- 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.
be nice & click me
Thursday, October 21, 2010
wertheim hysterectomy...
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
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