Bartholin’s Gland
Function :
The production of mucoid secretion that lubricates the
distal end of the vagina during intercourse.
The glands become active after menarche and are non
palpable.
Bartholinitis
Causative agent:
Gonococcus
Streptococcus
Staphylococcus
E. coli
End result :
Complete resolution
Recurrence
Abscess
Cyst formation
Clinical features :
Local pain discomfort.
Difficulty in walking / sitting.
Examination :
Tenderness
Induration of post half of vagina.
Secretion coming out from the duct when pressed.
Treatment
Local :
Systemic:
Ampicillin 500 mg TDS
Bartholin’s Abscess
End result of acute Bartholinitis.
Clinical features:
Severe local pain and discomfort.
Difficult / painful walking and sitting.
On examination:
Unilateral tender swelling.
Oedomatous red overlying skin.
Treatment:
Rest.
Sitz bath.
Systemic antibiotic Ampicillin 500 mg.
Drainage of abscess.
Bartholin’s cyst
The content is colourless glairy liquid.
C/f :
Small cyst : usually unnoticed.
Larger cyst : Local discomfort and dyspareunia.
Examination:
Unilateral swelling on post half of labia majora.
Projection on vulval cleft into S-shape.
Overlying skin is shiny and thin.
Cyst remains non tender and fluctuant.
Treatment:
Marsupilisation.
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
Please find the power point on Puerperal sepsis. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Bartholin’s Gland
Function :
The production of mucoid secretion that lubricates the
distal end of the vagina during intercourse.
The glands become active after menarche and are non
palpable.
Bartholinitis
Causative agent:
Gonococcus
Streptococcus
Staphylococcus
E. coli
End result :
Complete resolution
Recurrence
Abscess
Cyst formation
Clinical features :
Local pain discomfort.
Difficulty in walking / sitting.
Examination :
Tenderness
Induration of post half of vagina.
Secretion coming out from the duct when pressed.
Treatment
Local :
Systemic:
Ampicillin 500 mg TDS
Bartholin’s Abscess
End result of acute Bartholinitis.
Clinical features:
Severe local pain and discomfort.
Difficult / painful walking and sitting.
On examination:
Unilateral tender swelling.
Oedomatous red overlying skin.
Treatment:
Rest.
Sitz bath.
Systemic antibiotic Ampicillin 500 mg.
Drainage of abscess.
Bartholin’s cyst
The content is colourless glairy liquid.
C/f :
Small cyst : usually unnoticed.
Larger cyst : Local discomfort and dyspareunia.
Examination:
Unilateral swelling on post half of labia majora.
Projection on vulval cleft into S-shape.
Overlying skin is shiny and thin.
Cyst remains non tender and fluctuant.
Treatment:
Marsupilisation.
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
Please find the power point on Puerperal sepsis. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Forceps delivery Guest lecture presented at thr West Zone YUVA FOGSI Udaipur in July 2018, Dfination, Clasification, Prerequisites, Indications, Contraindications, Complication Maternal and Fetal,
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At the end its a detailed discussion of Post abortion management.
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At the end its a detailed discussion of Post abortion management.
Ventral hernia is protrusion of peritoneal sac through anterior abdominal wall defects except Groin hernias. In this presentation I have discussed Epigastric, Umbilical, Para umbilical, Incisional, Spigelian and Lumbar hernias.
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This will be used as part of your Personal Professional Portfolio once graded.
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Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
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Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
2. UMBILICAL HERNIA
HERNIA
A hernia is the protrusion of the contents of a
body cavity through a normal or abnormal
opening in the wall of that cavity either to lie
beneath the intact skin or to occupy another
adjacent body cavity
4. Cont…
Causes:
Primarily for dominent gene with low
penetrance
Autosomal recessive genes
Umbilical opening allows the passage of the
urachus and blood vessels
Due to improper closer of umbilical opening
at birth
Mal development of hypoplasia of abdominal
muscles
5. Cont…
Defect in mid ventral line from a congenital
hernial ring
Manual breaking or resectioning of the cord
to close to the abdominal wall
Excessive straning due to diarrhoeas or
constipetion or infection of the cord
preventing natural closing of the umbilical
orifice
6. CLINICAL SIGN
A discrete spherical swelling at the umbilicus
Contents are usually fat and omentum
A large hernial sac may contain intestinal loops
Sac formed by the skin fibrous tissue and peritonium
A circular or oval hernial ring can be palpated
without any pain if contents are reduisable
Presents of adhesion or umbilical abscess
Contents may get strangulated with pain and
intestinal obstruction
8. Cont…
SURGICAL TREATMENT:
An elliptical incision is made through each side of the
swlleing
Prepare surgical area and anesthesia done by lidocaine HCL
2% follow up with the pre medicant of atropine and xylazine
Animal is controlled in dorsal recumbency after fasting of 24
hours
9. Cont…
Suture should be starting from the center towards the each
commissures
The sac is incised just above the ring and the ring
scratched and closed by placing a series of overlapping
mattress suture
The skin is dissected and discarded then a stab incision is
made on the hernial sac and is checked for adhesion
10. Cont…
Through the procedure intestinal contents should be
washed with normal saline and Sulphar drug used on the
operation sight after suture.
T he skin flaps are apposed my mattress or simple
interrupted sutures using non absorbable materials
The exposed edges of the ring is then anchored with the
abdominal wall using a continuous suture pattern
11. Cont…
POST OPERATIVE CARE:
1. Antibiotic
2. Antihistaminic
3. Anti-inflammatory
4. Suture should be removed after 10-12 days and
fly repellent should used
13. Cntd…
Clinical signs:
Swelling
Pain
Hot and moist
The calf is dull and reluctant to suck and stand
with arched back
Infection may spread in peritoneal cavity, liver
and blood stream
14. Cntd…
Surgical procedure:
Animal should be controlled in dorso-ventral
position
Local anesthesia should be done
A downward incision from center to periphery
should done as pus could be drained out manually
15. Cntd…
A curved artery forceps should introduce to disrupt the
abscess
A gauze should introduced inside the abscess to clear the
pus
A gauze impregnated with tr. Of iodine should introduce
more than 24 hours
16. Cntd…
Post operative care:
1. Antibiotic (penicillin) for five days
2. Antihistaminic
3. Dressing should be continued for next few days
4. Fly repellent should be used
