Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. Women with PCOS may have enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam. Infrequent or prolonged menstrual periods, excess hair growth, acne, and obesity can all occur in women with polycystic ovary syndrome. In adolescents, infrequent or absent menstruation may raise suspicion for the condition. The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications, such as type 2 diabetes and heart disease.

TPE removes large-molecular-weight substances such as harmful antibodies from the plasma. It is usually carried out using an automated blood cell separator to ensure fluid balance and maintain a normal plasma volume. This may require the insertion of a femoral or jugular line to allow adequate blood flow. Typically, 30–40 mL/kg of plasma (1–1.5 plasma volumes) are removed at each procedure and replaced with isotonic 4.5 or 5.0% human albumin solution (some services substitute 25–50% of replacement volume with 0.9% saline). Exchange with fresh frozen plasma (FFP) is reserved for the replacement of ADAMTS13 in thrombotic thrombocytopenic purpura (see below) or to replace clotting factors. A one plasma volume exchange removes about 66% of an intravascular constituent and a two plasma volume exchange approximately 85%. TPE is normally combined with disease modifying treatment, such as immunosuppressive drugs, for the underlying condition.

No condom prevents pregnancy or sexually transmitted diseases (STDs) 100% of the time. But if you and your partner are having sex, nothing protects against STDs better than a properly used condom. For those having sex, condoms must always be used to protect against STDs even when using another method of birth control.

Cognitive impairment is seen in over half of people with multiple sclerosis. In this video I review factors that can contribute to multiple sclerosis brain fog, ways to assess cognition, and tips to improve thinking and memory.

Graphic content of Mohs surgical removal of a large Squamous Cell Carcinoma on scalp followed by reconstruction with 10 week follow up. Visit us @ skincancercentre.com.

USMLE Step 2 CS - Vaginal Discharge This is just preview video. To get full access please visit our website : www.usmletutoring.com

Inguinal hernia repair without mesh, Desarda Repair, no recurrence, pain, no mesh hernia surgery, hernia operation, no mesh, without mesh, hernia operation, hernia surgery, new method.http://www.desarda.com

Angioplasty Procedure Animation Video

Emergency angioplasty is an operation that is performed directly after a heart attack, on admission to the hospital. It involves the insertion of a catheter into the blocked blood vessel that caused the heart attack. This opens it up and allows blood to flow again, thus minimizing damage to the heart.
If one or more arteries become clogged, it may result in a heart attack. This normally presents with chest pain, sweating and a feeling of anxiety, among other symptoms. Urgent medical assistance should be sought. A heart attack is a medical emergency requiring intervention as soon as possible.

Know more: http://www.emergencyangioplasty.com/

Genes are the building blocks of heredity. They are passed from parent to child. They hold DNA, the instructions for making proteins. Proteins do most of the work in cells. They move molecules from one place to another, build structures, break down toxins, and do many other maintenance jobs. Sometimes there is a mutation, a change in a gene or genes. The mutation changes the gene's instructions for making a protein, so the protein does not work properly or is missing entirely. This can cause a medical condition called a genetic disorder. You can inherit a gene mutation from one or both parents. A mutation can also happen during your lifetime.

Lipid-Lowering Agents HMG-CoA reductase inhibitors (statins) These agents inhibit the rate-limiting step in cholesterol biosynthesis by competitively inhibiting HMG-CoA reductase. Note the following: Low-density lipoprotein (LDL) reduction of 25%-60% Examples include Atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin Contraindications include hypersensitivity, active liver disease, pregnancy, lactation, coadministration with strong CYP3A4 inhibitors (selected statins) Vitamin B3 Vitamin B3 inhibits very-low-density lipoprotein (VLDL) synthesis. Note the following: LDL reduction of 10% High-density lipoprotein (HDL) increase of 20% Example includes Niacin (nicotinic acid) Contraindications include hypersensitivity, liver disease, active peptic ulcer, severe hypotension, arterial bleeding Fibrates Fibrates enhance lipoprotein lipase, resulting in increased VLDL catabolism, fatty acid oxidation, and triglycerides elimination. They decrease hepatic extraction of free fatty acids. Note the following: LDL reduction of 15% Triglyceride reduction of 35% Examples include Gemfibrozil, fenofibrate, fenofibrate (micronized), fenofibric acid Contraindications include active liver disease, renal disease, primary biliary cirrhosis, gallbladder disease 2-Azetidiones These agents inhibit sterol transporter at brush border and, consequently, intestinal absorption of cholesterol. LDL reduction of 15% Example includes Ezetimibe Contraindications include hypersensitivity, coadministration with statins (if active liver disease) Bile acid sequestrants These agents lower cholesterol and LDL via bile duct sequestration. Note the following: LDL reduction of 15% Examples include Cholestyramine, colesevelam, colestipol Contraindications include biliary/bowel obstruction, serum triglycerides >300-500 mg/dL, history of hypertriglyceridemia-induced pancreatitis

Anatomy of The Upper Limb Joints

Watch that Ectopic Baby Medical Abortion Surgery

Best Position for Getting Pregnant Fast

Progressive multifocalleukoencephalopathy is a demyelinating illness of the central nervous system that typically occurs in immunosuppressed patients, especially those with AIDS. It is caused by reactivation of the polyomavirus JC (JC virus) and presents with neurologic deficits including hemiparesis, gait ataxia, visual symptoms, and altered mental status. It is not seen in non-immunosuppressed patients, and fever is not typical

How to Use a Menstrual Cup Fold and hold. Always start by washing your hands. ... Insert and ensure. As with tampons, gently insert the folded cup into your vagina, tilting it back to the base of your spine. ... Use it up to twelve hours. ... Remove and empty. ... Re-insert.

A very simplified method giving information about cystic fibrosis

How amblyopia develops in children. Basically, if one eye doesn't see well from an early age, the wiring never forms correctly back to the occipital cortex.

Perineal repair after episiotomy or spontaneous obstetric laceration is one of the most common surgical procedures. Potential sequelae of obstetric perineal lacerations include chronic perineal pain,1 dyspareunia,2 and urinary and fecal incontinence.3–5 Few studies of laceration repair techniques exist to support the development of an evidence-based approach to perineal repair. This article discusses a repair method that emphasizes anatomic detail, with the expectation that an anatomically correct perineal repair may result in a better long-term functional outcome.

Remembering Medications & The Body Systems Affected

Kiki Challenge