abdominal and pelvic pain evaluation

... (estradiol and progesterone) and peptides (inhibin B and inhibin A) and the hypothalamic [gonadotropin-releasing hormone (GnRH)] and pituitary [follicle-stimulating hormone (FSH) and luteinizing hormone ... presence of breast development and cyclic pelvic pain; or within years of breast development if menarche has not occurred Secondary Amenorrhea or Oligoamenorrhea Anovulation and irregular cycles are ... ovaries, and (4) the uterus and outflow tract (Fig 51-1; Chap 341) This system is maintained by complex negative and positive feedback loops involving the ovarian steroids (estradiol and progesterone)...

Ngày tải lên: 06/07/2014, 20:20

... karyotype, but because of the lack of androgen receptor responsiveness, they have severe underandrogenization and female external genitalia The absence of pubic and axillary hair distinguishes them ... endometrium, resulting in menses and, in combination with the inhibins, provides feedback regulation of the hypothalamus and pituitary to control secretion of FSH and LH The prevalence of amenorrhea ... follicle-stimulating hormone (FSH) and luteinizing hormone (LH) secretion from the pituitary to induce ovarian folliculogenesis and steroidogenesis Ovarian secretion of estradiol and progesterone controls...

Ngày tải lên: 06/07/2014, 20:20

... basis of a careful history, physical examination, and the demonstration of low levels of gonadotropins and normal prolactin levels Eating disorders and chronic disease must be specifically excluded ... ovarian failure (POF) may wax and wane, and serial measurements may be necessary to establish the diagnosis Once the diagnosis of POF has been established, further evaluation is indicated because ... chromosomal abnormalities including Turner syndrome, autoimmune polyglandular failure syndromes, radioand chemotherapy, and galactosemia In the majority of cases, however, a cause is not determined...

Ngày tải lên: 06/07/2014, 20:20

... disturbances, and pain originating in the abdominal wall Pelvic pain may reflect pelvic disease per se but may also reflect extrapelvic disorders that refer pain to the pelvis In up to 60% of cases, pelvic ... Causes of Pelvic Pain Acute Chronic Cyclic pelvic Premenstrual pain symptoms Mittelschmerz Dysmenorrhea Endometriosis Noncyclic pelvic pain Pelvic inflammatory disease Ruptured or hemorrhagic Pelvic ... gonadotropins can be used by experienced practitioners Pelvic Pain The mechanisms causing pelvic pain are similar to those causing abdominal pain (Chap 14) and include inflammation of the parietal peritoneum,...

Ngày tải lên: 06/07/2014, 20:20

... hypersensitivity, resulting in pain Secondary dysmenorrhea is caused by underlying pelvic pathology Endometriosis results from the presence of endometrial glands and stroma outside of the uterus ... stimulation and cause dysmenorrhea, which generally precedes menstruation by several days Endometriosis may also be associated with painful intercourse, painful bowel movements, and tender nodules ... endometrial glands and stroma within the myometrium Cervical stenosis may result from trauma, infection, or surgery Dysmenorrhea: Treatment Local application of heat; use of vitamins B1, B6, and E and...

Ngày tải lên: 06/07/2014, 20:20

... Hurwitz EL, Guzman J, Peloso PM: The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders Spine (Phila ... Process evaluation of a participatory ergonomics programme to prevent low back pain and neck pain among workers Implementation Science 2010 5:65 Submit your next manuscript to BioMed Central and ... recruitment, reach, fidelity, satisfaction, and implementation components (i.e., dose delivered and dose received) Table Process evaluation components and their definitions Component Definition...

Ngày tải lên: 10/08/2014, 10:23

... database [8] and a meta-analysis of EVAR of inflammatory aortic aneurysms [9] have all concluded that operative and midterm results are as effective and comparable to standard open abdominal aortic ... increased to 40,700 in 24 hours, accompanied by worsening pain and pyrexia She was also noted to be oliguric Her lower back pain worsened and resulted in her becoming bedridden within 24 hours Appropriate ... initial evaluation of the affected patient [3] Clinical features are often nonspecific and can include fever, leucocytosis and bacteremia in the absence of a pulsatile or expansile mass and, in...

Ngày tải lên: 11/08/2014, 14:20

... Shulman M, Sandler AN, Bradley JW, et al Postthoracotomy pain and pulmonary function following epidural and systemic morphine Anesthesiology 1984;61:569-75 27 Sabanathan S Has postoperative pain been ... 1th, 6th, 12th, 24th, 48th, 72th, and 96th hours after surgery by a visual analogue scale (VAS) with scores ranging between (pain free) and 10 (the worst imaginable pain) Pulmonary function parameter ... information, visual analog pain scores, pulmonary function tests, and supplementary intravenous analgesia were recorded for each patient 217 Patients subjectively assessed the level of pain at 1th, 6th,...

Ngày tải lên: 25/10/2012, 11:10

... stability and toxicity of PANs, and further investigated the sustained release behavior in vivo of drug loading in PANs PA was firstly synthesized and characterized by FT-IR and 1H NMR, and then ... acetyl protons at 1.8–2.2 ppm and B is that of OH protons and H-1 to H-6 protons of pullulan moiety observed at more than 3.5 ppm Preparation and characterization of PANs and PA/EPI Nanoparticles ... normal diet, and water was provided ad libitum Animals were observed carefully for the onset of any signs of toxicity and monitored for changes in food intake and body weight at 1, 8, and 15 days...

Ngày tải lên: 23/04/2013, 21:38

Ngày tải lên: 18/02/2014, 11:20

... ocular, and auricular pain Pulpaf pain Viscera! pain Visceral mucosal pain Physical pain Periodontal pain Connectivetissue pain Mucogingival pain Ostealgia m6 periosteal pain Cutaneous pain jyjpaln ... disturbances and parafunction (abrasion, wedge-shaped defects, enamel cracks and fractures, and increased tooth mobility) and • evaluation of the function of fixed and removable partial dentures and orthodontic ... reasonable effort and expense? • Would symptomatic treatment in the dental office be rea sonable? Superficial pain Sympathetic pain * Continuous pain Neuropathic pain Deafferentation pain Manual functional...

Ngày tải lên: 06/03/2014, 11:20

... matches similar BEs, and finally scores them Both ROUGE and BE have been implemented and included in the ROUGE/BE evaluation toolkit1 , which has been used as the default evaluation tool in the ... Giannakopoulos and Karkaletsis (2011), Conroy et al (2011), and de Oliveira (2011) Giannakopoulos and Karkaletsis (2011) created two character-based n-gram graph representations for both the model and candidate ... summary, X, and the BNG of the candidate summary, Y The ith entry in X is xi and has weight xW (analogously i W for yi and yi ) A similarity score s(xi , yj ) between all ngrams xi and yj w=0.1...

Ngày tải lên: 07/03/2014, 18:20

... Epidemiology and Socioeconomic Impact of Visceral and Abdominal Pain Syndromes 11 Smita L S Halder and G Richard Locke III Introduction 11 Abdominal Pain 11 Specific Visceral and Abdominal Pain ... INTRODUCTION AND OVERVIEW OF VISCERAL AND ABDOMINAL PAIN Distinctive Clinical and Biological Characteristics of Visceral Pain T J Ness Introduction Clinical Visceral Pain Clinical Superficial Pain ... the terms ‘‘visceral pain ’ and ‘‘functional abdominal pain ’ will be used interchangeably throughout this chapter Epidemiology of Abdominal Pain The symptom of abdominal pain is common in the...

Ngày tải lên: 22/03/2014, 09:20

... 194 EPA’s Evaluation of Immunotoxicity of TCDD, Other Dioxins, and DLCs, 194 EPA’s Evaluation of Reproductive and Developmental Toxicity of TCDD, Other Dioxins, and DLCs, 195 EPA’s Evaluation ... important background documents and to William Farland for his outstanding assistance David L Eaton, Chair Committee on EPA’s Exposure and Human Health Reassessment of TCDD and Related Compounds Copyright ... from Dioxin and Related Compounds: Evaluation of the EPA Reassessment http://www.nap.edu/catalog/11688.html Science and the Endangered Species Act (1995) Wetlands: Characteristics and Boundaries...

Ngày tải lên: 22/03/2014, 16:21

Ngày tải lên: 23/03/2014, 01:20

... BB, SDC, and KLD also assisted with developing the study design, interpreting the analysis results, and drafting the manuscript AJ and MW contributed clinical expertise and guidance and assisted ... of interest to providers and commercial and government payers Further research incorporating detailed clinical data and indirect costs would aid in a greater understanding of the overall burden ... References Beck DE: Understanding abdominal adhesions Ostomy Q 2001, 38(2):50-51 Ray NF, Denton WG, Thamer M, Henderson SC, Perry S: Abdominal adhesiolysis: inpatient care and expenditures in the...

Ngày tải lên: 28/03/2014, 14:20

... learned writing; and 4) N: adventure and Western fiction The Categories of A, G, J and N are named from respective categories of the Brown Corpus Each Category consists of 16 files and each file ... for Evaluation SUSANNE NP ]l NP syst°m ,l.on NP }} Table shows the chunker has more than 98% chunk correct rate and 94% sentence correct rate in outside test, and 99% chunk correct rate and 97% ... and reduced version of Brown Corpus) 238 Here, the computation of recall is ambiguous to some extent Comparing columns CMNP and CmNP in Table with columns MNP and mNP in Table 7, 70% of MNP and...

Ngày tải lên: 31/03/2014, 06:20

... cast by my own two experiences with back pain s agony and immobility Low Back Pain Abdominal pain, headache pain, or chest pain with sudden severe onset and unrelenting persistence over many hours ... When both neck pain and shoulder pain are present, only a detailed, expert evaluation can sort it out Unlike low back pain, pain in the neck raises concerns about the spinal cord Pain can result ... propoxyphene and Tylenol propoxyphene and aspirin codeine and aspirin codeine and Tylenol hydrocodone and Tylenol hydrocodone and Motrin Risksa A1, LT A1, GI A1, GI A1, LT A1, LT GI, A1, KT oxycodone and...

Ngày tải lên: 11/06/2014, 10:33

... elevated CRP and ESR and inflammatory signal on MRI was worrisome for an infectious etiology He was admitted to the hospital and taken to the OR the following day for a decompression and possible ... resolution of his back and leg symptoms, he returned to his home He was scheduled to return to our clinic weeks, weeks, and and months postoperatively, but only came for a and week visit At his ... his week visit, he had completed his IV antibiotic therapy two weeks prior and denied any pain He rated pain in his legs and back as 0/10 He still had some slight L5 weakness (4+/5 EHL, TA) on examination;...

Ngày tải lên: 20/06/2014, 04:20

... chronic pelvic pain (n = 25) Group B included patients presenting severe dysmenorrhea (with no response to conventional analgesic, treatment such as antiprostaglandins and requiring bed rest) and/ or ... other than cystic ovarian endometriosis (2 teratomas and haemorragic cysts) The presence and type of pelvic adherences, mean rAFS score and stages, and sizes of endometriomas were not statistically ... such as antiprostaglandins and requiring bed rest) and/ or dyspareunia and/ or chronic pelvic pain (n = 26) The degree of pain was established using a visual analogue scale, VAS scale [14] All...

Ngày tải lên: 20/06/2014, 07:20