Urticaria - Allergic Skin Reaction Characterised By Weals. . Pseudocyesis
July 18th
My boss is out of town. That leaves the boss's wife (Dr Mrs.), Dr Nsisi, Dr Akindele, Dr Larry, Dr Ojelade (The Dentist) and I, to run the hospital.
That's not counting the Nursing staff, the Optometrist, the Labroratory Technologists, the Radiographer and all other cadre that run the other hospital departments, day in day out.
Ours is in fact a Medical Centre, somewhere in the heart of Lagos in Nigeria. And today, we had a run of out-patients as is usually the case.
A noteworthy case was that of a lady, accompanied by her husband, who entered my consulting room looking aggitated. The reason for her discomfort was soon evident - Urticarial rashes all over her body.
These are very itchy weals that appear on the skin surface in their characteristic manner, caused by an allergic reaction within the body. The allergen was soon deciphered upon further inquiry - She had used a branded toilet soap, popular for its skin-fading action, hours before the allergic reaction started.
More interesting about this consultation was the worrisome fact that this couple had remained childless for eight years until now. The husband announced this to me while cautioning me to consider what drugs I shall be prescribing, on account of the safety of his unborn baby.
Quickly I inquired about date of last menstruation and confirmatory pregnancy tests that may have been done. The response that followed, I've known only too well over the years.
Pseudocyesis. It turned out to be just this. It is a strong but largely unfounded belief by a female, of the existence of a pregnancy that is not. Occuring usually when a pregnancy is extremely desired for, It often proves difficult convincing the other party otherwise.
Shortly following, a pelvic scan and a blood pregnancy test showed their belief as false.
I sooner encouraged them to resume the gynaecology consultations. This they had attended compliantly four years ago, to no avail. I keyed in with them on the truism of owning faith. So much so now, to enable exploitation of all that medical aid can continue to offer.
A shot of hydrocortisone 100mg intravenously, followed with tablets prednisolone, had started to cure her of her allergy even before they returned with the scan and test results.
My boss is out of town. That leaves the boss's wife (Dr Mrs.), Dr Nsisi, Dr Akindele, Dr Larry, Dr Ojelade (The Dentist) and I, to run the hospital.
That's not counting the Nursing staff, the Optometrist, the Labroratory Technologists, the Radiographer and all other cadre that run the other hospital departments, day in day out.
Ours is in fact a Medical Centre, somewhere in the heart of Lagos in Nigeria. And today, we had a run of out-patients as is usually the case.
A noteworthy case was that of a lady, accompanied by her husband, who entered my consulting room looking aggitated. The reason for her discomfort was soon evident - Urticarial rashes all over her body.
These are very itchy weals that appear on the skin surface in their characteristic manner, caused by an allergic reaction within the body. The allergen was soon deciphered upon further inquiry - She had used a branded toilet soap, popular for its skin-fading action, hours before the allergic reaction started.
More interesting about this consultation was the worrisome fact that this couple had remained childless for eight years until now. The husband announced this to me while cautioning me to consider what drugs I shall be prescribing, on account of the safety of his unborn baby.
Quickly I inquired about date of last menstruation and confirmatory pregnancy tests that may have been done. The response that followed, I've known only too well over the years.
Pseudocyesis. It turned out to be just this. It is a strong but largely unfounded belief by a female, of the existence of a pregnancy that is not. Occuring usually when a pregnancy is extremely desired for, It often proves difficult convincing the other party otherwise.
Shortly following, a pelvic scan and a blood pregnancy test showed their belief as false.
I sooner encouraged them to resume the gynaecology consultations. This they had attended compliantly four years ago, to no avail. I keyed in with them on the truism of owning faith. So much so now, to enable exploitation of all that medical aid can continue to offer.
A shot of hydrocortisone 100mg intravenously, followed with tablets prednisolone, had started to cure her of her allergy even before they returned with the scan and test results.
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