69 research outputs found
Doenças da mama
Os distĂşrbios das mamas podem ser nĂŁo cancerosos (benignos) ou cancerosos (malignos). Os distĂşrbios nĂŁo cancerosos incluem a mastalgia (dor nas mamas), os cistos, a doença fibrocĂstica da mama, o fibroadenoma, a secreção atravĂ©s dos mamilos e a infecção da mama
Multiload contraceptive intrauterine device : a ten-years experience
Foram inseridos 243 DIUS Multiload 250 (MLCu-250) em 150 pacientes ao longo de 10 anos, sempre pelo mesmo profissional. Em 149 pacientes, o dispositivo foi usado como anticonceptivo. Em apenas um caso, foi usado para tratamento da sĂndrome de Ashermann. Quarenta e trĂŞs usuárias do DIU nĂŁo referiram qualquer queixa, correspondendo a 28,7% das pacientes. LeucorrĂ©ia, sangramento aumentado e cĂłlica uterina foram as complicações mais freqĂĽentes. Ocorreu uma perfuração uterina durante a inserção e um caso de doença inflamatĂłria pĂ©lvica. Vinte e trĂŞs pacientes tiveram o DIU retirado, por complicações, correspondendo a 15,3% do total de usuárias. A remoção por complicações ocorreu igualmente entre nulĂparas e multĂparas. A expulsĂŁo ocorreu em nove pacientes. Sete engravidaram com o DIU in situ e duas apĂłs expulsĂŁo nĂŁo percebida, revelando baixo Ăndice de falhas, levando-se em conta o nĂşmero de DIUs e o perĂodo de tempo. O desejo de engravidar fez com que 21 mulheres tivessem o DIU removido. Destas, 15 tiveram seguimento na clĂnica, e a gestação ocorreu em 13 no primeiro ano que se seguiu Ă remoção, correspondendo a 86,6% das pacientes com acompanhamento que retiraram o DIU para gestar. 0 Ăndice de adesividade pĂ´de ser avaliado analisando-se o nĂşmero de pacientes que usaram o DIU por mais de um ano (129 pacientes) e aquelas que retornaram ao uso apĂłs retirada por complicações, incluindo gestação e expulsĂŁo (11 pacientes).A total of 243 Multiload contraceptive intrauterine devices (IUD MLCu-250) were insertedin 150 women during the last ten years. They were always inserted by the same physician. The IUD was used to contraception in 149 patients and for treatment of Ashermann's syndrome in one case. Forty-Three women didn't have any complication (28.7 %). Vaginal discharge, abnormal bleeding and pain were the most frequent complications. One perfuration and one case of pelvic inflammatory disease occurred. In 23 patients, the IUD was removed due to complications, excepting pregnancies and expulsion (15.3%). The removal of IUD because of complications in nulliparas and multiparas was the same. The expulsions occurred in nine patients. Seven women became pregnant with the IUD in situ and two after unnoticed expulsion. This shows low failure rates if the number of IUDs and the time of use are considered. A total of 21 women had the IUD removed because of pregnancy and 15 were followed up in the clinic. Within 12 months, 13 women (86.6%) had conceived. Compliance could be evaluated analysing the continuation rates one year after insertion (129 patients) and the return of use after removal because of complications, including pregnancies and expulsions (11 patients)
Midline supraumbilical incision as an option for morbidly obese patients? : case report
Background: Nowadays we observe growing rates of obesity, mainly among women. It has a great impact on maternal and fetal morbimortality and requires a specific obstetric approach. Aim: To discuss different approaches to abdominal incision in cesarean section in obese patients. Case presentation: Patient with morbid obesity submitted to an elective cesarean section due to fetal macrosomia and who underwent a cesarean section with a supraumbilical median incision evolving without any postpartum complications. Conclusion: It’s important to evaluate and chose the best incision in morbidly obese pregnant women aiming to reduce difficulties in fetal extraction and postoperative complications. Midline supraumbilical incision is a good choice in these cases, reducing surgical time and postpartum hemorrhage
Acute generalized exanthematous pustulosis during puerperal period induced by azithromycin : case report
Background: The use of antibiotics, especially beta-lactams and macrolides, may be associated with dermatopathies, such as Acute Generalized Exanthematous Pustulosis (AGEP), which is an uncommon cutaneous adverse reaction. Case: We report a case of AGEP, in a 36-year-old multiparous (G5P3C1A1) woman, with 38 weeks of gestation, admitted to the hospital to induce labor. Due to cephalopelvic disproportion, the cesarean section was indicated. In the postoperative period, the patient evolved with cutaneous rash, accompanied by productive cough and dyspnea. Because it was a fever of obscure origin, the treatment with antibiotics, including azithromycin, was initiated. On subsequent days, she presented pustules on the back, abdomen and extremities. Such reaction was attributed to the use of azithromycin. When the drug was discontinued, the lesions regressed significantly. Conclusion: The clinical picture of AGEP may occur with persistent high fever and therefore could be confused with systemic infections, consequently, being treated with wrong medications capable of aggravating the adverse cutaneous reaction, worsening the course of the disease that could be easily treated by stopping the use of the causative drug. This case shows the importance of including AGEP as a differential diagnosis of dermatopathies in the pregnancy-puerperal cycle, especially in women who are using various medications, including antibiotics
Descolamento prematuro de placenta – Útero de Couvelaire
O descolamento prematuro de placenta é importante causa de morbimortalidade materna e fetal. Em 20% dos casos a hemorragia não se exterioriza, o que pode levar a um retardo no diagnóstico e maior risco de complicações. Uma delas é o útero de Couvelaire (infiltração do miométrio pelo sangue), que pode dificultar a contração uterina, podendo levar a necessidade de uma histerectomia para o controle do sangramento e infertilidade subsequente
Descolamento prematuro de placenta – Útero de Couvelaire
O descolamento prematuro de placenta é importante causa de morbimortalidade materna e fetal. Em 20% dos casos a hemorragia não se exterioriza, o que pode levar a um retardo no diagnóstico e maior risco de complicações. Uma delas é o útero de Couvelaire (infiltração do miométrio pelo sangue), que pode dificultar a contração uterina, podendo levar a necessidade de uma histerectomia para o controle do sangramento e infertilidade subsequente
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