Case report of a ruptured ectopic pregnancy A 34-year-old female presented to the Emergency Department complaining of left lower abdominal pain. It was a sharp pain and had been waxing and waning for about 21/2 weeks. She had presented to De Soya Maternity Hospital 12 days back with a similar abdominal pain and intermittent vaginal bleeding for two days. She was found to be pregnant at that visit and had a quantitative beta HCG of 352 miu/ml. She had been further evaluated with a trans-abdominal and trans-vaginal pelvic ultrasound, which had not demonstrated an intrauterine pregnancy.
Acute Otitis Media Blaire, the 10-month-old patient, came into the doctor’s office with tugging of the ears. The doctor soon after diagnosed Blaire with bilateral acute otitis media. This disease primarily occurs in children between the ages of 6 months to 2 years.3 This is because the eustachian tube in children is in a different shape as compared to adults. The shape is shorter and more horizontal in children.4 This allows for an infection to stay in the tube for a much longer time. The infection occurs mostly after a viral infection has lowered the immune system and has inflamed and obstructed the eustachian tube.
Tension pneumocranium developes when there is a continuous accumulation of air in the intracranial cavity. It is a rarely encounterable but treatable neurosurgical emergency. A high index of clinical suspicion with corroboration of imaging is needed for accurate diagnosis and prompt action is required to avoid severe consequences. Most patients were treated with decompressive surgery from previous literatures and seldom treated conservatively. A case of tension pneumocranium in a 73 years old women patient who had undergone bifrontal craniotomy and transnasal endoscopic resection of cribriform plate meningioma was described.
CHAPTER ONE 1.1 INTRODUCTION Infertility may be defined as the inability of a married couple to achieve pregnancy over a twelve-month period despite regular frequent unprotected sexual intercourse. Also, it could be the inability to carry a pregnancy to a live birth (Rowe & Farley, 1988). Infertility has a long history in many cultures. Recent global evidence shows infertility as a major public health problem. Infertility, or the inability to conceive, is a problem of global proportions, affecting between 8 and 12 percent of couples worldwide (Etuk, 2009), In developing countries, one in four ever married women of reproductive age are infertile due to primary or secondary infertility (WHO/DHS, 2004).
Investigation of Preeclampsia And Hellp syndrome Student name: Amer Binessa. Student number: D13123451 Subject: Biochemistry Lecturer: Dr Frank Clake Date:01/11/2016 Clinical information A 35 years old female presented at the national maternity hospital (NMH) at week 12 gestation for liver function test (LFTs). According to the NMH reference ranges the patient had normal LFTs (1). The expected date of the delivery was 15/10/2016. In the week 37+2 gestation the woman felt pain and called the community midwife office they took her immediately to the delivery ward in NMH and they found that she has a high blood pressure 142/90, high urate and proteinuria which indicate preeclampsia disease.
According to SCN’s World Nutrition Situation 5th report, 147 million pre-schoolers experienced stunted growth. Children with malnutrition may have delayed sexual development and high risk of osteoporosis. Malnutrition can also cause overall poor health and low immunity systems. 3.1 million children die annually due to malnutrition. It can account for 61% of deaths due to diarrhoea, 67% due to malaria, 52% pneumonia and 45% measles (Black 2003, Bryce 2005).
On the other hand, becoming a mom could be compared to experiencing a big earthquake in your life (but hopefully with not-so-bad consequences); just as the actress Olivia Wilde said “Motherhood is a heart-exploding, blissful hysteria”. Now imagine a mixture: become a teenage mom… this was me when I was 16 years old. My story started when I made the pregnancy test after the suggestion of my mother because I had been sick and she noted me different. It was a morning of
It has been observed that around 40-45% of women in the childbearing age in India are susceptible to Rubella. Moreover, over 2 lakh babies are born with birth defects because of Rubella infection during pregnancy in the Indian sub-continent. CRS accounts for 10-15% of pediatric cataract. 10-50% of children with congenital anomalies have laboratory evidence of CRS. According to the Advisory Committee on Immunization Practices (ACIP), all females of child bearing age group should receive 2 shots of MMR vaccine if they are susceptible, at least 3 months before pregnancy.
Preterm delivery associated with significant short term and long term neonatal morbidity causes almost 75% of all neonatal deaths . In Kenya, 193,000 babies are born preterm each year and 13,300 children under five die due to direct preterm complications . Associations between maternal diet and preterm delivery have been shown where even small restrictions in a mother's nutrition around the time of conception leads to premature births and long-term adverse health effects for the offspring. A proportion of idiopathic (unknown cause) pre term births are associated with maternal under nutrition before the start of the pregnancy, during, and after . In developing countries, it has been estimated that poor nutritional status in pregnancy accounts for 14% of fetuses with IUGR, and maternal stunting may account for a further 18.5%
Teenage girls who get pregnant can experience pregnancy-induced hypertension, their babies can be born prematurely (if the baby is born before 37 weeks of pregnancy, the baby is premature) and the baby’s weight will be lower than it should be. They can also experience postpartum depression, which normally takes place during or after the