We present a case of untreated abetalipoproteinemia complicating the puerperium. [ncbi.nlm.nih.gov]

We present the case of a 33-year old multipara who presented with acute abdomen in the puerperium. The initial e-Published: 24 Jan, 2013 Read more about Huge Mucinous Cystadenoma Presenting as an Acute Abdomen in the Puerperium [mona.uwi.edu]

• Weakness

  Symptoms The gradual onset of weakness over weeks or months Difficulty rising from a low-seated chair or combing one’s hair Torso or “core” weakness Difficulty swallowing (dysphagia) Pain or weakness in the joints Generalized fatigue Diagnostic Tests [hopkinsmyositis.org]

  These symptoms may come and go: Muscle weakness: This is the most common symptom. [my.clevelandclinic.org]

  Muscle weakness and tenderness can be signs of polymyositis. A rash is a sign of a related condition, dermatomyositis. Common symptoms include: Muscle weakness in the shoulders and hips. [pennstatehershey.adam.com]

  The weakness affects both the left and right sides of your body, and tends to gradually worsen. When to see a doctor Seek medical attention if you develop unexplained muscle weakness. [mayoclinic.org]

  Last updated: 9/25/2017 A diagnosis of polymyositis is often suspected in people with proximal muscle weakness and other signs and symptoms associated with the disease. [rarediseases.info.nih.gov]

• Asymptomatic

  The patient was asymptomatic and had an albumin-corrected total calcium level (Ca(corr)) of 3.24 mmol/l. As serum calcium was only mildly elevated it was decided to postpone surgery to the postpartum period. [ncbi.nlm.nih.gov]

  Asymptomatic bacteriuria is the most common infection, in up to 8% of the population. Symptomatic infection may cause cystitis or cause pyelonephritis. [clinicaltrials.gov]

  Ceftriaxone / Cefotaxim 1 gm 12 hrly Change according to C/S Urinary tract infection Incidence is 1-5% Organisms- E coli, klebsiella, Proteus, Staph aureus Causes- Frequent catheter, stasis of urine due to lack of bladder tone & less desire to pass urine, Asymptomatic [medicinembbs.blogspot.com]

  These are especially useful for the diagnosis of asymptomatic infections. However, in low- and middle-income countries, diagnostic tests are largely unavailable. [who.int]

• Surgical Procedure

  For this reason the child may need to be manipulated into a head-on position by the attendant or be delivered by the surgical procedure called cesarean section. [britannica.com]

  Postoperative pain The first days after the C-section are characterized by problems resulting from the surgical procedure requiring opening of the abdominal wall. [lovibaby.com]

  Other medical techniques utilized include the episiotomy, a surgical incision along the back of the vagina to enlarge the opening. (This procedure is now performed less frequently than it was in the past.) [web.archive.org]

  Surgical procedure indicated. 8 th PO Caesarean Patient undergoes neurosurgery (Fig. 2 ). Complete lesion resection without intercurrences. 1 th - 3 rd PO Intracranial Microsurgery Focal crisis persistence. [openneurologyjournal.com]

  In 2012, about 23 million deliveries occurred by a surgical procedure known as Caesarean section. Caesarean sections may be recommended for twins, signs of distress in the baby, or breech position. [en.wikipedia.org]

• Shivering

  Shivers One small trial found no clear difference between groups for women shivering (RR 5.00, 95% CI 0.27 to 92.62; 20 women; studies = 1; Analysis 1.24 ). [doi.org]

  Examination Pyrexia, often with rigors (shivering). Tachycardia. Suprapubic tenderness and/or tenderness, especially to percussion, over the kidneys (punch tenderness in the renal angles). [bettercare.co.za]

  Fluids can make you shiver. But women in labor often shiver with or without epidural. If the covering of the spinal chord is punctured, you can get a bad headache. Treatment can help the headache. Backache for a few days after labor. [womenshealth.gov]

• Severe Pain

  Moderate or severe perineal pain (measured using visual analogue scale) Three trials assessed pain using a visual analogue scale. [doi.org]

  […] h/a, blurred vision, calf pain w/ dorsiflexion of ft, swelling, redness or discharge at episiotomy, dysuria, SOB, depression pulse rates of 40-80 are normal in first week postpartum pain is 5th vital sign always ask location severity, pain scale 1-10 [studyblue.com]

  Clinical feature Symptom- Generalised malaise, headache, fever with chills Severe pain and tender, swelling in 1 quadrant of the breast. [medicinembbs.blogspot.com]

  It occurs between 1 and 7 days postpartum, and it is often located in the nuchal and occipital regions, with more severe pain towards orthostatism region, and improvement after 10-15 minutes of decubitus. [openneurologyjournal.com]

  Discharge or severe pain from incisions  Hot, red, painful areas on the breasts or legs  Bleeding and severe pain in the nipples  Severe headaches or blurred vision  Chest pain or dyspnea without exertion  Frequent, painful urination  126. [slideshare.net]

• Abdominal Pain

  The main symptom was abdominal pain. The mortality rate of PST in puerperium is not higher than that of the general PST cases. [ncbi.nlm.nih.gov]

  A high degree of clinical suspicion must be used to properly assess abdominal pain in a puerperium female even though non-specific abdominal pain is experienced postpartum by 98% and 92% of primiparous and multiparous women respectively. [sages.org]

  The most consistent signs of intestinal obstruction were abdominal pain and leukocytosis. The abdominal pain was mild and colicky in nature but became constant and severe, probably due to vascular compromise [ 10 ]. [casesjournal.biomedcentral.com]

• Abdominal Distension

  Though ascites is very rare in obstetrics, it should be considered when evaluating puerperal patients complaining of abdominal distension. [ncbi.nlm.nih.gov]

  Chest and abdominal radiographs revealed the presence of pneumoperitoneum and marked sigmoid distension in the shape of an inverted U. [elsevier.es]

• Hypertension

  Stage-1 hypertension did not change the trend but did increase the UtA-PI magnitude (p < 0.05). [ncbi.nlm.nih.gov]

  Conditions coded include hypertension, hypertensive heart disease, and hypertensive chronic kidney disease. [universalclass.com]

  Hypertensive Diseases of Pregnancy In cases 1 to 5, fatal stroke occurred in the context of chronic hypertension or pregnancy-related hypertension (Table 2). [ahajournals.org]

• Visual Impairment

  In 1846 with Carl Friedrich Haase (1788-1865), he successfully treated future writer Karl May (1842-1912) for visual impairment.[4] References[edit] Catalogus Professorum lipsiensis (biographical information) World Cat Identities (list of publications [en.wikipedia.org]

  Treatment may be desirable for cosmetic purposes or to fix visual impairments. Surgery may be used to treat ptosis in specific cases. [medicalnewstoday.com]

• Euphoria

  Euphoria, urinary, breast and perineal discomfort and infant disturbances can all lead to reduced sleep, which may affect memory and psychomotor tasks. [doctorlib.info]

• Headache

  RESULTS: Thunderclap headache was recorded in 8 subjects (0.9%) on the first visit. At the one month follow-up interview 27 more patients reported having had at least one episode of thunderclap headache. [ncbi.nlm.nih.gov]

  New onset of having headache versus freedom from any earlier headache during pregnancy The finding that many women with earlier headache became headache free during pregnancy is consistent with several other studies [1–12]. [thejournalofheadacheandpain.biomedcentral.com]

  Besides, the non-classical clinical presentation makes this etiology less likely for the headache. [openneurologyjournal.com]

• Slurred Speech

  Seven patients had neurologic changes, including disorientation (in two patients), slurred speech (in two), confusion (in one), aphasia (in one), and coma (in one). [nejm.org]

• Feeling of Relaxation

  I believe that the total trust in my body, in the natural process, in Donn, and the ability to completely relax while looking inward, much like deep mediation without effort, made this birth feel like work, but without any strain or pain. [web.archive.org]

• Cesarean Section

  Used in Labour Room Labour Analgesia Cesarean Section: Changing Scenario Medicolegal Aspects of Labour Management Making Labour Safe and Mother and Baby Friendly Government Policies to Promote Safe Motherhood Section 2 PUERPERIUM Normal Puerperium and [geneeskundeboek.nl]

  In univarite and multivariate analyses, family history of DVT, primigravidae and cesarean section deliveries showed an higher risk of DVT. [dovepress.com]

  The highest prevalence of pregnancy associated pulmonary embolism is after the cesarean section so patients after the cesarean section should be monitored more carefully than patients with vaginal delivery because surgery results in many hematological [omicsonline.org]

• Vaginal Discharge

  The colour of lochia (vaginal discharge)is bright red on postpartum days 3-4, reddish-brown after day 3-10 and then turns yellow. However, it may become red again for a few days. Urine levels decrease and reach normal levels in 4 weeks. [drelsa.ae]

  The capilliaries that remain ‘leak’ blood plasma for a time, which results in a normal vaginal discharge called lochia. This discharge often continues for several weeks after the birth. [open.edu]

  Contact your health care provider if the pain intensifies, the wound becomes hot, swollen and painful, or you notice a pus-like discharge. Vaginal discharge You'll have a vaginal discharge (lochia) for a number of weeks after delivery. [web.archive.org]

  You might notice an increase in vaginal discharge that's clear, pink or slightly bloody. This might happen several days before labor begins or at the start of labor. [mayoclinic.org]

  • Lochia  Vaginal discharge after deliver in first few weeks  Blood from placental site + necrotic decidua  Lochia rubra- first few days,red( red cells)  Lochia serosa – after 3-4 days,pale(wbc+rbc)  Lochia alba- after 10th day yellow  Up to 4 [slideshare.net]

• Uterine Tenderness

  This diagnosis is suggested by the general signs of infection and the uterine tenderness. [bettercare.co.za]

  Puerperal infection defined according to clinical criteria ‐ uterine tenderness, uterine subinvolution and fever in the absence of any other known cause of infection in the postpartum period. [doi.org]

• Regular Uterine Contractions

  It begins at the point at which the woman perceives regular uterine contractions. These contractions gradually soften, efface, and begin to dilate the cervix. [web.archive.org]

  The latent phase is generally defined as beginning at the point at which the woman perceives regular uterine contractions. [en.wikipedia.org]

The condition should be included in the differential diagnostic workup whenever a growing simple cyst is encountered during pregnancy and puerperium. Key words: luteinized follicle cyst; pregnancy; puerperium. [ajol.info]

Differential diagnosis Mastitis Breast abscess Cellulitis Workup No lab tests are required. [csh.org.tw]

However, the majority of new onset HS needs the following radiologic workup: Chest imaging: Plain X-ray or chest CT, with special attention to the lung apices. [reviewofophthalmology.com]

Differential diagnosis See the list below: Mastitis Breast abscess Cellulitis Workup No laboratory tests are required. [emedicine.medscape.com]

This article examines recent literature (June 1991 to May 1992) on breast-feeding and the treatment of puerperal problems, emphasizing that breast-feeding may be maintained during virtually all treatment modalities. [ncbi.nlm.nih.gov]

If DVT is also suspected, PE may be diagnosed and treatment started if DVT is confirmed on compression duplex ultrasound. [patient.info]

This study aimed to identify the clinical manifestations and prognosis of pregnancy-associated CVT. A total of 43 pregnancy-associated CVT patients were enrolled. [ncbi.nlm.nih.gov]

Knowing this kind of data can help us to better understand and improve the prognosis of our patients. ABSTRACT Introduction : Postpartum depression is an important health problem because of its negative impact on the family. [mona.uwi.edu]

Prognosis Prognosis depends on patient response to treatment (good in most cases), severity of disease manifestations, age at diagnosis, presence of cardiac or pulmonary involvement, and associated malignancy. [orpha.net]

CONCLUSIONS: Hypertensive illness is the most common underlying etiology in the development of pulmonary edema. [ncbi.nlm.nih.gov]

Etiologies were well defined in 78% of patients. Eclampsia (37%) and arteriovenous malformation (26%) were the most important etiologies of ICH. [karger.com]

⑥ tender uterus with foul-smelling discharge 농성의 탁한 분비물 ⑦ dark or profuse lochia 악취오로 ·Treatment ① antibiotics ② ergonovine (promotes uterine tone) ③ fowler's position to promate drainage ④ hydration (3) pelvic cellulitis or parametritis (골반 봉와직염) ◆ Etiology [m.cafe.daum.net]

Most studies on post-traumatic stress symptoms after childbirth have focused on prevalence of and looked at etiological factors and predictors. [doi.org]

Epidemiologic studies demonstrate a twofold higher rate of depression in women than in men. The childbearing years are a time of increased risk for onset of depression in women. [miami.pure.elsevier.com]

Platt Associate Professor Departments of Pediatrics and of Epidemiology, and Occupational Health McGill University [web.archive.org]

Epidemiology 2001;12:456–460. Neto JIS, Santos AC, Fabio SRC, Sakamoto AC: Cerebral infarction in patients aged 15–40 years. Stroke 1996;27:2016–2019. [karger.com]

Abstract Epidemiologic studies demonstrate a twofold higher rate of depression in women than in men. The childbearing years are a time of increased risk for onset of depression in women. [ncbi.nlm.nih.gov]

A thorough understanding of the underlying pathophysiological mechanisms involving mother and fetus is mandatory. We report our experience with neurosurgical procedures during pregnancy and the puerperium and summarize the difficulties encountered. [ncbi.nlm.nih.gov]

Q| What is the pathophysiology of sepsis? Sepsis results from a dysregulated host response to infection resulting in organ damage, and virtually any organ system can be affected. [contemporaryobgyn.net]

Health science Providing basic knowledge of medical terminology, anatomy and physiology, and pathophysiology of diseases and conditions. [icd-10online.com]

Identification of the underlying pathophysiologic mechanism is paramount to institute proper treatment. Pathophysiology Ptosis is the result of dysfunctioning of one or both upper eyelid elevator muscles. [emedicine.medscape.com]

The aim of this study is to estimate the efficacy of preventive antibiotic treatment during the puerperium. [clinicaltrials.gov]

Remember, always wash from front to back, never the other way, to prevent infection. Local application of antiseptic creams such as Soframycin, Metrogyl gel, Betadine E – com may be useful to prevent infection. [vikaspedia.in]

Chlorhexidine vaginal wash versus placebo for preventing maternal and neonatal infections (excluding Group B Streptococcal and HIV) Chlorhexidine vaginal wash versus placebo for preventing maternal and neonatal infections (excluding Group B Streptococcal [doi.org]