Bone marrow examination refers to the pathologic analysis of samples of bone marrow obtained by bone marrow biopsy (often called a trephine biopsy) and bone marrow aspiration. Bone marrow examination is used in the diagnosis of a number of conditions, including leukemia, multiple myeloma, anemia, and pancytopenia. The bone marrow produces the cellular elements of the blood, including platelets, red blood cells and white blood cells. While much information can be gleaned by testing the blood itself (drawn from a vein by phlebotomy), it is sometimes necessary to examine the source of the blood cells in the bone marrow to obtain more information on hematopoiesis; this is the role of bone marrow aspiration and biopsy.

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Anytime you're having unprotected sex, there's always a chance that a woman can get pregnant. Pregnancy requires sperm and egg to meet up together so a woman needs to be during her most fertile time of the month, which is usually 6 days out of the month; 5 days leading up to ovulation and on the day of ovulation. For most women, ovulation happens 12-16 days before her period's going to start. So a woman is usually most fertile for a week to a week and a half after her period has ended generally speaking, if you don't want to count each and every single day. So if you have unprotected intercourse during this time, then there's a high probability that a woman can get pregnant. Now, you mentioned that your girlfriend is supposed to start her period in about five days or so. If you've had intercourse any time leading up to this, there's always a chance that she could get pregnant. But as for the mechanics of it all, in order to get pregnant, semen needs to be inserted inside the vaginal canal where the egg and sperm can then meet. So if that did not happen, then the chances of her getting pregnant are slim. But if that has happened, the chances of her getting pregnant are great. So it would be best for you and her to just wait until her period is supposed to start and if she's late, then take an over-the-counter pregnancy test and if it's positive, congratulations to both of you! If it's negative and she still doesn't start her period, then tell her to wait about 5-7 days. Take another test and then maybe at that point, it will be positive if she is indeed pregnant. If she continues to not have a period or she's concerned about anything, it would be best for her to follow up with her doctor and they can decide if further investigation or treatment is warranted. If you have any other questions for me, feel free to ask them on our Facebook page at facebook.com/intermountainmoms and recommend us to your friends and family, too.

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Hepatitis B is a serious disease caused by a virus that attacks the liver. The virus, which is called hepatitis B virus (HBV), can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death. Hepatitis B vaccine is available for all age groups to prevent HBV infection.

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The term subarachnoid hemorrhage (SAH) refers to extravasation of blood into the subarachnoid space between the pial and arachnoid membranes. SAH constitutes half of all spontaneous atraumatic intracranial hemorrhages; the other half consists of bleeding that occurs within the brain parenchyma. Subarachnoid hemorrhage occurs in various clinical contexts, the most common being head trauma. However, the familiar use of the term SAH refers to nontraumatic (or spontaneous) hemorrhage, which usually occurs in the setting of a ruptured cerebral aneurysm or arteriovenous malformation (AVM).

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Symptoms Burning stomach pain Feeling of fullness, bloating or belching Fatty food intolerance Heartburn Nausea The most common peptic ulcer symptom is burning stomach pain. Stomach acid makes the pain worse, as does having an empty stomach. The pain can often be relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication, but then it may come back. The pain may be worse between meals and at night. Nearly three-quarters of people with peptic ulcers don't have symptoms. Less often, ulcers may cause severe signs or symptoms such as: Vomiting or vomiting blood — which may appear red or black Dark blood in stools, or stools that are black or tarry Trouble breathing Feeling faint Nausea or vomiting Unexplained weight loss Appetite changes

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