Introduction: Hypertensive complications associated with pregnancy are the primary cause of maternal and fetal morbidity. Early development of cardiovascular disease is also anticipated relatively early after pregnancy is terminated. Over the past 20 years, infertility treatments have steadily increased and proven effective in achieving significant successful conception rates and live birth rates, even among women younger than 35 years of age. Symptoms and important clinical findings: A 45 year sold female was admitted in AVBRH on date 22/01/2021 with chief complaint of breathing difficulty (elderly G5P1D1A3 with 28 weeks of gestational age)having history of previous LSCS with IVF conception with gestational hypertension. Obstetric history: Patient had bad obstetric history of three abortionsand one still-birth. In 2017 she had got the menopause. After menopause she took the treatment in AVBRH Sawangi (M) Wardha and got the regular menses.After regular menses, shereceived IVF cycle and she was conceived in 2nd IVF cycle. The main diagnoses, therapeutic interventions, and outcomes: After physical examination and investigations, this case was diagnosed having 28 weeks of gestation with hypertension. Patient had previous history of LSCS.Patient was treated with antihypertensive drugs to reduce the symptoms of eclampsia. Alsoshe was provided calcium supplement and iron supplement. Present case was stable but ultrasonography revealedsign of stage I- intra uterine growth restriction. Nursing perspectives: Fluid replacement i.e. DNS and RL, monitoring offetal heart rate and vital signs per hourly. Conclusion: Conception with in vitro fertilization have increased risk of gestational hypertension as well as fetal complications like intra uterine growth restriction. But timely treatment and management improves the outcome of pregnancy.
To assess the prevalence and risk factors which contribute to anemia among adolescent girls in selected Introduction: ‘Anemia is a disease in which, because of one or more vital nutrient deficiencies, the blood hemoglobin content is lower than average, irrespective of the cause of such deficiency. In Maharashtra, according to District Level Household Survey (DLHS) 2002-2006, the prevalence of moderate anemia in adolescent girls was estimated to be 53%, whereas severe anemia was 29%. Aims: To assess the Prevalence and risk factors which contribute to anemia among adolescent girls in selected Schools. Research Methodology: A cross sectional study was carried in 150 adolescent girls age between 10 to 15 years. Quantitative research approach was used. Non-probability convenience sample technique was used. Results: The data obtained to describe the sample characteristics including demographic variables (age of adolescent girls, education, mother education, type of family, monthly family income and type of diet), prevalence of anemia among adolescent girls, menstrual factors and dietary factors. The levels of anemia were seen into 4 categories, normal Hb% level, mild anemia, moderate anemia and severe anemia. In demographic variables, Type of family of adolescent girls (p=0.04) is statistically associated with prevalence of anemia. In menstrual factors, duration of blood flow is found to be statistically associated with menstrual factors of adolescent girls (p=0.0001). In dietary factors, it is interpreted dietary factors of adolescent girls is statistically not associated with their prevalence of anemia. Conclusion: The prevalence of anemia is more in adolescent girls. A statistically significant was found between nuclear family but not with the other socio-demographic factors. No association was found between status of menstrual factors except duration of blood flow.
Background: - Prostamegaly is a term that refers to prostate gland enlargement due to a 30cc(ml), Benign prostatic hyperplasia (BPH), after recognizing an enlargement prostate gland, becomes more frequent in men as they become grown up. An enlarged prostate gland may cause briny symptoms such as preventing urine from leaving the bladder. They reason bladder, urethral, and kidney problems. The blockage of urine before the renal pelvis causes hydronephrosis. The obstruction causes dilatation of the nephron tubules and flattering of the tube lining within the kidneys resulting in renal calyces enlargement. Acute or chronic hydronephrosis can occur. Presentation of case: A 70- year male came to the hospital with chief complaints of repeated hypoglycemic attacks with a gasping state. He was intubated in casualty in an unconscious state. Physical examination and investigation were done and the doctor diagnose a case of Prostatomegaly with Bilateral Hydronephrosis with diabetes mellitus. After physical examination and investigation were done and doctor diagnose a case of Prostamegaly with Bilateral Hydronephrosis with diabetes mellitus. Medical interventions provide to the patient such as Inj. Citri 1mg given in twice a day to reduce the infection, Inj. Pan 40 mg given twice a day, Inj. Emest 4 mg intravenously given in three times a day, Tab. Urimax was given in once a day, Tab. Amlo 5 mg given in once a day, Tab. Mucomix 600 is given twice a day. Tab. Neurobiol forte gave in stat. after receiving medical management patient's outcome was good. Conclusion: - Early diagnosis and treatment are very important to secure the life of a patient and prevent further complications.
Background: Cholelithiasis, one of the most common medical conditions leading to surgical intervention, affects approximately 10 % of the adult population in the United States. Choledocholithiasis develops in about 10%-20% of patients with gallbladder stones and the literature suggests that at least 3%-10% of patients undergoing cholecystectomy will have common bile duct (CBD) stones. Case Presentation: A 48-year female was admitted to the tertiary care hospital Wardha in the female medicine ward, with the primary complaint of abdominal pain, back pain, nausea, vomiting, fever, bloating in the abdomen, constipation. No medical history such as diabetes mellitus, No significant history. Physical examination and systemic examination were done. The patient's general appearance is not good, she was undernourished, the patient is not active and very dull nature, not maintained hygiene and personal grooming Conservative. Haemoglobin 10 gm%, WBC Count 5000 cells /mm³, RBC Count 20000- 40000 IgM and IgG cells /mcL test both positive, platelets count 12000 cells / mm³, endoscopic retrograde cholangiopancreatography for confirming the diagnosis Choleodolithiasis with ERCP with thrombosis of the portal vein, splenic vein, superior mesenteric vein with systemic. Computed tomography and Magnetic resonance imaging, urine culture, and complete blood count were done and which were abnormal. The patient was transfused to the surgery ward for surgical management. Patient managed with the surgery of laparoscopic cholecystectomy surgery help to remove gallstones and also managed with medical management given to patient antibiotics, analgesics, antacids, and other supportive measures. Conclusion Due to conservative management and quality of nursing care, the patient's condition was stable and had no active complaints at present hence the patient is being discharged.
Introduction: Genetically inherited diseases have grown in the last few decades. Wilson’s disease is one of those, named after the U.S.-born British neurologist Dr. Samuel Alexander Kinnier Wilson. Case Presentation: A 12 years old female child was admitted in A.V.B.R. hospital with the chief complaints of altered behaviour, speech disturbances, no physical coordination, uncontrolled movement since 2 to 3 months and fever since 2-3 days. Golden brown eye discoloration was present. After physical examination and investigation doctor diagnosed it as a case of Wilson’s disease. The Main Diagnosis, Therapeutic Intervention and Outcomes: After physical examination and investigation doctor diagnosed this as a case of Wilson’s disease. Zinc and vitamin supplements were given for 7 days to enhance immunity. Beta-blocker was given For 7days twice a day, Tab. Trietinine 250 mg was given once a day for 7 days to remove the heavy metal i.e. copper. She took all treatment and outcome was good. Her signs and symptoms got reduced and she was able to do her routine activities. Conclusion: The diagnosis of Wilson's disease relies largely on clinical examination and laboratory confirmation of abnormal metabolism of copper. This case responded well to all treatment and her recovery was good.
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