentation as when the fetus is in longitudinal lie and its buttocks enter the pelvis first. It discusses the types of breech presentations including frank, complete, and incomplete breech. It describes the mechanisms, risks, and methods of both vaginal and cesarean breech deliveries. Key points include that vaginal breech delivery can be attempted for selected cases using techniques like partial or total breech extraction, but cesarean section is recommended when there are risk factors like a large fetus or unfavorable pelvis. Both maternal and neonatal risks are outlined.
Antepartum Hemorrhage
Antepartum hemorrhage (APH) refers to bleeding from or into the genital tract occurring between 24 weeks of pregnancy until birth. It can be caused by placenta previa, where the placenta covers part or all of the cervix, or placental abruption, where the placenta prematurely separates from the uterine wall. Women experiencing APH should be admitted to the hospital for monitoring and treatment, which may include expectant care with bed rest or emergency delivery by cesarean section depending on gestational age and severity of bleeding. APH can threaten the lives of both mother and baby if not properly managed.
Pp h
PPH.Presented by
Ahmed Mukhtar Ali Mohammed
M.B.B.Ch., M.Sc Obstetrics and Gynecology Assistante lecturer of Obstetrics and Gynecology
Faculty of Medicine, Zagazig University
genital prolapse 3-8-23.ppt
This document provides information on pelvic organ prolapse. It defines prolapse as the descent of genital organs through the pelvic floor. It describes the three levels of pelvic support and the types of prolapse that can occur at each level. Symptoms, signs, grading systems, etiology related to childbirth, and risk factors are outlined. Both conservative treatments like pelvic floor exercises and pessaries as well as various surgical repair options to correct prolapse in the anterior, posterior, and apical compartments are summarized.
Transverse lie and unstable lie
This document defines and discusses transverse lie, an abnormal fetal position where the long axis of the fetus is perpendicular to that of the mother. Key points include:
- Transverse lie results in a shoulder presentation and has a 1 in 200 incidence rate. It is more common in preterm/macerated fetuses and multiparous women.
- Diagnosis involves abdominal/pelvic examination and ultrasound to confirm the lie beyond 36 weeks.
- Untreated transverse lie poses risks like cord prolapse and obstructed labor. Modern management includes external cephalic version or cesarean section for delivery.
- Unstable lie with constantly changing presentation poses similar risks and is managed with version attempts and close monitoring
بسم الله الرحمن الرحيمAph
This document summarizes antepartum hemorrhage (APH), defined as bleeding in the third trimester between 24 weeks of pregnancy until delivery. Placenta previa, where the placenta covers all or part of the cervical os, is a major cause of APH, accounting for 30% of cases. Ultrasound is used to diagnose and grade placenta previa. Management depends on gestational age and bleeding severity, and may involve bed rest, blood transfusions, or caesarean section which is usually required for complete placenta previa. Complications of placenta previa include preterm birth, malpresentation, postpartum hemorrhage, and in rare cases
Ectopic pregnancy : house officer 's presentation
Ectopic pregnancy occurs when a fertilized egg implants outside of the uterus, most commonly in one of the fallopian tubes. Symptoms can include abdominal pain, vaginal bleeding, and gestational symptoms. Diagnosis is usually made through pregnancy tests, ultrasound showing no intrauterine pregnancy but an extrauterine sac, and laparoscopy for definitive diagnosis. Treatment depends on severity, with acute ruptured ectopic pregnancies requiring emergency surgery while unruptured cases can sometimes be treated through laparoscopic or medical management. Prompt diagnosis and treatment are important to prevent life-threatening complications from tubal rupture.
Antepartum hemorrhage
Antepartum hemorrhage (APH) is bleeding from or within the genital tract after 24 weeks of gestation. The most common causes are placenta previa and abruptio placentae. Placenta previa is the implantation of the placenta in the lower uterine segment, often causing painless bleeding. Abruptio placentae is the premature separation of a normally implanted placenta, which can cause abdominal pain, shock, and fetal distress. Diagnosis involves history, examination, ultrasound, and tests. Conservative management is used for mild cases while termination is indicated for heavy bleeding, fetal distress, or gestational age of 37 weeks or more. Close monitoring during hospitalization and until
Similar to Pelvic+prolapse+student1 (20)
More from Tariq Mohammed
Stem cell research
This document summarizes stem cell research projects conducted by Dr. Mohammad Abbas at King Abdulaziz University. It outlines 5 research groups: 1) Isolation and characterization of bone marrow mesenchymal stem cells from osteoarthritis patients, 2) Effect of heat shock on bone marrow MSCs from OA patients, 3) Evaluation of ex-vivo cartilage regeneration using MSCs from OA patients, 4) Impact of MSCs impregnated with cartilage paste on repairing cartilage defects in rabbits, and 5) Impact of a hyaluronic acid scaffold impregnated with MSCs and cartilage paste on surgically induced arthritis in rabbits. Additional research includes studies on the effects of catecholamines and NSAIDs
How did it all start
This document outlines the establishment of a stem cell research chair at King Abdulaziz University from 2009-2015. It begins with the author attending a knee surgery course in 2009 where he learned about cartilage regeneration techniques. He then proposed creating a research chair to RACI in 2010, which involved a lengthy approval process. He built up a research team of professors and clinicians from various specialties. Research projects focused on isolating and characterizing mesenchymal stem cells, cartilage regeneration, and animal studies on rabbits. The chair fulfilled regulatory requirements like submitting annual reports and had an organizational structure to oversee the research groups.
Icrs poster 2
Bone marrow mesenchymal stem cells (BM-MSCs) and cartilage fragments were evaluated for their ability to enhance cartilage formation in an ex-vivo osteochondral defect model. BM-MSCs alone, cartilage fragments alone, or a combination of BM-MSCs and cartilage fragments were seeded into osteochondral defects. The combination of BM-MSCs and cartilage fragments showed improved cartilage formation and defect filling compared to BM-MSCs or cartilage fragments alone, as seen on histological and biochemical analysis. The results suggest that a combination of BM-MSCs and cartilage fragments may provide a more effective approach for cartilage repair.
Gari et al bmc medical genetics
The document describes a study that used whole-exome sequencing to identify novel genetic variations associated with osteoarthritis (OA) patients. Several variations were found in genes involved in cartilage development, extracellular matrix organization, and inflammatory/immune responses. Two novel mutations were validated by Sanger sequencing, including a mutation in the SELP gene and another in the COL6A6 gene. The approach identified variations in genes impacting pathways relevant to OA pathogenesis.
Fphys 07-00180
This study investigated the effects of heat from an arthroscope on human bone marrow-derived mesenchymal stem cells (hBMMSCs). hBMMSCs were isolated from osteoarthritis patients and exposed to heat from an illuminated arthroscope for various time periods as single cell suspensions or cell pellets. Cell suspensions exposed to heat showed decreased viability over time, while cell pellets maintained or increased viability. Gene expression analysis found increased expression of heat shock and inflammatory genes in cell suspensions compared to pellets after heat exposure. The results suggest that transplanting hBMMSCs as cell pellets may better protect them from heat effects during arthroscopic procedures and thus support cartilage regeneration.
The international federation for cervical pathology and colposcopy course
This document provides an agenda and speaker information for a 3-day international colposcopy workshop taking place in Jeddah, Saudi Arabia from January 12-14, 2014. The workshop will focus on cervical cancer prevention, advances in understanding HPV, and management of lower genital tract diseases. It will include lectures, hands-on training, and case reviews led by experts from Europe, Canada, and Saudi Arabia. The goal is to train participants and raise awareness of cervical cancer screening and prevention methods.
The international federation for cervical pathology and colposcopy course
This document summarizes the stages of human development from dust, to sperm and egg, to embryo, to fetus, and finally to a child that reaches maturity. It notes that some people die early while others live to a very old age, having gone through the full cycle of knowledge and then forgetting. It also describes how the earth appears barren but grows diverse plants when watered, relating this to human development from simple beginnings. The summary conveys the key points about human origins and development and the cycle of life in a concise three sentences.
The international federation for cervical pathology and colposcopy course
The document discusses how God created humans from dust, then a sperm-drop, then a clinging clot, and then a lump of flesh to show how He develops humans. It notes that God determines the term people will stay in the womb, then brings them out as children to reach maturity. It also mentions that some people die early while others live to a very old age. The document ends by describing how the earth appears barren but grows beautiful plants when watered.
4 dr mario sideri m k
This document discusses treatment approaches for early stage cervical cancer. It notes that for invasive cervical cancers measuring less than 2 cm, removal of the parametrium may be omitted. For some very small tumors, pelvic lymphadenectomy can also be omitted as the risk of lymph node metastasis is limited. It also discusses outcomes from vaginal trachelectomy and laparoscopic pelvic lymphadenectomy for early stage cancers. The document considers conservative treatment approaches for stage IA2-IB1 cancers less than 3 cm in size, including a proposed study design stratifying patients based on tumor diameter.
3 dr mario sideri ais
Adenocarcinoma in situ (AIS) is the only known precursor to cervical adenocarcinoma. Appropriate management of AIS can prevent invasive adenocarcinoma in many cases. Cytology has lower sensitivity for detecting AIS compared to HPV testing. The usual interval between detectable AIS and invasive adenocarcinoma is at least 5 years, allowing time for screening and intervention. Glandular neoplasms account for about 25% of annual cervical cancer diagnoses. Management of AIS typically involves conization, though hysterectomy is the standard treatment due to the high risk of residual disease with conization alone. HPV testing can help monitor women with AIS who wish to preserve fertility after
2 dr mario sideri vv
This document discusses vulvar and vaginal diseases. It begins with anatomical considerations of the vulva and describes various benign and infectious vulvar lesions. It then discusses non-neoplastic epithelial disorders of the vulva and classifications of vulvar dermatological disorders. The document provides details on various vulvar diseases including lichen sclerosus and pigmented lesions. It concludes with a brief section on vaginal intraepithelial neoplasia.
1 dr mario sideri
This document summarizes key findings about HPV natural history and HPV testing for cervical cancer screening. It was found that HPV infection is very common but rarely leads to cancer. While persistent HPV infection can cause cervical cancer after 10-15 years, many cofactors are also involved in cancer development. Studies showed that HPV becomes undetectable within 2 years for most women. HPV testing was found to detect more pre-cancer than pap smears but also detected more lesions that may regress. HPV testing allows longer screening intervals for HPV-negative women and better protection against cancer compared to pap smears alone. While HPV testing is more effective, implementing new screening strategies poses challenges where pap smear systems are already in place.
3 prof james bently hpv vaccination 2014
1) The document discusses the HPV vaccine and summarizes data from clinical trials of the Cervarix and Gardasil vaccines. It finds that Cervarix demonstrated 93.2% efficacy against CIN3+ lesions irrespective of HPV type, while Gardasil demonstrated 43.0% efficacy against the same endpoint.
2) Long-term follow up data of the Cervarix vaccine showed sustained high antibody levels and protection against CIN3+ lesions up to 9 years post-vaccination. Challenge studies found Cervarix elicited an anamnestic response.
3) Both vaccines were well tolerated and showed cross-protection against non-vaccine HPV types. However, Cervarix demonstrated higher long
4 prof james bently management guidelines 2014
This document provides guidelines for colposcopy management from the IFCCP Jeddah Jan 2014 conference and the ASCCP Management Guidelines 2012 and SOGC SCC Colposcopy Guidelines 2012. It discusses recommendations and algorithms for evaluating and managing various abnormal cytology results and histological findings identified during colposcopy, including ASCUS, LSIL, ASC-H, HSIL, AGC, cervical intraepithelial neoplasia grades, and other conditions. Management may involve repeat testing, colposcopy, biopsy, excisional procedures, or return to routine screening depending on the abnormality, risk level, and other factors.
5 prof james bently mgmt genital hpv 2014
Genital HPV is very common, with a lifetime risk of 70% for HPV infection and 10% for genital warts. Spontaneously, genital warts resolve in 20-30% of cases within 3 months. Biopsy is usually not required for healthy women under 35 years old with typical genital warts. Treatment choices depend on factors like patient preference, provider experience, and pregnancy status. Combination therapies may be used. Even after treatment, the latent virus remains, with a 30% recurrence rate of warts and potential for transmission to partners.
More from Tariq Mohammed (20)
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
Recently uploaded
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
5 Effective Homeopathic Medicines for Irregular Periods
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Skin Diseases That Happen During Summer.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montrealAgeing, the Elderly, Gerontology and Public Health
Challenges associated with ageing from a public health perspective
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
Foundation of Yoga, YCB Level-3, Unit-1
Unit -1 of Yoga certification board, level 3, all topics covered. An exam conducted by ministry of Ayush for yoga enthusiastic students.
How to Control Your Asthma Tips by gokuldas hospital.
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Patellar Instability: Diagnosis Management
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
cosmetics and cosmeceuticals
Muskan
mpharm
2nd semester
Guru Gobind Singh college of pharmacy, yamunanagar, haryana
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
How to choose the best dermatologists in Indore.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
PGx Analysis in VarSeq: A User’s Perspective
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
What is Obesity? How to overcome Obesity?
Obesity is a chronic complex disease defined by excessive fat deposits that can impair health.
Recently uploaded (20)
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Pelvic+prolapse+student1
- 1. Pelvic Floor DysfunctionPelvic Floor Dysfunction Dr Khalid Sait FRCSCDr Khalid Sait FRCSC Associate ProfessorAssociate Professor ( Gynecological Oncology)( Gynecological Oncology) KAUHKAUH
- 4. Uterine prolapseUterine prolapse First degree:First degree: descend below ischial spinedescend below ischial spine not reach introitsnot reach introits Second degree :Second degree : cervix visible at introitscervix visible at introits Third degree:Third degree: procidentiaprocidentia the whole uterus isthe whole uterus is out side the introitsout side the introits
- 5. Management of POPManagement of POP
- 6. ManagementManagement Treat underlying causeTreat underlying cause Conservative: Kegal /PassariesConservative: Kegal /Passaries SurgicalSurgical
- 7. Anterior colporrhaphy: ProcedureAnterior colporrhaphy: Procedure
Editor's Notes
- If you ask a gynecologist what is most unsatisfied surgery they will till you a cystocely and rectocele repair Because Fail to identify the fascia And fail to identfy the tear site Should called compartment defect