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

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