BREAST PAIN 8504 Women Studied at Edinburgh Breast Unit Incidence of Pain: 60-70% Premenstrual Pain:...
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Transcript of BREAST PAIN 8504 Women Studied at Edinburgh Breast Unit Incidence of Pain: 60-70% Premenstrual Pain:...
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BREAST PAINBREAST PAIN8504 Women Studied at Edinburgh Breast Unit
Incidence of Pain: 60-70%
Premenstrual Pain: 75%
Incidence of CA: 2.7% of Women presenting with pain predominantfly
<5% of Painful Lumps Malignant (Reassuring)
The Practitioner June 99
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BREAST PAINBREAST PAIN
AETIOLOGY:• Histol.Abnormality
• Sensitivity to Hormones
• Elevated Prolactin
• Water Retention
• Neurosis
• Excess Ess Fatty Acids
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MANAGEMENT OF BREAST PAINMANAGEMENT OF BREAST PAIN
• Refer Discrete Masses & Non cyclical Severe Pain
• Reassure Mild & Moderate Cyclical Pain
• Drugs used:
Gamolenic Acid - Danazol Bromocriptine
NSAID - GnRHa - Tamoxifen
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CREATOR & THE CLONECREATOR & THE CLONE
Wilmut and Dolly
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QUESTIONS ON CLONINGQUESTIONS ON CLONING
Is Cloning unnatural?
Could Veerappan be cloned?
Could Clones be Farmed?
Would Clones have Souls & Consciousness?
Could Cloning create Super Man?
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HAIR AS SUTURESHAIR AS SUTURES
Mentioned in Susruta Samhita - First used in Japan in 1996Reported from MRMC Gulbarga - HINDU 12 July 2000
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CHARACTERISTICS OF CHARACTERISTICS OF FEMALE OBGFEMALE OBG
• PersonalCharacteristics, Health Behaviour,Career satisfaction & Loyalty to speciality Same
• Higher Income
• Assumed Fewer Domestic Responsibilities
• Provide more (Gyn oriented ) preventive care
(Compared to other Female Physicians in US)
Am J ObG Nov 99
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CAESAREAN SECTION
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THE MISGAV LADACH THE MISGAV LADACH METHODMETHOD
• Refined by Dr. M. Stark, Jerusalem
• Presented by Ole Fall at FIGO Congress ‘94 & ’97
• Trials on in Asia & Africa
Original Article - Acta Ob Gyn Scand 1999
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OPERATIVE TECHNIQUEOPERATIVE TECHNIQUE
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OPERATIVE TECHNIQUEOPERATIVE TECHNIQUE
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ADVANTAGESADVANTAGES
• Working in Harmony with Anatomy
• Shorter Operating Time & Anaesthesia
• Practically Bloodless
• Less Post Op Antibiotics&Analgesics
• Quicker Recovery
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THE INHS ASWINI THE INHS ASWINI EXPERIENCEEXPERIENCE
• Controlled Study of 197 Cases - Jan 96 to Dec 98
• Indian Naval Hospital Ship (INHS Aswini) Mumbai
KGPaul ObG Comm. Sept ‘99
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MINILAP HYSTERECTOMYMINILAP HYSTERECTOMY• Uterine Manipulator
thru Cx to elevate uterus
• Suprapubic 4cm Incision
• Myoma screw for traction
• Mean op time:40mts-Less blood loss
Sharma JB ObG Com 99
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CAUSE OF HIGH BP IN CAUSE OF HIGH BP IN PREGNANCYPREGNANCY
• Mutation of Mineralocorticoid Receptor which regulates Salt balance
• Just one of the causes of High BP
• More animal experiments needed
• Other Defective Genes altering response to Pregnancy Hormones may come to light
Lifton P et al Yale Univ. Science
Hindu 7 Nov 2000
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CAUSE OF HIGH BP IN CAUSE OF HIGH BP IN PREGNANCYPREGNANCY
SingleGeneMutation of Mineralocorticoid Receptor
Triggered by aldosterone
Sensitivity to Progesterone
Salt RetentionPlasma ExpansionHigh BP
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VIAGRA’S COMING!VIAGRA’S COMING!• Use with Caution in:
Peptic ulcer-Platelet Disorders- IHD
• Contraindicated when taking Nitrates
• Antibtotics-Antivirals-Antimicotics interfere with action of Viagra
• SE:37%-Headache-Flushing-Visual Symp-Fainting
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BEYOND VIAGRABEYOND VIAGRA
• FDA has approved UPRIMA
• UPRIMA targets chemicals in Brain responsible for erection ( Viagra increases blood supply to penis )
• Acts within 10 mts & succeeds in 60%
• SE: Hypotension-Fainting TIME May 2000
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QUEST FOR PERFECTIONQUEST FOR PERFECTION
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THE FINE TUNED FEMALE & MADE OVER MALETHE FINE TUNED FEMALE & MADE OVER MALE
• Surgical Lift:
Forehead-Arm-Buttock-Thigh
• Injection of Collagen-Fat:Face-Neck-Trunk-Extremities
• Breast Implants-Augmentation-Reduction
• Tummy Tuck
• Reshaping:
Ear-Nose-Eye Lids-Chin• Face Lift• Antiwrinkle injection• Implants:Cheek-
Pectoral-Calf• Breast Reduction• Scalp Reduction• Liposuction
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THANK YOUTHANK YOU