http://www.cheap-pharmacy.us/blog Fri, 25 Dec 2009 09:54:16 +0000 http://backend.userland.com/rss092 en As you do resections, and take a myoma that is about 70% intracavitary and 30% intramural - a classic submucous myoma - as you distend the cavity and begin the resection, what happens? Well, the uterus knows how to do one thing - it knows how to contract; it is ... http://www.cheap-pharmacy.us/blog/2009/12/25/hysteroscopy-part-5/ From the standpoint of GnRH analogs and endometrial ablation and even preparation for myomectomy, that is the kind of endometrium you would like to see. The perfect patient is the postmenopausal patient, in terms of the endometrium. It is very low, very thin and very avascular. I have seen patients ... http://www.cheap-pharmacy.us/blog/2009/12/23/hysteroscopy-part-4/ As an office standard for diagnostic work, I will put a little bag of LR on a pressure cuff, pump it up and there it is not an issue. As soon as we go to operative work, where we are using glycine or sorbitol, I have a problem with using ... http://www.cheap-pharmacy.us/blog/2009/12/18/sonohysterogram/ Distension is everything. Distension is our ability to see. I will tell you that during my hysteroscopic training, I was handed hysteroscopes - this was before the time we had nice video monitors - and when we lined up to look, we didn't even know what we were seeing. You ... http://www.cheap-pharmacy.us/blog/2009/12/16/distension/ The advantage of using the feroblique hysterscope is that the uterine cavity is this roundish cavity and ideally what you want to try to do is cause minimal trauma, using that 30-degree angle and rotating rather than torquing around the cervix. The more you can rotate, the less trauma you ... http://www.cheap-pharmacy.us/blog/2009/12/15/hysteroscopy/ The ingrown toenail is a common problem. Improper nail trimming in combination with chronic trauma from tight shoes often causes ingrown toenails.A spicule of the nail plate lacerates the soft tissue of the lateral nailfold and leads to painful irritation, inflammation, infection, and growth of excessive granulation tissue. Many treatments ... http://www.cheap-pharmacy.us/blog/2009/12/11/ingrown-toenails/ We already talked about the complications.Infections, not only the primary peritonitis but any infection. They are much more prone to infections because they lose also other complements, IgG’s etc. Hypovolemia, thrombosis. They can have acute renal failure. It’s not common but it can happen, and when it is very long-standing ... http://www.cheap-pharmacy.us/blog/2009/12/09/nephrotic-syndrome-conclusion/ I talked about this, clinical presentation. I didn’t mention that they can have such bad edema that there can be skin breakdown with oozing of fluid, such as in the scrotal area, the vulvar area in girls, and that would require admission and IV albumin to try and mobilize the ... http://www.cheap-pharmacy.us/blog/2009/12/07/clinical-presentation-blood-test/ Canadian levitra So this is a typical story of a kid with minimal change nephrotic syndrome. We don’t have to biopsy this child to know that it’s minimal change. The diagnosis is by the age, the response to treatment, and the relapse that will happen more than likely, after … we ... http://www.cheap-pharmacy.us/blog/2009/12/03/nephrotic-syndrome-treatment/ Nephrotic syndrome presents with protein in the urine. The most common story would be somebody between one and 12. So a three-year-old would be the peak age. Mom wakes up, sees the baby wake up at six in the morning with swollen shut eyes. It’s a panic call that you ... http://www.cheap-pharmacy.us/blog/2009/12/02/nephrotic-syndrome/