Perineum

INDICATIONS A 29-year-old male with previous established Crohn's colitis elsewhere transferred to FMC Butner. I am to assess disease activity and extent of disease. PROCEDURE IN DETAIL Timeout was called. Consent signed. Examination of the perineum and rectum were normal. The preparation was adequate. IV sedation administered. The forward-viewing colonoscope was advanced to the cecum with intubation of the terminal ileum. Upon withdrawal, the following findings were noted. FINDINGS…

Early labor phase is time of the onset of labor until the cervix is dilated to 3 cm. active labor is continues of cervix dilation to 7 cm, and transition phase is when cervix is fully dilated to 10cm. Labor is the period during which the contractions occur that eventually expel the fetus and placenta from the uterus. The first stage of labor, often called the dilation stage, begins with the onset of regular uterine contractions and extends until the cervix has dilated to a diameter about the…

Nymphomania a mental disorder that is exhibited through excessive sexual behavior in woman. Whether or not nymphomania is a true mental disorder is argued over in medical society, but there is evidence to indicate that the compulsive sexual behaviors are a serious mental illness. Nymphomania may begin as a “result of environment, heredity, and life events. It may also be linked to a chemical imbalance in the brain” (Majumdar, S. R). History Throughout history there has been a stigma with women…

Chakras are the center of activity in a body - the center that produces the life force energy. The word Chakra means wheel, or disk, and it is referred to as a spinning sphere of energy. There are six Chakras which are located along the spine and a seventh one above these, removed from the physical element of your body. We think of these Chakras as being composed of energy; but it is very important to realize that the Chakras are closely related to and have influence over your physical body.…

Introduction: Intact perineal is the hoped outcome after VD. However, some times during the delivery of the baby, the head will cause a distension of the perineal area which can lead to perineal tear, which is a common complication during VD. Collins et al, classified perineal tears as the following, 1st degree (1D) that include the skin only, 2nd degree (2D) injury will involve the anal sphincter skin and muscle, 3rd degree (3D) involve anal sphincter complex and the most severe degree is 4th…

Moderate lochia rubra with minimal small clots were on the pad during assessment. The perineum was edematous and the stitches were intact. However, she did complain of perineal pain. The patient stated “my breasts are sore, I believe it is due to my baby cluster feeding during the past several hours”. The patient rated her pain 6/10 for which she was given oxycodone and Tylenol. An ice pack was placed on her perineum to decrease her pain and swelling. She reported her pain to be 4/10 thirty…

Laor et al.3 the Persian physician Avicenna (980 - 1037) had earlier described the same condition in his book the Canon of Medicine, as quoted by Nathan.4 it is now known that Fournier’s gangrene is caused by acute infection of the tissues of the perineum, evolving in a sudden and unpredictable manner to necrotising cellulitis due to anaerobic bacteria, gram-negative bacteria, or both. Although the condition is rare in absolute terms, over 1726 cases have been reported in the English literature,…

Question 1 Biceps brachii-found in the arm with two heads, and is parallel with the body. "At the point when a parallel muscle contracts, it abbreviates and gets bigger in measurement". Extensor digitorum-a lower arm muscle that develops the finger joints is uni-pennate. Flexor carpi Muscles-Allows the wrist to flex and snatch, it is a shaft muscle shape with a long ligament. Transversus abdominis-its umbrella molded and is for stance arrangement and is situated in the stomach. Rectus femoris-Is…

risk for diabetes, hypertensive complications, risk of operative vaginal delivery, and indicted preterm birth. More relevant to her rash I did see and now the vesicles are primarily crusted in various stages of healing. It is very close on her perineum. It does not spread along a dermatome. I am suspicious that it appears most consistent to me at this point as HSV. We talked about the difference and the importance of a primary serial conversion during pregnancy versus a recurrence of HSV and…

A.B. did not have any lacerations or extensions and she did not need an episiotomy. During the third stage of labor Pitocin was used to help with uterine contractions. This stage usually last 5-30 minutes and this stage lasted 7 minutes for A.B. which is within normal limits. The placenta was delivered spontaneously at 0404 and no abnormalities were noted. The estimated blood loss was less than 500 ml (Patient’s chart, 2016). Usual blood loss ranges from 250 -500 milliliters after the…