Fertility Awareness-Based Contraception

Natural contraception Category Examples Rhytm Temperature method, cervical mucus method, calendar method, symptothermal method Others Coitus interruptus, Lactational Amenorrhoea Temperature Method The basal body temperature rises by 0.2 – 0.4 C following ovulation, because of progesterone secretion from the corpus…

Cervical Cysts

Cervical cysts may be observed unless they are symptomatic or interfere with pap smear testing. Benign lesion Description Nabothian cyst Clear to yellow-white elevations of the endocervix or proximal ectocervix. It contains mucus and is no more than 1 cm in diameter.…

Sepsis and Septic Shock

Sepsis is a life-threatening condition caused by a dysregulated immune response to pathogens or their toxins in blood or tissue. The organisms can be bacteria, viruses or fungi, while toxins may include endotoxin (LPS) or exotoxins. Sepsis may range from mild…

Female Genital Mutilation (FGM)

Female genital mutilation refers to all procedures involving partial or total removal of the external female genitalia, or other injury to the female genital organs, for non-medical reasons. It is recognised internationally as a violation of the human rights of girls and women.…

Anticoagulation

Anticoagulation therapy prevents and treats thromboembolism by inhibiting the coagulation cascade. Anticoagulants Class Mechanism Examples Nota bene Unfractionated heparin (UFH) Enhances the activity of antithrombin III → decreased thrombin and Xa activity Heparin Monitored with aPTT and Anti-Xa levels. It is…

Amiodarone

Overview Amiodarone is a very effective, but highly toxic, class III antiarrhythmic. Amiodarone-induced Hypothyroidism (AIH) The pathophysiology of hypothyroidism is due to the Wolff-Chaikoff effect – thyroxine formation is inhibited due to high levels of circulating iodine. Amiodarone-induced Thyrotoxicosis (AIT) AIT…

Digoxin and Digoxin Toxicity 

Digoxin Digoxin is a cardiac glycoside that is derived from the foxglove plant. Digoxin (Digitalis) Toxicity Syndrome The likelihood of digoxin toxicity increases at a concentration of 1.5 – 3 mcg In the past, loop diuretics would cause hypokalemia, which…

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