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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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I am 37 years become pregnant now. It is 45 days now but my hba1c is 11. 5%. Please tell me any complication will affect my after of before birth ?
Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]
Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide.  a 1986 summary by bladergroen et al described 127 cases.  of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.
1. Skin infection, most skin infection flourish inside folds of wet skin.
Treatment: antifungal skin ointment, in sever cases oral medication.
Eye and ear infection.
Conjunctivitis: inflammation of the conjuctiva, caused by bacterial infection.
Red or pink eyes
Yellowish discharge from eyes
Treatment: course of antibiotic and lubricants eye drop.
Hi, I am 33 years old female, my problem is I had my period on 3rd of october 2016 which last for 6 days and again on 23rd of october I again had my period and flow is also very heavy. I am suffering from dengue since 17th and my wbc are quite normal and platelets count are 86000. Can I know why my periods are in 10 days, earlier in last month they had to start on 26th of september but they where late 1 week and started on 3rd of october. What is the reason y they are so early in this month. I have not had sex also, is it a cause of dengue. Kindly help me.
I had unprotected sex 2days after finish period and took I pill within 24hrs and I got bleeding after around a week (it was like period) and I missed period for 2 months according to my regular cycle and also I took home pregnancy test 3 times but the results are all negative and I am not having any kind of pregnancy syndrome, what might be problem?
1. CALC. FLUOR. 7. KALI SULPH.
(Calcium Fluoride) (Potassium Sulphate)
2. CALC. PHOS. 8. MAG. PHOS.
(Calcium Phosphate) (Magnesium Phosphate)
3. CALC. SULPH. 9. NAT. MUR.
(Calcium Sulphate) (Sodium Chloride)
4. FERR. PHOS. 10. NAT. PHOS.
(Iron Phosphate) (Sodium Phosphate)
5 KALI MUR. 11. NAT. SULPH.
(Potassium Chloride) (Sodium Sulphate)
6. KALI PHOS. 12. SILICA
(Potassium Phosphate) (Silica Oxide)
I am 32 week pregnant. My scan Dr. noted that my uterus status is an unicornuate uterus. So my Dr. suggested take bed rest. They give tablet for this. The tablet is duvadilan 10 mg. Is it ok for this? Is unicornuate uterus serious in my pregnancy state? Bed rest means?
After c section I have no breastfeeding first 8 days after that I have very low supply what is my problem.
Anyone who is sexually active is at risk for an STD, regardless of gender, race, social class, or sexual orientation. That said, teenagers and young adults acquire STDs more easily than older people. By age 25, half of sexually active adults get an STD. Having multiple sex partners also raises the risk, some STDs are on the rise in men who have sex with men, including syphilis and LGV.