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Showing posts from August, 2021

Vulva : Overview, Anatomy, structure and function - Sentelhealth

 Overview : The vulva is a part of the female reproductive system and is also part of the external genitalia. The vulva consists of labia minora, labia majora, mons pubis, clitoris, vestibular bulb, vulval vestibule, urinary meatus the vaginal opening, hymen, and Bartholin's glands. other parts of the vulva include sebaceous glands, urogenital triangle, and pudendal cleft. Pelvic floor muscles support the structures of the vulva and vulva including the entrance to the vagina. Vulva goes through changes during childhood, puberty, menopause, and post-menopause. Structure: A) Mons pubis: it is present in both sexes and act as a cushion during sexual intercourse and is more pronounced in female. the mons pubis is a soft fatty tissue at the front of the vulva in the pubic region covering the pubic bone. the lower part of the mons pubis is divided by a fissure called pudendal cleft. it separates mons pubis and labia majora, the mons pubis, and labia majora get covered by pubic hair at pu...

Rheumatoid arthritis - causes, symptoms ,diagnosis, treatment and prognosis -Sentelhealth

Overview - Rheumatoid arthritis is an autoimmune disorder that is characterized by inflammation of the joints. Rheumatoid arthritis typically affects smaller joints in the initial stages mainly of the hands and feet. It can affect the neck but spare the other parts of the spine and never affect the sacroiliac joints. Rheumatoid arthritis is more common in females with a female: male ratio of 3:1. It can occur at any age but the peak incidence is in a fourth or fifth decade for females and sixth or eighth decade for males. Rheumatoid arthritis is passed on to the generations(genetic) with males being carriers of the disease in many cases. Untreated cases of rheumatoid arthritis can cause joint erosions and consequent disability of the joint. Quick facts about rheumatoid arthritis - 1) Rheumatoid arthritis has no cure. 2)It significantly decreases life expectancy. 3)The exact cause of rheumatoid arthritis is unknown. 4)Rheumatoid arthritis is a genetic disease. 5)Heart di...

Mesothelioma treatment

mesothelioma treatment mesothelioma can be treated at all stages and there are several treatment options for patients with mesothelioma. though these treatments do not cure the disease but can increase life expectancy and improve the quality of life. combination of surgery, chemotherapy, and radiotherapy is the most common form of mesothelioma treatment. the overall outcome depends on the stage and the type of mesothelioma. mesothelioma treatment by type : 1) pleural mesothelioma: pleural mesothelioma can be treated with 2 surgical options A)Extrapleural pneumectomy: This is a treatment option for early-stage mesothelioma with the most promising results amongst all other surgical options for mesothelioma. hence early diagnosis is a crucial step. this surgery is developed by Dr.David Sugarbaker. SURGERY: 1) Preoprative traetment  chemotherapy with cisplatin and pemetrexed prior to surgery is very effective. combination of these two drugs is more effec...

Perineal care - indications, procedure and significance

Perineal care also called  peri-care or perineal genital care is a procedure involving washing of the perineal area with soap and water or by any commercially prepared peri-wash. The perineal area is prone to infections as it is warm, moist, and not well ventilated. In a normal person, a daily bath is enough to prevent any perineal infections but, in some cases,  perineal care is required for a certain period of time. What are indications of perineal care : 1)Postpartum females with repaired perineal tears. 2)Patients with genitourinary tract infections. 3) Patients recovering from surgeries of the genital region. 4) Patients suffering from incontinence. 5) Patients who are unable to do self-care. Preparation of the patient : Thoroughly wash your hands and medical gloves before you begin the procedure. Explain the procedure to the patient and take the consent before starting the procedure. Tell the patient to separate legs if the patient is unable to do that caregiver will...

Perineal tear - Overview,classification,causes,complications and treatment

A perineal tear is the laceration of skin and other soft tissue of the perineum which is the area separating the vaginal opening and the anus. The perineal tear is the most common form of obstetric injury and occurs as a result of childbirth in women. While minor tears are quite common and require no treatment, gross injury is a result of the mismanaged second stage of the labour and can cause significant bleeding and dysfunction. What is the difference between perineal tear and episiotomy? A perineal tear is different from episiotomy in which the perineum is intentionally incised for ease of delivery. An episiotomy is generally done in the second stage of the labour under local anaesthesia and is done to prevent perineal tear and facilitate easy delivery of the baby whereas, a perineal tear is a result of the overstretched perineum. Your doctor(an obstetrician) should take your consent prior to doing the episiotomy. How are  perineal tears classified? Perineal tears ca...

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Erectile dysfunction (ED) - Causes | symptoms | treatment | complications | prevention - Sentelhealth

Erectile dysfunction (ED) - Causes | symptoms | treatment | complications | prevention - Sentelhealth overview - erectile dysfunction is a consistent inability to attain or maintain sufficient rigid penile erection to perform sex. According to a survey in 2018  more than 50% of men aged more than 40 years experience erectile dysfunction . In a normal healthy person, erection is caused by the intact nervous and vascular systems working together in coordination. "A person is called to have erectile dysfunction when he is enabled to attain or maintain an erection for 3 months." However, the basic mechanism of erection is an increase in the inflow of the blood to the penis with a subsequent decrease in the outflow by causing constriction of the veins draining the blood from the penis. Causes of erectile dysfunction - In many cases of erectile dysfunction treating the underlying cause eventually relieve the condition.Therefore, a detailed history of the patien...

Perineal care - indications, procedure and significance

Perineal care also called  peri-care or perineal genital care is a procedure involving washing of the perineal area with soap and water or by any commercially prepared peri-wash. The perineal area is prone to infections as it is warm, moist, and not well ventilated. In a normal person, a daily bath is enough to prevent any perineal infections but, in some cases,  perineal care is required for a certain period of time. What are indications of perineal care : 1)Postpartum females with repaired perineal tears. 2)Patients with genitourinary tract infections. 3) Patients recovering from surgeries of the genital region. 4) Patients suffering from incontinence. 5) Patients who are unable to do self-care. Preparation of the patient : Thoroughly wash your hands and medical gloves before you begin the procedure. Explain the procedure to the patient and take the consent before starting the procedure. Tell the patient to separate legs if the patient is unable to do that caregiver will...

Spinal stenosis - causes | symptoms | treatment -Sentelhealth

Spinal stenosis - causes | symptoms | treatment  Overview Spinal stenosis is a narrowing of a spinal canal. It is a senile disease occurring most commonly in patients aged 50 years or more, the risk of getting spinal stenosis increases with age, and males are affected more than females. The most common site for spinal stenosis is a lumbar spine affecting nearly 70% of the cases. Osteoarthritis and disc herniation are the most common causes of  spinal stenosis . Symptoms and signs - 1) Worsening of pain on extension of the spine, on examination patient show limited movements of the lumbar spine due to severe pain. Extension of the spine may also produce leg symptoms. 2) Leg symptoms - pain in legs (single or bilateral) after walking for several minutes and relieved on sitting. This phenomenon is called neurogenic claudication. Treatment of spinal stenosis - Early treatment in spinal stenosis help to avoid complication and improve the quality of life of a patien...