Vaginal bleeding in childhood can have several causes. The most common cause is a foreign body, which presents with foul-smelling vaginal bleeding and can be flushed out with antiseptic solution. Other potential causes include vulvovaginitis from poor hygiene, trauma (including sexual abuse), precocious puberty, hemorrhagic cystitis, and bleeding disorders. A thorough clinical evaluation and investigation is needed to determine the cause and provide the appropriate treatment.
Gynecologic diseases in childhood are common. This review is intended to enable careful and sound management of pediatric patients as the initial assessment is paramount to proper management.
Gynecologic diseases in childhood are common. This review is intended to enable careful and sound management of pediatric patients as the initial assessment is paramount to proper management.
precocious puberty is one of the grey areas for pediatricians and gyenecologists. this is an attempt to answer some of the questions the content is references taken from authorative textbooks
Overview normal physiological development; skeletal growth, maturation of the reproductive tract, development secondary sexual characteristics, CNS maturation, personality and psychology of the female adolescent.
precocious puberty is one of the grey areas for pediatricians and gyenecologists. this is an attempt to answer some of the questions the content is references taken from authorative textbooks
Overview normal physiological development; skeletal growth, maturation of the reproductive tract, development secondary sexual characteristics, CNS maturation, personality and psychology of the female adolescent.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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.
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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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
Vaginal bleeding in childhood
1. VAGINAL BLEEDING IN
CHILDHOOD
Prof. M.C. Bansal.
MBBS., MS. MICOG., FICOG.
Founder Principal & controller Jhalwar Medical College and Hospital
Jhalawar.
Ex Principal & controller MahatmaGandhi Medical College & Hospital ,
Sitapura, Jaipur.
2. Common Causes Of Vaginal Bleeding In Childhood
Foreign Body .
Vulvovaginitis .
Trauma ---Sexual abuse / not related to sexual
abuse .
Precocious Puberty .
Hemorrhagic cystitis ---Haematuria mistaken for
vaginal bleeding .
Bleeding Diathesis .
Neoplasm.Urethal prolapse.
Exposure to Exogenous Sex Steroids .
3. Clinical Presentation
A Foreign body is commonest cause of vaginal bleeding in
Pediatric patients, pertcularly when foul smell is also present .
USG and local examination under GA . Flushing vagina with
antiseptic solution with pressure will flush out the foreign body/
removed with small curved artery clamp . start Oral antibiotic
andT.T toxoid therapy.
Vulvo vaginits ---often due to poor hygiene –antibiotic -anti
fungal ointment
Traumatic bleeding is often accidental ,but sexual assault
should always be kept in mind . Blunt injury lead to vulvar
hematoma while penetrating injury warrant care full
examination under GA and appropriate suturing , antibiotic,
anti tetanus therapy must be given .
When sexual assault is suspected other agencies like police,
hospital administration and social services, expert from
Forensic department should be summoned immediately.
4. Clinical Presentation------
It could be the first manifestation of precocious
puberty. thorough clinical evaluation , investigation
and proper treatment along with health and sex
education should be given
.
Hemorrhagic Cystitis ---Adenovirus infection or drug
toxicity ( cyclophpsphamide) are two common
causes. Girl presents with dysurea , sterile
haematuria and urgency.Viral infection is self
limiting but in drug induced case , drug with drawl
will solve the problem .
5. Bleeding Disorders Responsible
for Vaginal Bleeding in
Childhood
Low Platelets ITP, leukaemia, aplastic
anaemia , Chemotherapy / other drug
induced bonemarrow suppression and
Hypersplenism .
Platelet Dysfunction Clansman's
thrombasthenia .Bernard- Souler’s disease.
Clotting Disorders VonWillebrand’s
disease , Liver dysfunction .
6. Other causes ---Clinical
picture
Urethral Prolapse , uncommon is characterized by protrusion of
urethral mucosa all around the external meatus and forming a
hemorrhagic vulvar mass. It responds to topical estrogen.
Benign and Malignant tumors of vulva may present as vaginal
bleeding . Sarcoma botryoides is a vaginal carcinoma that
occurs primarily in girls of 2years age (90%) .Mesonephric
carcinoma usually affects girls >3 years of age , Clear cell
carcinoma and vaginal adenosis are often related to intra
uterine exposure to stilbestrol –refer them to pediatric
oncologist.
Capillary venous malformation of labia major has been
reported as a cause of vaginal bleeding in girls , tbe
differentiated from haemangimas . Malformations can be
rxcised
7. For Further Reading ---
Minjarez DA .Abnormal bleeding in adolescents .
Semin report Med; 21: 363-3.
Sanfilppo JS . Gynaecological problems of
childhood . In : Behrman RE , Kliegman R,
JensonWE.eds. NelsonText Book of Pediatrics ,
16th Edn Philadelphia: WB Sauders, 200:1663-4