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Thursday, October 21, 2010

wertheim hysterectomy...

  • radical hysterectomy or Wertheim's hysterectomy your uterus, cervix, fallopian tubes, ovaries, upper portion of the vagina and some surrounding tissue and lymph nodes are removed
  • sed in the treatment of gynaecological cancers.

you...

y
let me go when i just start to
trust
care
love

yes i miss u
yes i think i start to care bout you
but y u letting me go
y arent u let me go when i wanted to
y now

n now
i hope u r fine

HRT...

i'm bored... thankfully i'm running 2 blog .. hehehe

hormone replacement theraphy

for women wif intact uterus
  • think bout her uterus!!! -> w prolonged unopposed estrogen it will increase risk of endometrial ca what u should do is to give also progestogenic component to prevent excessive endometrial stimulation and dvlpmnt of endomtrial ca.
  • perimenopausal women -> sequential regime
  • post menopause -> continuous combined regime

for women without uterus

  • no need progestogen component -> ERT estrogen replacement theraphy

Wednesday, October 20, 2010

spleen...

clinical features of ruptured spleen:
  • abd distension
  • guarding
  • sighing respiration

radiological features of ruptured spleen :
  • lft side of diaphragm elevated
  • obliteration of psoas shadow
  • free fluid btween gas filled coils of intestine
fx of spleen :
  • antibody production
  • platelet reservoir
  • erythropoiesis in myelofibrosis