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Ruptured Corpus Luteum with Hemoperitoneum in Early Pregnancy
We present a 24-year-old woman with a positive ß HCG at 5 weeks and 4 days with acute post-coital lower abdominal pain. Imaging revealed acute intra - abdominal bleeding and no intra-or extra uterine fetal sac present, We considered both ruptured ectopic pregnancy and ovarian hemorrhage – recognising that differentiation is difficult. At emer gency laparoscopy (Figure 1), the enlarged left ovary was actively bleeding, and luteal rupture with hemorrhage was diagnosed. Intraperitoneal lavage was performed, and hemostasis was achieved using bipolar coagulation and hemostatic agents (SURGICEL® Powder Absorbable Hemostat; E...
Source: The Journal of Minimally Invasive Gynecology - November 12, 2022 Category: OBGYN Authors: Masafumi Katakura, Yu Suzuki, Tadashi Namihira, Masahiro Ezawa, Takamasa Furukawa, Masahito Nakakuma Tags: Images in Gynecologic Surgery Source Type: research

Should Fluoro be Your New Go-To?
Part Three in a Three-Part Series   This is the third and final part of our series on foreign bodies and fluoroscopy. Click here for part one and here for part two.   This month, we walk you through a step-by-step guide with bonus video footage to aid in your technique. This progressive procedure is absolutely significant to your practice, and we hope you all get a chance to try it.     The Approach n        Identification of foreign body on plain film or ultrasound n         Saphenous or posterior tibial nerve block n         Enlargement of the wound or entrance site using incision...
Source: The Procedural Pause - January 4, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

All Nurses Share the Same Struggles
Working in labor and delivery is everything you think it would be. It's sweet and inspiring. It's breathtakingly beautiful and miraculous. But OB is not all about babies and banners and bubblegum shaped like cigars. Labor and delivery can be heartbreaking. It can be so gut-wrenching that we sometimes leave work with our stomach in knots and our blood pressure pounding in our ears. Sometimes we leave work so angry our hands will shake the entire way home. Sometimes we leave work so unbelievably sad our whole body feels heavy and weighed with an emotional toll that can drag even the best obstetrical nurse down. But every day...
Source: Healthy Living - The Huffington Post - December 18, 2014 Category: Consumer Health News Source Type: news