Hysterical Patient On Admission . . Post-Operative Bands and Adhesions . . Ovarian Cyst
July 30th
I discharged the Herniorraphy/Hydrocelectomy patient today. He still walked funny, his scrotal sac still baggy from the over-stretch, off and on, of over twenty years. Like a pregnant woman's abdomen that shrinks to normal size after delivery, so will his big scrotum.
The man grinned when I informed him so. I smiled back within me.
The Hysterical patient admitted few days back and who "convulsed", has remained sedated ever since and calm when she arouses a bit.
I began tailing off her medication today. We shall see how she fairs by tomorrow.
July 3oth
A patient, let's call her Mrs B, who I admitted about a week ago with a nagging lower abdominal pain, is quite better today.
After 3 previous Casarean Sections and an Appendectomy, my working diagnosis as I admitted her was Post-operative Intra-abdominal Adhesions.
Occassionally, long after extensive intra-abdominal surgery, the intra-abdominal organs may get loosely attached by cobweb-like fibrous strands or even stronger "bands" - These are Intra-abdominal Bands and Adhesions, and they may cause abdominal pains.
My diagnosis may have been wrong however, for a scan revealed a medium-sized Ovarian Cyst. This was the likely cause of her lower abdominal pains. A more thorough check by our Gynaecologist/Obstetrician, had pointed to the cyst.
He did a bi-manual vaginal examination. By placing two fingers of his right gloved hand to the side of the cervix inside the vagina, and the fingers of his free left hand pressed-down on that same side atop her lower abdomen, and then finally both hands made to approach each other (one inside the vagina and the other outside), the buggy mass of an ovarian cyst will be felt.
Because these ovarian cysts pop-up only to sometimes disappear spontaneously (They rupture), we had decided to simply watch and see while she was placed on medication.
I discharged the Herniorraphy/Hydrocelectomy patient today. He still walked funny, his scrotal sac still baggy from the over-stretch, off and on, of over twenty years. Like a pregnant woman's abdomen that shrinks to normal size after delivery, so will his big scrotum.
The man grinned when I informed him so. I smiled back within me.
The Hysterical patient admitted few days back and who "convulsed", has remained sedated ever since and calm when she arouses a bit.
I began tailing off her medication today. We shall see how she fairs by tomorrow.
July 3oth
A patient, let's call her Mrs B, who I admitted about a week ago with a nagging lower abdominal pain, is quite better today.
After 3 previous Casarean Sections and an Appendectomy, my working diagnosis as I admitted her was Post-operative Intra-abdominal Adhesions.
Occassionally, long after extensive intra-abdominal surgery, the intra-abdominal organs may get loosely attached by cobweb-like fibrous strands or even stronger "bands" - These are Intra-abdominal Bands and Adhesions, and they may cause abdominal pains.
My diagnosis may have been wrong however, for a scan revealed a medium-sized Ovarian Cyst. This was the likely cause of her lower abdominal pains. A more thorough check by our Gynaecologist/Obstetrician, had pointed to the cyst.
He did a bi-manual vaginal examination. By placing two fingers of his right gloved hand to the side of the cervix inside the vagina, and the fingers of his free left hand pressed-down on that same side atop her lower abdomen, and then finally both hands made to approach each other (one inside the vagina and the other outside), the buggy mass of an ovarian cyst will be felt.
Because these ovarian cysts pop-up only to sometimes disappear spontaneously (They rupture), we had decided to simply watch and see while she was placed on medication.
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