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
BREAST PAINBREAST PAIN
AETIOLOGY:• Histol.Abnormality
• Sensitivity to Hormones
• Elevated Prolactin
• Water Retention
• Neurosis
• Excess Ess Fatty Acids
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
CREATOR & THE CLONECREATOR & THE CLONE
Wilmut and Dolly
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?
HAIR AS SUTURESHAIR AS SUTURES
Mentioned in Susruta Samhita - First used in Japan in 1996Reported from MRMC Gulbarga - HINDU 12 July 2000
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
CAESAREAN SECTION
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
OPERATIVE TECHNIQUEOPERATIVE TECHNIQUE
OPERATIVE TECHNIQUEOPERATIVE TECHNIQUE
ADVANTAGESADVANTAGES
• Working in Harmony with Anatomy
• Shorter Operating Time & Anaesthesia
• Practically Bloodless
• Less Post Op Antibiotics&Analgesics
• Quicker Recovery
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
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
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
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
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
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
QUEST FOR PERFECTIONQUEST FOR PERFECTION
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
THANK YOUTHANK YOU