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Heavy menstrual bleeding: assessment and management | Guidance and guidelines | NICE

We checked this guideline and decided that it should be updated. For details, see the update decision and the process for deciding if an update is needed. Details of the update will be available on the guidelines in development webpage in due course. No further checks of this guideline will be scheduled until this update is published.  
nice.org.uk
over 4 years ago
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Primary Glomerular Diseases

Variceal Hemorrhage Online Medical Reference - from definition and diagnosis through risk factors and treatments.  
clevelandclinicmeded.com
over 4 years ago
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Misoprostol - Wikipedia, the free encyclopedia

Misoprostol, sold under the brandname Cytotec among others, is a medication used to start labor, cause an abortion, prevent and treat stomach ulcers, and treat postpartum bleeding due to poor contraction of the uterus.[1] For abortions it is often used with mifepristone or methotrexate.[2] By itself effectiveness for this purpose is between 66% and 90%.[3] It is taken either by mouth, under the tongue, or placed in the vagina.[2][4]  
en.wikipedia.org
over 4 years ago
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Antenatal administration of corticosteroids for women at risk of preterm birth

The administration of certain corticosteroids to women at risk of preterm birth causes a considerable reduction in the risks of complications of prematurity such as respiratory distress syndrome, intraventricular haemorrhage and perinatal death. Corticosteroid therapy should be incorporated into comprehensive maternal health care services and official guidelines for maternity care.  
apps.who.int
over 4 years ago
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Abnormal Uterine Bleeding

One Of Patient, Doctor and Society (PDS) videos..! Abnormal uterine bleeding is irregular bleeding during a menstrual cycle that is caused by hormonal proble...  
youtube.com
almost 4 years ago
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Priapism and Hematuria

<p>Why is a 12 hour erection a bad thing? How should we manage the patient with bloody urine? A curbside consult with urologist Brian Shaffer, MD.&nbsp;</p <p>Your emails</p <p>An unusual southern accent</p <p>and much more...</p <p>&nbsp;</p <p><em><strong><span style="font-size: x-large; color: #0000ff;">Urology Primer</span></strong></em></p <p>&nbsp;</p <p><strong><span style="font-size: large;">Priapism<span style="font-size: 10px; font-weight: normal;">&nbsp;a rare condition that causes a persistent, and often painful, penile erection.</span></span></strong></p <p>&nbsp;</p <p>Priapism is drug induced, injury related, or caused by disease, not sexual desire. As in a normal erection, the penis fills with blood and becomes erect. However, unlike a normal erection that dissipates after sexual activity ends, the persistent erection caused by priapism is maintained because the blood in the penile shaft does not drain. The shaft remains hard, while the tip of the penis is soft. If it is not relieved promptly, priapism can lead to permanent scarring of the penis and inability to have a normal erection.</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Clot retention</span></strong></p <p>blood clots in the bladder prevent urine emptying</p <p>&nbsp;</p <p><span style="font-size: large;"><strong>Coude Catheter</strong></span></p <p>a semi-rigid catheter that has a curve or bend at the tip. The curved tip allows it to navigate over the curvature of the prostate or any other urethral obstruction it may encounter. A Coude catheter is specifically designed for this purpose. Coude catheters are available in size 8 French to size 26 French.</p <p>&nbsp;</p <p><strong><span style="font-size: large;">De Novo</span></strong></p <p>The Latin expression de novo literally means something akin to "from the beginning" or "anew"</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Interstitial cystitis</span></strong></p <p>also called painful bladder syndrome &mdash; is a chronic condition characterized by a combination of uncomfortable bladder pressure, bladder pain and sometimes pain in your pelvis, which can range from mild burning or discomfort to severe pain.</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Cystoscopy</span></strong></p <p>the use of a scope (cystoscope) to examine the bladder. This is done either to look at the bladder for abnormalities or to help with surgery being performed on the inside of the urinary tract (transurethral surgery).</p <p>&nbsp;</p <p><strong><span style="font-size: large;">CT Urogram</span></strong></p <p>A urogram is a radiograph, or X-ray image, of the urinary tract.&nbsp;</p <p>&nbsp;</p <p><strong><span style="font-size: large;">TURP</span></strong></p <p>transurethral resection of the prostate</p <p>&nbsp;</p <p><strong><span style="font-size: large;">Foley catheter</span></strong></p <p>a thin, sterile tube inserted into the bladder to drain urine. Because it can be left in place in the bladder for a period of time, it is also called an indwelling catheter. It is held in place with a balloon at the end, which is filled with sterile water to hold it in place. The urine drains into a bag and can then be taken from an outlet device to be drained</p <p>&nbsp;</p <p>&nbsp;</p>  
Rob Orman, MD
almost 10 years ago
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Too much bleeding

Medical Protection Society Website  
medicalprotection.org
over 6 years ago
Diverticular disease
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Boxmedicine: Diverticular Disease

In this tutorial, learn about diverticular disease and its complications - acute diverticulitis (simple and complicated), bleeding, fistulation and stricture. You'll also learn about the emergency Hartmann's procedure, and when elective surgery might be considered. Also included is a run-through of how to manage a patient with diverticulitis as a new doctor.  
boxmedicine.com
almost 6 years ago
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Is it lethal to eat mangosteen with sugar?

There is this claim that by consuming mangosteen with something that is sweet (sugar), one would die, due to haemorrhage and so on. Is there any merit to this?  
Rama Raja
over 7 years ago
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What causes enlarged platelets?

Hey everyone, A day before i was having a look at a cbc report which reported enlarged platelets. the patient has not gone through any sort of injury or bleeding disorders. what might be the other reasons of enlarged platelets either pathological or physiological ?  
komal zafar
over 7 years ago
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Why are Sengstaken–Blakemore tubes rarely used?

I have read that Sengstaken–Blakemore tubes are used for a bleeding oesophageal varices. However, I was talking to a doctor in hospital the other day and they said that they are not often used in actual practice. Is this true and if so why?  
Steve Wilson
over 7 years ago
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What are the influencing factors of blood pressure?

My Professor asked on the first day of my semester "What are the influencing factors of blood pressure?" I only know a few and there are more. Correct me if I am wrong but I believe: Stress Smoking Alcohol Obesity Haemorrhage Heart disease High body temperature Can someone help me please?  
Keysha Mendoza
about 7 years ago
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High INR on warfarin

Clarify the warfarin dose that the patient is taking, and check for co-existing problems (such as liver disease or cancer), dietary changes, and intake of alcohol and other drugs that may increase risk of bleeding or affect international normalised ratio control  
feeds.bmj.com
about 5 years ago
Www.bmj
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Minimising bleeding during percutaneous coronary intervention

In 2013 more than 92 500 percutaneous coronary intervention (PCI) procedures were performed in the United Kingdom alone.1 Bleeding events are among the most common complications; reported incidences vary between 2.2% and 14%.2 Peri-procedural bleeding has a negative effect on patients’ outcomes—as indicated by higher mortality and morbidity and diminished quality of life—and on metrics of healthcare provision such as length of stay and associated costs.3 Large registries of US patients undergoing PCI have shown that 12.1% of in-hospital mortality is attributable to post-procedural bleeding and suggest a significant association between major bleeding and in-hospital mortality across all strata of bleeding risk.4 The 2011 American Heart Association guidelines state that all patients should be evaluated for risk of bleeding before PCI (class of recommendation 1, level of evidence C).5  
feeds.bmj.com
about 5 years ago
Www.bmj
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An unexpected finding after a fall from a horse

A 37 year old jockey was admitted with left sided abdominal pain and fullness one week after a fall from a horse. Before this he had been fit and well. On examination, he was tender in the left upper outer quadrant of his abdomen and his blood pressure was 90/55 mm Hg. A computed tomography scan showed an area of active bleeding in the parenchyma of the spleen and a large subcapsular haematoma.  
feeds.bmj.com
about 5 years ago
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An abnormality at the hepatic flexure

A 92 year old woman presented to the emergency department after collapsing at home. She recalled standing from her chair, feeling lightheaded, and then collapsing. She had felt generally weak for more than a year, with weight loss of 56 lb (25.2 kg) but no change in bowel habit, dysphagia, or gastrointestinal bleeding. Her medical history included hypertension, hypothyroidism, and anaemia (which was currently being investigated by her general practitioner). Among other drugs, she was taking lisinopril, bendroflumethiazide, and levothyroxine. Her son had died at 60 years of age from large bowel obstruction and perforation secondary to colon cancer.  
feeds.bmj.com
about 5 years ago
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High INR on warfarin

Clarify the warfarin dose that the patient is taking, and check for co-existing problems (such as liver disease or cancer), dietary changes, and intake of alcohol and other drugs that may increase risk of bleeding or affect international normalised ratio control  
feeds.bmj.com
about 5 years ago
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Medical Video Lecture: Septal Hematoma

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
about 5 years ago
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Providing universal donor plasma to massively bleeding trauma patients is feasible and can save lives

A recent randomized trial that looked at the feasibility of 2013 guidelines issued by the American College of Surgeons Trauma Quality Improvement Project for trauma resuscitation found that...  
medicalnewstoday.com
about 5 years ago