Invasive malplacentation of lower uterine segment in first trimester patient with obstetric shock development

We present a case of invasive malplacentation of the lower uterine segment found in a first trimester, 38-year old woman following curettage for missed abortion. Uncontrolled hemorrhage and obstetric hemorrhagic shock developed, resulting in abdominal hysterectomy, with resuscitation. The patient made a full recovery

PROSTITUCIJA U LJUBLJANI U 1888. GODINI KRATKO PRIOPĆENJE (IZ MEDICINSKE PROŠLOSTI)

This short review presents the state of prostitution in public health medical historiography of the then Laibach in the year 1888. All prostitutes were registered in the Evidenz Protocol and Ljubljana city physicist performed regular examinations of prostitutes three times a week and issued medical certificates of medical fitness and a report on the state of prostitution in the city of Ljubljana.Ovaj kratki pregled prikazuje stanje prostitucije u povijesti javnoga zdravstva Ljubljane (Laibach) 1888. godine. Sve prostitutke bile su upisivane u Evidenz Protokoll, a mjesni fizik grada Ljubljane obavljao je redovite preglede prostitutki tri puta na tjedan, izdavao uvjerenje o njihovu zdravstvenom stanju i podnosio izvješće o stanju prostitucije u Ljubljani

Refraktorna bradikardija – rijetka komplikacija karboprost trometamina za induciranje pobačaja

We report a first case of refractory several-hour sinus bradycardia, a rare but already described side effect of intramuscular administration of carboprost tromethamine to induce abortion for medical indication in a patient without cardiovascular and other diseases. After administration of atropine sulfate 3x0.5 mg intravenously without effect, the patient‘s sinus rhythm spontaneously normalized as carboprost was eliminated from the body (it has a 3-hour half-life). It is reasonable to believe that the specific prostaglandin underlay the etiology of bradycardia.Autori prikazuju prvi slučaj refraktorne višesatne sinusne bradikardije, rijetke komplikacije intramuskularne aplikacije karboprost trometamina za induciranje pobačaja iz medicinske indikacije u bolesnice bez srčanožilnih i ostalih bolesti. Nakon davanja 3x0,5 mg atropin sulfata intravenski učinak je izostao, no ritam se spontano normalizirao u sinusni nakon tri sata, što se može smatrati kao vrijeme poluraspada prostaglandina i njegova rijetkog učinka na srčanožilni sustav