scholarly journals The Role of Ultrasound in Obstetric Hemorrhage

Author(s):  
Janet M Burlingame

Abstract Ultrasound assists in the diagnosis and management of obstetric hemorrhage. With improving technology and increasing availability, there has been a decreased morbidity and mortality from obstetric hemorrhage due to ectopic pregnancy, vasa previa and abnormal placentation. There is also theoretic benefit for the use of ultrasound in less common conditions such as uterine varix. The goal of this article is to review the common causes of obstetric hemorrhage; to review the ultrasound findings in these causes; and to discuss the intraoperative use of ultrasound in the treatment of obstetric hemorrhage. Objectives Review common causes of obstetric hemorrhage Review the ultrasound findings of these causes Discuss the role of ultrasound during procedures for obstetric hemorrhage

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Jyothsna Gattineni

The identification of hematuria or proteinuria in an otherwise healthy child can cause anxiety to both the family and the pediatrician. The etiology of hematuria and proteinuria includes a long list of conditions, and detailed workup can be exhaustive, expensive and not essential in most of the patients. As will be described in this paper, most of the children with proteinuria or hematuria have a benign etiology. The primary role of the pediatrician is to identify hematuria/proteinuria, recognize the common causes of hematuria/proteinuria, and more importantly identify children with serious conditions that need referral to the nephrologist in a timely manner.


2019 ◽  
Author(s):  
Anne Mimet ◽  
Christian Kerbiriou ◽  
Laurent Simon ◽  
Jean-François Julien ◽  
Richard Raymond

AbstractUrban sprawl is one of the greatest global changes with major negative impacts on biodiversity and human well-being. Recent policies have acknowledged the value of urban green areas in counterbalancing such impacts. These policies aim to increase the ecological value of green areas, making cities more permeable to natural populations. However, they are largely focused on the role and management of public green areas, ignoring the role and potential of private green areas for urban ecological value.This study aims to evaluate the benefits of considering private green areas for conservation efforts in cities. Using data on bat activity and information on vegetation and building height, we quantify the respective role of public and private green areas in habitat availability and connectivity for the common pipistrelle in the city of Paris, France. Our results show that despite the low proportion of private green areas in Paris (36% of the total green areas), they still contributed up to 47.9% of bat habitat availability and decrease the resistance of the city matrix by 88%. The distribution in the city matrix and vegetation composition of those areas appeared especially beneficial for bat habitat availability and connectivity. The study demonstrates the importance of private green areas in the ecological value of cities in complementing the role of public green areas. Our results confirm the need to develop more inclusive urban conservation strategies that include both public and private stakeholders.HighlightsThe urban ecological value of private gardens outweighs that of public gardensThis is true for both habitat availability and connectivityBiodiversity policies in cities should also focus on private green areasInclusive conservation strategies are also needed in cities


Author(s):  
R Bryan Murphy ◽  
Ivica Zalud

Abstract The postmenopausal patient presents unique challenges in ultrasound. With age being a major risk factor for most malignancies, the results of the examination can result in a clinician being more apt to conduct more invasive tests or elect for a surgical cure. This article is aimed to review the common gynecological pathology in post- menopausal patients and how ultrasound can aid the clinician in diagnosis and management. As noninvasive and nonradiation imaging modality, pelvic ultrasound allows valuable approach to assessment of anatomy and pathology of the uterus and adnexa in postmenopausal patients. Validity for the delineation of morphological characteristics of pelvic abnormalities is widely tested and already applied to routine clinical care. The early detection of pelvic carcinoma is still the most attractive for further studies. Learning objectives To discuss how ultrasound can help in management of postmenopausal bleeding To present the role of ultrasound in diagnosing pelvic masses To understand ultrasound contribution in screening for pelvic malignancies.


Radiographics ◽  
1996 ◽  
Vol 16 (4) ◽  
pp. 755-774 ◽  
Author(s):  
M Atri ◽  
C Leduc ◽  
P Gillett ◽  
P M Bret ◽  
C Reinhold ◽  
...  

2020 ◽  
Vol 15 (9) ◽  
pp. 1371-1380 ◽  
Author(s):  
Kate Wiles ◽  
Lucy C. Chappell ◽  
Liz Lightstone ◽  
Kate Bramham

It is estimated that women with CKD are ten times more likely to develop preeclampsia than women without CKD, with preeclampsia affecting up to 40% of pregnancies in women with CKD. However, the shared phenotype of hypertension, proteinuria, and impaired excretory kidney function complicates the diagnosis of superimposed preeclampsia in women with CKD who have hypertension and/or proteinuria that predates pregnancy. This article outlines the diagnoses of preeclampsia and superimposed preeclampsia. It discusses the pathogenesis of preeclampsia, including abnormal placentation and angiogenic dysfunction. The clinical use of angiogenic markers as diagnostic adjuncts for women with suspected preeclampsia is described, and the limited data on the use of these markers in women with CKD are presented. The role of kidney biopsy in pregnancy is examined. The management of preeclampsia is outlined, including important advances and controversies in aspirin prophylaxis, BP treatment targets, and the timing of delivery.


2019 ◽  
Vol 26 (1) ◽  
pp. 26-40 ◽  
Author(s):  
Mark Sweeney ◽  
Eromona Whiskey ◽  
Rishi K. Patel ◽  
Derek K. Tracy ◽  
Sukhi S. Shergill ◽  
...  

SUMMARYSecond-generation antipsychotic medications (SGAs) have advanced the treatment of schizophrenia over the past 30 years. However, a number of potentially life-threatening cardiac side-effects associated with these treatments concern and can discourage prescribers from administering these evidence-based treatments. This review provides a practical, psychiatrist-oriented understanding of the relative frequencies, mechanisms, investigations and treatments associated with these cardiac toxicities. We aim to highlight that these are relatively rare complications of an effective class of drug and to promote the advantages of early involvement of cardiologists in the psychiatric multidisciplinary team to guide the investigation and management of these conditions.LEARNING OBJECTIVESAfter reading this article you will be able to: •understand the relative incidence of cardiotoxic side-effects of the various SGAs•perform preliminary investigations to diagnose the common cardiotoxic side-effects of SGAs•understand the treatments for these cardiac side-effects and the role of cardiologists involved the care of these patients.


2020 ◽  
Vol 20 (5) ◽  
pp. 415-419
Author(s):  
Jasvir Virdee ◽  
Susan P Mollan

‘Photopsia’ describes the symptom of visual disturbances that are typically flash-like, sudden in onset and brief, and occurring without light entering the eye. Patients reporting photopsia often pose a diagnostic challenge, given the wide range of possible neurological and ophthalmological causes. We review the common causes of photopsia, discuss the assessment and workup of this symptom, and stress the importance of close interdisciplinary liaison to help with its diagnosis and management. We discuss a patient with acute zonal occult outer retinopathy to illustrate these points.


Author(s):  
Showkat Ahmad Showkat ◽  
Nadhia Bhagat ◽  
Mohammed Shafi Bhat ◽  
Bilal Shafiq

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is one of the common causes for hearing impairment and disability. Despite continuous technical improvement, the basic optical principles and their limitations have remained the same over the past three decades. This study aimed at visualizing and evaluating the middle ear structures with the aid of 0 and 30-degree otoendoscopes preoperatively in cases of chronic suppurative otitis media.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 70 patients (40 females and 30 males) above the age of 10 years with CSOM were subjected to otoendoscopy using 0- and 30-degree endoscopes. The various middle ear structures and hidden spaces like facial recess, sinus tympani, hypotympanum were visualized preoperatively.  </p><p class="abstract"><strong>Results:</strong> Middle ear structures and blind niches were better evaluated preoperatively using 0 and 30-degree otoendoscopes and a definitive operative plan was formulated.</p><p class="abstract"><strong>Conclusions:</strong> Otoendoscopy provided a significant better visualization of all the middle ear structures and various hidden spaces.</p>


2020 ◽  
Vol 7 (1) ◽  
pp. 53-56
Author(s):  
E. P. Shevtsova ◽  
N. A. Linchenko

Anomalies of the umbilical cord are manifold and pose the greatest danger during the development of labor. Sheath attachment of the umbilical cord is one of the common causes of presentation of umbilical cord vessels. Vasa previa (VP) causes diagnostic difficulties, cannot be corrected during pregnancy and does not affect the birth process, but is characterized by a high frequency of perinatal mortality. This observation demonstrates the need for close attention of obstetrician-gynecologists and ultrasound doctors to such a rare condition as VP. The article discusses the clinical case of successful delivery of a pregnant woman with this pathology.


Sign in / Sign up

Export Citation Format

Share Document