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Most recents (4)
Young woman with unexpected cause of repeated bouts of vomiting
1. 1999: It was another busy day, when I had seen 60 outpatients, worked up & written case notes for 8 ward admissions and had finished seeing 14 consultations (from other depts). It was 2 AM and I needed some sleep.
1. 1999: It was another busy day, when I had seen 60 outpatients, worked up & written case notes for 8 ward admissions and had finished seeing 14 consultations (from other depts). It was 2 AM and I needed some sleep.
2. Residency at CMC Vellore in 90s was tough, which denied even 4 hours of sleep on many nights. Got a call from Gastro ward regarding a 25-yr old woman who had repeated episodes of vomiting for one week. Detailed evaluation by gastro dept could not identify the cause of vomiting
3. Neurology opinion was sought to rule out neuro-related causes of vomiting (such as cyclical vomiting syndrome, brain-stem lesions, migraine, etc).
I took a detailed history. She had no symptoms other than vomiting. On examination, she was dehydrated and looked weak.
I took a detailed history. She had no symptoms other than vomiting. On examination, she was dehydrated and looked weak.
New publication 🚨 Our RCT + isotope tracing detailing a significant nutrient-nutrient interaction during pregnancy between choline and docosahexaenoic acid (DHA; omega 3) is now online @AJCNutrition. A thread ⬇️
academic.oup.com/ajcn/advance-a… #RDchat #Metabolism #Obgyn #obstetrics
academic.oup.com/ajcn/advance-a… #RDchat #Metabolism #Obgyn #obstetrics
Nice write up of our trial from @NutraUSA! nutraingredients-usa.com/Article/2022/0…
Hilo de cambios fisiológicos del embarazo.
#PIEL
PIGMENTACIÓN
Más de 90% de las embarazadas desarrollan algún aumento en la pigmentación, es probable que los estrógenos y la progesterona provoquen estimulación melanocítica.
EL CAMBIO PIGMENTARIO MÁS COMÚN ES LA LÍNEA NIGRA
#PIEL
PIGMENTACIÓN
Más de 90% de las embarazadas desarrollan algún aumento en la pigmentación, es probable que los estrógenos y la progesterona provoquen estimulación melanocítica.
EL CAMBIO PIGMENTARIO MÁS COMÚN ES LA LÍNEA NIGRA
Otras áreas anatómicas que desarrollan hiperpigmentación son los pezones, axilas, genitales, perineo, ano, parte interna de los muslos y el cuello.
Respecto a lo nevos hay información contradictoria acerca de cambios en ellos
Respecto a lo nevos hay información contradictoria acerca de cambios en ellos
My experience with Atonic PPH:
Can write this with a bit of conviction and confidence after spending years tending to postpartum uteri.
The traditional teaching is empty uterus ceases to bleed. Meaning we have been taught to clear out everything from it......
Can write this with a bit of conviction and confidence after spending years tending to postpartum uteri.
The traditional teaching is empty uterus ceases to bleed. Meaning we have been taught to clear out everything from it......
Placental fragments, membranes, and clots. Fine. But when faced with Atonic PPH, I changed my tactic which is counter intuitive. After a vaginal delivery, if the PPH is present, I institute all the usual measures like uterotonics- methergin, syntocinon, PG's.....
Once in control and if I don't see alarming flow with fairly contracted uterus, I simply let go. Do not keep on digging out/expel the clots from uterus. Clots are our friend. Nature is trying to help us. Once we dislodge them, fresh bleeding will ensue, continuing the cycle...
