Cervical Incompetence-Management
Cervical incompetence managed by using cerclage procedures. The 3 types of cerclage that are used are:
1. McDonald’s Cerclage (M/C)
2. Shirodkar Cerclage
3. Abdominal Cerclage -Benson & Durfee Cerclage
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Cervical incompetence managed by using cerclage procedures. The 3 types of cerclage that are used are:
1. McDonald’s Cerclage (M/C)
2. Shirodkar Cerclage
3. Abdominal Cerclage -Benson & Durfee Cerclage
If APLA is diagnosed based on H/O Abortion then aspirin along with low molecular weight heparin has to be given
Aspirin:
• Aspirin low doses= 50-100mg (80mg)
• Started-Urine Pregnancy Test (UPT) +ve
• Continued throughout Pregnancy
• Stopped 4-6 days before labor
Heparin:
Started- Only after confirmation of IU pregnancy
Continued throughout Pregnancy
Stopped at onset of labor
If APLA is diagnosed based on the criteria of Preterm Labor give only Aspirin @ the end of first trimester ;dose- 50-100mg (80mg).
→ It is characterized by intense bone pain due to intense sequestration of sickled erythrocytes & infarction in various organs.
→ Pregnancy can precipitate sickle cell crisis in both women with sickle cell trait and sickle cell disease.
Management:
→ IV fluids, O2
→ Epidural analgesia
→ Antibiotics
→ Thromboprophylaxis
Note: Red cell transfusion after the onset of pain do not have much benefit but prophylactic transfusions before the crisis, helps in decreasing the pain and shortening the duration of crisis.
Keratoconus is managed by:
→ Glasses
→ Contact lenses:
→ Corneal Hydrops:
→ C3 R (CxR)
Management:
Social Anxiety Disorder [Social Phobia]:
Management:
Pharmacotherapy:
Psychotherapy:
Other T/T modalities – ECT, Psychosurgery [Cingulotomy, capsulotomy – Caudate tractotomy]
Prognosis:
Acute Onset – 50%. 20-30% Significant improvement, 40-50% moderate, rest may so deterioration
Establishing a Differential Diagnosis:
After ruling out all the above-mentioned conditions, the management of panic disorder involves:
Fear of places where escape might be difficult
Very disabling phobia as patient may become home bound
Management: