J 1 J Premenopausal Pelvic mass β-hCG test + Sono: simple cyst + Sono: complex/solid + Acute severe pain © Elmar P. Sakala‚ MD‚ MPH J J (c) Elmar P. Sakala‚ MD MPH (2011) 2 CV disease & Hormone Therapy J Recommendations: HT (E+P) 2003 Critique of WHI study © Elmar P. Sakala‚ MD‚ MPH © Elmar P. Sakala‚ MD‚ MPH (c) Elmar P. Sakala‚ MD MPH (2011) 3 Menopause WHI “WINDOW of OPPORTUNITY” Critical period for maximum response to HT
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Before his death he was said to have suffered many ailments such as‚ respiratory problems‚ hypothermia and hypotension. His sister was even there at the hospital with him at the time of his death she put her thumbprint on his birth certificate. In 1981 and man appears and claims to be the dead Ozias and said that he had been a zombie working in a plantation until
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PHYSIOLOGY Transmembrane receptors composed of excitable G-proteins‚ which cross the cell membrane and link selectively with extra cellular ligands are called adrenoceptors. They are also termed as α-2 Adrenoceptor agonists α-2 adrenergic receptors. Three α-2 isoreceptors - α-2a‚ α-2b and α-2c of adreno receptor bind α-2 agonists and antagonists with similar rapport and share an amino acid composition homology of roughly 70 to 75%. The efficacy of sub receptor specific agonists that constrains deleterious
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Metoprolol Metoprolol is a beta-Adrenergic blocking agent. Beta receptors are part of the sympathetic nervous system and are found on cells of the heart‚ smooth muscles‚ in airways‚ arteries and kidneys. Associated with stress response‚ they are stimulated by epinephrine. Beta blockers interfere with the binding of epinephrine at the receptors. Metoprolol works by inhibiting the response to adrenergic stimuli by blocking beta one adrenergic receptors within the myocardium. (Hoffman‚ Jones
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1. Discomfort during Pregnancy Nausea ‚ Pyrosis and Vomiting Fatigue Breast Tenderness Palmar Erythema Constipation Muscle Cramps Hypotension Varicosities Hemorrhoids Heart Palpitations Frequent Urination Abdominal Discomfort Leukorrhea Backache Headache Dyspnea Ankle Edema Braxton Hicks Contractions 2. Definition: a. Amenorrhea - It is the absence of menstrual flow. b. Quickening - Is the first moment a woman feels fatal movement. - It is the first movement of the fetus
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Myocardial contraction plays an important role in phase _____‚ where an influx of _____ ions predominate. A. 1‚ Na B. 1‚ Ca C. 2‚ Na D. 2‚ Ca 9. A prolongation of the QT interval can lead to all of the following except A. Hypoglycemia B. Hypotension C. Fainting D. Ventricular arrhythmias 10. Beta blockers are mainly indicated for _____ and for prevention of recurrent _____. A. Supraventricular arrhythmias‚ ischemia B. Supraventricular arrhythmias‚ myocardial infarctions C. Ventricular
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REFLECTIVE ESSAY ON THE LEARNING CONTRACT CONSIDERING THE SURGICAL AND ANAESTHETICS ROLES OF ODP FOR AN ABDOMINAL HYSTERECTOMY. By AKINYEMI AKINTARO 0711964 Dip of HE (ODP) Enhanced Theatre Practice OPE09-1 REFLECTION ON THE LEARNING CONTRACT. This is a reflective essay based on my experience of participating in delivery of anaesthetic and surgical care to a patient undergoing abdominal hysterectomy under general and regional anaesthesia. I will be describing the process
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Integration of biomedical devices for continuous‚ real time and automated patient monitoring emergency system System objectives Emergency medical situations require responders to effectively care for patients with limited personnel and medical infrastructure‚ often under intense time pressure. In large-scale medical emergencies‚ emergency medical service (EMS) officers coordinate ambulatory transportation for victims‚ while relying heavily on information from responders in the field. EMS may
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Seizures defined as… It is a neurologic disorder and is occur as a result of disruption in nerve cell activity in the brain causing seizure or unusual behavior‚ sensation and sometime loss on consciousness. Type of seizure: 1. Focal seizures: there is disruption in one area of brain. A. Simple partial seizure. B. Complex partial seizure. 2. Generalized seizure: there is disruption in all area of brain. A. Absence seizure. B. Tonic seizure. C. Atonic seizure. D. Clonic seizure. E. Myoclonic
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Notes for Final Chapter 6/11- Anaphylaxis Allergic reaction Acute Sx: hives‚ rash‚ itching and nasal secretions‚ fever‚ malaise Severe: hypotension‚ tachycardia‚ bronchoconstriction Tx: Benadryl‚ put vaccine in dominant arm‚ warm compresses‚ Tylenol Chapter 8- Pain NSAIDS -ASA‚ Ibuprofen (motrin)‚ Ketorolac (Toradol)‚ Naproxen (Naprosyn) Mild to moderate pain Take with full glass of water Do not mix ASA with other NSAIDS Monitor for GI bleeding Opioids – Codeine‚ Hydrocodone
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